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250-511 | Administration of Symantec(TM) Data Loss(R) Prevention 11

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250-511 - Administration of Symantec(TM) Data Loss(R) Prevention 11 - braindump

Vendor Symantec
Exam Number 250-511
Exam Name Administration of Symantec(TM) Data Loss(R) Prevention 11
Questions 176 Q & A
Recent Update February 12, 2019
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250-511 exam Dumps Source : Administration of Symantec(TM) Data Loss(R) Prevention 11

Test Code : 250-511
Test Name : Administration of Symantec(TM) Data Loss(R) Prevention 11
Vendor Name : Symantec
Q&A : 176 Real Questions

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Symantec Administration of Symantec(TM) Data

Symantec warns of China-primarily based espionage crusade concentrated on satellites | killexams.com Real Questions and Pass4sure dumps

A China-based cyber group is conducting an extensive hacking campaign by using concentrated on satellite, telecom and defense businesses in the u.s. and Southeast Asia, a U.S. cybersecurity firm warned this week.

The intent of the hacking community, called "Thrip," is likely country wide cyber espionage, security researchers at Symantec Corp. mentioned on Tuesday.

"Thrip’s assault on telecoms and satellite tv for pc operators exposes the opportunity that the attackers could intercept or even alter communications site visitors from enterprises and consumers," Symantec spoke of in a statement, adding that probably the most stressful discovery is an try to manage satellites by way of infecting linked computers with malware.

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"The assault neighborhood appeared to be primarily drawn to the operational aspect of the enterprise, hunting for and infecting computer systems working software that screens and controls satellites. this implies to us that Thrip’s causes go beyond spying and may also include disruption," Symantec wrote in a separate weblog post.

Satellites play a valuable function in telecommunications, receiving and transmitting phone and web signals as well as mapping and geolocation facts.

Symantec mentioned in Tuesday's remark that it has tracked Thrip in view that 2013 and these days observed that the cyber neighborhood seems to have "found new tools and innovations used via the group during this most recent set of assaults."

The threat of the more advantageous hacking toolbox is further compounded by means of Thrip's capacity to reside smartly hidden.

"They function very quietly, blending in to networks, and are handiest found out the use of artificial intelligence that can determine and flag their actions," Symantec Chief executive Greg Clark said in an announcement.

The enterprise says it found the new assaults via its synthetic intelligence-based mostly focused assault Analytics, which helped the researchers spot the malicious habits that was hiding in professional IT administration tools.


Cybersecurity stories Agree on Espionage, range on Public-Sector statistics Breaches | killexams.com Real Questions and Pass4sure dumps

Two studies of information superhighway protection launched inside one day of every different had many similar findings, essentially that the general public sector frequently fared no improved or worse than retail, enterprise and other areas ultimate yr — however continues to be a big goal for cyber-espionage and e-mail-based attacks, even though now not always other typical U.S. attacks like identity theft.

however there become one obvious change between the Symantec 2017 internet protection hazard report (ISTR) released on Wednesday, April 26, which executive technology covered thoroughly, and Verizon's 2017 statistics Breach Investigations record (DBIR) launched the following day: Verizon, which dedicated a piece of its report to public administration, ranked the general public-sector midrange among five kinds of entities surveyed for facts breaches remaining year. Symantec, which provided rankings by way of trade at a number of features in its document, ranked public administration ninth out of 10 industries most suffering from information breaches.

Verizon report creator Marc Spitler echoed its writing, and instructed government technology that many breaches that were reported, contributing to the full number of incidents, could have been "of the non-cyber variety," however potentially amounting to overlooked bureaucracy deliveries in which one employee acquired the documents of a different.

"We do document on those," Spitler mentioned. "however it’s now not necessarily a hacker penetrating, it’s still anything that we document on."

Kevin Haley, director of Symantec protection Response and an creator of its file, observed that in lots of approaches, the public sector can be no different “from any person else,” and pointed out Symantec's information set is different since it specializes in breaches that were publicly stated.

"I think on the conclusion of the day — and my concern — when we get too caught up within the rankings, we say, ‘neatly, I don’t ought to agonize about it, I’m handiest No. 10,'" Haley advised government expertise. "I consider the element is, you shouldn’t feel safer in case you’re at No. 3 out of 6 or No. 7 out of 10. Recognizing that your business is within the right 10 may still be a concern, and besides the fact that you’re now not in the accurate 10, it can be a priority."

Verizon discovered public administration changed into the third most universal victim of records breaches of a lot of types, accounting for 12 p.c of all breaches at the back of financial companies with 24 percent and health-care corporations with 15 %.

