Epilepsy And Its Effects On The Central Nervous System

Hannah Rackley Biology A Warren September 26, 2016 Epilepsy Epilepsy refers to a seizure disorder where the central nervous system does not function properly. It is a neurological disorder. It is when nerve cell activity in the brain is disturbed, causing seizures. There is no cure for epilepsy, but there are treatments to help limit the number of seizures. Most people that have epilepsy live normal lives with some or no restrictions. Most people outgrow their seizures once they get to adulthood. Seventy percent of people with epilepsy are diagnosed before the age of twenty and thirty percent develop a seizure disorder after the age of twenty. Understanding epilepsy’s origin, symptoms, diagnosis process, treatment options, and effects on daily life will eventually lead to a cure. The first book written about epilepsy was by the Greek physician, Hippocrates. It was written around 400B.C. and was titled On the Sacred Disease. Hippocrates’ book is believed to be the first record of a person suffering from epilepsy. On the Sacred Disease laid the foundation for the education of epilepsy. Although it included some misleading myths, it also contained many truths about the disease. Epilepsy was called the sacred disease because people believed that the seizures were administrated by demonic spirits. People believed the seizures were sent by the gods to punish someone who had done wrong. Around 1494 A.D. Heinrich Kramer, a German Catholic clergyman, wrote Malleus Maleficarum. ItShow MoreRelatedNervous Systems And The Nervous System1386 Words   |  6 Pages The nervous system is a system of nerve cells and fibres that transmit electrical impulses throughout the whole body. The nervous system is made up of two systems; the central nervous system or CNS and the peripheral nervous system or PNS. The CNS is made up of the brain and the spinal cord (see Figure 1.0 below), these are protected by bone and cushioned by cerebrospinal fluid, and the PNS is the nervous around the rest of the body. The PNS consists of motor neurons, sensory neurons, somatic nervousRead MorePhenobarbital Essay976 Words   |  4 PagesDirksen, Heitkemper, Butcher, Camera, 20011). Phenobarbital is classified as an anticonvulsant. This classification of drugs is used to â€Å"decrease the incidence and severity of seizures† (Deglin et al, 2011). The drug acts by depressing the central nervous system and preventing it from reaching a level where seizures would occur. This drug can be given several different ways. It can be given by mouth, intramuscular, subcutaneously, and as an IV medication. After it is absorbed into the body it is metabolizedRead MoreAdvantages And Disadvantages Of Western Medicine Essay1140 Words   |  5 Pagesadverse effects (Adams Urban, 2016). Complementary and Alternative Medicine The advantage of CAM therapy is that it is a more natural way of helping manage health conditions. The disadvantage is that the CAM therapies mentioned do not actually heal the pathological problem that persists in the patient with epilepsy. It may help with restoring a deficiency, but it will not stop the excessive firing of neurons. Biblical Worldview One advantage of applying a Biblical Worldview to epilepsy is acknowledgingRead MoreMelatonin Agonists897 Words   |  4 Pagessignificant difference that was statistically significant (p0.05). Therefore, our hypothesis is proven correct that combining both melatonin and GABA agonists can more effectively decrease the threshold in which seizures occur. A proposed reason for the effect of melatonin agonists in lessening the threshold for seizures is that they regulate an individual’s circadian rhythm. In a previous study, it was shown that rats that had a disrupted circadian rhythm were more prone to seizures than rats with a regulatedRead MoreEssay about Narcotics549 Words   |  3 Pages Narcotics: Narcotics decrease the sensitivity to the sensory stimuli because it has a depressant effect on the central nervous system. Opium, morphine, codeine, heroin, meperidine, and methadone are types of narcotics. Natural and synthetic opiates are considered medically valuable because they are effective pain relievers. A reduction of physical activity and drowsiness are the effects of opiates. Once consuming opiate you might feel such uncomfortable feelings as nausea, vomiting and itching.Read MoreNervous Systems : The Nervous System1971 Words   |  8 PagesABOUT THE NERVOUS SYSTEM The nervous system is a complex bodily system responsible for controlling and coordinating numerous functions in the body. Nerves enable certain internal functions involuntarily in the body such as regulation of heart beat, digestive system break down of a meal and the brain interpreting visual signals from the eyes. There are different branches of the nervous system with different functions of each branch. The nervous system coordinates the activities of the body and enablesRead MoreEpilepsy Is A Central Nervous System Disorder ( Cns )1112 Words   |  5 PagesIntroduction Epilepsy is a central nervous system disorder(CNS) causing recurrent seizures and can only be defined when there is at least one epileptic seizure.[1][2] John Hughlings Jackson, a notable British neurologist proposed that epilepsy is an occasional, an excessive and a disorderly discharge of nervous tissue. About 65 million people(1% of the human population) in the world have epilepsy and the cases account for 80% in developing countries. [3][4] In this essay, the normal physiologyRead MoreThe Usefulness Of Viral Vectors1223 Words   |  5 Pagesmutations of genes encoding these channels are responsible for genetic epilepsy syndromes with varying degrees of severity1. Dravet syndrome, or severe myoclonic epilepsy of infancy (SMEI), is a complex and severe form of childhood epilepsy, caused by a nonsense mutation in the sodium voltage-gated channel alpha subunit 1 (SCN1a) gene. Severe loss of function mutation in Nav1.1 causes SMEI, which involves intractable epilepsy, ataxia, and c ognitive impairment 1. It is important to study this diseaseRead MoreThe Chemical Structure Of Pregabalin1996 Words   |  8 Pagesneurotransmitter found in the central nervous system and functions by binding to ÃŽ ±2ÃŽ ´ voltage-gated calcium ion channel in presynaptic, inhibiting the release of neurotransmitters, most notably GABA. By decreasing the amount of the inhibitory neurotransmitter GABA in synaptic terminals, epileptic seizures can be controlled and prevented.1 Each drug displays its own properties when introduced to the body and all traits must be evaluated to observe effectiveness and side effects that may occur. PregabalinRead MoreDiagnosis And Management Of Patients Suffering From Neurological Disease3148 Words   |  13 Pagesexperiment investigates the mechanisms behind two pathologies pertaining to channelopathies and demyelination: epilepsy and multiple sclerosis. This is done using a patch clamp technique, a laboratory technique in electrophysiology that allows the study of single or multiple ion channels in cells. Conditions were simulated using computer software to test the hypothesized mechanism behind epilepsy with understanding that it was due to an increase in the time constant, which would enable frequent neuron

Gender, Ethnicity, And Socioeconomic Status - 2080 Words

In a sense, a person’s social statuses define who they are and where they stand in the complex structure of social standings with our fellow humans. Some of these statuses we strive to obtain, such as the development of friendships or climbing up the hierarchy of a profession; others are thrust upon us at birth or by happenstance. The former are achieved statuses, a fitting name as such status must be obtained by the achievement of goals set by either individuals or society itself. The latter, those statuses thrust upon individuals, are called ascribed statuses. These include a person’s sex at birth, their race, physical and mental handicaps, etc. Social statuses greatly affect a person’s life, as different statuses beget different reactions from society. This paper will touch on such differences in three areas: sex/gender, race/ethnicity, and socioeconomic status. Sex/gender concerns what sex a person was born into, and what kinds of expectations were placed upo n them as they grow into women and men. Race/ethnicity concerns the physical differences of individuals based upon their families’ geographical origins- which can have an impact on traditions passed down within their family as well as determine how they are viewed within our culture. Socioeconomic status is a person’s social class, which is determined by wealth, quality of life, and profession. These classes include the upper class, upper middle class, lower middle class, working class, and the lower class.Show MoreRelatedThe American Dream1059 Words   |  5 Pagesâ€Å"American Dream† has changed so much throughout the years and the many definitions the American Dream has. For some it is only a dream but, why is that? Who is unable to achieve this dream? Why arent they able to achieve this goal? Gender, ethnicity, socioeconomic status, these and many more hindrances dont allow people to achieve their version of the American dream stereotypes and racism which play a huge role in today’s society dont allow them to reach this goal. For U.S. women inequality comesRead MoreDemographics1226 Words   |  5 Pagesused to categorize the photographed individuals. Male photographs of university faculty representing African American, Asian, Hispanic, and white racial/ethnic categories were used to alleviate gender and other impression biases. Results Regarding demographic information, white (n=4) and African American (n=3) participants made up 70% of the responses. Responses also included 20% from Hispanics and 10% Asians. Female participants outnumbered males 60% to 40%. The distribution of participants isRead MoreMulticultural Education : Integrated Diverse Learners955 Words   |  4 Pagesdiverse learners. Diversity in the United States includes race, ethnicity, gender, sexual orientation, socioeconomic status, cultural heritage, ability, and disability. As teachers, we have to help meet all of the student’s needs, so they can reach their full potential. Offering programs to help diverse student will help them succeed in school and life. Teachers can respond to diversity by practicing multicultural education, gender equality, considering students for programs like English LanguageRead MoreAthletics As A Source For Social Status Among Youth Essay820 Words   |  4 Pagesand Ethnicity The article that we have chosen for our scholarly article was â€Å"Athletics as a Source for Social Status among Youth†. The main reason for this article is to further the understanding of sport as a source for youth popularity among a national US sample of 3rd through 12th graders. They first review previous work on the issue to discuss the roles gender, grade level, race/ethnicity, and socioeconomic status might play in the association between sport and social status andRead MorePurpose Of The Study702 Words   |  3 Pagesarray of spurious variables that certainly influence attitudes about leadership. Since this study is a non-experimental design, it is unable to account for many of these variables. The variables to be analyzed include: school district, gender, grade level, grades, ethnicity, and â€Å"with whom they live†. Conceptual Definitions The findings of this study are to be reviewed within the context of the following definitions of terms associated with this study: 1. At-risk – youth identified by 13 at-risk indicatorsRead MoreDisparities Within The Health Care Environment1702 Words   |  7 Pagesin this paper will include racial or ethnicity, gender, disabilities, socioeconomic, and geographic (Promotion, 2014). When looking into the racial or ethnic disparities, the population identifies themselves as racial or ethnic minority groups. Some examples of this population could include: African Americans, Hispanics/Latinos, Asians, Pacific Islanders, Alaska Natives, or American Indians disparities (Agency for Healthcare Research and Quality, 2014). Gender disparities relate to inequalities ofRead MoreSba Study1013 Words   |  5 Pagesof subjects, the author compromised some randomness of subject selection. Data were utilized in this research project to examine students’ perceptions of race as they relate to socioeconomic status. The hypothesis for the study is, does race/ethnicity affects an individual’s perception of p erson’s socioeconomic status? Table 1. Subjects Self-Reported Race Information Race Total ______________________________________________________________________________ African American female 2 African AmericanRead MoreDomestic Violence And Socioeconomic Status Essay1018 Words   |  5 Pages Domestic Violence and Socioeconomic Status Kevin Lybacki Domestic Violence Professor C. Auletto 11/27/16  Domestic violence is a problem in society that faces many different people. Regardless of where people may live, how old they may be, what gender they may be, what ethnicity, etc, domestic violence occurs. In order to understand the severity of domestic violence, the definition must be understood. Domestic violence can be defined as â€Å"any incident or pattern of incidents of controllingRead MoreThe Field Of Psychosocial Epidemiology Essay1369 Words   |  6 Pagesanxiety, stress, social support, race, ethnicity, education and income. Independent variables for obesity include socio-demographic factors such as age, race/ethnicity, geographic location, socioeconomic status (SES) like education, social support, marital status, income, and number of persons in the home and psychological variables such as anxiety, body image dissatisfaction (BID), life stress and depression (Rohrer Rohland, 2004). Low socioeconomic status (SES) and obesity are associated especiallyRead MoreCodes of Ethics Comparative Chart Essay872 Words   |  4 Pageson the basis of race, age, ethnicity, socioeconomic status, disability, gender, health status, religion, national origin, sexual orientation, gender identity or relationship status. National Association of Social Workers (NASW) Social workers should obtain education about and seek to understand the nature of social diversity and oppression with respect to race, ethnicity, national origin, color, sex, sexual orientation, gender identity or expression, age, marital status, political belief, religion

