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Cybersecurity in healthcare has become an urgent matter in recent years due to various malicious attacks on hospitals and other parts of the healthcare infrastructure. The purpose of this paper is to provide an outline of how core values of the health systems, such as the principles of biomedical ethics, are in a supportive or conflicting relation to cybersecurity.

This paper claims that it is possible to map the desiderata relevant to cybersecurity onto the four principles of medical ethics, i.e. beneficence, non-maleficence, autonomy and justice, and explore value conflicts in that way.

With respect to the question of how these principles should be balanced, there are reasons to think that the priority of autonomy relative to beneficence and non-maleficence in contemporary medical ethics could be extended to value conflicts in health-related cybersecurity.

However, the tension between autonomy and justice, which relates to the desideratum of usability of information and communication technology systems, cannot be ignored even if one assumes that respect for autonomy should take priority over other moral concerns.

In terms of value conflicts, most discussions in healthcare deal with the conflict of balancing efficiency and privacy given the sensible nature of health information. In this paper, the authors provide a broader and more detailed outline.

The purpose of this paper is to explore the relationships between workplace bullying, organizational justice dimensions and intentions to leave. The authors posit that workplace bullying is positively related to intentions to leave, and that this effect is transmitted through lower justice perceptions.

The authors surveyed 146 healthcare workers, using factor analysis and the Preacher and Hayes (2008) PROCESS macro to test their hypotheses.

The study results indicate that workplace bullying is positively associated with intentions to leave. This effect is transmitted through lower entity-based distributive justice perceptions.

The study sample was cross-sectional and collected at a single point in time. Future research should examine these relationships in a longitudinal method.

The study results suggest that when a healthcare worker experiences bullying in the workplace, they begin to perceive their organization as more unfair. These negative feelings toward their organization lead to a desire to permanently separate from the organization. These results suggest that workplace bullying has serious ramifications for turnover, and that healthcare organizations can mitigate these negative effects by increasing perceptions of organizational justice through being transparent about their decisions and the process going into this decision-making.

These findings extend existing research by empirically testing the effects of workplace bullying on intentions to leave within the healthcare industry.

This study aims to observe and discuss an emerging disintermediation in transportation, finance and health care, and explain how these three key areas depend on intermediary institutions that are the fruit of modern corporate governance conditions that find their roots in classical sociological theory.

The authors review and incorporate a diversity of research literature to explain the likelihood for the development and continuation of disintermediation.

The authors map two sociological perspectives (Emile Durkheim’s theory of interdependence and Herbert Spencer’s theory of contracts) to two modern corporate governance theories (resource dependence theory and agency theory). The authors then discuss the challenging social situation resulting from modern corporate governance and show how these conditions create the potential for a continuum of disintermediation across the specific and crucial economic sectors of transportation, finance and health care.

The implications of this theoretical integration can help organizational leaders navigate complex social and strategic issues and prepare for the consequences that may result from the emerging disintermediation.

One cynic has speculated that years hence people will look back and be forced to conclude that ‘money laundering was one of the greatest problems facing mankind towards the end of the second millennium’. This would be true of lawyers, politicians, economists, sociologists and many others who have sought to examine the problem, each from their own viewpoint. Yet, the persis‐tently non‐definable trend of globalisation has seemingly demonstrated that uni‐causal or uni‐disciplinary explanations of change in the international arena tend to yield unilateral perspectives on problems, solutions to which are subsequently limited in scope.

The purpose of this paper is to present the modeling of statistical variation of experimental data using the design of experiments method to optimize the formulation of a high performance concrete (HPC) using materials that are locally available in Algeria. For this, two mineral additions (natural pozzolana and limestone filler [LF]) were used. Both additions are added by substitution of cement up to 25%. To better appreciate the effect of replacing a part of cement by natural pozzolana and LF and to optimize their combined effect on the characteristics of HPC, an effective analytical method is therefore needed to reach the required objective.

The experimental part of the study consisted of substituting a portion of cement by various proportions of these additions to assess their effects on the physico-mechanical characteristics of HPC. A mixture design with three factors and five levels was carried out. The JMP7 software was used to provide mathematical models for the statistical variation of measured values and to perform a statistical analysis. These models made it possible to show the contribution of the three factors and their interactions in the variation of the response.

