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Nurse-led urology clinic records 14,013 registrations in descriptive study

21 October 2026 at 23:17

A nurse-led chronic disease management clinic in the urology department of a tertiary hospital recorded 14,013 outpatient registrations between July 2024 and September 2026, according to a single-center retrospective descriptive study using routinely collected service records. The clinic primarily supported long-term management of patients with prostate and bladder cancer while also providing specialty nursing services for other urological conditions. Its follow-up system marked 3,547 of 3,553 assigned tasks as successful, a task-level success rate of 99.83%. These figures describe service activity and record completion; the study did not measure whether the clinic improved clinical outcomes or economic performance.

The clinic was established in July 2024 within the hospital’s existing specialty nursing outpatient service framework. Its operating model included staffing and qualification requirements, professional training, clearly defined nursing responsibilities, physician–nurse collaboration, standardized procedures, information-system support and quality management. Nurses worked within their authorized scope of practice, while urologists participated in medical assessment and treatment decisions when required. The service had four reported components: patient assessment and follow-up planning; treatment follow-up and adverse-event monitoring; rehabilitation guidance and health promotion; and assistance with healthcare policies and basic nursing care.

Monthly registrations increased from 147 in July 2024 to a peak of 710 in August 2026, with fluctuations during the reporting period. Total registration fees were CNY 152,758. The clinic delivered 14,246 prostate cancer-related injections, 3,523 urinary catheterizations, 2,777 intravesical instillation procedures and 2,142 urinary catheter removals. It also assisted patients with prostate or bladder cancer in applying for outpatient chronic and special disease insurance benefits. The study reports these counts as routine service activities, but it did not compare the procedures with those delivered elsewhere or evaluate their individual clinical effects.

Follow-up management was integrated into the clinic’s information system, which contained records for 1,111 patients. Of these, 953 patients had been followed up and 951 had successful follow-up records. Nurses also executed 3,553 follow-up tasks, of which 3,547 were successful, corresponding to the reported 99.83% task-level rate. The descriptive data do not specify the duration or effectiveness of patient follow-up, assess whether missed contacts influenced treatment adherence or health outcomes, or establish how the results would compare with another care model.

Because the research covered one tertiary hospital and relied on routinely collected records, it cannot establish how the clinic would operate in smaller facilities, under different staffing arrangements or in other health systems. The findings offer a documented example of a nurse-led outpatient service with defined responsibilities, standardized workflows, follow-up documentation and collaboration with urologists. The authors stated that further research is needed to evaluate the model’s clinical outcomes and economic implications. Accordingly, the registration growth, procedural workload and high proportion of completed follow-up tasks should be interpreted as descriptions of implementation and recorded service delivery, not as evidence of improved survival, fewer complications, lower costs or other patient benefits.

Subject of Research: Operation and service activity of a nurse-led chronic disease management clinic in hospital urology

Article Title: Development and implementation of a nurse-led chronic disease management clinic in the urology department of a tertiary hospital: a descriptive study

Article References: Liu, C., Xia, Y., Jia, X., Wang, R., Li, T., Ma, Y., & Long, H. (2026). Development and implementation of a nurse-led chronic disease management clinic in the urology department of a tertiary hospital: a descriptive study. BMC Nursing. https://doi.org/10.1186/s12912-026-05566-z

Image Credits: AI Generated

DOI: 10.1186/s12912-026-05566-z

Keywords: nurse-led care, urology, outpatient nursing, chronic disease management, prostate cancer, bladder cancer, patient follow-up, service implementation, descriptive study, Development, implementation, nurse-led

Survey links three capabilities with Indonesian welfare-data integration

21 October 2026 at 23:09

A survey-based study of 246 village-level social welfare data operators found that business architecture, cross-organizational collaboration and technological readiness were positively and statistically significantly associated with perceived e-government integration impact in two Indonesian regencies. The research, focused on Gunung Kidul and Bangkalan, examined organizational, institutional, relational and technological capabilities associated with social welfare data integration. Governance and leadership and information policy did not show statistically significant direct relationships with perceived integration impact in the pooled sample.