Its record became based on investigations and intelligence operations completed through Verizon the usage of the Vocabulary for event Recording and Incident Sharing (VERIS) framework, and experiences from contributors, compiled from greater than forty two,000 cybersecurity incidents and very nearly 2,000 facts breaches across 84 nations.

The Symantec report carefully documented how victims had been challenging-hit in 2016 and what styles of assaults had been popular in 2016, a fractious U.S. election year and a time when zero-day vulnerabilities and complex malware are more and more set aside for more simplistic solutions.

It recorded 1,209 breaches across all sectors closing yr, down simply two from 2015, however down greater than 300 from 2014. but Symantec tracked a rise of essentially sixty eight % remaining yr in emails sent containing a malicious link or attachment. In earnest numbers, 1 in 131 emails sent remaining year contained malware, the enterprise said, up from 1 in 220 in 2015.

The Symantec global Intelligence community tracks greater than seven hundred,000 world adversaries, facts movements from 98 million sensors global and monitors risk actions in more than 157 international locations and territories through its items and services.

but officials at both groups warned against studying too tons or too little into these and other findings, noting that experiences were somewhat recommended with the aid of the origins of their fabric and by the time duration surveyed; and cautioned that even sectors that ranked low for malware or unsolicited mail should remain vigilant.

In its record, Verizon authors recognized 21,239 incidents within the public sector ultimate yr — and pronounced all however 239, a little greater than 1 percent, didn't upward thrust to the degree of a data breach. against this, the economic and insurance sector had simply 998 incidents — but 471, greater than 47 %, resulted in validated statistics disclosure.

The file cited that “executive is required to report up the chain on incidents that would continue to be unremarked upon in many businesses,” however Spitler mentioned readers shouldn’t expect the excessive number of incidents ability the public sector doesn’t comprehend what it is doing.

“I don’t consider that the larger number in regards to the general public sector always skill they are doing more advantageous or worse than others,” Spitler mentioned. “The executive is awfully big and the government does loads of maintenance. And individuals in a variety of sectors aren’t always improved at now not dropping issues than others.”

Verizon identified the suitable three breach patterns inside public administration as coming from cyber-espionage, misuse of privilege and miscellaneous mistakes, comprising 81 % of all sector breaches.

The company additionally ranked the public sector sixth of eight for industry phishing, accounting for 9.2 p.c of assaults.

Symantec authors ranked public administration ninth of 10 sectors breached closing yr through number of incidents, with six breaches; and ninth of 10 sectors breached where identities had been stolen, at very nearly 1.2 million.

That, Haley pointed out, “is still a good looking big number,” emphasizing lessen-ranked sectors still should stay vigilant.

The enterprise additionally rated public administration eighth of eleven sectors for electronic mail malware, with 1 in 141 emails bearing malware; and fourth of eleven for phishing, with 1 in 2,239 emails containing phishing.

Spitler and Haley agreed that quite simply on account of their place, public businesses continue to be the ambitions of cyber-espionage. Verizon ranked the general public sector second out of 13 with 112 incidents — in the back of best the manufacturing sector with a hundred and fifteen.

but Haley mentioned the larger story for his enterprise became seemingly the upward thrust in malicious email and the indisputable fact that a normal of more than 229,000 net assaults have been detected day by day final 12 months — regardless of internet attacks having dropped 32 %. e mail safety, he spoke of, “has been variety of boring,” and people may additionally not be updating or patching.

“I believe it’s in fact a wake-up name to claim, ‘We need to re-evaluate our e-mail protection to peer if we’re doing every thing we will do.' The landscape adjustments, the social engineering that people use alterations,” he stated, noting the extended use of company electronic mail compromise (BEC) scams, pretty much spear-phishing employees via a person who pretends to be their CEO or senior supervisor.

As for beginning reviews, Symantec identified two distinctive facets to cyber crime: what it termed “ordinary mass-market cyber crime organizations,” similar to those in the back of ransomware and on-line banking threats; and arranged criminal groups like these answerable for advanced fiscal heists.

inside the public sector, Verizon reported a roughly 60/40 break up between exterior and inside “chance actors.” It ranked misuse via insiders and those with privileged use as high in public groups, with very own tips focused seventy one % of the time for monetary crimes — although it discovered the criminals, more than half the time, are “the common conclusion-user absconding with records within the hope of changing it to money somewhere down the road.”

Miscellaneous blunders, which with cyber-espionage and privilege misuse accounted for more than three-quarters of public-sector crimes, have been reported more predominantly via govt corporations, Verizon authors wrote. They noted that basic misdelivery of suggestions became essentially the most general mistake, adopted by way of publishing and disposal error.

extra troublesome, Verizon found, was the duration of time public organizations took to find they’d been breached. In 39 of sixty six cases, or essentially 60 p.c of the time, their discovery was years in the making. In 9 of sixty six circumstances, or well-nigh 14 percent of the time, discovery took months.

