Neonatal Necrotizing Enterocolitis Assignment Example | Topics and Well Written Essays - 750 words

Neonatal Necrotizing Enterocolitis - Assignment Example The initial search was done in PubMed using the MeSH terms "necrotizing enterocolitis" "preterm" "breastfeeds" "formula feeds". The limits set for the search was "English language article only" because of lack of understanding of the reviewer of other languages. The search yielded 12 results. After this, google scholar was used for the search. The key terms used for the search were "necrotizing enterocolitis" "very low birth weight infants" "preterm" "breastfeeds" "formula feeds." The search yielded 130 articles. Abstracts from the articles in the first 2 pages of the search were reviewed for selection of pertinent and useful articles. Further on, CINAHL database also was used for the search. Search in this database was pursued after logging in and using the search terms "necrotizing enterocolitis" "very low birth weight infants" "preterm" "breastfeeds" "formula feeds". It was found that the articles found in Google Scholar and CINAHL database were there in PubMed too. From these dat abases, 3 articles were selected to answer the PICO question and facilitate evidence-based practice. The gold standard for any evidence-based practice is randomized controlled trials which when performed with optimized research designs that can answer pertinent questions. However, meta-analysis and a systematic review have topped the hierarchy list and when present, they are preferred to randomized controlled trials (Evans, 2003). According to the Cochrane database, in preterm infants with low birth weight, formula milk is associated with higher risk for NEC when compared to donor breast milk. Such an inference was based on the exhaustive meta-analysis conducted by Quiley, Henderson, Anthony et al (2007) in which the researchers reviewed randomized controlled trials pertaining to this topic. It was found that formula-fed infants had a statistically higher incidence of NNEC (2.5, 95% confidence interval 1.2, 5.1); when compared to breast milk-fed group (33, 95% confidence interval 17, 100).  Ã‚  

Logistics Management Essay Example | Topics and Well Written Essays - 2000 words

Logistics Management - Essay Example Alcoa serves the aerospace, automotive, packaging, building and construction, commercial transportation, and industrial markets, bringing design, engineering, production, and other capabilities of Alcoa's businesses as a single solution to customers. The company has 116,000 employees in 44 countries. In 2006 it was 10 times safer to work for Alcoa than it was in 1991. Alcoa makes a very sustainable product: almost 70% of the aluminum ever produced is still in use, equal to 480 million metric tons (529 million tons) of a total 690 million metric tons (761 million tons) manufactured since 1886. Every day, worldwide, Alcoa: A logistics manager is a person who manages the processes involved in a supply chain and is responsible for it. He is in relation to many work groups for example retailers, customers and manufactures. All the work is expected from a logistics manager is to order all the production processes so that customer finally gain enough satisfaction with the product or service purchased. The role of a distribution manager coordinated with logistics management skills is controlling the stock and market, control on warehousing and transportation affairs and having control on the structures and making sure that everything is in place and works in order. One important key that plays a vital role in logistics management is Information Technology. Logistics managers make the most of Information Technology to forecast too complicated behaviours of system as complex as stocks or project completion times. They also take the advantage of information industry in predicting the costs and evaluation or pr ocesses inside the structure of large companies.3 A person in this position may be assigned to any of the following tasks according to the need of the company which is hiring a Distribution/Logistics Manager. Here are some of the roles of a Distribution/Logistics Manager: "monitoring the quality, cost and efficiency of the movement and storage of goods; coordinating and controlling the order cycle and associated information systems; analyzing data to monitor performance and plan improvements; allocating and managing staff resources according to changing needs; liaising and negotiating with customers and suppliers; Developing business by gaining new contracts, analyzing logistical problems and producing new solutions. When managing warehouse or transport staff, the role may also include: implementing health and safety procedures; managing staff training issues; motivating other members of the team; project