Lesson Plan Essay Example For Students

Lesson Plan Essay LESSON PLANTITLE: TouchGrade Level: Pre-school (12-18 months)Subject: Language development, vocabulary enrichment, and scienceSource: www.lessonplanspage.comMaterials: â€Å"feelie bucket†Items of different textureTime: 15-30 minutesObjective: The child will be introduced to sensory descriptors, including smooth, rough, hard, and soft. The child will understand that objects can be described with one or more of these words, such as smooth and hard. Procedure: 1. Introduce the sense of touch by asking students what they can do with there hands. Lead the class to see that they touch things with their hands,and then ask them if everything feels the same when they touch it. You may have to lead the discussion by asking them how the carpet or floorfeels. Introduce the words rough, smooth, hard and soft. Be sure to give examples of each so that the students can begin to associate these words with concrete examples. 2. Place the â€Å"feelie bucket on the floor during circle time. Have eachstudent put there hand into the bucket and pull an item out. Ask the children to describe the item they have found. Encourage the children to touch all or the objects. Assessments: Ask children later in the day to describe the way things feel. Repeatthe activity a few days later and see if the children can identify theobjects by their appropriate desciptive words. Education Essays

Managerial Economics

Every organization faces numerous problems and challenges. Some of them are minor, the others are crucial. Many come as a part of the company’s planning process, and some are brought due to certain new opportunities. Whatever they are, decision-making process lies at the very core.Advertising We will write a custom case study sample on Managerial Economics – A pharmaceutical Company specifically for you for only $16.05 $11/page Learn More It is always a delicate balance between a desire to maximize company’s revenue and success and an increased risk to make things worse. Managerial economics ‘largely uses the body of economic concepts and principles’, which can help to make a decision making easier by considering such factors as supply and demand, cost-benefit, market structure, efficiency and others (Atmanand 2009, p. 11). In this paper, I will describe and analyze according to managerial economics concepts a challenge that an organization I have worked in once faced. A Challenge Description A pharmaceutical company faces a significant research and development decision (so-called RD). To get a new drug to merchandise, a company has to invest in medical research. Moreover, the firm can choose between two different research approaches and, accordingly, get either low fixed costs and high variable costs or vice versa. Why is This Decision Complicated? In the situation described above, a decision that needs to be taken is whether to commercialize the research or not. Besides, if the company does decide to invest, which approach should it choose? The biggest difficulty here is a period of time since nobody can be sure when the research would be completed – it can take a decade or even more. Besides, no guarantees about the outcomes can be made because all efforts still can come to nothing. Moreover, ‘even after significant investment and results the launch of a firm’s product in a m arket is not certain †¦ because the Food and Drug Administration (FDA) †¦ can approve or reject a firms petition to launch in the market’ (Rao 2014, p. 2). There are also other factors to take into consideration, such as the market value of a future product and the costs of the research. Additionally to the question of costs, there is a dilemma about fixed and variable expenses.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Six Steps of Managerial Economics To understand this problem better and find an adequate solution, let us define six steps of a decision-making process of managerial economics. Defining a Problem The first step is determining a question and clarifying a decision that has to be made. According to Samuelson and Marks (2012, p. 6), at this stage, it is important to answer the following questions: ‘What is the problem the manager faces? Who is t he decision maker? What is the decision setting or context, and how does it influence managerial objectives or options?’. The problem is already accurately described above. It is whether to invest or not and what exactly approach to choose. The decision maker is a director of the company. Finally, this issue has a direct impact on business objectives and options because if the company does not invest, it has to find alternative ways to get a new product to market. Defining the Objective At the second step, an organization has to determine precisely its goals and objectives, as well as consider possible outcomes (Samuelson and Marks 2012, p. 7). The goal of the pharmaceutical company, first of all, is to succeed and increase its revenue. Since the pharmaceutical industry is ‘fundamentally based in research and development (RD)’, for this purpose, an organization is planning to commercialize a particular study and get a unique and brand new product to sell (Schweit zer 2007, p. 21). There are three major outcomes here: research does not succeed at all, it succeeds but does not meet the company’s demands (such as the period of time or the quality of an end-product), or the result of the research satisfies the company completely. Consequently, the RD decision can become either a valuable investment (in a varying degree) or a waste of the company’s budget. Finding and Exploring the Alternatives Investments are always the ‘trade-offs between present and future benefits and costs’ (Samuelson and Marks 2012, p. 8). Commercializing the project means sacrificing profits today in order to get possible greater benefits in several years (from 5 to 10 in this case). Hence, it is the main alternative – to get the profit quicker, but less of it. At this step, a decision maker should also determine the variables that are under his or her control (Samuelson and Marks 2012, p. 9). The research outcome is unpredictable while ea rnings that can be made in not so distant future are more accurate and specific. On the other hand, without a new product to sell a drug company usually gets only average incomes.Advertising We will write a custom case study sample on Managerial Economics – A pharmaceutical Company specifically for you for only $16.05 $11/page Learn More Besides the biggest dilemma, there are also several others. For example, if an organization decides to invest, it, in its turn, brings a lot of alternatives, such as the sphere of investigation, the expenses of the research, a firm or company to invest in and so on. An organization has different options, actually: considering a biochemical RD program, biogenetic program, etc. Samuelson and Marks (2012, p. 9) state that ‘most managerial decisions involve more than a once-and-for-all choice from among a set of options’, and that is true. To increase its chances, the company can pursue various programs at the same time or in sequence. There is also an option to invest in several programs but commercialize the one that turns up to be more promising after some time of observation. The last alternative is about fixed and variable costs. Besides, an organization can always conduct research in-house if it has enough facilities and resources for that. Predicting the Consequences The obvious next step is building a model based on the impact every possible company’s decision will have on its regular work. In case the pharmaceutical firm does not invest at all and can not conduct its own in-house research, it has no chances to provide a new drug; therefore, there is a risk of business decline. On the other hand, if it invests and loses the money (entirely or partly), this will hit on the budget. A situation in which the company focuses on several projects either to invest in them simultaneously or to supply both of those and then commercialize the most promising one has the least ad verse effects in the future. The last consequence to predict is the one of choosing fixed and variable expenses. According to Sexton (2015, p. 296), ‘fixed costs are those costs that do not vary with the level of output’. Variable costs, respectively, depend on the company’s production volume. Therefore, by choosing small variable costs, the drug company will be in pole position if the research succeeds. On the other hand, if an investigation comes to nothing or does not meet the company’s demands completely, an organization can minimize the negative impact of that by choosing low fixed costs. Besides, this decision should depend on the ratio between the costs needed to produce the drug and its price on the market. The demand for an end-product should also be taken into consideration. Making a Choice According to Samuelson and Marks (2012. p. 11), ‘this step (along with step 4) occupies the lion’s share of the analysis and discussion’. When all possible outcomes and their impacts on business are already predicted, a decision maker can determine a preferred course of action. So, the pharmaceutical company chooses the research approach with low variable costs. Besides, it also decides to conduct its own study.Advertising Looking for case study on business economics? Let's see if we can help you! Get your first paper with 15% OFF Learn More Performing Sensitivity Analysis ‘In tackling and solving a decision problem, it is important to understand and be able to explain to others the â€Å"why† of your decision’ (Samuelson Marks 2012, p. 12). Firstly, the drug company considers the RD productivity, which can be defined ‘as the relationship between the value (medical and commercial) created by a new medicine†¦ and the investments required to generate that medicine’ (Paul et al. 2010, p. 204). Since the research the company is going to invest in is aimed to develop a medication to dissolve blood clots, it has high both medical and commercial value. Secondly, to minimize its risks in case the research does not succeed, an organization chooses low fixed costs. Finally, as far as the company has enough recourses to do this, it also decides to conduct the in-house research as well. So, all possible risks are calculated and prevented, and the decision is adequate. Reference List Atmanand. 2009. Managerial Economics. 2nd ed. New Delhi: Excel Books India. Paul, S. M., Mytelka, D. S., Dunwiddie, C. T., Persinger, C. C., Munos, B. H., Lindborg, S. R. Schacht, A. R. (2010) How to improve RD productivity: the pharmaceutical industry’s grand challenge. Nature Reviews Drug Discovery. 9, pp.203-214. Rao, A. 2014. Entry and Investment Decisions in the Pharmaceutical Industry Web. Samuelson, W. F. Marks S. G. 2012. Managerial Economics. 7th ed. Hoboken: John Wiley Sons. Schweitzer, S. O. 2007. Pharmaceutical Economics and Policy. Oxford: Oxford University Press. Sexton, R. 2015. Exploring Economics. 7th ed. Boston: Cengage Learning. This case study on Managerial Economics – A pharmaceutical Company was written and submitted by user Sasha Carroll to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Riordan Manufacturing †Hardware and Software Essay Example