“It’s one [area] the place almost every person needs to enhance,” Spitler pointed out, noting that issues of employee misuse can also be tougher to spot than payment card breaches or identity theft.

And Haley brought up a simple reality of life that may have terrible penalties for the public sector or every other impacted enviornment.

He praised governments for starting to embrace instructions from the country wide Institute of requirements and technology and different businesses — but mentioned if an company or company on your sector is breached, brace yourself.

“as soon as your business form of gets labeled an easy goal, it truly doesn’t be counted even if it become you or not, or how respectable your protection is — you’re going to attract flies. You’re going to get assaults,” Haley observed.


Symantec Endpoint Encryption: Full disk encryption product overview | killexams.com Real Questions and Pass4sure dumps

here's part of a collection on the exact full disk encryption products and equipment out there. For more, take a look at our FDE product roundup.

Symantec Endpoint Encryption provides full disk encryption (FDE) capabilities for the inner tough drives of computers, laptops and servers. FDE is the capacity that ensures all hard pressure statistics is encrypted so delicate records kept thereon cannot be accessed by way of an attacker, as long as the computer, desktop or server is powered off or (in the case of a laptop) is in a hibernate state. Symantec Endpoint Encryption additionally contains storage encryption for detachable media, such as USB flash drives and external hard drives.

Product models

The Symantec Endpoint Encryption product became first released in October 2014, changing the Symantec power Encryption product. in contrast to every other providers, Symantec makes a single version of its Endpoint Encryption software.

it's intended to be centrally managed by way of the Symantec Endpoint Encryption administration Server product, which ought to be hosted in an lively directory domain.

Platform aid

on the grounds that Symantec Endpoint Encryption is a new product, it is only supported on surprisingly new home windows operating system (OS) versions, as follows: Microsoft home windows 8.1 business and expert, Microsoft windows 8 enterprise and professional, Microsoft home windows 7 most excellent, enterprise and skilled, Microsoft home windows Server 2012 Datacenter and common, and Microsoft windows Server 2008 enterprise and ordinary.

Encryption and authentication guide

Symantec Endpoint Encryption helps using the superior Encryption ordinary (AES) encryption algorithm with both 128-bit keys or 256-bit keys. AES is a strong algorithm and, when used with the 256-bit key choice, offers mighty insurance policy in opposition t current and emerging threats.

Being a fresh product, Symantec Endpoint Encryption has now not yet been Federal information Processing average (FIPS) a hundred and forty-2-certified, but the validation method is in growth. FIPS 140-2 certification suggests that a product has been independently demonstrated to determine if it has any huge typical complications in its cryptographic implementation. Certification doesn't point out that a product is foolproof, but fairly that familiar weaknesses in its cryptography don't exist.

Multifactor authentication is supported with the aid of Symantec Endpoint Encryption, along with integration with energetic directory features. The FDE product can use cryptographic tokens and sensible cards as sorts of authentication besides passwords.

Symantec Endpoint Encryption presents self-service password recuperation for users, as well as assist desk-offered password recovery. Some agencies don't enable self-service because of the relative ease in compromising it via social engineering assaults. The assist desk-supplied alternative offers these enterprises an extra way of offering a healing function with out the possibility inherent in self-carrier.

one other advantageous authentication characteristic that Symantec Endpoint Encryption presents is mitigation of brute-drive authentication assaults, usually involving passwords. If there are too many failed authentication makes an attempt in a row on a tool -- with the quantity decided by the administrator -- the equipment will also be configured to immediately add delays between each and every authentication attempt, therefore slowing down an attacker. Or the device can be configured to lock out the consumer and require the consumer to use either the self-carrier password recovery feature or the aid desk-supplied recovery alternative to regain access to the gadget.

administration

As mentioned above, Symantec Endpoint Encryption is designed for centralized management by the use of the Symantec Endpoint Encryption administration Server product. This ability it's supposed for commercial enterprise use and never to be used with the aid of people or through smaller agencies that don't practice centralized administration.

Licensing

Symantec sells copies of Symantec Endpoint Encryption via its web page and through channel companions. As with other business FDE options, Symantec licenses its product through equipment (e.g., computing device, computer, server).

here is the retail pricing as of November 2014.

Symantec presents a free trial of Symantec Endpoint Encryption.

Conclusion

Symantec Endpoint Encryption provides FDE and removable media encryption capabilities for more moderen home windows programs, computers, laptops and servers. It isn't a achievable enterprise-broad option for companies working Mac OS X computers and laptops, nor is it suitable for companies running older versions of home windows on desktops, laptops and servers.

