Report

Report PREFACE BUSINESS MODELLING AND VALUATIONSummer Project for Ernst YoungSubmitted byGEETA WADHWANIIB1311340For the award of thePOSTGRADUATE DIPLOMA IN MANAGEMENTBALAJI INSTITUTE OF INTERNATIONAL BUSINESSSRI BALAJI SOCIETY, PUNE`PREFACEThe summer training program is objected to understand the corporate world and its various aspects. The training helps us in gaining practical and managerial knowledge which is very much different from what is given in the books. The internship provides us the insight into the real corporate world which would help us make a presence in this vast professional environment.The masters of business administration course is not limited to managing things but has a wide area of performance and perspective which is applied in today's world of management jobs. The internship program is an extremely essential part of MBA which makes an individual more experienced and practical towards today's organizational undertakings.The project report has been written in an organized manner in the form of a procedure so that one does not feel discomfort in understanding it.Visa requirements for Peruvian citizensSpecial colours need to be provided by the companyDeposit fee should be used to ensure the integrity of the card.A recharging station should be opened on weekends, but the opening hours may be reduced.A process of card recycling may be a new tourism spot to compensate for recycling costs.Transfer train stations should become travel cards recharging stations.A counselor should be considered as a conciliator to avoid conflicts between Chinese manager and employees.Background to the projectBeijing travel card limited company was founded in 2000 and a core competency of the company is to produce and sell travel cards to citizens and tourists. (Beijing Superpass Limited Company, n.d.). Travel card is an uniform card to pay for all kinds of transaction cost, which uses advanced computer network, automatic control, information processing, communication and other technology in an integrated circuit(IC) card, which can...

Managing the United Kingdom Health Service Essay

Managing the United Kingdom Health Service - Essay Example This has been totally missing from the management at NHS. Management is can be defined both as art and science. It is the art of bringing out efficiency of people and making them more effective than they would have been with you. There are four basic pillars: plan, organize, direct, and monitor. The basic role of a manager is to make the staff more effective. Making them do work more efficiently than they are doing presently. If you add value to your staff's work, you are a successful manager. However, in NHS, managers are mere implementers who have no active decision making power. They merely implement the rules and regulations dictated by the Government. There is no way that they can add value to their or their staff's work. The managers at NHS feel that their role is unrecognised by patients, colleagues, the public and the government. Managers at NHS have less autonomy and less involvement in key decision making than their staff assume. And they are subjected to increasing control. Without a plan you will never succeed. If you happen to make it to the goal, it will have been by luck or chance and is not repeatable. You may make it as a flash-in-the-pan, an overnight sensation, but you will never have the record of accomplishment of accomplishments of which success is made. This important element of effective management is missing at NHS. Infact the organisation lacks serious planning and focus. As a result, the quality of services has been detortiating and ultimately the managers are planned by both government as well as public for inefficient services even though they have no power to run the organisation with a vision of their own. A study reveal that the notion of management had become divorced from clinical practice, even though many managers were doctors or nurses who had taken on the role to try to make a difference. To them, what was now called management was just an extension of the profession. Organize Organising and priortising work to ensure smooth, timely as well as quality deliveries and services form the core of good management. The lack of proper management results in poor organisation and prioritisation of work at NHS. Direct Directing your subordinates not as you are directing them but as if you are guiding them how to perform their specific job role. I like to think of this part like conducting an orchestra. Everyone in the orchestra has the music in front of them. They know which section is playing which piece and when. Now you need only to tap the podium lightly with your

The Relationship between Rationality of Investors and Market Essay

The Relationship between Rationality of Investors and Market Efficiency - Essay Example In an efficient market, significant information is freely accessible to all participants. Researchers argue that with the current availability and utilization of complicated modeling in capital markets and with substantiality superior revelation and analysis, superior approximations of returns may be made by expert investors (Keim & Ziemba, 2000, p. 255). These computations of returns approximations are possible where there are efficient market mechanisms. Therefore, there is a positive relationship between market efficiency and rationality of investors. (Jones, 2009, p. 329).The Efficient Market Hypothesis   In 1900, Louis Bachelier developed hypotheses of investment payoffs. Keim & Ziemba The Efficient Market Hypothesis is one of these theories of investment payoffs. The Efficient Market Hypothesis hypothesizes that, at any given time, equity prices fully replicate all accessible information. The propositions of the efficient marketplace hypothesis are profound (Fama, 1995, p. 4) . Most traders who sell and buy equities do these under the postulation that the equities they are selling are worth below the selling price while equities they are purchasing are worth in excess of the price that they are disbursing. However, if there is an efficient market and current prices fully replicate all information, then selling and purchasing in an endeavor to outperform the marketplace will efficiently be a game possibility rather than expertise (Jones, 2009, p. 329).... 5) notes, Simon suggested three ways which a resolution maker can endeavor to optimize their returns. First, using max-min rule of the game theory, every investor deems the worst possible result for every investment and builds a portfolio, which will generate the biggest value when made up of a mixture of these minimum values. However, it is worth noting that there is no rational investor who would select securities, given that the worst likely result for equities is loss. Secondly, an investor can build a mixture of investment alternatives where the likelihood of every outcome is maximized. The combination of these investment alternatives will depend of the risk profile of every portfolio. Jones (2009, p. 325) observes that investment risk is positively related to the returns of that investment, implying that the investment with high risks generates higher returns. Rational investors will undertake investments which correspond to their risk tolerance categories. Thirdly, Simon visua lizes the investor selecting one entire portfolio from a set of alternatives which will maximize the value. This may be selecting a portfolio containing bonds only, equities only, from accessible investment alternatives. Simon deems that the complexity of computation in relation to real human choice circumstances is beyond the average investor; however, with market efficiency these calculations can be performed. In an efficient market, significant information is freely accessible to all participants. Researchers argue that with the current availability and utilization of complicated modeling in capital markets and with substantiality superior revelation and analysis, superior approximations of returns may be made by expert investors (Keim & Ziemba, 2000, p. 255). These