Riordan Manufacturing – Hardware and Software Essay Riordan Manufacturing – Hardware and Software Introduction One of the top priorities at Riordan and many other businesses is guarding against loss, theft, and waste of the company assets. According to Bagranoff, Simkin Strand protecting these assets means an organization must focus on developing and implementing an internal control system. Further, the internal control system must also be capable of performing other functions like assisting in ensuring data processing is dependable and encouraging operational efficiency within the business (2008, p. 40). This paper will initially identify the hardware and software necessary to integrate the conversion cycle into an automated system at Riordan. Then, the information that needs to be shared between the different cycles and who will need access to this information will be discussed. Next, what controls need to be in place and the types of reports that need to be generated will be examined. Lastly, what information should be avai lable through Internet and corporate intranet will be discussed. Hardware and Software Necessary The essential key to the integration of the conversion cycle is an Enterprise Resource Planning (ERP) System. ERP is a way to integrate the data and processes of an organization into a single system. Usually ERP systems will have many components including hardware and software, in order to achieve integration, however, most ERP systems use a unified database to store data for various functions found throughout the organization (techfaq, 2008). Todays ERP systems can cover a wide range of functions and integrate these functions into one unified database. For instance, functions such as human resources, supply chain management, customer relations management, financials, manufacturing functions and warehouse management functions were all once stand alone software applications. These functions were usually housed with their own database and network. Today, they can all fit under one umbrella the ERP system (techfaq, 2008). Shared Information The information that needs to be shared between departments at Riordan Manufacturing is purchase orders, invoices, work orders, customer orders and customer billing. We will write a custom essay sample on Riordan Manufacturing – Hardware and Software specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Riordan Manufacturing – Hardware and Software specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Riordan Manufacturing – Hardware and Software specifically for you FOR ONLY $16.38 $13.9/page Hire Writer Many different departments of Riordan will need access to various levels of the new system. For example, the research and marketing supervisor will need access to the system to confirm what supplies production has on hand and what supplies still need to be obtained. The product department supervisor needs access to the system to keep oversee labor, supplies, budget and deliveries. The workers in production need system access to input supplies used, output produced and quantity of hours spent on producing a product. The billing department needs system access to charge costs to the proper department. The President, CEO, COO, and CFO need system access to view the entire system, from month end reports down to payment reports (Moss and Stine, 1993). Although, normally there is no requirement for upper and middle level management to examine the lower level reports, questions periodically arise from the monthly and annual reports that require investigation. During these occurrences management will use date gathered from various sources like inventory and labor reports. Controls To integrate the accounts receivable process into an automated system for Riordan Manufacturing, management needs to reduce the likelihood of risks happening in the future. To reduce the risk, management should identify possible events that represent a problem to the firm then determine the appropriate internal controls to implement to deter those problems from occurring (Dunn, Cherrington Hollander, 2004). â€Å"Internal control describes the policies, plans, and procedures implemented by a firm to protect its assets† (Bagranoff, Simkin Strand, 2008, p. 40). Three types of controls that need to be operational for the business to reduce risk and function optimally are preventive controls, detective controls, and corrective controls. Preventative controls are the initial level of protection an organization implements to discourage problems from occurring. At this level risked are analyzed and solutions are implemented to prevent problems. When the preventive control has faile d a detective control is implemented. This control is designed to uncover an undesired problem that has transpired (Dunn, et al, 2004). The third control is the corrective control, which is designed to restore a system to an approved or last known good state. A company usually establishes corrective controls to remedy problems that are discovered by the detective controls. One advisable procedure that can be implemented for this control is establishing training programs that educate employees about how to use the new automated system that can help them perform their job functions more efficiently and effectively. It is imperative to understand that for the integration, any control strategy has to be tailored to address the risks to objectives that management identifies as unacceptable. The objective should be detecting risks that are materially threatening the goals of the organization and reducing them to the point that management is more willing to accept. Generated Reports The reports that need to be generated in an automated system are customer orders, purchase requisitions, labor requests, and general reports. Customer orders dictate what items are manufactured and what quantities need to be supplied in a specified time frame (Dunn, et al, 2004). At Riordan, purchase requisitions are important because they exhibit the materials that need to be purchased to manufacture customer orders. Labor requests are used to dictate the number of employees needed for each job order as well as the timeframe the job will occur. General reports are used to inform management and other supervisors of the results of inventory expended and labor used to accomplish a job. Internet and Intranet Riordan will have some reports available on the Internet for stockholders and outside interests to access. These reports will include quarterly and annual reports that will be uploaded after being approved by the CFO. This will allow research into the financial standings of Riordan in order to show the financial stability of the company and the strength of the stock holdings. There will also be a corporate intranet available to all internal interests. Most reports will be available on this system in order to keep satellite locations aware of financial decisions and information. The IT department will give different access to the various levels of the company through the use of password protection. As described in the access section above, not all levels will need to view all reports. Conclusion By making one of the top priorities at Riordan guarding against loss, theft, and waste of the company assets, the company enjoys the success in business. Riordan accomplishes this task by focusing on developing and implementing an internal control system that is capable of performing other functions like assisting in ensuring data processing is dependable and encouraging operational efficiency within the business. This paper initially identified the hardware and software necessary to integrate the conversion cycle into an automated system at Riordan. Then, the information that needs to be shared between the different cycles and who will need access to this information was discussed. Next, what controls need to be in place and the types of reports that need to be generated were examined. Lastly, what information should be available through Internet and corporate intranet was discussed. Reference Bagranoff, N. A. , Simkin, M. G. , Strand, C.. Core Concepts of Accounting Information Systems (10th ed. ) Wiley, 2008 New York, NY Dunn C. L. , Cherrington J. O. , Hollander A. S. (2004). Enterprise Information Systems: A Pattern- Based Approach, 3e. The McGraw-Hill Companies, copyright 2004. Moss, Jimmy D. , and Bert Stine. Cash Conversion Cycle and Firm Size: A Study of Retail Firms. Managerial Finance. December 1993 Techfaq. (2008). What is ERP? Retrieved August 15, 2008, from techFaq Web site: http://www. tech-faq. com/erp. shtml

Utilitarianism on extra marital sex Essays

Utilitarianism on extra marital sex Essays Utilitarianism on extra marital sex Paper Utilitarianism on extra marital sex Paper Essay Topic: Utilitarianism The negative association with sex outside of marriage arises due to the many consequences it could have; such as the broken trust that follows due to the violation of the vows taken inferno of God. With infidelity that has been committed by the women brings uncertainty on who the father is of any offspring this is frowned upon as men do not want to spend money and time on children that are not theirs. Also sex outside of marriage can also spread disease to the innocent which could cause physical and emotional pain. Utilitarianism only asks whether sexual behavior will cause harm or give pleasure: if, on balance, it produces more pleasure than harm, then its good. This isnt an excuse for wholesale rape and promiscuity; you have to think of your own pleasure, but also your partners and everybody else who would be affected. This is known as the harm principle and it rules out rape, adultery in most cases and other harmful, coercive or deceitful sexual behaviors. Jeremy Bantams writings on the law of marriage are firmly based on the principle of utility, the greatest happiness principle, which asserts that all human actions are motivated by a wish to avoid pain and gain pleasure. Beneath placed sexual love, which he described as physical sire, in the category of self-regarding motives for human behavior, along with pecuniary interest, love of power, and self preservation. Therefore in the course of drafting a utilitarian law of marriage Beneath set out an explanation of the pleasures and pains of sexual love. His discussions led him far beyond the confines of legal marriage and into the realm of what would today be described as gender relations. These might be homosexual, heterosexual, monogamous or otherwise, within or outside of marriage. Bantams views on sex and the principle of utility are dad particularly clear when he writes about wives, prostitutes and mistresses, and it was in this context that Beneath made his radical suggestion for short-term marriages. Utilitarianism is seen as a liberal approach to sexual ethics and those who are liberal beings would believe this to be the best approach for them However it is still difficult in practice to measure if the pleasure outweighs the pain and who directly gets hurt. The utilitarian approach is too liberal and allows for the slippery slope effect to take place where anything could in affect be Justified by stating that he greatest happiness is being maximized. A Christian approach to extra marital sex such as natural law will have a more rigid and stricter approach. The majority of churches today follow biblical principles, encouraging marriage as the right environment for sex. The Roman Catholic Church gives clear teaching on this: every genital act must be within the framework of marriage. If people do not follow this then they do not reach their full potential and reach demimondaine. Sex outside of marriage is forbidden. This allows people to make clear decisions when considering pinion this is the best approach as since the sexual revolution of the sasss, Britain has witnessed increased numbers of teenage pregnancies and sexually transmitted infections. Fixed moral and religious rules would have prevented these problems. Utilitarianism is not an appropriate approach to extra marital sex as it is too liberal and can allow the potential for abuse. Sex is a sacred activity which should take place in the commitment of marriage; during a marriage ceremony, Anglicans vow with my body I thee worship.