Symantec Endpoint Encryption’s authentication, encryption and centralized management capabilities are on par with competing business products. since the product has its personal committed management server, it doesn't remember in terms of integration whether the business adopting it already has Symantec items put in. In other phrases, there is no skills for latest Symantec purchasers as adversarial to consumers of other vendors.


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Journal of Head Trauma Rehabilitation | killexams.com real questions and Pass4sure dumps

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  • Competence not Age Determines Ability to Practice: Ethical Considerations about Sensorimotor Agility, Dexterity, and Cognitive Capacity | killexams.com real questions and Pass4sure dumps

    Consideration of the effects of aging on physicians’ practice is crucial to addressing aging clinicians’ competence, that is, their ability to practice with reasonable skill and safety. Given physician workforce shortages even in resource abundant countries, the establishment of a compulsory retirement age in the US is impractical and unlikely. Several US hospitals and institutions have sought to address concerns about competence by establishing mandatory age-linked testing and evaluation for physicians. However, these procedures have raised questions regarding age discrimination and test validity. Introduction

    As the US population ages, the physician population is also aging. Recent data show that more than one-quarter of physicians in the United States are age 60 or older [1], and more than 20 percent are over the age of 65 [2]. Although 65 is considered by many to be the traditional retirement age, it’s clear from these data that a substantial proportion of physicians continue to practice beyond this point. The challenges of ensuring the competence of aging physicians can better be appreciated by examining the effects of aging on physicians, mandatory retirement ages, and regulatory efforts to ensure that physician ability is maintained and validated.

    Aging-Associated Changes in Sensorimotor and Cognitive Skills

    For physicians, competence is the ability to practice with reasonable skill and safety, which involves both cognitive and physical considerations. Although clinicians’ responsibility and commitment to practice competently does not change throughout their professional careers, age-related changes can influence their ability to do so. Beginning at age 40-50, vision and hearing begin to diminish [3]. Visual-spatial ability, inductive reasoning, verbal memory, and other cognitive functions also begin to deteriorate with age, with the steepest declines occurring after age 65 [4, 5]. However, the rate and extent of these changes vary significantly from person to person [6-8], as do declines in stamina, cognition, and fine-motor skills [9]. Sustained attention and ability to perform among distractions and in the presence of multiple visual, auditory, or other stimuli can also deteriorate with age [10].

    Overall, these effects of aging can negatively influence physicians’ performance. A systematic review of 62 studies found that physician performance (measured by adherence to clinical guidelines) generally decreased with years in practice, contravening the hypothesis that experience is associated with high-quality care [11]. Further complicating normal age-related decline is increasing incidence of dementia with age, estimated to be 5-10 percent in people age 65 or older [12]. Although higher educational levels are thought to be somewhat protective against dementia [13, 14], based on the foregoing estimate, approximately 8,000 physicians in the US were suffering from dementia in 2006 [12].

    However, not all abilities decline with age and older physicians have some advantages. According to one source, although “fluid intelligence” (reasoning and cognitive flexibility) tends to decline with age, “crystallized knowledge” (accumulated knowledge) is generally maintained [15]. This source also suggests that though older clinicians might be more influenced by information acquired early in a patient’s case, they also tend to demonstrate better ability to come to an early diagnosis, possibly by virtue of their accumulated knowledge. Moreover, several studies have demonstrated that older physicians experience less psychological distress and burnout than younger physicians [16].

    The ability to assess the effect of age-related changes on physicians’ performance is complicated by the fact that—as discussed above—these changes can vary widely, with some practitioners showing little alteration in function even at advanced ages [17]. Factors such as heredity and personal health status clearly contribute to job-related performance but are difficult to quantify. Physical fitness, for example, has been shown to be associated with maintenance of both cognitive and physical well-being [18]. Moreover, individual practitioners might be unable to accurately assess their own functioning. In a study of surgeons, for instance, self-perceived cognitive changes were not related to objective measures of cognitive deterioration in formal neuropsychological testing [6]. And it appears that people with mild cognitive impairment demonstrate a lack of insight about their impairments [19]. Adding further complexity to the discussion are varying physical and intellectual demands among and even within specialties and practice settings. The demands placed on a physician with a primarily office-based practice differ from those of a physician doing surgery, for example, with the latter experiencing prolonged work hours and physical demands and the need for rapid assessment and judgment. Although age-related changes are inevitable, variability among these changes makes establishing age-specific criteria for retirement challenging at best.

    Mandatory Retirement and Workforce Shortages

    The Age Discrimination in Employment Act (ADEA) of 1967 protects people who are 40 years or older from age discrimination in employment, including mandatory retirement ages. However, the courts have generally concluded that, for certain occupations, particularly those in which public safety is involved, age is a bona fide occupational qualification (i.e., employment qualifications that employers are allowed to consider while making decisions about hiring and retention of employees, e.g., fitness requirements) [20]. Some of these professions include commercial airline pilots (mandatory retirement at age 65), FBI agents (age 57), and air-traffic controllers (generally age 56) [20].

