1,653 research outputs found

    Establishing an Analytics Capability within HR

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    With advancements in technology, HR finally has the tools available to collect and process people data. But is that all that is needed to successfully implement and sustain an analytics capability within HR? The purpose of this presentation/tutorial is to demonstrate a realistic journey The AES Corporation has taken thus far in developing its People Analytics capability. A framework for the implementation of People Analytics will be presented which incorporates themes in I/O Psychology that have been incorporated into the framework such as goal setting theory, job analysis, and change management. How this framework is operationalized will also be demonstrated via a use case. Examples may include the development of a Recruitment Dashboard that improves efficiency of recruitment processes, a cost savings staffing tool, or an attrition model that is utilized by various HR functions. Finally, for those interested in pursuing a career in People Analytics or are just beginning their journey, relevant technical skill sets will be highlighted throughout the presentation, along with sources for training and development

    Surgical palliation for unresectable pancreatic carcinoma

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    Objectives: To review the results of surgical palliation for unresectable pancreatic carcinoma, and to analyze the morbidity and mortality associated with the surgical procedure. The reasons for readmission after discharge from the hospital were also analyzed.Methods: A retrospective study from 1995 to 2001 was done on 30 patients with pancreatic cancer operated with palliative intent, or those explored with curative intent but histopathology revealed positive resection margins or lymph node metastasis.Results: Twenty-five (83.25%) patients were above 50 years of age. There were 16 (53.28%) male, and 14 (46.62%) females, 8 (26.64%) had diabetes mellitus, 2 (6.66%) chronic pancreatitis and 4 (13.32%) had smoking as risk factors. Twenty-three (76.59%) patients presented with jaundice, 18 (59.94%) with weight loss, 17 (56.61%) with epigastric pain, 15 (49.95%) with anorexia and 14 (46.62%) with vomiting. Whipple\u27s procedure was performed in 9 (29.97%) patients, triple bypass in 13 (43.29%), choledochojejunostomy and gastrojejunostomy in 3 (9.99%) and gastrojejunostomy alone in 5 (16.65%) patients. Seven (23.31%) patients had preoperative ultrasonography, while CT Scan was done in 24 (79.92%) and ERCP in 8 (26.64%) patients. Histopathology showed positive resection margins in 9 (29.97%) patients and lymph node metastasis in 5 (16.65%) patients. Seventeen (56.61%) patients received less than 2 units of pack cells transfusion. Most of the patients remained admitted in the hospital between 20 to 30 days. Post-operatively, delayed gastric emptying was detected in 6 (19.98%) patients, cholangitis in 2 (6.66%), wound infection in 3 (9.99%), anastomotic leak in 2 (6.66%) and line sepsis in 2 (6.66%) patients. Three (9.99%) patients expired in hospital post operatively. The reasons for re-admission after discharge included abdominal pain in 9 (29.97%) patients, anemia in 3 (9.99%), intestinal obstruction in 3 (9.99%) and urinary tract infection in 2 (6.66%) patients. Follow up record was available for 22 (73.26%) patients. Six (19.98%) patients survived for 5 to 6 months and 9 (29.97%) had a survival between 7 to 10 months.CONCLUSION: A single surgical procedure can palliate all three symptoms associated with unresectable pancreatic carcinoma, and can be carried out with reasonable safety in selected patients. The commonest indication for re-admission is severe abdominal pain associated with advanced malignancy, hence chemical splanchiectomy may also be considered at the time of surgical exploration

    Psychological impact of COVID- 19 outbreak on health care professionals working at the Pakistan institute of medical sciences, Islamabad

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    Objective:  To assess anxiety and depression in healthcare professionals who are at high risk of exposure during the corona virus outbreak. Methodology: A cross-sectional descriptive study was performed from April 21, 2020 to June 21, 2020 at Pakistan Institute of Medical Sciences Islamabad. The number of healthcare professionals was selected using a simple random sampling technique from medicine and allied and surgical and allied. Standard SOPs were followed by both researchers and participants as per WHO and MOH guidelines.Self administered questionnaire in which anxious thoughts regarding Covid 19 were assessed. Reliable and validated research tools were used which included: a) Hospital Anxiety and Depression Scale (HAD-S), for evaluating level of anxiety and depression, b) Bradford Somatic Inventory (BSI), this assesses the somatic symptoms associated with anxiety and depression.Results: The study results on the Hospital Anxiety and Depression Scale indicate that overall, 76.47 % of the respondents showed the positive symptoms of anxiety. Among them 25.73% were males and 50.73% were females.  Overall, 4.65 % of respondents were facing depression, in which 2.69% pare females whereas 1.96 % were males. Scores on Bradford Somatic Inventory reveal that 0ut of 119 females 97 were found to have somatic symptoms, while out of 289 males 103 had somatic complaints. A total of 200 participants were found positive for somatic symptoms.Conclusion: It is concluded that there is a need for developing guidelines for healthcare professionals about effectively dealing in a health emergency situation like outbreak of this pandemic

    Importance of bioethics in healthcare

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    Healthcare ethics deals with ethical issues in health care, medicine and science.Ethical codes and its application have long history from ancient era. In presentscenario, both advancement in medical field and the challenges are increasing in same pace for healthcare providers to deal with ethical issues. Therefore, the undoubtedly important role of bioethics emerges here. Bioethics in healthcare brings understanding and knowledge among healthcare professionals about medical practice.Stressing upon the ethical aspects of bioethics, medical professionals are capable oftagging along ethical codes while practicing especially while dealing with issues. As ethical tribulations are linked with issues in medical care, so by application of bioethics, the healthcare system of our country can be better radically

    Management outcome of residual common bile duct stones at Aga Khan University Hospital

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    Background: The frequency of residual common bile duct (CBD) stones in patients with previous cholecystectomy ranges from 2-10%, and a minimally invasive approach is generally recommended for these patients. This study reviews the experience in the management of residual CBD stones at the Aga Khan University Hospital.Methods: All adult patients diagnosed to have residual CBD stones, from 1993 to 2001, were identified and analyzed in terms of the treatment modality utilized and its associated complications. The role of endoscopic sphincterotomy was particularly analyzed in our set-up.Results: The study population consisted of 66 patients. The mean age was 52 (range:18-84 years) years with a female to male ratio of 51:15. The primary mode of management consisted of endoscopic sphincterotomy in 61 patients (92.5%). The initial clearance rate for these patients was 75%, while the remaining 25% required ancillary procedures to achieve a complete clearance. Procedure related complications were observed in 17 (28%) patients, with zero mortality. The other 5 patients (7.5%) underwent an open choledochotomy as a primary procedure with no further complications.CONCLUSIONS: Endoscopic sphincterotomy is the most frequent treatment modality used for the management of residual CBD stones at our hospital. Although initial success rate seems low, the fact that endoscopic sphincterotomy is a less invasive procedure justifies its preferential utilization. The study does not compare the results of endoscopic management with open surgery, as the number of patients managed by open choledochotomy is very small
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