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Human error contributes to information system losses. Exposure to significant risk will continue and is not effectively addressed with conventional training. Broader strategy that addresses the social system is recommended. Such strategies have been successfully developed in industrial settings to deal with workplace hazards that are functionally similar to cyber loss. Four of these strategies are reviewed and found to be relevant to the needs of the IT-enabled organization in mitigating cyber security risks. These strategies are not consistent with each other or uniformly applicable, however, and would need to be adapted to contemporary knowledge work settings and used cautiously. Long-term institutionalization and development of organizational practices pose further challenges. While a holistic, sociotechnical systems (STS) approach to cyber security requires significant effort, IT-enabled organizations, as industrial organizations before them, will realize the effort is justified.

As illustrated by this case report, tetanus can occur as a complication of anorectal surgical procedures or abscesses just as it can in other wounds. A synergistic infection of the perineum occurred in a 62-year-old man 8 days after drainage of an anorectal abscess. He was treated with vigorous debridement and antibiotics and was given tetanus prophylaxis. The next day, tetanus developed, presumably from the original abscess. The patient recovered after aggressive therapy, including muscle relaxants and ventilatory support.

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