    Some countries, however, have policies and have implemented policy changes about age-based restrictions on physicians’ practices, some of which have been modified in response to workforce needs. In the United Kingdom, health professionals can switch to part-time work while preserving their pension entitlements [21]. In other countries, compulsory retirement ages for physicians have been abolished in response to significant physician workforce shortages [22]. Physicians in Spain, for example, have a retirement age of 70 compared to age 65 for other professionals [23]. And in Germany, the retirement age of 68 for general practitioners and primary care specialists was lifted in 2009 [24].

    The US faces workforce challenges, too. By 2025, the US will have a shortfall of 61,700-94,700 physicians [25], attributable to both a growing population and a rising proportion of elderly people within that population who are anticipated to have increasingly complex health care needs [25]. Since 20 percent of physicians are currently over the age of 65 [2], and since an increase in that proportion is expected, instituting a mandatory retirement age would further exacerbate physician shortages.

    Licensing, Certification, and Credentialing

    Although imposing a mandatory retirement age for physicians in the US seems both impractical and unlikely, questions about aging physicians’ competence still persist. In my experience, in most states, periodic relicensing for physicians—most often at two-year intervals—requires only an attestation of participation in continuing medical education and fee payment, and relicensing procedures tend to include no evidence of competency such as might be provided by a formal clinical evaluation, for example. However, because of the importance of evaluating and demonstrating physician competence, board-certification and credentialing by health care organizations also include requirements for regular clinical assessments.

    Certification. The American Board of Medical Specialties and its 24 member boards have adopted a maintenance of certification requirement whereby, in order to maintain board certification, a physician must provide evidence of participation in continuing professional development. The requirements vary between boards but generally include ongoing education and, for some, regular formal written examinations as well to test whether physicians’ knowledge base for practicing the specialty is up-to-date [26]. These requirements have been met with active backlash by some specialty professional organizations and individual practitioners, mainly due to considerable fees, time demands to meet the requirements, and a lack of evidence demonstrating that maintenance of certification requirements protect patients or improve care [27].

    Credentialing. Age-based testing can have legal benefits, particularly when appraised from a patient safety standpoint. In recognition of the need to ensure public safety, commercial airline pilots, beginning at age 40, undergo routine physical examinations at six-month intervals as well as flight simulator-based evaluations [28]. These assessment opportunities are conditions of employment. Public safety concerns are recognized; in many states, specific age-related stipulations are included for obtaining a driver’s license (e.g., yearly testing after age 85) [29].

    At present, only an estimated 5 percent of US medical centers have developed age-related screening policies [30]. Among these few institutions, the University of Virginia and the Stanford Health system are well-known examples. In 2011, the University of Virginia Health System implemented a system of mandatory physical and cognitive examinations every two years for physicians and some other members of the clinical staff, beginning at age 70 [31]. And in 2012, Stanford Hospital and Clinics instituted a late-career practitioner policy, including a peer evaluation of clinical performance, a cognitive examination, and a comprehensive history and physical examination every two years for physicians aged 75 and older [32].

    However, assessment of older physicians is problematic for a number of reasons. In 2015, senior faculty members at Stanford Hospital and Clinics voted to reject the late-career practitioner policy on the grounds that it constituted age discrimination [33]. Among the difficulties with mandating these assessments is the lack of practical screening tools that are specific and easily utilized. Comprehensive neurocognitive and functional testing, which is currently available in only a few sites, incurs travel expenses and requires time away from practice for multiday, multispecialty testing. Variability in how age-associated cognitive changes manifest, uncertainty in interpreting psychomotor tests in physicians and in using the test results to predict care quality and patient outcomes are other concerns that have been raised [34].

    A possible adjunct to clinical assessment is a system of self-regulation, wherein an individual physician is responsible for monitoring his or her own cognitive and physical functioning. Some professional organizations (e.g., the Royal Australasian College of Surgeons–The College of Surgeons of Australia and New Zealand) have developed tools for this kind of self- and peer-assessments of competence throughout surgeons’ careers [35]. In 2015, the American Medical Association (AMA) [36] announced its intention to address the need for guidelines and appropriate plans for screening senior physicians and assessing their competence. One important limitation of self-assessment, however, is the need for a high degree of self-awareness and honesty [37]. As noted above, individuals with cognitive decline or those in denial, because of concerns over loss of professional identity or livelihood, perhaps, might fail to recognize and act on critical signs of deteriorating functioning.