The authors analyzed the survey with partial least squares structural equation modeling. In their framework, e-government integration impact, or EGII, represents perceived improvements in information, system and service quality, responsiveness and public trust. E-government integration scope, or EGIS, describes the breadth of integration across data, applications, electronic communication and knowledge-sharing processes.

EGII was strongly associated with EGIS, meaning that operators reporting more favorable perceived integration outcomes also tended to report broader integration. Because this was an observational analysis of survey responses, the results establish statistical relationships rather than causal effects. The findings identify three capabilities with significant direct relationships to EGII in the pooled model: business architecture, cross-organizational collaboration and technological readiness.

The evidence does not provide operational definitions for these constructs, but the results show that their measured levels were associated with respondents’ assessments of e-government integration outcomes. By contrast, governance and leadership and information policy had no statistically significant direct relationships with EGII in that analysis. This absence of a detected direct relationship does not establish that the two factors are unimportant or that they operate only through indirect pathways, because the supplied findings do not report such indirect effects.

A regency-based robustness analysis found that some relationships were sensitive to local implementation conditions. Significant differences between Gunung Kidul and Bangkan were reported for the technological-readiness-to-EGII relationship and the EGII-to-EGIS relationship. The geographic comparison therefore cautions against assuming that the same capability relationships apply uniformly across the two regencies, although it does not identify the specific local practices responsible for those differences.

Its direct contribution is to show which measured interoperability capabilities were associated with perceived integration impact in the surveyed population, alongside evidence that some relationships varied between the two regencies.

Subject of Research: Survey-based analysis of interoperability capabilities for social welfare data integration in two Indonesian regencies

Article Title: Determinants of E-government interoperability capabilities for social welfare data integration in Gunung Kidul and Bangkalan Regencies, Indonesia

Article References: Fikri, R., Purnomo, E. P., Pribadi, U., Mohamed, A. M., & Mohammad, N. B. (2026). Determinants of E-government interoperability capabilities for social welfare data integration in Gunung Kidul and Bangkalan Regencies, Indonesia. Discover Sustainability. https://doi.org/10.1007/s43621-026-04608-5

Image Credits: AI Generated

DOI: 10.1007/s43621-026-04608-5

Keywords: social welfare data, e-government, interoperability, Indonesia, PLS-SEM, technological readiness, cross-organizational collaboration, business architecture, digital governance, public services, Determinants, capabilities

Has Windscribe quietly completed the first-ever AI VPN audit?

21 October 2026 at 16:23
  • A Windscribe update from July 2026 appears to credit AI engine Fable for identifying necessary fixes
  • The AI audit successfully spotted complex vulnerabilities across the provider's Windows, macOS, and Linux applications.
  • Rival providers remain seriously apprehensive of the technology, warning of the possible consequences of error.

Windscribe appears to have quietly revealed that it used artificial intelligence to audit its software.

Hidden within the changelog for release 2.33.11, deployed on July 6, 2026, the company mentions that the update includes security fixes stemming directly from an AI review by Fable 5, an advanced AI model developed by Anthropic.

Should this be true, it’d be the first instance of a commercial VPN provider relying on a large language model to conduct a comprehensive security evaluation of its core infrastructure.

What did the Fable 5 audit find?

A closer look at the release notes shows that the Fable 5 audit successfully identified highly technical areas for improvement, helping developers secure the app against potential local attacks and data leaks.

According to Windscribe, the update includes "App hardening from the Fable 5 audit, including WireGuard key validation, Control D API key log redaction, IPC exposure hardening, safer logging, installer argument redaction, and package/dependency handling fixes."

In simpler terms, the audit identified several ways to secure how the VPN handles encryption keys for the popular WireGuard protocol and ensure that sensitive API keys aren’t accidentally saved in the software's error logs.

