An integrative review on, The Early Signs and Symptoms of Necrotizing Research Paper

An integrative review on, The Early Signs and Symptoms of Necrotizing Enterocolitis in the neonate - Research Paper Example Integrative review is considered as the most appropriate for the research undertaken because it can present a holistic and encompassing view of the disease. Discussion. Through the integrative review conducted, different issues related to the signs and symptoms of necrotizing enterocolitis came into focus. Parameters in the different articles such as the gestational age of the neonate, the feeding start, the onset of signs and symptoms of NEC, the interventions and the management method for the condition, and the outcome of the neonate were given attention. In addition, the strengths and limitations of each research process had also been identified. Early Signs and Symptoms of Necrotizing Enterocolitis in Neonate Introduction Necrotizing enterocolitis (NEC) is defined as a disease that can be acquired by preterm or sick neonates described to have mucosal or even deeper intestinal necrosis (Merck, 2007). The condition is considered as the most common cause of gastro intestinal medical or surgical emergency in neonates affecting approximately 10 percent of the infants with the weight of less than 1500 g. The vague etiology of the disease is related to the rate of mortality which is 50 percent mortality depending on the severity of the case (Springer and Rosenkrantz, 2011). Background of the Study Based on empirical evidences, NEC affects 2 to 5 percent of the total preterm infants. Majority of the cases occurs in less than 36 weeks of the gestational age. In addition, there are different risk factors that are related to the disease based on records such as history of hypoxia, asphyxia and the introduction of enteral feeding. Another condition which can increase the risk of NEC based on different studies is cyanotic heart disease (Puri and Hollwarth, 2009, p.435). In addition to the said risk factors, the presence of the 3 intestinal factors such as preceding ischemic insult, bacterial colonization, and intraluminal substrate can also contribute to the prevalence of NEC (Merck, 2007). For the purpose of the study, such risk factors and related parameters were considered as the focal points of the study undertaken. The said factors were considered as early indications of the possible onset of the disease. Other factors such as geographical origin, ethnicity or gender have no proven effects on the prevalence and occurrence of NEC (Puri and Hollwarth, 2009, p.435). Determining, presenting, and discussing the early onset of NEC is important for possible prevention of the fatal effects of the disease. The study was able to achieve its objectives based on chosen empirical and primary researches focused on the early signs and symptoms of necrotizing enterocolitis. The determination of the onset of the disease can be considered as the most important method to lessen mortality and to resolve the problem on the lack of effective treatment to NEC. Study Design and Data Sources The primary phase in the integrative review of the early signs and symptoms of NEC is the search for data sources which will be included in the study. Different databases such as CINAHL, EBSCOHost and PubMed were used to find five journal articles that explored NEC in different perspectives and with a focus on the diagnosis and clinical signs and symptoms of the disease. In the search for the data sources, there are factors considered for inclusion and exclusion of journal

Rational choice theory Essay Example | Topics and Well Written Essays - 1500 words

Rational choice theory - Essay Example Specifically, rational choice theory also claims that the decision maker knows all the potential alternatives and that s/he makes a decision after evaluating them all (Heath 2001). Decision-making process in organizations can be distinguished as automatic— regular decisions made in accordance to established guiding principles—or non-programmed—choices necessitating new and innovative solutions (White 2006). Furthermore, decisions vary with regard to the level of risk present, ranging from those wherein the results of a decision are fairly definite to those wherein results are considerably indefinite. Indefinite circumstances are communicates as probability statements derived from either subjective or objective facts (Heath 2001). Rational choice theory portrays decision makers as systematically rummaging around appropriate and relevant information to make the best possible decision. This essay will discuss the premises of rational choice theory, its implications on managerial decision making, and the validity of the argument that ‘individuals are rational and normally act as maximizing entrepreneurs’. Rationality is revered in the Western world. A rational choice is one that arises in structured procedures and maximizes a value, regardless if it is marketability, controllability, reliability, efficiency, integrity, or any of numerous other values (Goodin 1998). Observance of any value requires upholding one alternative over another. According to rational choice theory there are major steps to making a rational decision (Allingham 2002). The endeavor is as crucial as the ultimate decision, due to the fact that each step affords an opportunity to re-evaluate the minimized and maximized values (Allingham 2002). The first step is problem definition. This entails identifying key variables under consideration and analyzing the