    Conclusion

    As age-related changes in physicians’ performance are evaluated, it is not simply chronological age that should be considered, but a physician’s overall mental and physical abilities to provide safe and skillful care to a patient. Age cannot reliably be used as a proxy for competence or procedural skill. Implementing mandatory retirement ages or restricting privileges for physicians of specified ages could negatively influence individual practitioners in the ways discussed here without enhancing patient safety. Such action would also likely exacerbate some patients’ access to health care, particularly in areas with physician shortages. However, developing realistic and practical methods to evaluate and demonstrate clinicians’ abilities to practice safely poses challenges for health care organizations accreditation and licensure, certification, or credentialing bodies.

    References
  • Association of American Medical Colleges. 2013 State physician workforce data book. https://members.aamc.org/eweb/upload/State%20Physician%20Workforce%20Data%20Book%202013%20(PDF).pdf. Published 2013. Accessed July 11, 2016.

  • American Medical Association. Physician Characteristics and Distribution in the US. Chicago, IL: American Medical Association; 2013.

  • Coy J, Davenport M. Age changes in the older worker: implications for injury prevention. Work. 1991;2:38-46.

  • Hartshorne JK, Germine LT. When does cognitive functioning peak? The asynchronous rise and fall of different cognitive abilities across the lifespan. Psychol Sci. 2015;26(4):433-443.
  • Li H, Lv C, Zhang T, et al. Trajectories of age-related cognitive decline and potential associated factors of cognitive function in senior citizens of Beijing. Curr Alzheimer Res. 2014;11(8):806-816.
  • Bieliauskas LA, Langenecker S, Graver C, Lee HJ, O’Neill J, Greenfield LJ. Cognitive changes and retirement among senior surgeons (CCRASS): results from the CCRASS study. J Am Coll Surg. 2008;207(1):69-79.
  • Drag LL, Bieliauskas LA, Langenecker SA, Greenfield LJ. Cognitive functioning, retirement status, and age: results from the Cognitive Changes and Retirement among Senior Surgeons study. J Am Coll Surg. 2010;211(3):303-307.
  • Brockmole JR, Logie RH. Age-related change in visual working memory: a study of 55,753 participants aged 8-75. Front Psychol. 2013;4:12. http://journal.frontiersin.org/article/10.3389/fpsyg.2013.00012/full. Accessed September 1, 2016.

  • Blasier RB. The problem of the aging surgeon: when surgeon age becomes a surgical risk factor. Clin Orthop Relat Res. 2009;467(2):402-411.
  • Mani TM, Bedwell JS, Miller LS. Age-related decrements in performance on a brief continuous performance test. Arch Clin Neuropsychol. 2005;20(5):575-586.
  • Choudhry NK, Fletcher RH, Soumerai SB. Systematic review: the relationship between clinical experience and quality of health care. Ann Intern Med. 2005;142(4):260-273.
  • Hyer R. Cognitive impairment in older physicians may be widespread. Medscape. May 9, 2006.

  • Then FS, Luck T, Angermeyer MC, Riedel-Heller SG. Education as protector against dementia, but what exactly do we mean by education? Age Ageing. 2016;45(4):523-528.

  • Amieva H, Mokri H, Le Goff M, et al. Compensatory mechanisms in higher-educated subjects with Alzheimer’s disease: a study of 20 years of cognitive decline. Brain. 2014;137(pt 4):1167-1175.
  • Eva KW. The aging physician: changes in cognitive processing and their impact on medical practice. Acad Med. 2002;77(suppl 10):S1-S6.
  • Peisah C, Wijeratne C, Waxman B, Vonau M. Adaptive ageing surgeons. ANZ J Surg. 2014;84(5):311-315.
  • Lee HJ, Drag LL, Bieliauskas LA, et al. Results from the Cognitive Changes and Retirement among Senior Surgeons self-report survey. J Am Coll Surg. 2009;209(5):668-671.e2.
  • Colcombe S, Kramer AF. Fitness effects on the cognitive function of older adults: a meta-analytic study. Psychol Sci. 2003;14(2):125-130.
  • Scherling CS, Wilkins SE, Zakrezewski J, et al. Decreased self-appraisal accuracy on cognitive tests of executive functioning is a predictor of decline in mild cognitive impairment. Front Aging Neurosci. 2016;8:120. http://dx.doi.org/10.3389/fnagi.2016.00120. Accessed September 1, 2016.

  • Sataloff RT, Hawkshaw M, Kutinsky J, Maitz EA. The aging physician and surgeon. Ear Nose Throat J. 2016;95(4-5):e35-e48.
  • Simoens S, Hurst J. The supply of physician services in OECD countries. Paris, France: Organisation for Economic Co-operation and Development; 2006. OECD Health working paper 21.