It also identified how Windscribe could tighten up how different parts of the application communicate with each other (known as IPC exposure), which stops bad actors from exploiting the app locally on your device.

The changelog also lists a staggering number of accompanying fixes deployed in this same update. Windscribe patched a "DLL planting vulnerability" in its Windows bootstrapper, a flaw where malicious code could be loaded in place of a legitimate file, and resolved a local privilege escalation vulnerability on Linux.

Will AI replace human audits?

Red Audit stamp on white paper with pen signing underneath

(Image credit: Shutterstock)

Historically, VPN providers undergo independent, third-party audits to prove they do not keep logs of user activity or harbor hidden security flaws.

While an AI like Anthropic's Fable 5 can process vast amounts of code rapidly, its use raises new questions about transparency.

Can an AI audit provide the same level of assurance as a human expert? Rival providers are highly skeptical about completely handing the reins over to machines.

Speaking to TechRadar, Tomas Stamulis, CSO at Surfshark, explained that while the company uses AI models internally to spot vulnerabilities "at a scale and speed impossible for humans," formal public audits still require a human touch.

"We currently rely on independent, qualified auditors, such as Deloitte or Cure53, for our formal audits," Stamulis told us. "We strongly believe that independent validation requires external human oversight to maintain contextual analysis and ensure reliability."

Stamulis warned that relying entirely on an AI for external validation carries unique risks, particularly regarding how these language models are fed information.

He noted that "given the risk that AI findings could be manipulated through context and prompting, human-led independent oversight remains the only way to provide the level of contextual analysis and manipulation-proof assurance that authorities and customers expect."

We are still waiting to hear back from Windscribe regarding their decision to prioritize an AI-driven approach for this specific update.

However, as the industry continues bolstering protections against advanced threats, AI auditing, whether used internally or publicly, represents the next major evolution in digital privacy.

Proton CEO Andy Yen wins 2026 Liberal Award amid Swiss surveillance debate

21 October 2026 at 15:41
  • Andy Yen, founder and CEO of Proton, takes the 27th Liberal Award
  • JFZH cites his record on privacy, start-ups, and tech sovereignty
  • The November 12 ceremony coincides with Switzerland’s second surveillance consultation

Andy Yen, founder and CEO of Proton, has won the 2026 Liberal Award.

The prize is handed out each year by the Jungfreisinnige Kanton Zürich (JFZH), the Young Liberals of the Canton of Zurich, to someone judged to have made a significant contribution to a liberal society.

His company is best known for its privacy suite: Proton Mail, Proton VPN – one of the best VPN services on the market – along with Proton Drive and Proton Pass. The JFZH credits Yen with building a European alternative to the major US tech platforms, and with making the case for privacy at a time when Swiss surveillance rules are back in play.

From CERN to a 100-million-user company

Proton

(Image credit: Proton)

Yen’s route into tech ran through physics. He holds a PhD in particle physics from Harvard and worked as a research scientist at CERN in Geneva before turning to building Proton, which is headquartered in the same city.

The company now employs more than 700 people, 60 of them in the Canton of Zurich, and says it serves over 100 million customers worldwide. It’s majority-owned by the non-profit Proton Foundation – a structure Proton presents as a safeguard against the pressures that typically come with venture capital.

“Andy Yen stands up for what matters to us as well: the right to privacy and the presumption of innocence instead of blanket suspicion,” said Mikhail Shalaev, president of the JFZH. “He champions better conditions so that start-ups can grow from Switzerland. And Proton is building in Europe the key technologies that will allow our continent to remain self-determined in the future.”

An award tied to a surveillance debate

The JFZH is explicit about the timing. Switzerland’s Federal Council plans to revise the Ordinance on the Surveillance of Postal and Telecommunications Traffic (VÜPF), a move critics warn could introduce indiscriminate mass surveillance through mandatory data retention.