Employer of a court ruling that a clause or a contract is a sham Essay

Employer of a court ruling that a clause or a contract is a sham - Essay Example In most cases, sham employment contracts are the result of denial of mutuality by a provision indicating that the organization or employer does not offer any specific tasks and the alleged employee does not assume to do it (Cabrelli, 2014). Similarly, denial of personal service by introducing a contractual clause indicating that the individual employee can substitute his or her absence by sending someone else to undertake the work is another unfair act by the employer. Contractor agreements normally contain such clauses and their existence suggests that the person does not meet the description of â€Å"worker† in common law as there is no requirement to execute out the tasks â€Å"personally†. Regardless, if neither the person nor the organization ever contemplated the future obligation to bring a substitute in the ‘worker’s’ absence regardless of the lack of common intent to lie to any third party, courts would determine the working arrangement as â€Å"sham† (Painter, & Holmes, 2012). In most cases, the ensuing situation technically changes the position of the person from expressly-stated â€Å"contractor† to a practical â€Å"worker† by virtue of his or her subsequent behaviour. As Cabrelli (2014) noted, when the seemingly harsh and unreasonable outcomes on the â€Å"worker† have been delineated, courts have demonstrated their willingness to enforce the contract as it would be employment contract. Regardless, various court interventions have raised serious problems since the known connotation of a sham remains somehow vague in commercial law. This is especially true in situations where both parties to an employment pact are guilty of misrepresentation to deceive third parties, where it is held that such action does not constitute a sham. The clearest proof of confusion in the common sense understanding of a sham provision is that it has never been consensually enforced (Davies, 2009). The

The Notion of True Belief Essay Example | Topics and Well Written Essays - 1500 words

The Notion of True Belief - Essay Example This paper will begin with a brief introduction to some of the crucial, but general aspects of the author’s position, and in turn, proceed to a more pointed discussion of the nature of the notion of belief, according to Audi. According to Audi, the notion of ‘belief’ can loosely be translated as opinion or belief, and it is a term which comes from the Ancient Greek. To claim, or to maintain that there is an ideal form of a belief, is to defend the belief in some sense. For Audi , he presents at the first level, the notion of a belief in terms of the connection with the notion of knowledge â€Å"through acquaintance† [Audi, 2003, p. 36], which is a notion which was developed by Russell. He argues that there is sufficient evidence, through the knowledge by acquaintance notion that a belief is justified as a form of knowledge if the object of the belief in question has some form of ‘propositional content’ or â€Å"inference from propositions abou t them† [Audi, 2003, p. 36]. That is, where there is a correspondence between the propositional content on the one hand, and on the other hand, the belief which there is supposed to be a relation with. For example, and in keeping with Russell’s notion of acquaintance, there is a difference between the propositional content of a sensible referent, and one which is connected with rationality or mathematics [Audi, 2003, p. 58]. That is, if I can say that I believe that the sun will rise tomorrow, it follows that the propositional content of the belief in question refers to a sensible phenomena on the one hand, and the laws of probability or the nature of experience which would lead me to believe in such a proposition [Audi, 2003, p. 37]. However, those which are connected with acquaintance are a form of knowledge where the propositional content does not necessarily have a sensible referent involved. For example, the belief in the truth of a mathematical proposition. For ex ample, it might be said that the proposition F(N){N +1 + 1 . . .}, is a proposition which has a potentially infinite chain of sequences of integers which will follow. This is an example of knowledge by acquaintance in the following regard: first, it is not a form of propositional content which has a truth which is guaranteed through experience, and second, it is obvious that nobody could experience this in the first place. However, there is the experience of acquaintance. That is, the familiarity with the mathematical reasoning involved with the proposition. That is, where the consequence which cannot necessarily be demonstrated through ‘sense’, can be demonstrated by the very rules of mathematics. As is noted by Audi, this has always been an important aspect for the consideration of theological or religious questions in the â€Å"medieval† context, which he describes in terms of the â€Å"analytic† dimensions of the concept of belief [Audi, 2003, p. 97]. As Audi points out in these pages, the notion of form which is connected to analytic truths are important in a number of senses which are germane to the notion of acquaintance. As a form of knowledge which is of rational truths, it is not the case that the truths are guaranteed by anything more than the rules which govern the given proposition, and it is important that they are known to be beyond sense experience, and hence, beyond the form of reductive thinking which

Should be Abortion be Allowed Essay Example | Topics and Well Written Essays - 750 words

Should be Abortion be Allowed - Essay Example According to the essay very important reason as to why abortion is not right and therefore should be condemned is because there are very many other safe options to whatever the problem a pregnancy poses in one’s life. The United States alone has over2 million that are unable to get their own children and therefore are more than willing to adopt. It would be more human and wise on the part of a woman who finds herself with an unwanted pregnancy to give birth and then give the baby up for adoption as this will allow the baby enjoy life. Ending a baby’s life is therefore an act of cruelty and selfishness as one sacrifices a precious life that would have been loved and raised by other willing parents. From this study it is clear that abortion can also be harmful to the mother; by deciding to procure an abortion a woman places her life at get risk of being negatively affected. Psychiatrists have opined that over 65% of women who have had abortions are found to show the signs of post-traumatic stress disorder afterwards. Many women end up in depression since they regret their actions and this can really affect their health. Other medical effects can also follow such as failure to failure to conceive in future, sicknesses and even in some cases. It physically affects the victim in a way that is dangerous. Abortion in itself is also brutal as the life of a living baby is taken away in a manner that is painful. It is therefore by all means wrong for someone to imagine ending a baby’s life in a way that is harmful. Even with many adverse effects of abortions those people who belong to the pro-choice school believe abortion should be left to the choice of the individual. According to this school thought the woman should be left to choose what is done in, on and with her body. This is agreeable across the board since everyone has the constitutional right of choice but the bone of controversy arises when life of an innocent is involved.