  • Organisation for Economic Co-operation and Development. The Looming Crisis in the Health Workforce: How Can OECD Countries Respond?http://www.who.int/hrh/migration/looming_crisis_health_workforce.pdf. Published 2008. Accessed September 1, 2016.

  • Fernandez-Vandellos P, Fornies-Vilagrasa L. Incentives for professionals in Spain. Health Policy Monitor. April 2009. http://www.hpm.org/es/a13/1.pdf. Accessed September 1, 2016.

  • Tuffs A. Germany abolishes its compulsory retirement age for doctors. BMJ. 2009;338:b97. http://www.bmj.com/content/338/bmj.b97. Accessed September 1, 2016.

  • Association of American Medical Colleges. Physician shortage and projections: the 2016 update: complexities of physician supply and demand: projections from 2014 to 2025. www.aamc.org/data/workforce/reports/439206/physicianshortageandprojections.html. Accessed July 7, 2016.

  • American Board of Medical Specialties. Steps towards initial certification and MOC. http://www.abms.org/board-certification/steps-toward-initial-certification-and-moc/. Accessed August 23, 2016.

  • Iglehart JK, Baron RB. Ensuring physicians’ competence—is maintenance of certification the answer? N Engl J Med. 2012;367(26):2543-2549.

  • Federal Aviation Administration. 2016 guide for aviation medical examiners. http://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/media/guide.pdf. Updated March 30, 2016. Accessed August 23, 2016.

  • Insurance Institute for Highway Safety Highway Loss Data Institute. Older drivers: license renewal procedures. http://www.iihs.org/iihs/topics/laws/olderdrivers?topicName=older-drivers. Published September 2016. Accessed August 2, 2016.

  • Physician quality: what’s age got to do with it? American Medical News. July 30, 2012. http://www.amednews.com/article/20120730/profession/307309938/4/. Accessed August 2, 2016.

  • Aging MDs prompt call for competency tests at AMA meeting. Modern Healthcare. June 8, 2015. http://www.modernhealthcare.com/article/20150608/NEWS/306089975. Accessed September 1, 2016.

  • New policy to require evaluations for late-career practitioners. Stanford Medicine News Center. July 16, 2012. http://med.stanford.edu/news/all-news/2012/07/new-policy-to-require-evaluations-for-late-career-practitioners.html. Accessed September 1, 2016.

  • Kenrick C. Competency screening of older doctors roils Stanford faculty. Palo Alto Weekly. May 15, 2015. http://www.paloaltoonline.com/news/2015/05/15/rule-on-screening-older-doctors-roils-stanford-faculty. Accessed July 7, 2016.

  • American Medical Association Council on Medical Education. Report 5 of the Council on Medical Education (A-15): competency and the aging physician. http://www.cppph.org/cppph/wp-content/uploads/2016/02/AMA-Council-on-Medical-Education-Aging-Physician-Report-2015.pdf. Published 2015. Accessed July 7, 2016.

  • Royal Australasian College of Surgeons; College of Surgeons of Australia and New Zealand. Surgical competence and performance: a guide to aid the assessment and development of surgeons. https://www.surgeons.org/media/18955288/surgical_competence_and_performance_guide__2011_.pdf. Accessed July 11, 2016.

  • Competency and retirement: evaluating the senior physician. AMA Wire. June 23, 2015. http://www.ama-assn.org/ama/ama-wire/post/competency-retirement-evaluating-senior-physician. Accessed August 2, 2016.

  • Davis DA, Mazmanian PE, Fordis M, Van Harrison R, Thorpe KE, Perrier L. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296(9):1094-1102.
  • Citation

    AMA J Ethics. 2016;18(10):1017-1024.

    DOI 10.1001/journalofethics.2016.18.10.pfor1-1610.

    The viewpoints expressed in this article are those of the author(s) and do not necessarily reflect the views and policies of the AMA.

    Author Information
  • Krista L. Kaups, MD, MSc is a professor of clinical surgery at the University of California San Francisco-Fresno, where she is also the program director for the Surgical Critical Care Fellowship. Her professional interests include trauma, critical care, global health, and physician well-being.


  • data loss | killexams.com real questions and Pass4sure dumps

    Data loss is the intentional or unintentional destruction of information, caused by people and or processes from within or outside of an organization. Data loss is similar to a data breach, in that data is compromised. However, in a data breach, data is usually unharmed but in the wrong hands. Data loss can occur in a data breach, but the data itself is destroyed.

    There are many causes of data loss, and those can differ by industry. Some organizations may be more concerned about outside attacks, while others are primarily worried about vulnerability to internal human error. Data loss can occur during standard IT procedures such as migration, or through malicious attacks via ransomware or other malware.

    The impact of data loss may also differ based on who the data belongs to. Along with affecting an organization's internal data, the loss of an outside party's confidential data can jeopardize a business' legal standing with compliance laws.