The mixture design approach made it possible to visualize the influence of LF and pozzolanic filler (PF) on the physico-mechanical characteristics of HPC, the developed models present good correlation coefficients (R² = 0.82) for all studied responses. The obtained results indicated that it is quite possible to substitute a part of cement with LF and PF in the formulation of a HPC. Thanks to the complementary effect between the two additions, the workability could be improved and the strengths drop could be avoided in the short, medium and long term. The optimization of mixture design factors based on the mathematical models was carried out to select the appropriate factors combinations; a good agreement between the experimental results and the predicted results was obtained.

The coefficient of PF in Cs₂₈ model is closer to that of LF than in Cs₇ model, thanks to the complementary effect between LF and PF at the age of 28 days. It was found that the optimal HPC14 concrete (10%LF–5%PF) provides the best compromise between the three responses. It is also worth noting that the use of these two local materials can reduce the manufacturing costs of HPC and reduce carbon dioxide emissions into the atmosphere. This can be an important economic and environmental alternative.

Purpose – This chapter addresses a range of questions about public management reform in ‘Napoleonic’ administrative systems. It starts by addressing the descriptive question about what trajectories of reform occurred, and then explores what has been the fundamental stance toward new public management (NPM) (rejected, imported and implemented, or filtered and translated). I also discuss how reforms have changed the relative power base and role interpretation of the main actors in public management reform, and analyze the strategic approaches employed toward the reform of public management in these countries. Finally, I assess some key strategic alternatives for policy-makers as regards the reform of public management in the face of the long-term effects of the fiscal crisis that has struck these countries since 2010.

Design/Methodology/Approach – This chapter is based on a combination of literature reviews and opinions from the experts in the field who are surveyed – selected experts are all renowned scholars or leading practitioners, knowledgeable of public sector reform in the countries subject to investigation.

Findings – The chapter concludes that NPM-inspired reforms have to some extent been attempted; particularly, the role of tenured officials seems to have changed substantially, especially in their relationship with elected officials. However, NPM doctrines have been mainly filtered and translated into the local politico-administrative dynamics and codes of interpretation, and quite often they have been hollowed out. Particularly, the role of tenured officials seems to have changed substantially, especially in their relationship with elected officials. In terms of strategic approaches, there seems to have been much “maintaining” and some “modernizing,” although with important differences between countries (Italy being an especially difficult case to classify). The fiscal crisis and the changes in European governance might lead to a profoundly different state of affairs in which the interconnection between changes in European Union (EU) governance and public sector reform might become more closely interconnected than they used to be.

Research limitations/Implications – The contribution is mainly speculative, and urges for empirical research to be undertaken, particularly on the issue of the interconnection between changes in EU governance and public sector reform.

Originality/Value – The contribution provides a distinctive and critical perspective on public sector reform in an underinvestigated cluster of countries.

The study aims to have adults discuss experiences, practices needs and feelings related to health management, diet and food security.

A total of 22 immigrants were recruited from the Open School of Immigrants in Piraeus, Attica, Greece, to participate in focus group discussions. The discussions were audio recorded and thematically analyzed. Three major themes were developed: pathways to health care, nutrition management and experiences related to food shortages.

Most of the participants identified internet as the most commonly used way to obtain health advice; they also stated that unexpected ill-health is usually accompanied by feelings of fear, anxiety and loneliness. Immigrants, who had visited a public hospital in Greece, identified the language barrier as the most challenging issue, followed by the long waiting lists. Fear and anxiety of hospital visits was an important factor in their decision to vaccinate against COVID-19. Lack of time, high cost of healthy food and lack of knowledge were the most common obstacles to a healthy diet. One in two immigrants reported that they have faced food insecurity issues in the past. Stress, psychological distress and irritation were reported, due to food shortages, especially during the first few years of arriving in Greece. The exclusion of some foods, reduced portion sizes and buying cheaper foods were among the coping strategies to address food shortages.

The study offers an insight into immigrant’s experiences, practices and feelings about managing health issues and could be useful for health-care practitioners, researchers and policymakers.