IPO case study Example | Topics and Well Written Essays - 1250 words

IPO - Case Study Example Most companies and opinions believe that the new year brings forth the increased earning potential of shares. In addition to this, most companies pay out bonuses and dividends as the year comes to a close. This therefore means that investors might have funds to participate in the initial public offering. v) The decision to involve the selected underwriters might have been well informed and carefully selected. The selected underwriters might have sent a positive message to the investors and therefore increasing their confidence and hope in the company’s prospective earnings. vi) In my informed opinion, the cost charged was fair bearing in mind the positive past track record of the underwriting companies chosen. This therefore could have influenced positively the decisions of the investors to participate on the public offering. Investor confidence on the parties involved is all it takes for a success in the initial public offering. I therefore believe that the compensation was fair and appropriate. vii) The overallotment offer to the underwriters acts like an incentive for them since they can use the overallotment funds to make some quick profits in the financial market as the allotment funds await to be returned back to investors. viii) The choice of the company’s listing venue was appropriate. NASDAQ is one of the leading stock markets in the world. Therefore, any company that lists there is regarded and perceived as a potential goldmine for the investors. This therefore influenced positively the decision of the investors to participate in the initial public offer. In addition, the venue has different categories where issuing companies can list according to their interests and prospects. ix) When companies issue shares to the public, the public is normally hopeful about the growth potential of the stock. This positive mindset and feedback might have resulted in an increase in the share price on the first day of trading. However, after

Pre-hospital pharmacological management of narrow complex tachycardias Essay

Pre-hospital pharmacological management of narrow complex tachycardias - Essay Example There will be a general overview of the arrhythmias followed by more specific with treatment guidelines. Supporting research will be investigated in an effort to determine credible practice guidelines. The narrow complex tachycardias include sinus tachycardia (ST), atrioventricular nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia (AVRT), atrial tachycardia (AT), inappropriate sinus tachycardia (IST), sinoatrial nodal reentrant tachycardia (SNRT), junctional ectopic tachycardia (JET), nonparoxysmal junctional tachycardia (NPJT), atrial fibrillation (AF), atrial flutter (AFI), and multifocal atrial tachycardia (MAT). Symptomology that may occur with these tachyarrhythmia’s are hypotension, heart failure, or pulmonary congestion, shortness of breath, renal failure, shock, decreased consciousness, angina or acute MI (Podrid, 2008). If these symptoms are occurring cardioversion is recommended. The state of stability of the patient who is pre-hospital is of course the focus of care. Determining the nature of narrow QRS tachyarrhythmia is necessary and an EKG is of great importance at this point. When we consider pathogenesis, reentry is the most common cause of QRS complex tachycardia. The mechanism of reentry requires two distinct pathways or tissues in the heart that have different electrophysiological properties that are linked proximally and distally, forming a circuit that is anatomic or functional (Ansdorf & Ganz, 2009). You will note the following diagrams. AVNRT as shown above is characterized by two pathways within the AV node. AVRT also shown above is characterized by an extranodal accessory pathway connecting the atrium and ventricle. Wolf-Parkinson White syndrome would fall into this category. SNRT and reentrant tachycardia do not involve the AV node (Arnsdorf, 2009). There are also other mechanisms that lead to narrow QRS complex tachycardia. Those include automaticity