The role of music in your life Essay Example for Free

The role of music in your life Essay Music connects us to time and place. For instance, many of us may remember a song that comforted us during a difficult time or what was playing during a happy occasion like a graduation or engagement. Despite our varying tastes, the one constant is that music plays a role in times of comfort and celebration. This week’s project asks you to consider what songs are important to you and why. You can think of this as defining the soundtrack of your own life. In 750-1000 words, consider and explain the role of music in your life story: 1. What music do you associate with childhood? How did/does this music make you feel? How do your choices reflect your childhood experiences? 2. What music do you associate with adolescence? Was this music a way to fit in or rebel? 3. What music do you associate with comfort? How do these songs help you deal with disappointment or stress? 4. What music do you associate with happiness? Why? Your essay should be double-spaced and include a title page in APA format. The title page does not count in the word count for the project. Submitting Your Assignment Put your project in a Word document. Save it in a location and with a name that you will remember. When you are ready to submit it, click on the Dropbox and complete the steps below: †¢ Click the link that says Submit an Assignment.

Schizophrenia :: Schizophrenics Psychiatry Disorder

Schizophrenia is not a single disease, but a broad category of mental illnesses. Schizophrenia is a psychiatry disorder where several structural disturbances occur in the brain. It normally takes place in the temporal and frontal lobes, changing the neural systems and affecting the neurotransmitters in charge of controlling the functioning that takes place in these areas. It is not a structural brain disease that shows up early on X-rays CAT scans, or EEGs. Schizophrenics also have defects in the handling of amino acids. Schizophrenia usually affects men while they are young and women later in their lives. Schizophrenia often starts out very slowly and progresses to a severely disabling mental illness. Early Schizophrenics tend to experience spontaneous dream like episodes with material that resembles art, myth poetry, and B-movies. Many Patients also show negative symptoms, such as decreased emotional arousal, mental activity, and social drive. Schizophrenia is often confused with split personality, but it is not the same, Though in reality schizophrenia means â€Å"split mind†. Many scientists believe there are four types of schizophrenia. First of all there is the simple or â€Å"undifferentiated† type, which is characterized by a gradual reduction in the external relations and interests. Next there is the â€Å"hebephrenic† or disorganized type, it is characterized by delusions and false perceptions. Then there is the â€Å"catatonic† type in which there is a state of inactivity and striking motor skills. Last there is the â€Å"paranoid† type which usually arises later in life, which is associated with illogical thinking, delusions of persecution ,or of grandeur. While these four specific types have not been universally accepted, it is the approach most commonly accepted by most psychiatrists. Schizophrenia crosses all socioeconomic, cultural, and racial boundaries. Different theories of the beginning of schizophrenia have centered on anatomical, biochemical, psychological, social, genetic, and environmental cause. The general view is that the schizophrenic types of reaction result from faulty adjustments to a variety of underlying conditions that may be either physical or psychological, or both. Treatments for schizophrenia may include replacing food with ENF, fortified with higher than usual intake of vitamins such as B1, B3, B6, B12, and mineral intake.

