No abstract

Information Systems Security (ISS) has constantly been ranked as a key concern for Information Systems (IS) managers. Research in the field has largely assumed rational choice (functional) approaches to managing ISS. Such approaches do not give due recognition to the role of improvisation in ISS work. Empirical evidence in organisations suggests that in the context of dynamic, volatile and uncertain environments practitioners are both rational and adaptive (a manifestation of improvisation). In this paper, we conceptualise and demonstrate the manifestation of improvisation in ISS. In order to develop a better understanding of improvisation in ISS activities, hermeneutical and exegetical techniques were employed. Empirical data were collected through in-depth interviews in a single case study. The data obtained were analysed and interpreted hermeneutically. Generally it was found that improvisation is manifested in ISS activities. Implications of these and other findings for the scholarly community and for practical use are discussed.

SummaryBackgroundIn sub-Saharan Africa, severely immunocompromised HIV-infected individuals have a high risk of mortality during the first few months after starting antiretroviral therapy (ART). We hypothesise that universally providing ready-to-use supplementary food (RUSF) would increase early weight gain, thereby reducing early mortality compared with current guidelines recommending ready-to-use therapeutic food (RUTF) for severely malnourished individuals only.MethodsWe did a 2 × 2 × 2 factorial, open-label, parallel-group trial at inpatient and outpatient facilities in eight urban or periurban regional hospitals in Kenya, Malawi, Uganda, and Zimbabwe. Eligible participants were ART-naive adults and children aged at least 5 years with confirmed HIV infection and a CD4 cell count of fewer than 100 cells per μL, who were initiating ART at the facilities. We randomly assigned participants (1:1) to initiate ART either with (RUSF) or without (no-RUSF) 12 weeks' of peanut-based RUSF containing 1000 kcal per day and micronutrients, given as two 92 g packets per day for adults and one packet (500 kcal per day) for children aged 5–12 years, regardless of nutritional status. In both groups, individuals received supplementation with RUTF only when severely malnourished (ie, body-mass index [BMI] <16–18 kg/m2 or BMI-for-age Z scores <–3 for children). We did the randomisation with computer-generated, sequentially numbered tables with different block sizes incorporated within an online database. Randomisation was stratified by centre, age, and two other factorial randomisations, to 12 week adjunctive raltegravir and enhanced anti-infection prophylaxis (reported elsewhere). Clinic visits were scheduled at weeks 2, 4, 8, 12, 18, 24, 36, and 48, and included nurse assessment of vital status and symptoms and dispensing of all medication including ART and RUSF. The primary outcome was mortality at week 24, analysed by intention to treat. Secondary outcomes included absolute changes in weight, BMI, and mid-upper-arm circumference (MUAC). Safety was analysed in all randomly assigned participants. Follow-up was 48 weeks. This trial is registered with ClinicalTrials.gov (NCT01825031) and the ISRCTN registry (43622374).FindingsBetween June 18, 2013, and April 10, 2015, we randomly assigned 1805 participants to treatment: 897 to RUSF and 908 to no-RUSF. 56 (3%) were lost-to-follow-up. 96 (10·9%, 95% CI 9·0–13·1) participants allocated to RUSF and 92 (10·3%, 8·5–12·5) to no-RUSF died within 24 weeks (hazard ratio 1·05, 95% CI 0·79–1·40; log-rank p=0·75), with no evidence of interaction with the other randomisations (both p>0·7). Through 48 weeks, adults and adolescents aged 13 years and older in the RUSF group had significantly greater gains in weight, BMI, and MUAC than the no-RUSF group (p=0·004, 0·004, and 0·03, respectively). The most common type of serious adverse event was specific infections, occurring in 90 (10%) of 897 participants assigned RUSF and 87 (10%) of 908 assigned no-RUSF. By week 48, 205 participants had serious a...

No abstract

Aim/Purpose: Violations of Information Systems (IS) security policies continue to generate great anxiety amongst many organizations that use information systems, partly because these violations are carried out by internal employees. This article addresses IS security policy violations in organizational settings, and conceptualizes and problematizes IS security violations by employees of organizations from a paradox perspective. Background: The paradox is that internal employees are increasingly being perceived as more of a threat to the security of organizational systems than outsiders. The notion of paradox is exemplified in four organizational contexts of belonging paradox, learning paradox, organizing paradox and performing paradox. Methodology : A qualitative conceptual framework exemplifying how IS security violations occur as paradoxes in context to these four areas is presented at the end of this article. Contribution: The article contributes to IS security management practice and suggests how IS security managers should be positioned to understand violations in light of this paradox perspective. Findings: The employee generally in the process of carrying out ordinary activities using computing technology exemplifies unique tensions (or paradoxes in belonging, learning, organizing and performing) and these tensions would generally tend to lead to policy violations when an imbalance occurs. Recommendations for Practitioners: IS security managers must be sensitive to employees tensions. Future Research: A quantitative study, where statistical analysis could be applied to generalize findings, could be useful.