The revised ordinance was overwhelmingly rejected in the first public consultation. The Federal Council has since commissioned a regulatory impact assessment and scheduled a second consultation for November 2026.

“The Federal Council must protect privacy instead of risking an exodus of our most innovative tech companies,” Shalaev added.

What happens next

Yen joins past recipients including media entrepreneur Roger Schawinski, former federal councillors Pascal Couchepin, Kaspar Villiger, and Guy Parmelin, the Swiss Institute for Economic Policy (IWP), and Argentina’s deregulation minister Federico Sturzenegger.

The ceremony takes place on Thursday, November 12 2026 at Westhive in Zurich.

For Proton, the timing matters as much as the recognition. The company has spent years arguing that Europe needs its own privacy infrastructure rather than relying on US providers – a case the JFZH is making, and one that lands harder while the Federal Council debates data retention.

Apple Pay faces UK crackdown that could change iPhone tap-to-pay

  • The UK government wants more Apple Pay alternatives for consumers
  • It’s proposing opening the technology up to other companies
  • It also wants Apple to charge lower fees for access

If you pay for an item using the contactless tech on any of the best iPhones, you’re locked into Apple’s way of doing things. But the UK government’s competition regulator — the Competition and Markets Authority (CMA) — is proposing new rules that could blast open the way you pay using your iPhone.

According to a press release on the UK government website, the CMA believes that “Apple’s fees and rules are blocking UK fintechs and other businesses from innovating and growing” and that its proposed changes are “expected to result in substantially lower access fees, helping make it commercially viable for more businesses to innovate and compete.”

The CMA pointed out that no rivals to Apple Pay exist in the UK, as opposed to in the EU, where several alternatives can be used. The CMA believes this is due to both high fees charged by Apple and restrictions placed on certain technology by the Cupertino giant.

For instance, while Apple allowed third-party companies to offer Apple Pay alternatives in the UK back in 2024, one condition was that these firms had to use Apple’s Secure Element, which encrypts important payment card information during transactions.

In the EU, however, European Union-wide rules mean that Apple must let companies use host card emulation (HCE) for free instead of the Secure Element, if they wish. The CMA wants that kind of technology to be available in the UK and says it does not believe that doing so would raise any “inherent security concerns.”

Commenting on the CMA’s move, Mattias Eld, CEO & Co-founder at contactless firm Fidesmo, said: “Buying an iPhone should not mean handing Apple the keys to your wallet. Consumers should rightly choose how they pay, and banks should choose who they work with. But for over a decade Apple has honed its domination over tap-to-pay, through the careful and deliberate stifling of its competitors. This has allowed Apple to charge banks inflated transaction fees, with the threat of exclusion from such a vast market leaving them little choice but to pay.”

Apple pushes back

A person paying using an Apple Card and Apple Pay.

(Image credit: Apple)

The CMA says that while it isn’t seeking to dictate the prices or terms that Apple must set, it wants to propose “principles for how this should be determined, with the expectation that charges would be substantially lower than Apple’s current fees while still fairly rewarding Apple for providing access.”

However, Apple has pushed back against the CMA’s proposals, telling Reuters that “We do not believe the CMA should require ​Apple to adopt an approach with lower privacy and security protections. We will continue to engage constructively to reach ​an outcome that is in the best interest of our users.”

Why does Apple restrict access to contactless payment tech? One answer might simply lie in the almighty dollar: as with the App Store, Apple charges third-party firms for access and likely doesn’t want to give up that revenue stream.

I’m not entirely convinced that that’s the main reason, however — after all, Apple is one of the wealthiest companies on the planet and makes huge profit margins on every product it sells. Is nickel and diming really such a core strategy when its iPhone revenue alone jumped 21% to $54.25 billion in the third quarter of 2026?

Analysis: Apple fears it could pay the price

To me, a stronger argument centers on something else: control. This has been an obsession for the company since the days of Steve Jobs, and Apple is acutely, painfully sensitive to how its products are perceived.

