The capital structure shows just how much financial leverage a company is wearing its books in terms of other capital such as for instance equity. Potential investors look at the capital structure and identify the quantity of debt raised because of the ongoing company and also this helps them to evaluate the possibility of financial distress. A risk that is high of distress is related to bankruptcy. Yet, having debt that is too little the books can possibly prevent the company from keeping up with the industry growth rates. Therefore, you should comprehend the key elements for the capital structure as well as its influence on company value (Chowdhury and Chowdhury, 2010).
Companies have already been participating in mergers and acquisitions (M&A) for many decades. In reality, this has been among the major modes of growth for companies operating in saturated markets. It is a way that is simple boost a company’s sales, enter an innovative new market or increase efficiency through synergy. However, M&A are not successful in every single case. There has been instances that are many a merger or an acquisition turned out to be a value destructor instead of a value creator. Therefore, it’s important to investigate whether M&A activity actually creates value or otherwise not (Zollo and Meier, 2008).
Finance literature has two different views on the dividend policy. One view shows that dividends are irrelevant for value whereas the other view states that dividends have implications for value. The theory that is original of of dividends for value was empirically tested by DeAngelo and DeAngelo (2006) plus the authors rejected the model that was suggested by Miller and Modigliani (1961). The research demonstrated that the payout policy was relevant and investment policy was not the only determinant of firm value. The observations were inherent even to frictionless markets. However, the research paid attention to total payouts rather than cash dividends only. Thereby, no distinction was made between distributing earnings to shareholders in the form of dividends or stock repurchases (Handley, 2008).
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The Mean-Variance approach is a common portfolio optimisation method that will be on the basis of the assumption that all investors make rational investment decisions if they are buy an essay given usage of complete market information. The Black-Litterman model is a more advanced method of portfolio optimisation on the other hand. The primary reason for developing this model was that it aimed to overcome fundamental issues such as errors in estimation, portfolios which are too concentrated, and technical issues such as for instance input sensitivity. The 2 approaches have their own strengths and weaknesses (Idzorek, 2007). This paper aims to discuss these features and work out a comparison that may be of value to investors.
There are an estimated 6.5 million adults in the UK alone who will be classified as carers (Carers UK, 2015) , with rates expected to rise to 9 million individuals by 2037 (Ibid.). Carers are individuals who take on the day to day support needs of family relations who will be struggling with chronic physical or psychological state problems (Baguley and Sprung, 2017), and so are considered to save the economy around Ј132 billion each year, equating to an average of Ј19,336 each year, per carer (Carers UK, 2015). Whereas approximately 3 million carers combine employment with providing care, Care UK (2015) estimate that 20% of carers are obligated to abandon work altogether because of the high demands added to them, both physically and emotionally. The provision of long haul caregiving happens to be associated with increased health conditions (Wolff et al., 2016), increased isolation that is socialHayes et al., 2015) and decreased standard of living (Jeong et al., 2015).
Contemporary nursing practice is a varied and field that is challenging nurses are increasingly taking part in complex decision-making as their roles expand in the health system (Cherry and Jacob, 2016). Underlying any care decision could be the want to identify the source for the problem and then to build up a approach that is suitable addressing this issue. To help in decision-making, it is suggested that nurses adopt frameworks or models of problem-solving and care planning (Johansen and O’Brien, 2016). The assessment, planning, implementing and evaluating approach, also referred to as APIE (Yura and Walsh, 1967), is a commonly used approach to care planning in nursing practice. This process encourages a systematic and approach that is rigorous patient care, incorporating a holistic perspective regarding the care process. The aim of this paper would be to evaluate the individual components of the APIE while the approach in respect to nursing practice to its entirety.
Authored by Raymond H.
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The acronym ‘ADPIE’ – which stands for assessment, diagnosis, planning, implementation, and evaluation – can be used inside the field of nursing to greatly help guide the proper means of treatment provision for patients (Bernard, 2018). This method can be utilized in either physical or health that is mental, and follows exactly the same process regardless of what branch of medicine clinicians are working in (Ibid.). This essay will introduce Jerry, a patient with possible alcohol issues, who is a 68 year old man whose drinking is now concerning to his friends and family, and whose memory has been reported to be getting rapidly worse. It really is of note here that on the basis of the Nursing and Midwifery Council’s Code (NMC, 2015), ‘Jerry’ is a pseudonym to maintain patient confidentiality, with no other personally identifiable information will be used in this essay. In order to demonstrate the ADPIE process, each stage will probably be outlined below; decisions and actions will be supported both by clinical guidelines and by peer reviewed evidence was relevant.
Authored by John C.
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Recent years decades have experienced an increasing interest that is public the employment of complementary and alternative medicine (CAM). Despite a generally positive attitude with relation to its use and safety, concerns do remain about the effectiveness of these therapies (Barnes et al., 2004). Despite the expansion regarding the scientific knowledge base of Western medicine, the global interest in CAM therapies has seen a dramatic increase over recent past; a steady boost in the lifetime prevalence among these therapies have also been reported in developed countries (Kessler et al., 2001). Research groups have suggested several determinants which could determine this increased CAM usage- these include those of geographical, cultural, socio-economic, and physical contexts (Shaikh & Hatcher, 2007). The geographical determinant has, by far, been the essential accepted amongst these- several developing countries have already been observed to make use of CAM therapy as basic treatment line (Tan et al., 2004). However, the prevalence for this does further vary between urban and rural areas within these countries. Nevertheless, even countries with national insurance systems have seen a rise in the use that is public’s acceptance of CAM- where these therapies aren’t covered by insurance; thus suggesting why these therapies might have benefits that outweigh their costs (Frass et al., 2012). The clinical effectiveness of these therapies seem debatable- with CAM professionals themselves leaning towards the requirement of a “more scientific” testing prior to the use of these therapies (Raza et al., 2018) despite these increased usage patterns. This paper aims to gauge the effectiveness of alternative treatment into the treatment of common illnesses.
Evidence-based practice is a cornerstone of contemporary medical and nursing care (Aveyard & Sharp, 2013) and should be viewed the gold standard approach to care. The tenet that is central of practice is the fact that a target appraisal of published literature enables you to isolate the top interventions, that may then be used in practice, while deciding the preferences and considerations regarding the patient (Hamer & Collinson, 2014). The nurse that is individual accountable for ensuring that they adopt an evidence-based approach to care, appraising research strongly related their professional duties and responsibilities (Melnyk & Fineout-Overholt, 2011). As such, critiquing is a key skill that must certanly be developed and practised by all nurses and healthcare professionals alike.
The non-public, Cultural, and Structural Analysis (PCS) model explains how power relationships are expressed between individuals, groups, and in the wider society. The PCS model also highlights the effect that is layered of on individuals (Pepper, 2012). The model was initially proposed by Neil Thompson in his book ‘Anti-Discriminatory Practice: Equality, Diversity and Social Justice’. It is known to have three interrelated level such as personal, cultural, and structural (Thompson, 2012).
In accordance with the PCS model, the workings of oppression can be analysed through these known levels, that are elucidated in more detail below.