Client Based Care Case Study: Elderly with Diabetes

Client Based Care Case Study: Elderly with Diabetes 215479 Client Based Care Study Introduction In this essay, the author will explore the care of a single patient, encountered in clinical practice, examining the impact on quality of care, and on the health and wellbeing of the individual, of key aspects of care. Case studies allow nurses to reflect on practice, examine critical elements of case and of clinical decisions made and actions taken, and to examine areas of care in more detail. This essay will explore the care of one patient, who shall be called Molly, an older, community dwelling adult with Type 2 diabetes, who was admitted to a medical admissions ward having been found unconscious at her home by neighbours. The essay will examine the aspects of her care that relate to the management of her condition, the assessment and management of her social, care and personal needs, and the planning of her future care and support needs. Reference will be made to governmental guidelines and policies, and to interprofessional working as a fundamental component of meeting patient needs in this case. Discussion Diabetes is a chronic disease which is known to impact significantly on the health, wellbeing and prosperity of individuals, of families, and of society as a whole[1]. More than 1.4 million in the UK are affected by diabetes[2]. Because of the great impact that this disease has on public health and on the use of NHS and social care resources and services, the Department of Health has published a National Service Framework for diabetes, which not only sets standards for management and diagnosis of the disease, but outlines best practice in the light of the latest available evidence on the condition[3]. There are two types of diabetes, Type 1 and Type 2, both of which are signified by a persistent high level of circulating blood glucose, due to a lack of insulin or a significantly impaired response to insulin, or to a combination of both factors[4]. Type 1 diabetes is due to the insulin-producing cells in the pancreas, called the Beta Cells, located in the Islets of Langerhans, failing to produce insulin, because the body’s own immune system has destroyed them[5]. Type 2 diabetes is usually caused by a reduced amount of insulin production by these cells, and by a degree of insulin resistance within the body, wherein the body’s metabolic responses to insulin are not as sensitive[6]. Type 2 Diabetes is the condition which Molly, the patient in this case study, has been affected by. Molly is a 66 year old woman who has had Type 2 diabetes for 17 years. She is treated by twice daily insulin, and, living independently still in her own home, she is visited once weekly by a district nurse to monitor her glycaemic control and check her insulin stocks and her general wellbeing. Molly has a BMI of 35, and also has a history of hypertension which is controlled by medication. She has her blood pressure checked weekly as well. Molly lives alone, never having married, and has no children. She has an active social life, attending a local book group, taking part in a local history and re-enactment society, and volunteering at a community library. She is known by the district nurses to be competent in administering her own insulin and measuring her own blood sugar, but she does not always adhere to her regimen and her recommended diet, because it can interfere with her social life. Molly was found unconscious by one of her neighbours at 9 pm, and the ambulance was called. Paramedics attending were told of her history by her neighbour, who waited with her, and suspected either Diabetic Ketoacidosis or hypoglycaemia. Diabetic ketoacidosis is a condition which can be life-threatening, and is usually due to a lack of insulin, which means that the cells of the body are unable to use glucose for energy, and so instead convert fat reserves to energy, which can produce ketone bodies which can adversely affect brain function[7],[8]. Hypoglycaemia can be caused by an overdose of insulin, or inadequate carbohydrate intake in a person who is taking insulin, or by the patient taking too much exercise, thus using up glucose, or by a combination of these Paramedics found her blood sugar to be 1.1 mmols, and administered glucagon to reverse the hypoglycaemia. She recovered consciousness quickly once her blood sugar improved, but was also given facial oxygen, and had full observations taken. Molly remained confused after insulin administration. She was taken to the medical admissions unit for a full assessment and, if necessary, in-patient admission and review of her diabetes. According to emergency care principles for the diabetic patient, the priorities are to save the patient’s life, alleviate their symptoms, prevent long-term complications of the disease and their current risk factors, and then to implement care that will help to reduce risk factors for their health, such as hypertension obesity, smoking, and hyperlipidemia, along with providing ongoing education and support for self-management of their condition[9]. In Molly’s case, the team evaluated her condition, because although the initial diagnosis was hypoglycaemia, suggested by her self-reported history of missing meals that day and being very busy, the differential diagnosis was diabetic ketoacidosis, which can be precipitated by physical or biological stress, including changes in endocrine function or other diseases, such as myocardial infarction[10]. Molly is pale as well, a finding suggestive of hypoglycaemia, along with her elevated blood pressure and dilated pupils[11]. As Molly was conscious, her Glasgow Coma Score was 13, and she had responded well to glucagon, according to established diabetic protocols, she needed to be stabilised and undergo a range of investigations to determine any other disease or factors precipitating her condition[12]. Blood pressure, temperature, pulse and respiration rate were monitored recorded via continuous telemetry, and an ECG was carried out, which ruled out myocardial infarction. Molly had blood sent for Full Blood Count, Liver Function Tests, Urea and Electrolytes and Glucose, as well as insulin levels, prothrombin time, clotting factors[13]. Prothrombin Time and Clotting Factors may also be tested, due to the risk of disseminated intravascular coagulation. Bloods were also sent to test HbA1c; Fructosamine; Urinary albumin excretion; Creatinine / urea; Proteinurea; and Plasma lipid profile[14]. Urine was dipped with reagent strips to test for glucose, protein (suggestive of kidney problems) and ketones. Because of her presentation, Molly was put on a continuous IV infusion of insulin, titrated hourly using a syringe driver against blood glucose, with an infusion of 5% glucose running in a different IV port. IV fluid therapy, and fluid balance, were also monitored closely[15]. Diabetes can cause kidney damage and impaired urinary function, so monitoring kidney function was an important part of care[16]. Once Molly was stabilised, ongoing care related to supporting her health and wellbeing, and minimising complications of her diabetes, became an important part of care. Diabetes is a significant public health issue, because it is not only associated with the ‘social’ disease of obesity, but also because as a disorder it is associated with a number of serious health implications[17]. These complications include macrovascular complications, including atherosclerosis and cardiovascular disease[18], [19], [20]; diabetic retinopathy and sight loss due to vascular damage which weakens the walls of the blood vessels in the eyes, causing microaneurysms and leakage of protein into the retina, vascular damage and scar tissue [21], peripheral neuropathy, peripheral vascular disease and gastrointestinal dysfunction, gomerular damage, and kidney failure[22]. The impact of this disease on public health relates to the fact that many people of working age are diabetic, and because the co ndition is chronic as well as serious, with acute exacerbations and so many complications, it presents a serious drain on health and social care resources. Therefore, it is imperative that individuals with diabetes are identified as early as possible, and are educated and supported in good self-management, and provided with ongoing care to maintain good glycaemic control[23]. Molly’s status as an older adult is also a public health issue, because older adults constitute the largest patient group in the UK, and the ones which consume the biggest proportion of healthcare services[24]. However, it was also important to avoid stereotyping Molly as an older person, and making assumptions about her needs and her health. Although she was obese and hypertensive, and had Type 2 diabetes, she was very active and had a very important social life, and was usually independent and self-caring. It was important to consider the social support that she had, and to ensure that she was aware of any services or support she might be able to access if she felt it necessary. However, some members of the multidisciplinary team, in particular, some of the medical staff, did appear to act in a way that suggested they were stereotyping Molly based on these factors (age, weight, health) and were discussing her case without really making clear reference to her as a whole perso n. This leads on to the need to evaluate the multidisciplinary input in Molly’s case, and the quality of the interprofessional working that took place, which is discussed below. As can be seen from the list above, diabetes can affect the individual and the body in complex ways, and so requires an holistic approach to care[25]. Care should also be based on evidence based, collaboratively agreed care pathways[26], as suggested by the NSF for diabetes[27]. Molly may need a comprehensive review of her management and her lifestyle, the patterns of care and the ongoing monitoring of her condition[28]. The National Institute for Clinical Excellence recommends a patient-centred approach to ongoing patient education and management, and also suggests a number of options for patients who might require different forms of insulin administration, such as continuous sub-cutaneous insulin[29], [30]. This, however, was not suitable for Molly, because it is usually for people with Type 1 diabetes. Health promotion and education is an important part of Molly’s care at this point, which is related to the fact that her current hospital admission is due to mismanagement of her condition herself. It was important to determine what factors about her lifestyle and behaviours had led to the lapse and the serious hypoglycaemia. Ongoing care, health promotion and education involved multi-professional collaboration and integration of care into a complex, detailed care plan. The aim was to provide Molly with the information, support and guidance that would allow her to view her diabetes management as a means of achieving a better quality of life, rather than viewing her diabetes as something which interfered with her quality of life. It was also important to view Molly in terms of supporting her to continue with her normal social activities. Research shows that making changes in lifestyle, and providing good, effective health education, helps to contribute to reducing rates of diab etic complications[31]. However, the kind of health education and support used is important, because different approaches have different levels of effectiveness. Some research examines the differences between health education that tries to persuade patients to be compliant with regimes and activities designed by health professionals, approaches which are usually generic, and health education that is client-centred[32]. Client centred approaches are usually more effective, as they are individualised. Research shows very clearly that patients with diabetes need to understand their disease fully, and be supported and empowered to make the lifestyle and behavioural changes that will enhance their wellbeing whilst enabling them to control their condition[33]. In this case, a diabetic nurse specialist was involved with Molly’s case, and a plan for health education and support drawn up, with clear guidelines and a tailored plan for managing her social life around her diabetes. Diabetes UK recommends a struc tured, tailored education programme for people with the condition[34]. Interprofessional and multidisciplinary working is a fundamental component of care for a patient with diabetes like Molly[35]. This means that diabetic patients should experience seamless care, addressing all needs, with access to all the professionals necessary to support her care[36]. Specialist involvement, including diabetic nurse specialists, was a feature of this care, and helped with a client centred focus[37]. The literature suggests that it is important for a lead professional to take charge[38], but in Molly’s case, her lead nurse was not present for the majority of her inpatient stay, and there was a lack of effective coordination of the complex number of professionals involved. In relation to multidisciplinary, interprofessional working Molly was referred to ophthalmic services for a check-up, to ensure that there was no diabetic retinopathy or glaucoma. She was referred to a dietician to support her in