Effect of Patient Preferred Music on Pain in Postoperative Patients

The relief of acute pain in adult postoperative patients continues to be a common problem despite the use of pharmacologic therapies. Unrelieved pain can cause various effects including: increased heart rate and blood pressure; increased need for oxygen; tachypnea; increased susceptibility to infection; and anxiety/fear (Swift, 2018). Nurses strive to provide the best care for their patients and this includes finding alternative ways to help with unrelieved pain. Providing music as an adjunct to the standard of care for pain has been shown to reduce acute pain in postoperative patients (Comeaux & Steele-Moses, 2013; Nilsson, Rawal, & Unosson, 2003; Zografakis-Sfakiankakis et al., 2017). The following research proposal intended for the institutional review board (IRB) will discuss the purpose of the study; background and significance; participants and methodology; recruitment; participant confidentiality; participant safety; consent process; risks and burdens; benefits; cost and payment; data and document security; and follow-up and dissemination of results.Purpose of StudyThe purpose of this study is to determine whether allowing patients to listen to their preferred choice of music compared to providing them with pre-selected instrumental music is more effective, when used as an adjunct to the standard of care for pain, on reducing the perception of pain in the adult postoperative patient.Background and SignificanceThe review of literature w as conducted by utilizing the following databases: Cumulative Index to Nursing and Allied Health Literature (CINAHL), Google, Nursing Times, and Research Gate. Search terms included: music therapy, music, acute pain and postoperative pain. The review of literature proved that music, when used as an adjunct to pharmacologic therapy, is effective in reducing postoperative pain. Pain is an expected outcome of a surgical procedure, however unrelieved postoperative pain can lead to complications, delayed healing and, if not dealt with effectively, can become chronic (Swift, 2018, p. 25). According to Nilsson, Rawal, and Unosson, (2003) the best practice for postoperative pain control management should include both pharmacological and non-pharmacological methods (p. 700). Comeaux and Steele-Moses (2013) reported â€Å"According to the Joanna Briggs Institute (2009), music therapy as a non-pharmacological adjuvant to opioid analgesia is best practice in the management of pain and anxiety† (p. 313). In their own study, Comeaux and Steele-Moses (2013) found that the use of music therapy improved patient satisfaction of pain management in the postoperative period (p. 314). Another study also found that using music as an intervention tool in the acute postoperative period could be useful in promoting patient's comfort and improving perception of pain (Zografakis-Sfakiankakis et al., 2017). Nilsson et al. (2003) reported that â€Å"Music is a non-pharmacological technique, that is inexpensive, non-invasive and has no side-effects that have been shown to reduce postoperative pain† (p. 700). Music therapy has been beneficial in treating patients with a wide range of diagnoses and is effective in reducing patients' perception of anxiety and pain as well as the need for analgesia (American Music Therapy Association, 2010). While it has been proven that music can reduce postoperative pain, the preceding studies used pre-selected instrumental or classical music, there is limited research available in the clinical setting on the effects music has on pain with regards to providing patients with preferred music choices compared to providing them with pre-selected music. inlay and Anil (2015) conducted a cold pressor test study to induce experimental pain to determine the impact of music type on pain and stated that â€Å"Simply listening to music may not be sufficiently effective for managing pain if the music is not enjoyable for the listener†¦the more likable the music is to the individual, the better the effects of music listening on the pain† (p. 56). Therefore, it is important for nurses to know which type of music to implement, preferred or pre-selected, as an adjunct to reduce unrelieved postoperative pain.Participants and MethodologyThis study will be conducted as an experimental prospective randomized clinical trial in a Level II Trauma Center that has a complete team of general, specialty and trauma surgeons who perform a broad range of multiple surgeries daily. The anticipated number of participants is between 150 and 200 in a 2 month period. The inclusion criteria includes all patients age 18 or over who will be having an ele ctive surgical procedure done, have an anticipated stay of 3 days or more, are alert and oriented and able to read and write English (for questionnaire purposes). Exclusion criteria includes any patient with hearing loss or hearing deficit making it difficult to hear the music. Data will be collected by placing participants into two study groups, the study group (preferred music choice) and the control group (pre-selected music). Using Zografakis-Sfakiankakis' (2017) random selection algorithm participants, if they meet the inclusion criteria, will be selected by the following: on a typical surgical day, half of the patients, the 1st and 3rd patient or every other, will be included in the study group and then the 2nd and the 4th and so on will be included in the control group. A questionnaire will be given to all participants, since both groups with be listening to some type of music, and will include questions about demographic data including: gender, age, race, type of surgical procedure. The remaining questions will ask the participant to rate their pain using the numeric rating scale (0-10) before the start of and after listening to at least 30 minutes of music; what type of analgesic what administered for their pain; If any other non-pharmacologic intervention took place (i.e. repositioning or application of ice); what was the patient doing before, during and after listening to music (i.e. lying in bed, up in chair, walking in room/hall, talking with visitor, reading etc.); and the date and total time listened to music between each pain medication administration (with at least 30 minutes per session). The study group will be given an easy to use MP3 player with FM radio capability and will also be able to request their preferred songs and music to be downloaded to the device by the nurse researchers. The control group will also be given an easy to use MP3 player, without FM radio capability, that is loaded with pre-selected, by nurse researchers, instrumental/classical music. All groups will be provided with earphones to use in order to prevent