Impact of Merging Cloud with Customary ERP in Small and Medium Scale Enterprises in Pakistan

Information management system changes as system enhances. Current ERP in firms is known as a customary ERP system. In recent an innovative technology, cloud emerges with enterprise resource planning and these systems shift to the cloud. These systems are labelled as Cloud enterprise resource planning systems. Cloud ERP an effective solution of a number of problems, come across by customary ERP in terms of cost, accessibility and reliability. Cloud ERP is cost effectual in term of hardware and software. The aim of this research was to persuade that merging of cloud with ERP is an appropriate alternative to customary ERP for local and heavy data storage accessibility and impact of cloud adoption in SMEs and technology, organization, environment factors that affect the adoption and transformation on cloud a survey base investigation in applying on these factors. TOE was given a broader view of IT upgrade, adoption and transformation. Keywords: Customary ERP, Cloud ERP,  Cloud Computing, Cloud merging, TOE Framework

Unsolved Tricky Issues on COTS Selection and Evaluation

Component Based Software Engineering (CBSE) approach is based on the idea to develop software systems by selecting appropriate components and then to assemble them with a well-defined software architecture. (CBSE) offers developers the twin benefits of reduced software life cycles, shorter development times , saving cost and less effort as compare to build own component. However the success of the component based paradigm depends on the quality of the commercial off-the-shelf (COTS) components purchased and integrated into the existing software systems. It is need of the time to present a quality model that can be used by software programmer to evaluate the quality of software components before integrating them into legacy systems. The evaluation and selection of the COTS components are the most critical process. These evaluation and selection method cannot be resolved by the IT professionals itself. In this study the author tried to compare the twenty three available systematic methods for best evaluation and selection of COTS components

An Empirical Study of COTS components Persuasion, Evaluation & Selection and Integration in software houses Faisalabad, Pakistan

Abstract Under development countries (UDCs) like Faisalabad, Pakistan where information technology benefits are not yet fully utilized due to lack of resources and very old infrastructure. Selecting suitable commercial off-the-shelf (COTS) is the most critical phase in COTS-based software development. However, in research, numerous problems are faced during the COTS evaluation, selection and integration. All these major causes are due to the lack of familiarity about COTS products, the unawareness of the available number of methods for COTS evaluation, selection, integration and deployment phase, and the deficiency of supervision for selecting between these best methods for COTS evaluation and selection. In this research work, a closed questionnaire method was adopted to evaluate the user's perception about COTS evaluation, selection & integration in software houses and IT Professional in Faisalabad, Pakistan. The results of this work will contribute towards a framework development for COTS evaluating and selecting, integration

Incidence, clinical profile and short term outcome of cerebral abscess in cyanotic congenital heart diseases

Background: Brain abscess is a serious infection of brain parenchyma in patients with cyanotic congenital heart disease (CCHD) and around 25–46 % of unrepaired CCHD patients develop brain abscess. Aim of this study was to determine the incidence, clinical features, microbiology and factors associated with early and short term outcome of cerebral abscess in CCHD. Method: ology: This is a retrospective study, conducted at Pediatric cardiology department, National Institute of Cardiovascular Diseases (NICVD) Karachi. The data was collected from January 2019 to December 2021. All CCHD patients between 1 and 25 years of age were included. Data of patients with cerebral abscess was reviewed. Results: Among the 544 pediatric patients hospitalized in the last two years, brain abscesses were identified in 51 (9.3 %). Polycythemia (31.4 %) was the most significant contributing factor, especially in patients aged above 10 years. The most frequently seen CCHD was tetralogy of fallot (TOF) 60.8 %. Majority of the patients (84.3 %) had a single abscess while 15.7 % had multiple abscesses. E coli (9.7 %) was the most common isolated pathogen. Immediate complication identified was cerebral edema in 22 (43.1 %). Four patients (7.8 %) died, 47 (92.2 %) patients completed treatment course. 45.1 % had complete recovery however, 17 (33.3 %) had neurological deficits, 8 (15.7 %) had seizures and 2 (3.9 %) patients had residual abscess. Prolonged hospitalization was observed in patients of age group <10 years. Conclusion: In patients with underlying CCHD,early referrals and intervention are key to mitigating the severe consequences of cerebral abscesses and can drastically improve patient outcomes

SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study

Background Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling. Methods The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty. Results NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year. Conclusion As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population.The aim of this study was to inform vaccination prioritization by modelling the impact of vaccination on elective inpatient surgery. The study found that patients aged at least 70 years needing elective surgery should be prioritized alongside other high-risk groups during early vaccination programmes. Once vaccines are rolled out to younger populations, prioritizing surgical patients is advantageous