managing her dietary intake. She was also referred to a social worker. Diabetic specialist doctors were involved, and a report was sent to the diabetic nurse at her local surgery, as well as to her GP. Molly ended up staying in hospital, however, on a medical ward, for two weeks, even though her condition was stabilised rapidly, and she experienced no further complications. In this case, interprofessional working was not effective, because although the said referrals were made, or were recorded to have been made, Molly was not seen by the dietician or a social worker for over a week, and only when she began to threaten to take a discharge against medical advice did the dietician and social worker arrive and get involved. The doctors in charge of Mollyâ€℠¢s case however appeared to make judgements about plans for discharge and ongoing care without involving the nursing team and without considering some aspects of her social situation and Molly’s own preferences and wishes. It is apparent, from this case, that while Molly’s immediate medical needs were met, the interprofessional working element of her ongoing care failed in some way. There are a complex range of professionals and support workers who provide healthcare[39]. Because of this complexity, interprofessional education has become part of healthcare education programmes[40]. Interprofessional working is supposed to help with the provision of true patient-centred care, and the highest quality of care[41]. However, experience in this case, and some of the literature, cites ongoing problems with interprofessional working in a number of contexts. Some of this is to do with the professional boundaries and hegemonies which persist in healthcare professions, which continue to be defended rigorously by each profession[42]. Some literature shows that elitism, professional isolationism and professional defensiveness can have negative effects on health professionals themselves as well as on the qual ity of care delivery[43]. Yet there is ample government guidance, particularly from the Department of Health, which aims to improve service provision, and the NSF for Older People[44], identifies the most important elements of care and service provision which must be improved upon. Standard 2 of the NSF, ‘Person-Centred Care’, requires that health and care services are designed around the needs of the older patient (and their carers)[45]. However, this kind of needs-based care then demands . â€Å"an integrated approach to service provision†¦ regardless of professional or organisational boundaries, [which is] delivered by clinical governance, underpinned by professional self regulation and lifelong learning† .†[46] In Molly’s case, the fundamental role of the nurse in providing leadership and coordination for her care was not acknowledged or supported. Some researchers suggest that this can be due to medical hegemony[47]. Current approaches to offsetting such ingrained hierarchical thinking are very much focused on initial education of healthcare professionals, overcoming historical professional boundaries[48], [49], [50]. The research shows that there is a difference between multiprofessional working, which does not transcend the traditional hierarchies and boundaries , and inter-professional working, which is built on the desire to share care, support each other, and value each others’ expertise[51]. Government drivers continue to underpin strategies for better, ‘joined up working.’[52],[53]. The failures which occurred in Molly’s care were clearly linked to poor communication between the healthcare professionals, a lack of joined up working, and a lack of recognition, perhaps, of the importance of the social aspects of Molly’s case, and the health-education aspects, based on her individual needs. On reflection, the author believes that had there been better, collaborative working, then none of these needs would have been overlooked and they would have been dealt with more speedily. But another aspect of her care that could be improved upon was related to her own involvement in her case. Molly was not fully involved in her case discussions and in the medical decisions made about her care. While this can be a product of the medical hegemony mentioned before[54], it constitutes a serious oversight and is not in line with governmental guidance[55]. Research shows that the patient voice is the most important one in terms of collaborative care planning and manage ment[56]. Conclusion This case study has identified the case of Molly (a pseudonym), an older patient with Type 2 diabetes who received good quality clinical care in meeting her acute care needs and managing her medical condition and its potential consequences, but for whom interprofessional working failed in relation to ongoing care and multi-discinplinary involvement. Diabetes is a significant public health issue, and a range of governmental guidance and research evidence informs care for patients with the condition. The public health issues surround the serious morbidity and mortality associated with diabetes, and the fact that good management and glycaemic control can minimise these complications. In this case, the patient’s needs were prioritised medically, but interprofessional communication broke down. While the appropriate referrals were made, proper joined up working did not take place. Similarly, Molly was not fully involved in her case, and should have been. Diabetes is a serious, chronic condition, and one which requires patient-centred assessment, identification of needs, and management. All those involved should adhere to the available guidelines and commit to effective interprofessional working. References Allen, D., Lyne, P. Griffiths, L. (2002) Studying complex caring interfaces: key issues arising from a study of multi-agency rehabilitative care for people who have suffered a stroke. Journal of Clinical Nursing 11 297-305. Anthony, S., Odgers, T. Kelly, W. (2004) Health promotion and health education about diabetes mellitus. Journal of the Royal Society for the Promotion of Health. 124 (2) 70-3 Banks, s. Janke, K. (1998) Developing and implementing interprofessional learning in a faculty of health professions. Journal of Allied Health. 27 (3) 132-136. Billingsley, R. Lang, L. (2002) The case for interprofessional learning in health and social care. MCC Building Knowledge for integrated care 10 (4) 31-34. Bloomgarden, Z.T. (2006) Cardiovascular Disease Diabetes Care 20 (5) 1160-1166. Collis, S. (2005) Diabetes care by non-specialists must take a holistic approach. Nursing Standard 19 (31) 28. Colyer, H.M. (2004) The construction and development of health professions: where will it end? Journal of Advanced Nursing 48 (4) 406-412. Coombs, M. Ersser, S.J. (2004) Medical hegemony in decision-making – a barrier to interdisciplinary working in intensive care? Journal of Advanced Nursing 46 (3) 245-252. Department of Health, (2001) National Service Framework for Older People. Available from www.dh.gov.uk/publications accessed 5-1-09. Department of Health (2002) National Service Framework for Diabetes Available from www.doh.gov.uk Accessed 5-1-09. Department of Health, (2006) A New Ambition for Old Age: next steps in implementing the national service framework for older people. Available from www.dh.gov.uk/publications accessed 5-1-09.. Department of Health, (2007) Creating an Interprofessional Workforce: An Education and Training Framework for Health and Social Care. Available from www.CIPW.org.uk accessed 5-1-09.. Diabetes UK (2006) POSITION STATEMENT Structured Education for people with diabetes www.diabetes.org.uk/good_practice/education/recommend accessed 6-1-09.. Edge, J.A., Swift, P.G.F., Anderson, W. Turner, B. (2005) Diabetes services in the UK: fourth national survey: are we meeting NSF standards and NICE guidelines? Archives of Disease in Childhood 90 1005-1009. Funnell, M.M. (2004) Patient Empowerment Critical Care Nursing Quarterly 27 (2) 201-204. Gordon, F. Ward, K. (2005) Making it real: interprofessional teaching strategies in practice. Journal of Integrated Care 13 (5) 42-47. Greenwood, R., Shaw, K. Winocour, P. (2005) Diabetes and the Quality and Outcomes Framework British Medical Journal 331 1340. Guthrie, R.A. Guthrie, D.W. (2004) Pathophysiology of Diabetes Mellitus. Critical Care Nursing Quarterly 27 (2) 113-125. Hankin, L. (2005) Diabetic Emergencies Nursing Standard 19 (52) 67. Hartley, H. (2002) The system of alignments challenging physician professional dominance: an elaborated theory of countervailing powers. Sociology of Health and Illness 24 (2) 178-207. Hilton, L. Digner, M. (2006) Developing a pathway of preoperative assessment and care planning for people with diabetes. Journal of Diabetes Nursing. 10(3) 89-94. Howe, A. (2006) Can the patient be on our team? An operational approach to patient involvement in interprofessional approaches to safe care. Journal of Interprofessional care 20 (5) 527-534. Keene, J., Swift, L., Bailey, S. Janacek, G. (2001) Shared patients: multiple health and social care contact. Health and Social Care in the Community 9 (4) 205-214. Keen, H. (2005) Diabetes and the quality and outcomes framework. British Medical Journal 331 1339 Kenny, G. (2002) Interprofessional working: opportunities and challenges. Nursing Standard 17 (6) 33-35. Kesby, S.G. (2002) Nursing care and collaborative practice Journal of Clinical Nursing 11 357-366. Krentz, A. (Ed). (2004) Emergencies in Diabetes : Diagnosis, Management and Prevention. USA: John Wiley Sons. Masterson, A. (2002) Cross-boundary working: a macro-political analysis of the impact on professional roles. Journal of Clinical Nursing 11 331-339. NICE (2003) Guidance on the use of patient-education models for diabetes www.nice.org.uk accessed 6-1-09. OBrien, S.V. Hardy, K.J. (2003) Developing and implementing diabetes care pathways. Journal of Diabetes Nursing. 7 (2) 53-6 OBrien, S., Michaels, S., Marsh, J. Hardy, K.(2004) The impact of an inpatient diabetes care pathway. Journal of Diabetes Nursing. 8(7) 253-6. O’Neill, A.E. Miranda, D. (2006) The right tools can help critical care nurses save more lives. Critical Care Nursing Quarterly 29 (4) 275-281. Pollard, K.C., Miers, M.E. Gilchrist, M. (2004) Collaborative learning for collaborative working? Initial findings from a longitudinal study of health and social care students. Health and Social Care in the Community 12 (4) 346-358. Pollom, R.K. Pollom, R.D. (2004) Utilization of a multidisciplinary team for inpatient diabetes care. Critical Care Nursing Quarterly 27 (2) 185-188. Price, B. (2006) Exploring person-centred care. Nursing Standard 20 (50) 49-56. Reinauer, H. (2002) Laboratory Diagnosis and Monitoring of Diabetes Mellitus. Geneva: World Health Organization. Robinson, F. (2006) Community programmes promote healthier living. Practice Nurse. 10 32 (8) 11, 13. Scott, A (2006) Leadership in diabetes nursing: Where is it? Journal of Diabetes Nursing 10(9) 324 Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003) Four theories and a philosophy: self-management education for individuals newly diagnosed with Type 2 diabetes. Diabetes Spectrum 16 (2) 75-80. Snow, T. (2006) A breath of fresh care in diabetes Nursing Standard 20 (37) 14-15. Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006) High risk of cardiovascular disease in patients with type 1 Diabetes in the UK. Diabetes Care 20 (4) 798-804. Stanley, D., Reed, J. Brown, S. (1999) Older people, care management and interprofessional practice. Journal of Interprofessional Care 13 (3) 229-237. Suman, S. Lockington, T. (2003) Generic care pathways for acute geriatric care and rehabilitation as a tool for care management, discharge planning and continuous clinical audit. Journal of Integrated Care Pathways 7 (2) 75-79. Turina, M., Christ-Crain, M. Polk, H.C. (2006) Diabetes and Hyperglycaemia: strict glycaemic control. Critical Care Medicine 34 (9) 291-300. Watkins, P.J. (2003) ABC of Diabetes (Fifth edition). London: BMJ Publishing Group. 1 Footnotes [1] Department of Health (2002) [2] Hilton, L. Digner, M. (2006) p 89. [3] Department of Health (2002). [4] Department of Health (2002). [5] Watkins, P.J. (2003). [6] Watkins (ibid) [7] DoH (ibid) [8] Hankin, L.(2005) p 67. [9] Watkins (ibid). [10] Turina, M., Christ-Crain, M. Polk, H.C. (2006) p 291. [11] Guthrie, R.A. Guthrie, D.W. (2004) p 113. [12] Edge, J.A., Swift, P.G.F., Anderson, W. Turner, B. (2005) p 10005. [13] Hankin (ibid) [14] Reinauer, H. (2002) [15] Guthrie (ibid) [16] Guthrie (ibid) [17] DoH (2002); Department of Health, (2001). [18] Guthrie (ibid) [19] Bloomgarden, Z.T. (2006) [20] Soedmah-Muthu, S.S., Fuller, J.H., Mulner, H.E. et al (2006) [21] Guthrie (ibid) [22] DoH (2002). [23] DoH (2002) [24] Department of Health, (2001) [25] Collis, S. (2005) [26] Pollom, R.K. Pollom, R.D. (2004) [27] OBrien, S.V. Hardy, K.J. (2003) [28] Snow, T. (2006) [29] NICE (2003) [30] Diabetes UK (2006) [31] Anthony, S., Odgers, T. Kelly, W. (2004) [32] Skinner, T.C., Cradocl, S., Arundel, F. Graham, W. (2003) [33] Antony (ibid) [34] Diabetes UK (2006) [35] DoH (2002) [36] Keene, J., Swift, L., Bailey, S. Janacek, G. (2001) [37] Keen, H. (2005) [38] Scott, A (2006) [39] Masterson, A. (2002) [40] Pollard, K.C., Miers, M.E. Gilchrist, M. (2004) [41] Kenny, G. (2002) [42] Colyer, H.M. (2004) [43] Price (ibid)

