Impact of in utero drug exposure on neonates requiring ECMO: A retrospective cohort study

The incidence of in utero drug exposure (IUDE) and neonatal extracorporeal membrane oxygenation (ECMO) utilization have both increased over the past decade. However, there are no studies to date that examine the impact that IUDE has on neonates requiring ECMO. In this retrospective cohort study, we compared the clinic course and outcomes of neonates who were placed on ECMO with IUDE vs. neonates without IUDE. Analysis included data extracted from medical records from all neonatal ECMO runs between January 2014 and January 2021 at the University of Kentucky Children's Hospital. A total of 56 neonatal patients were placed on ECMO during this time period and there were a total of 57 ECMO runs. Nearly one-third of neonates (16) had documented IUDE. There were no differences in gestational age, length of ECMO run, survival to discharge, or number of major complications while on ECMO in the neonates with IUDE compared to those without. In contrast, greater use of sedative and analgesic adjuvant medications during ECMO was required for IUDE-ECMO cases (p < 0.01). Trending results indicated that post-ECMO feeding complications and total hospitalization length were also greater in the IUDE-ECMO group. These findings illustrate the complex influence of prenatal drug exposures on neonatal patient care and warrant the development of clinical care strategies optimized for this unique patient group

Statistical Analysis for Groundwater / Surface Water Interaction at a Drinking Water Well

Drinking water at a certain groundwater well is located at the confluence of a north fork and south fork of a major river. Data was collected to determine if the well is under direct influence by surface water. Direct influence and the extent of the correlation was determined by statistically analyzing the well turbidity with surface water flow and temperature variability. The surface water flow and was lagged per period and with a weighted average to determine the highest correlation. Logistic regression models were developed to determine if a predictive model can predict permit conditions based on the data collected

Yahoo! Incorporated Strategic Plan

The Internet Portal Industry is a new and emerging Industry. Competition is fierce both internally and from externally. New entrants are likely and existing competitors are seeking ways to undermine current market share. Partnerships that are internally linked via a complex ‘ecosystem’ format is emerging. This web of competition and stakeholders requires extensive strategic planning to stay ahead of the competition. One firm that has successfully competed in this new industry is Yahoo! Incorporated. This report reviews the Internet Portal Industry, Yahoo’s current situation and strategy and offers alternative strategies for analysis based on industrial Key Success Factors and firm related Critical Issues. Based on the analysis and linking with the Key Success Factors and Critical Issues, this report recommends an Alternative Strategy for Yahoo and implementation timeline for the strategy

Evaluation and Selection Process for a Wireless Home Network

The integration of digital home is focused on delivering a seamless, interoperable network that enabled the applications from Consumer Electronics (CE), Personal Computing (PC) and mobile devices industries to easily and conveniently enjoy content using any electronic device anywhere anytime in the home. Digital home vision can be fulfilled through a collaborative industry effort focused on delivering an interoperability framework for networked multimedia devices. Consumers are acquiring, experiencing, and managing an increasing amount of digital media on devices in both the CE and PC domains. As such, they want to easily and conveniently content regardless of the source across different devices and locations in the home. This paper covers wireless technologies that can contribute huge role in the digital home environment. The decision model selected to determine the best technology when subjective judgement is required to make a selection with many criteria is the Hierarchical Decision Model (HDM). The HDM model used ranks each of the technology solutions with a subjective probability. This paper builds the HDM model to determine the best technology for the digital home. The subjective probability results are summarized and analyzed in their contribution to the objective of providing the best wireless network solution for the home environment

HP/Compaq Merger: Merging Technological Innovation

This paper presents an analysis of the HP/Compaq merger

Project Delivery Systems: Analysis of the IMAX Light Rail Project

This project reviews three project delivery systems: design bid build, construction manager/general contractor, and design build. It provides a summary of the literature research on each of the three systems and summarizes the advantages/disadvantages of each

Enron: Strategic Impacts on Technology Management

This paper presents an analysis of the Enron bankruptcy

Economic Evaluation and Selection of the “Best” Wastewater Treatment and Disposal Alternative

A small City’s wastewater facility is nearing the end of contracted agreements which forces the City into a decision making process. The decision making process allow the opportunity to incorporate engineering economics to justify the selection of the “best” wastewater treatment and disposal course for the next 25 years. Incorporating engineering economics analysis into the decision making process will provide defendable justification for the selected alternative and minimizing cost to ratepayer