If Apple loosened its grip on something so vital to the user experience as payments and financial services and a third-party contactless provider then got hacked or scammed customers, Apple fears that that will reflect badly on itself as a company. For the perfectionists at Apple, anything that lessens the user experience due to Apple’s actions is an absolute no-go. By taking payments entirely under its own aegis, Apple reassures itself that nothing will go wrong.

There’s a degree of logic to that. Apple has proven its security credentials and works harder than many companies to keep its systems incredibly safe. Going with a third-party means trusting someone else whose track record might not be as strong. But that certainly doesn’t mean that only Apple can safeguard your payment information — or indeed that only Apple should be allowed to even try.

If the CMA gets its way, Apple might be forced to change its ways. The company has already been forced to crack open its contactless walled garden in the EU, and the UK might soon follow. The way you pay using your phone might look very different as a result.

Learn Claude Code and Claude Cowork with this $19.99 e-degree

21 October 2026 at 09:00

Macworld

TL;DR: Learn prompting, Claude Code, and Claude Cowork automation with the Claude AI Professional E-Degree, now $19.99 (reg. $159).

Claude Code and Claude Cowork turned Claude into a tool that writes code and runs tasks across your apps, but most people still use it like a chatbot. Eduonix’s Claude AI Professional E-Degree teaches the rest, and lifetime access is $19.99 (reg. $159).

How are the lessons structured?


Four learning modules start with prompting best practices, then move into Claude Code for AI-assisted coding and debugging, including VS Code integration. Two Cowork modules show you how to connect Claude to Gmail, Google Drive, Calendar, Chrome, and MCP connectors, then build automations with plugins and sub-agents.

Eduonix Learning Solutions, a tech training company with more than a decade of experience, made the course. You get 100+ lectures, more than 8 hours of video, quizzes, 5 practical projects, and a certificate upon completion. Lessons play on your Mac or iPhone in any modern browser, and this deal is for new users only.

Learn to use Claude for more than chat.

Get the Claude AI Professional E-Degree on sale for $19.99 (reg. $159).

Claude AI Professional E-DegreeSee Deal

StackSocial prices subject to change.

Russia was not ready for the data center war it started with Ukraine

12 October 2026 at 18:52

When Russia began attacking Ukrainian data centers and telecommunication infrastructure, it apparently failed to prepare for possible retaliation. Now Russia’s digital services are facing widespread outages after Ukrainian drone strikes knocked out three of the largest data centers owned by Russian tech giant Yandex within several days.

Pro-Kremlin bloggers are warning that Russia’s centralized digital economy could collapse because the country is not prepared for the “data center war” it started, according to posts translated by the pseudonymous independent researcher ChrisO_wiki. The Russian commentators also suggested that Ukraine’s decentralized digital services could prove more resilient than Russia’s system if the countries continue trading such blows.

Russia initially launched a drone strike campaign targeting Ukrainian data centers and mobile phone networks in late September. The attacks temporarily disrupted Internet and cell phone service for up to 100,000 households in the Ukrainian capital of Kyiv and came as part of a broader long-range strike campaign that has involved Russian missiles and jet-powered drones hitting Ukraine’s power grid infrastructure, transportation hubs, and even residential apartment building blocks.

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© Igor IVANKO / AFP via Getty Images

Persistent Ads in iOS Settings

22 September 2026 at 21:36

Alex Blake (Hacker News):

The ‘ads’ in question appear in the Settings app in iOS. They can be found near the top of the iPhone’s display and promote several products to the user, including paid-for iCloud+ storage, free trials for services like Apple Music and Apple TV, and the AppleCare+ extended warranty.

Infuriatingly for iOS users, the only way to disable these promos is to either let them expire — which in many cases could take weeks or even months, leaving a persistent notification badge on the Settings app in the meantime — or pay for the service being offered. There is not always a “dismiss” button to shoo them away for good, and when there is, some people have reported that it doesn’t seem to work.

Previously:

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