    Regardless of how or why data loss occurs, it is crucial for all organizations to have prevention and recovery plans in place, and to understand the effects and consequences of data loss.

    How it occurs

    Common unintentional causes of data loss include hardware malfunction, software corruption, human error and natural disasters. Data can also be lost during migrations and in power outages or improper shutdowns of systems.

    Hardware malfunction is the most common cause of lost data. A hard drive can crash due to mishandling, overheating, mechanical issues or simply the passage of time. Proper hard drive maintenance can help prevent data loss, and being mindful of a drive's lifespan enables users to prepare for the drive's replacement.

    Software corruption is another common cause of data loss, and can take place when systems are improperly shut down. These shutdowns can usually be attributed to power outages or human error, so it falls on the organization to prepare for these incidents and ensure the proper shutting down of systems. Natural disasters can cause data loss through all of the above, be it damage to hardware or causing systems to fail without data being backed up. Having a disaster recovery (DR) plan and frequent backups are the best strategies for preventing this type of data loss.

    Protect data Preventing data loss can require different methods of data protection, depending on the vulnerabilities of the data.

    Computer viruses -- such as malware designed to steal and delete data -- can cause intentional data loss. To help prevent this, organizations should keep antivirus software up to date and ensure that employees are aware of potential malware threats.

    Hackers can also cause intentional data loss. These incidents require different protection methods, particularly with regards to access. To prevent intentional data destruction from recent or current employees, a company should limit access to confidential or sensitive data to necessary personnel only. Controlling or restricting access can also aid in preventing loss via hackers or even human error, where an employee may unintentionally erase data without knowing the severity of the action.

    Impact

    Preventing data loss can be an expensive process, requiring the purchase of software or other backup and data protection products or services. While the costs of these services may be high, thorough protection against data loss is usually worth it in the long run, especially when pitted against potential costs down the line.

    In the case of major data loss, business continuity and day-to-day functions can be severely affected, tacking on additional costs. Company time and resources will often need to be diverted to address data loss and recover the most recent copy of lost data, so other business functions may be affected.

    An organization's reputation can also suffer following a data loss. Customers need to be informed of the loss, and those customers may take their business elsewhere. Entrusting personal, sensitive data to another company takes trust, and the loss of data can make an organization look unreliable. Rebuilding these relationships will take significant time and company resources.

    Prevention strategies

    Data loss prevention (DLP) can take the form of a strategy or a product that aims to mitigate or prevent data loss in case of an incident. DLP strategies tend to target the sharing of sensitive data outside of the corporate network, while software products control this aspect through limiting what users can transfer or share.

    The end goal of DLP is to protect confidential and sensitive data from unauthorized users who could mishandle or maliciously share it. Whether in response to insider threats or the need to conform to outside data protection regulations, having a data loss prevention plan is becoming an important part of a modern backup and data protection strategy.

    Protect your sensitive data with Microsoft Office 365Data Loss Prevention.

    A sampling of DLP products and services include Microsoft Office 365 Data Loss Prevention, Symantec Data Loss Prevention and McAfee Total Protection for Data Loss Prevention.

    The law

    When an organization is responsible for protecting someone else's data, it also takes on the responsibility to keep those people or organizations informed of the status of their data. In the United States, each state has enacted legislation requiring both private and government organizations to inform relevant parties of a breach or loss of their data.

    Enacted in May 2018, the European Union's General Data Protection Regulation addresses notifying affected parties of data breach or loss. In Article 33 of the GDPR, there is a mandatory 72-hour countdown for organizations to gather information and report on data breaches to the regulator, as well as the impacted individuals involved in the breach. Along with notification, the organization must draft a plan to recover the data within those 72 hours.

    While the GDPR is an EU regulation, it applies to any organization that has the data of EU citizens. Because of this, any organization globally that collects this type of data is liable for data loss that occurs, and subject to the GDPR rules.

    Recovery

    Backup is the first step to recovering from data loss, ensuring that an organization has at least one additional, recent copy of vital data. To ensure that backups are safe, off-site backups are recommended to protect them from threats that take place in or around the data center. Copies kept out of reach may be more difficult to access later on, but provide an extra layer of protection.

    Cloud backups can be accessed with relative ease following data loss, but organizations should vet a cloud provider to ensure that data will be protected and retrievable. Performing frequent backup and recovery tests can help to make sure that data is properly backed up and formatted, and can be accessed as quickly as necessary.

    Having antivirus software in place is the best protection against malicious attackers, so it should be updated frequently. For the more physical threats, computers and hard drives should be kept in a clean, dry and secure location. Organizations should also monitor employee access to files and equipment. Proper training regarding confidentiality and the sharing of data can help prevent loss by human error.



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