disruption to other patients.RecruitmentUpon check-in at the hospital for their elective surgery prospective participants, who meet the inclusion criteria, will be asked if they would like to be involved in a voluntary research study during their hospitalization. The researchers will introduce themselves, including their credentials, and will verbally inform the individual that the study is trying to determine the effects that music has, in addition to receiving the standard of care for pain, on reducing postoperative pain. They will be informed that MP3 players as wells as earphones will be provided to them and that they will be required to fill out questionnaires during the study. Participants will be informed on how their information will be kept confidential, the risks and benefits of this study and after which will be encouraged to ask questions.Participant ConfidentialityTo ensure participant confidentiality and anonymity participants will be assigned a number that will be included on their questionnaires. The number that they are assigned will be determined by the order in which they leave the post anesthesia care unit (PACU). When leaving the PACU the nurse will give the known participants a manila folder that will contain the numbered questionnaires, MP3 player and instructions on use. The first paper that the participant will see when opening the folder will include a statement to them ensuring that the information that is collected from this study from them will not be divulged to others without permission. The instructions will inform the participants to place all questionnaires and MP3 player back in the envelope upon discharge, seal it and then leave it in the designated locked box at the nurses' station.Participant SafetyListening to music is beneficial, not harmful and non-invasive. Participants will still receive the standard of care for pain. Therefore, in this study there is no risk for harm or harmful deception as both groups will be provided with a music intervention, either preferred choice or pre-selected, along with the standard of care for pain. There is no anticipated adverse events seen in implementing the intervention of music listening.Consent ProcessAs part of the recruitment process, which includes providing information about the study, its pr ocedures and allowing for questions, participants who have met the inclusion criteria will be informed that their participation in this study is voluntary and that if they choose to participate that they can withdraw at any time without consequences. The other components of the informed consent will include: basis for selection; duration of participation; risks and benefits; confidentiality of records; names of investigators and contact person; statement of voluntary participation and then signature lines which will indicate consent. Even though signatures will be obtained at the time of recruitment for informed consent, the researcher will not know the identity of the participant once the study begins as they will be assigned numbers randomly as they leave the PACU. All participants will be alert and oriented consenting adults. The participants will also be informed that once this study is finished that it is the goal to have it published in a journal for medical professionals to use as evidence for best practice.Risks and BurdensAs stated earlier, there is to harmful effects or risks in the intervention of listening to music. However, potential burdens of this study could possibly occur when filling out the questionnaire. The participants will have to take time and effort to fill out the questionnaire each time they use the music therapy along with taking prescribed medication. This can pose as a possible inconvenience for them as they will be in a perceived state of pain.BenefitsThere are many potential benefits to the participants who take part in this study. As stated earlier music therapy has been beneficial in treating patients with a wide range of diagnoses and is effective in reducing patients' perception of anxiety and pain as well as t he need for analgesia (American Music Therapy Association, 2010). According to the American Music Therapy Association (2010) in addition to the reduction of pain and anxiety participants may experience: improved respiration, lower blood pressure, improved cardiac output, reduced heart rate, and relaxed muscle tension (p. 4). Furthermore, the results of this study can be beneficial in providing nurses and other healthcare providers with knowledge about the best type of music to use, along with the standard of care, in reducing unrelieved pain for their patients. This information can be shared and may be beneficial as an alternative to reducing pain in various other types of patient populations as well.Cost and PaymentThere will be no cost to the participants of this study as the MP3 players and the earphones will be provided to them by the researchers. No incentives will be given in recruitment or for participation in this study.Data and Document SecurityDocuments for this study will be kept by the patient in the provided manila folder. Once the par ticipant is discharged the sealed manila folder will be turned in by placing it in the designated locked box at the nurses' station. The folders will be picked up on a daily basis. Only the nurse researchers will have access to the locked box as well as the questionnaires. All questionnaire collected from the hospital will then be kept in a locked filing cabinet when not being used by the researchers. The data collected including informed consent will be kept for a period of 3 years.Follow-Up and Dissemination of ResultsParticipants will be given the researchers contact information and will have the option to contact the researchers after 3 months to either get the results of the study or be given an approximate date of when the results will be available. Upon completion of this study the aim is to present the research results at various presentations, submit the research results for peer review and then ultimately spread the knowledge and the evidence-based intervention through publication in a peer-reviewed journal.ConclusionIn conclusion, we have discussed the purpose of the study; background and significance; participants and methodology; recruitment; participant confidentiality; participant safety; consent process; risks and burdens; benefits; cost and payment; data and document security; and follow-up and dissemination of results. Researchers involved in this study welcome the critical evaluation of the IRB in order to ensure that the study will be conducted in a strong, ethical and legal manor.

Organizational Management Approach Analysis Management...

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