Friday, February 14, 2020

Cost of Capital Essay Example | Topics and Well Written Essays - 500 words - 3

Cost of Capital - Essay Example ls as far calculating the actual cost of capital of Pfizer, but it does point out that Pfizer has more equity than debt because the firms prefers to keep its interest payments low in order to maintain good liquidity and cash flows. Pfizer operates in industry that has very high risk. Every year hundreds of new medicines project fail for a variety of reasons. Sometimes these medicines do not work as the company expected or even when they work the new drug often is not able to comply with the strict protocols to achieve FDA approval. Whenever a medicine is not able to reach market the total costs that the pharmaceutical company incurred in becomes a sunk cost. A sunk cost can be defined as a cost that cannot be changed by any present or future decision (Weygandt, Kieso, Kimmel, 2002). Sunk cost are a major financial challenge for companies such as Pfizer. Minimizing projects that do not provide a positive stream of cash flows is imperative for the success of a company in the pharmaceut ical industry. Pfizer faces other financial challenges that are unique to its industry. For instance the company has to invest billions of dollars each year in research and development costs. The average out of pocket cost to develop a new drug is $1.4 billion (Mullin, 2014). Another financial challenge Pfizer faces is that it also takes a long time for a new drug to reach market. While a new drug is being developed the company does not obtain any inflows of cash from that project. Despite the challenges associated with developing a new drug when a company succeeds in creating a new product the law protects firms such as Pfizer. Patent protection allows Pfizer the ability to create a monopoly market on the new drug. Patent protection in the pharmaceutical industry can last eight to ten years. During that time Pfizer would face no competition for its new drug. Another challenge that Pfizer faces is a shortage of talent in many technical fields. In order to recruit new talent the firm

Sunday, February 2, 2020

Early Post Partum Haemorrhage Essay Example | Topics and Well Written Essays - 2000 words

Early Post Partum Haemorrhage - Essay Example She was having one of the most serious complications of pregnancy known as post-partum hemorrhage(PPH). According to the Centers for Disease Control and Prevention (2006), hemorrhage, blood clot, high blood pressure, infection, stroke, amniotic fluid in the bloodstream and heart muscle disease are the leading causes of pregnancy-related deaths which sums up to 2-3 pregnancy-related deaths each day. Although deaths due to pregnancy complications have dramatically declined during the period of 1900-1982, the number of cases has ceased to show any decrease since then, which raises so much concern for the women of child bearing age. Furthermore, there seem to be a link between a woman’s race, ethnicity, country of birth, and age and her risk of dying of pregnancy complications. For example, African American women are four times as prone to pregnancy-related deaths as white women, and that, women aged 35-39 are three times at greater risk than women aged 20-24 years old. The risk goes up to five times for a woman aged 40 and above. Post-partum hemorrhage accounts for a high 17% of m ortality in women, and a case such as this would require a nurse/midwife with the proper knowledge and skills to address the situation and save the mother from an otherwise life-threatening situation. This paper is aimed at exploring the guidelines in the management of early post-partum hemorrhage and the treatments available for such condition. A woman in labor undergoes three different stages. The first stage is dilatation. It begins with the period of true labor contractions and ends with when the cervix is fully dilated. The first stage is further divided into three phases: the latent, the active and the transition phases. A regularly perceived uterine contraction marks the beginning of the latent phase. It ends when the rapid dilation of the cervix begins. In the active phase of labor, the cervix dilates