122 research outputs found

    Role of Process Alignment and End User Participation in Successful Implementation of E-Government Programs: Perspective of Different Stakeholders

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    In recent years, a number of developing countries have launched e-government programs, and several development agencies and governments have identified e-government implementation as a key policy priority. Driven by the success of a few projects in improving delivery of services to citizens and businesses, an increasing number of governments are making ICT investments in the public sector. Alignment of departmental processes in government and active participation of employee of government departments as well of participation and cooperation of government department’s users play vital role of success in such programs. Therefore, the major objective of the paper is to understand the role of process alignment and end user participation in success of e-government programs from the important stakeholders perspective; leaders, government departments as users, nodal IT agencies, and IT vendor organization. The research findings are based on survey carried out with 152 stakeholders in all categories through a questionnaire targeted in northern states in India

    Anaesthetic management of emergency exploratory laparotomy for ruptured ectopic pregnancy in a patient with Ebstein’s anomaly and Wolff-Parkinson-White syndrome: a challenge for the anaesthesiologists

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    Ebstein's anomaly (incidence 1:110,000) is characterized by the downward displacement and elongation of the tricuspid valve with poorly contractile right ventricle, an enlarged right atrium along with tricuspid regurgitation. It has shown particular association with Wolf-Parkinson-White syndrome (up to 20 % of patients). Wolff-Parkinson-White syndrome (WPW syndrome) is a rare cardiac anomaly characterised by aberrant conduction pathway between atria and ventricles. Here we describe the successful management of a patient with Ebstein’s anomaly and co-existing WPW syndrome, who presented in our institute with ruptured ectopic pregnancy and was posted for emergency exploratory laparotomy. The anaesthetic management of these patients is very challenging as they can develop life threatening tachyarrthmias like atrial fibrillation (AF) and paraoxysmal supraventricular tachycardia (PSVT)

    Presentation and Management of Soft-Tissue Foreign Bodies in a Teaching Hospital of Western Nepal

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    Introduction: Accidental penetrating injuries with foreign bodies are a common presentation in hospital's emergency rooms. If missed, these bodies can remain dormant or result in a wide range of complications. This study evaluated the characteristics of patients, presentation and management who suffered foreign body embedded in soft tissue at a teaching hospital of Western Nepal.   Methods: The study was conducted at Department of Orthopaedics, Lumbini Medical College Teaching Hospital from September 2013 to August 2015. All cases confirmed to have a foreign body in soft tissue were enrolled. Surgical exploration with removal of foreign body was carried in operating room under tourniquet control. The patient demographics, cause of injury, nature of foreign body, occupation of the patient, diagnostic yield of radioimaging, procedures undertaken for retrieval of foreign body, and complications were  recorded. All patients were followed-up up to five months.   Results: Total 28 patients, nine (32.1%) males and 19 females (67.9%) were observed. The mean age was 35.6 yr (SD=11.1). Housewives (n=14, 50%) were the common sufferers. Most of our patients (n=17, 60.7%) presented two weeks after injury. Accidental prick while cutting grass or tree was the common mode (n=13, 46.3%) of injury and among foreign bodies, wooden or vegetative were the commonest (n=19, 67.9%) observed. Among the extremities, hand (n=10, 35.7%) and foot (n=5, 17.9%) were commonly affected. All patients had successful surgical exploration and retrieval of the foreign bodies under anesthesia and tourniquet control in operating room. Image intensifier was employed in seven cases to locate the foreign bodies per-operatively. Wound infection developed in 14.2% (n=4) of patients, all of whom were managed successfully with oral antibiotics. None of the patients required re-hospitalization. All patients were fine at final five months follow up.   Conclusion: Managing foreign body embedded in the soft tissue are challenging. Surgical exploration under tourniquet control suffice a definitive management. At times, image intensifier is required to locate the foreign body

    Offshoring ERP Implementations: Critical Success Factors in Swiss Perspective

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    Enterprise Resource Planning (ERP) applications are changing the way businesses are run. IT Offshoring is changing the way IT Organizations are run. However, both ERP implementations and IT offshoring are fraught with risks. When both ERP implementation and IT offshoring happen together, the risks get even more pronounced. The paper presents the critical susses factors of offshoring ERP implementation which are common in ERP as well as in offshoring case. The study is carried out with the sample interviews conducted in Switzerland. The findings revels that eight factor are critical while considering offshoring ERP implementation, namely customer interaction skills, business process skills, ERP package skills, scalability, language, project management, choice of work to be offshored, personnel split between onsite/offshore are. We used semi-structured open ended interviews with interpretive analysis for identifying the factors
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