Intro of Physical Journeys

Texts may show us that the world of physical journeys involves unexpected detours. To what extent do the texts you have studied support this idea? The world of physical journeys, is the movement from one place to another, where the traveller undergoes a process of change and development, where they become endowed with experiences and where there are goals that are achieved culminating in an overall transformation physically, intellectually and emotionally. Within theses changes they are caused by unexpected detours or obstacles, new challenges or hindrances. The poems from the collection called â€Å"Sometimes Gladness† by Bruce Dawe portrays this like: â€Å"For The Duration† coveys this through the tedious attempts of men trying to escape jail, â€Å"Migrants† represents this through a group of immigrants finding a new land for their habitat ; trying to fit in and â€Å"Last Seen At 12:10am† depicts a worrying and traumatic mother in search for her misplaced daughter. The epic fantasy novel The Lord Of The Rings also symbolises of a group of determined protagonists on a agonising quest to find a ring. (Write a sentence and say a brief summary about each poem and how it may explore the answer. ) Bruce Dawe's â€Å"For The Duration† conveys a physical journey of the challenges faced when they attempt to break out of jail. The use of the technique enjambment between the first and second stanza, creates a sense of suspense

Indian Stock Markets

Current Issues India's capital markets February 14, 2007 Unlocking the door to future growth India’s capital markets have experienced sweeping changes since the beginning of the last decade. Its market infrastructure has advanced while India Special corporate governance has progressed faster than in many other emerging market economies. But in contrast to several developed countries and Asian economies, India’s capital markets are still shallow, implying that further reforms are needed to make India a world-class financial centre. At nearly 40% of GDP, the size of India’s government bond segment is comparable to many other emerging market economies. Its corporate bond market, however, remains small and is dwarfed by those of the United States, South Korea and Malaysia. India boasts a dynamic equity market. The sharp rise in India’s stock markets since 2003 reflects its improving macroeconomic fundamentals. However, the large size of insider holdings and the small presence of institutional investors belie these impressive figures. Innovative products such as securitised debt and fund products based on alternative assets are starting to break ground. But an enabling environment is not yet in place and there remains an overriding need to increase domestic investors’ knowledge regarding the merits and risks of capital market investing. A vibrant, well-developed capital market has been shown to facilitate investment and economic growth. We believe that persistent reforms in the sector can support India’s already impressive growth trend in the coming years. Financial deepening beckons in India Stock and bond market capitalisation (end-2005), % of GDP Author Jennifer Asuncion-Mund +49 69 910-31714 jennifer. [email  protected] com Editor Maria L. Lanzeni Technical Assistant Bettina Giesel Deutsche Bank Research Frankfurt am Main Germany Internet: www. dbresearch. com E-mail: marketing. [email  protected] com Fax: +49 69 910-31877 Managing Director Norbert Walter China Germany Brazil Argentina Mexico Indonesia 40 60 Thailand India UK 50 0 180 Korea Japan USA Bond market 150 100 200 Malaysia 0 20 80 100 Stock market 120 140 160 Sources: Federation of World Exchanges, BIS, IMF, DB Research Current Issues Introduction India's stock markets: Scaling new highs BSE index 16000 14000 12000 10000 8000 6000 4000 2000 0 90 92 94 96 98 00 02 04 06 Source: Bloomberg Improving macroeconomic fundamentals, a sizeable skilled labour force and greater integration with the world economy have increased India’s global competitiveness, placing the country on the radar screens of investors the world over. The global ratings agencies Moody’s and Fitch have awarded India investment grade ratings, indicating comparatively low sovereign risks. These positive dynamics have led to a sustained surge in India’s equity markets since 2003 (see chart 1), attracting sizeable capital from foreign investors. Net cumulative portfolio flows from 2003-2006 (bonds and equities) amounted to USD 35 bn. Moreover, India’s stock market has outperformed world indices in recent years. And, despite its increasing correlation with world markets in recent years (see chart 2), India still offers diversification in global portfolios. The bond market is dominated by government bonds. Government bond issuances, resulting from persistently high fiscal deficits, as well as specific regulatory requirements, have underpinned the supply and demand conditions in India’s debt capital markets. Nearly 90% of total domestic bonds outstanding are government issuances (i. e. Treasury bills, notes and bonds), squeezing out corporate and other marketable debt securities (see chart 3). Initiatives to lift the corporate bond market from its nascent stages have been slow to progress, leaving companies unable to realise their optimum capital structure as a result. And unlike the derivative instruments that are available for equities, those for fixed income instruments (e. g. options in interest rates) in the organised exchanges have failed to take off, limiting the price discovery in the secondary markets. We believe that India’s economic transformation is irreversible. Against this backdrop, greater efficiency in financial intermediation is required to support investment and growth, but this will require structural changes in India’s public finances and the dismantling of unwieldy regulations. The paper follows an analysis of supply (bonds, equities and derivatives) and demand conditions (household and institutional investors) in India’s capital markets. Some stylised facts regarding India’s capital market infrastructure and corporate governance are first presented, followed by an analysis of its fixed income, equity and derivatives markets. Later, the paper discusses the classes of investors in India’s markets and the constraints they face in optimising the risk/return objectives of their portfolios. Finally, some brief comments regarding the link between economic growth and capital markets reform conclude the paper. 1 Stock market still offer diversification benefits MSCI India and World Indices (USD) rolling correlation 0. 7 0. 6 0. 5 0. 4 0. 3 0. 2 0. 1 0. 0 96 98 00 02 04 06 2 Source: Datastream Government issuance leads the local bond market Domestic bonds outstanding, % of total* Corporate bonds 3% Others 4% PSU bonds** 6% State loans 15% I. Capital markets development supported by steady infrastructure reforms Government bonds 68% 3 Treasury bills 4% *As of March 2006. ** PSU = Public Sector Undertakings. Source: National Stock Exchange India’s financial market began its transformation path in the early 1990s. The banking sector witnessed sweeping changes, including the elimination of interest rate controls, reductions in reserve and 1 liquidity requirements and an overhaul in priority sector lending . Persistent efforts by the Reserve Bank of India (RBI) to put in place 1 Asian Development Bank Institute (2003). February 14, 2007 2 India's capital markets effective supervision and prudential norms since then have lifted the country closer to global standards. India embarked upon comprehensive financial reforms over a decade ago†¦ Around the same time, India’s capital markets also began to stage extensive changes. The Securities and Exchange Board of India (SEBI) was established in 1992 with a mandate to protect investors and usher improvements into the microstructure of capital markets, while the repeal of the Controller of Capital Issues (CCI) in the same year removed the administrative controls over the pricing of new equity issues. India’s financial markets also began to embrace technology. Competition in the markets increased with the establishment of the National Stock Exchange (NSE) in 1994, leading to a significant rise in the volume of transactions and to the emergence of new important instruments in financial intermediation. A. Innovations have strengthened market infrastructure †¦ heralding improvements in its market infrastructure Market infrastructure has strengthened markedly heralded by steady reforms. The government bond and equity markets have moved to 2 T+1 and T+2 rolling settlement cycles in recent years , which significantly compressed the transfer of cash and securities to the relevant counterparties, thereby reducing settlement risks. The seamless move toward shorter settlement periods has been enabled by a number of innovations. The introduction of electronic transfer of securities brought down settlement costs markedly and ushered in greater transparency, while â€Å"dematerialisation† instituted a paper-free securities market. Together, these mechanisms eliminated forgery of share certificates. Straight-through processing automated the complete workflow (i. e. front, middle and back office and general ledger) involved in the financial transaction, thus doing away with multiple data re-entry and avoiding delays and errors. On the initiative of the Reserve Bank of India and the cooperation of public and private institutions, the Clearing Corporation of India Limited (CCIL) was established in 2001 to facilitate the clearing of trades and transactions in the foreign exchange and fixed income markets, catalysed by the extensive use of information technology. Stronger legal framework needed* Government effectiveness Regulatory quality B. Good corporate governance, but overall legal framework needs improving Continuing efforts by the SEBI to upgrade the corporate governance framework have positioned India at an above-average level against other emerging market economies, according to the Institute of International Finance (IIF), the global association of financial 3 institutions . Since March 2006, listed companies have been required to submit quarterly compliance reports to the SEBI, facilitating the valuation of companies and bringing it in line with the Sarbanes-Oxley Act. Notwithstanding, enforcement remains a challenge due to a still limited number of adequately trained staff to implement the rules. Nor are companies subject to substantial fines or legal sanctions, which reduce their incentives to comply. In turn, this reflects the ongoing gaps in India’s legal system, and somewhat undermines the steps to promote India’s capital markets further. Although India does have a functional legal system, the country’s law enforcement still lags behind the more advanced economies of Hong Kong and Singapore according to the World Bank (see chart 4). This implies that efforts to raise corporate governance need to be accompanied by a stronger 2 3 Rule of law Control of corruption 0 HKG 2 IND 4 SGP 6 * The 4 governance indicators are measured in units ranging from -2. 5 to 2. 5, with higher values corresponding to better governance outcomes. Data have been rescaled to 0-5. Source: World Bank Governance Index 2005 4 National Stock Exchange Fact Book (2006). Institute of International Finance (2006). 3 February 14, 2007 Current Issues Private corporate bonds outweighed by PSU bonds Distribution of issuance*, % 100 80 60 40 20 0 2004 2005 2006 Private corporate bonds PSU bonds *As of end-March of the year. Source: National Stock Exchange legal framework to bring greater stability in its capital markets and foster investor confidence. II. A sizeable but largely skewed capital market For over a century, India’s capital markets, which consist primarily of debt and equity markets, have increasingly played a significant role in mobilising funds to meet public and private entities’ financing requirements. The advent of exchange-traded derivative instruments in 2000, such as options and futures, has enabled investors to better hedge their positions and reduce risks. 