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Security measures required for HIPAA privacy.

HIPAA security requirements include administrative, physical, and technical services and mechanisms to safeguard confidentiality, availability, and integrity of health information. Security measures, however, must be implemented in the context of an organization's privacy policies. Because HIPAA's proposed privacy rules are flexible and scalable to account for the nature of each organization's business, size, and resources, each organization will be determining its own privacy policies within the context of the HIPAA requirements and its security capabilities. Security measures cannot be implemented in a vacuum.

Computer Security↗

[Security measures in the penal code, in the opinions of expert psychiatrists and some problems in their applications].

The aim of this paper is to remind expert psychiatrists, the three basic elements required for the application of security measures such as placing the convict in a psychiatric hospital. They are: 1) An act was of serious social damage, 2) the damage was committed in a state of non-liability, 3) there is a high risk of the person repeating the act of similar social damage. The fulfilment of these three is an obligation for the court to apply the security measure of placing the person in a psychiatric hospital (art. 94 section 1 of the penal code). Practice shows that experts have difficulties in these evaluations, which in turn results in faults in directing for placement withoutjust cause, or in turn-there is no directing, even though there are causes for it. There is a huge need for legal regulations on these manners, after the forensic psychiatric observation ends. The non-liable delinquent who committed an act of serious social damage is in risk of committing this act once more, whilst he is not in custody. The issue is in showing a legal basis for keeping the non-liable delinquent from such an act in a psychiatric hospital, in spite of ending the observation, until the legal sentence on the security measure is in place.

Clinical Competence↗

An assessment of various household food security measures in Hawaiì has implications for national food security research and monitoring.

The Core Food Security Module (CFSM), the national food security monitoring tool, requires three affirmative responses to categorize households as food insecure. If this tool is unreliable or inaccurate, vulnerable segments of our population may be adversely affected. The objectives of the present study were to assess the credibility of applying the CFSM categorical measure to a population sample from Hawaiì and to assess the concurrent validity of the CFSM, the new face-valid measure and measures adapted from the Radimer/Cornell (RC) measure and Community Childhood Hunger Identification Project. The sample included 1469 respondents gathered through a statewide telephone sample and 144 food pantry recipients. Responses to the 18 CFSM questions were used to create all four measures. The credibility of the CFSM categorical measure was also assessed via comparisons with individual items and with the 1995 national modal CFSM response pattern. Categorical measures were compared across food security prevalence estimates and indices of income and vegetable intake and with the CFSM scale measure. Differences in the modal response pattern between samples affected CFSM categorization. Only 36% of households followed the Hawaiì modal response pattern, and categorization was not consistent with the content of key items. Although 85% of the households were classified as food secure by the CFSM, only 78% were classified as food secure with each of the other food security measures. Concurrent validity of all measures was confirmed. A reassessment of the national CFSM categorical measure appears warranted.

Adult↗

[Ultima ratio of the applied security measures in placing perpetrators in a psychiatric hospital].

The meaning of articles on the main security measures concerned with placing the convict in a closed psychiatric unit is studied. Articles 93 & 94 section 1 of the penal code limit their application only as final measures--the ultima ratio. Art. 93 of the penal code pertains to the perpetrator of illegal actions in connection to their psychiatric illness, mental retardation, alcohol or other related substance addiction, along with a risk of the crime being committed once again, only when it will prevent the person from repeating the crime. The issues that need be considered are the following: psychic state of the perpetrator along with prediction of the risk of him repeating the act, but the liability evaluation and the degree of probability do not play any vital role. This is probably due to the fact that the measure described in art. 96 of the penal code has a limited time span (it cannot be any shorter than 3 months and longer than 2 years) and what is more; it can be applied instead of the punishment. Art. 94 section 1 of the penal code requires very precise evaluation of the risk of repetition in each case of a non-liable perpetrator guilty of conducting crime of serious social damage. This measure is not limited in time span, because it depends on the psychic state of the person under its influence. Henceforth it is considered as more restrictive.

Commitment of Persons with Psychiatric Disorders↗

Security measures for AIDS and HIV.

This study describes the measures being taken by AIDS surveillance offices across the country to ensure the security of information regarding patients with AIDS and HIV infection. Security measures were evaluated according to the cumulative number of AIDS cases reported, whether partner notification services were provided, and whether HIV seropositive reporting by name was also required. This study showed that public health departments have taken extra steps to ensure the security of AIDS and HIV data.

Acquired Immunodeficiency Syndrome↗

[Unnecessary use of security measures and psychiatric hospitalisation].

The authors of this paper formulated an expertise opinion in answering the court on the former opinion of expert psychiatrists which concerned the psychic state and legibility, as well as the necessity of using security measures in the case of a woman who was considered non legible due to a delusional disorder, when she damaged the tyres in a car. The faults in the opinion stimulated the authors to present the results of the analysis formulated, with the idea that other experts will take more care when forming their expertise opinions.

Expert Testimony↗

An evaluation of the U.S. Department of Agriculture food security measure with generalized linear mixed models.

Over the last decade, new information has been developed and collected to measure the extent of food insecurity and hunger in the United States. Common measurement of the phenomenon of hunger and food insecurity has become possible through efforts of the U.S. Department of Agriculture (USDA) to develop a set of survey questions that can be used to obtain estimates of the prevalence and severity of food insecurity. We evaluated the measurement of food insecurity and the effect of household variables on measured food insecurity. The effects of demographic and survey-specific variables on the food insecurity/hunger scale were evaluated using a generalized linear model with mixed effects. Data came from the 1995, 1997 and 1999 Food Security Module of the Current Population Survey. The results generally validated the model currently used by the USDA. In addition, our approach made it possible to consider the effect of demographics and several survey design variables on food security among measurably food-insecure households, as well as interactions between these factors and the food security questions. The analysis of the expanded model with the 1995 data found results similar to those reported based on the Rasch model used by the USDA. Even though the sample size was reduced and a number of screening and questionnaire changes were introduced in 1997 and 1999, the results for those years appear mostly unchanged and confirm the robustness of the scale in measuring food insecurity. There is some evidence that interpretation of questions may vary among different demographic groups.

Demography↗

Special report. After shooting incidents: hospitals take different security measures to deal with ED violence.

Violent incidents in hospital emergency facilities, whether at the hospital itself or in nearby facilities, have been serving as catalysts for administrators to take immediate steps to create a safer environment for staff and patients. In this report, we'll give details on the events that spurred the upgrading of security at five medical centers and what specific steps are being taken.

Emergency Service, Hospital↗