5 In total, India’s debt and equity markets were equivalent to 130% of GDP at the end of 2005. This is an impressive stride, coming from just 75% in 1995, suggesting issuers’ growing confidence in marketbased financing. However, the size of the country’s capital markets relative to the United States’, Malaysia’s and South Korea’s remains low, implying a strong catch-up process for India. A wide range of instruments for investors Market segment Issuer Government Securities Central Government Instruments Zero Coupon Bonds, Coupon Bearing Bonds, Treasury Bills, STRIPS Coupon Bearing Bonds Govt. Guaranteed Bonds, Debentures A. Debt markets shaped by the public sector India’s debt markets are divided into two segments. The government bond segment is the larger and more active of the two, with issuers comprising the central government – accounting for 90% of the total – and state governments. The Reserve Bank of India (RBI) has maintained its role as the government’s debt manager and regulator of government-issued papers. The corporate bond market represents the other segment, with Public Sector Undertakings (PSU), corporates, financial institutions and banks being the primary players. PSU bonds by far outweigh the size of private corporate bonds (see chart 5), reflecting a number of factors, foremost of which are the lists of regulatory requirements for private issues. Regulatory oversight of the segment falls under the purview of the Securities and Exchange Board of India (SEBI). Each issuer has a range of instruments available in the market (see chart 6). Since institutional investors, especially banks, have remained the primary participants in fixed income securities, India’s bond markets have predominantly been wholesale. Government bond issuances rule the roost State Governments Public Sector Bonds Government Agencies/ Statutory Bodies Public Sector Units Private Sector Bonds Corporates PSU Bonds, Debentures, Commercial Paper Debentures, Bonds, Commercial Paper, Floating Rate Bonds, Zero Coupon Bonds, Inter-Corporate Deposits Certificates of Deposits, Debentures, Bonds Banks Financial Certificates of Institutions Deposits, Bonds Source: Bombay Stock Exchange The government bond segment is the oldest and largest component of the debt market. Its size has taken off exponentially over the past decades, with the total stock of debt outstanding at roughly USD 280 4 bn as of June 2006 , increasing three and a half times since 1995. This translates to roughly 35% of GDP, in line with several large Asian economies and is not significantly lower than that of the United States (see chart 7). With growing demand from institutional investors such as insurance companies and pension funds, bonds with maturity extending to 30 years are now available, the longest in non-Japan Asia (see chart 8). 4 India’s fiscal year runs from April of the current year through March of the following year. Data are based on the BIS (2006). February 14, 2007 4 India's capital markets A sizeable government bond market % of GDP 50 2001 2005 40 30 20 10 0 Local tenors stretching out Government bond yield curves, % 12 10 8 6 4 2 0 3M 6M 1Y 2Y 3Y 5Y 10Y 15Y 20Y 30Y Indi a Malaysia Thailand Indonesia Philippines Japan South Korea Source: Bloomberg Malaysia South Korea Thailand India China USA 8 Source: BIS 7 High fiscal deficits have encouraged large public borrowings Total public deficit, % of GDP 12 10 8 6 4 2 0 2000 2002 2004 2006E The contours of the government bond market began taking shape around 1992 as a result of the government’s broad-based attempts to 5 reform the financial sector. Advances in the segment benefited from a host of reforms, such as the move toward an auction-based sale of government securities, appointment of Primary Dealers, acting as market makers, and the implementation of delivery-versus-payment (DVP), mitigating the risks associated with trading and settlement. In 1997, the establishment of the Ways and Means Committee was a landmark event as it virtually ended the automatic monetisation of government deficits. In the same year, foreign institutions were permitted to invest in government-issued securities, thus broadening the institutional investor base. Zero-coupon bonds and index bonds represent novel products in the marketplace, but have so far received only tepid response from participants. Why have government bonds dominated? Sources: Reserve Bank of India, DB Research 9 India's public debt high against its peers Average of total public debt, % GDP, 2001-2005 100 80 60 40 20 0 BBB median BB median India Public sector fiscal dynamics and government regulations largely dictate the current state of affairs. That the size of the government bond market is large is not surprising due to persistently high fiscal 6 deficits and the resulting high public sector borrowing (see chart 9). Although the total public deficit has been declining since 2003, government debt has remained high, averaging 85% of GDP over the past 5 years. This places India’s public debt considerably higher than similarly rated countries (see chart 10). Banking regulations compound the problems. Banks are mandated to invest 25% of their net demand and time liabilities (i. e. eposits) in government bonds or other approved government securities, the socalled statutory liquidity reserve (SLR). The SLR has stayed at this level since it was reduced in 1991 from 38%. But in view of the (perceived) risk-free nature of these assets – requiring less provisioning in their books – banks tend to hold an even greater percentage of government bonds in their portfolios than prescribed by 7 the SLR . Large holdings o f government bonds expose banks to 8 interest rate volatility (thus affecting banks’ income) and could impact 5 Source: Standard and Poor's 10 6 7 8 The Development of Bond market in India in http://www. iimcal. ac. in/community/FinClub/dhan/dhan1/art15-bond. pdf Rawkins, Paul (2006). The IMF put the figure at roughly 41% in 2005, well in excess of the 25% SLR (IMF Article IV report, 2005). In 2004, the Reserve Bank of India allowed for a one-off reclassification of government securities to held-to-maturity from trading or available-for-sale securities in order to mitigate the losses from rising interest rates. 5 February 14, 2007 Current Issues Credit growth is surging†¦ % yoy 40 35 30 25 20 15 10 5 0 90 92 94 96 98 00 02 04 their capital adequacy in an environment of sharply increasing interest rates. This alone calls for greater diversification of income sources (such as fee-based income) aligned with more prudent credit risk assessment. Despite the super charge growth in bank credit over the past two years (see chart 11), India’s credit-to-GDP ratio remains low in contrast to other countries in Asia, implying still low penetration of bank intermediation in the country (see chart 12). Similar restrictive regulations to the SLR exist for the insurance sector and the pension fund system, thereby preventing a large portion of their capital from being channelled to other higher-yielding investment assets, which would enhance the risk/return profile of their portfolios. Insurance companies (carrying out the business of general insurance) are mandated by the Insurance Regulatory and Development Authority (IRDA), the regulatory body for the insurance industry, to invest at least 25% of their total assets in government securities and 9 state government securities . Pension funds face slightly higher requirements, although in both cases, investment in government paper may well be above the statutory level to preserve the safety of their assets. Corporate bond market: A huge potential awaits In contrast to the government bond market, the size of the corporate bond market (i. e. corporate issuers plus financial institutions) remains 10 very shallow (see chart 13), amounting to just USD 16. 8 bn , or less than 2% of GDP at the end of June 2006. A well-developed corporate bond market would give companies greater flexibility to define their optimum capital structure. By the same token, investors would benefit from having a wider range of asset classes to diversify their fixed income investments. Within India’s corporate bond market, state-owned Public Sector Undertakings (PSUs) have persistently outstripped private corporate issuances. PSUs and private companies can raise debt capital either by private placement or public issue, with the former being the preferred method by far. The growth of private placement of debt has shown a marked increase over the past decade, rising over four-fold in fiscal year 2004/2005 to roughly USD 12. 6 bn from USD 3 bn in fiscal year 1995/1996 (see chart 14). The preference for the private placement route arises from less onerous regulatory requirements, such as the type of disclosures and registration requisites, than those 11 for public issues . Also, the considerably higher costs associated with public issuance have deterred corporates from accessing funds through this route, in addition to the fact that private debt placements can be customised in accordance with individual issuers’ needs. Corporates are not mandated to obtain and disclose credit ratings from an approved credit rating agency, although companies themselves have increasingly sought to do so in recent years. In fiscal year 2004/2005, 93% of companies that raised bonds through 12 private placements obtained credit ratings . There is a preference to raise funds with maturities between three to five years, which suggests that companies remain cautious of borrowing over the medium-term segment, and also reflects investors’ still limited demand for longer tenors. Trading, clearing and settlement practices in the corporate bond market are less developed than in the government bond segment. 9 10 11 12 Source: Reserve Bank of India 11 but financial intermediation remains low Bank credit, % of GDP 2002 2003 2004 160 140 120 100 80 60 40 20 0 China Emerging Asia Western Europe India Source: IMF 12 Corporate bond market has yet to develop % of GDP 2001 2005 1. 6 0. 7 45 40 35 30 25 20 15 10 5 0 Malaysia South Korea Thailand India China USA Source: BIS 13 The Insurance Regulatory and Development Authority (2001). Bank for International Settlements (September 2006). National Stock Exchange (20 05) National Stock Exchange (2005). February 14, 2007 6 India's capital markets Private placement towers over public issuance Bond market, USD bn 16 14 12 10 8 6 4 2 0 1995 1997 1999 2001 2003 Deals are usually conducted over the counter and are struck between counterparties. In cases wherein brokers intermediate (often by telephone), they are required to report the transaction to the exchange, which facilitates post-trade information. Corporate debt can also be traded via an electronic order book system, but this has largely been unpopular in the absence of general retail interest in 13 such securities . Moreover, the more advanced clearing and settlement infrastructure for government bonds allow repo transactions for this segment, a facility that is not accessible for corporate bonds. The large size of the government bond segment in comparison with its corporate equivalent explains its large trading activity in the secondary market, accounting for over 70% of turnover (see chart 15). By contrast, turnover in the corporate segment amounts to just 3. 6%, largely because of the limited supply owing to the preference for private placements mentioned above. In addition, large domestic institutional investors, such s pension funds and the insurance sector, are still restricted from allocating large portions of their investible funds in the corporate bond segment. Not only does this constrain the segment’s development, but it also limits investors’ ability to enhance their returns by diversifying their fixed income instruments investments. Nonetheless, the potential for the s egment to pick up is promising, judging by large corporate debt being raised in the international capital markets. And the propensities to borrow are expected to grow further, arising from companies’ reassessment of their capitalisation. Nearly 50% of their financing comes from reinvested capital, while the rest arise from external sources either by raising equity or from bank 14 and other financial institution borrowings. Shareholders’ calls for higher dividend payment and the quest to bring corporate cost of capital to optimum levels will support a rise in capital market financing in the future. At the same time, the pension fund system is moving toward defined contribution mechanism which should provide impetus to the demand for corporate bonds. Corporates seize borrowing opportunities abroad Public issues Private placements 14 Source: National Stock Exchange Government bonds remains most actively traded Turnover, % (March 2006) 3. 6 1. 6 22. 1 72. 7 Govt sec Corp bonds T-bills Others Source: National Stock Exchange 15 Indian corporates have gone on a borrowing spree abroad†¦ Corp. debt outstanding, USD bn* 12 10 8 6 4 2 0 2001 2002 2003 India 2004 2005 Malaysia China A more aggressive trend in overseas borrowing by Indian corporates has recently developed (see chart 16), fuelled by fewer listing requirements, lower cost of funding and better liquidity in the secondary markets. The trend also stands in contrast to the sovereign’s absence in the international capital markets, reflecting the government’s conservative approach to external debt management as a result of the current account crisis in 1991/1992. At the end of 2005, the total amount of bonds outstanding raised by 15 corporates abroad amounted to USD 6. 7 bn , over two and a half times its size in 2001. This represents 60% of the value of corporate issuance in local markets. To put this in perspective, if this amount of issuance had been made in the domestic capital markets, the size of India’s corporate debt market would be 2. % of GDP instead of just 1. 5% of GDP. Indian companies continued to exert their presence in the international bond markets in 2006, outpacing their Asian counterparts (see chart 17). This strong appetite coincided with the still comparatively lower international interest rates (e. g. Ranbaxy’s USD 400 m 5-year convertible bond issue fetched 5% ve rsus 7. 5% for a 13 14 15 *As of December of each year. Source: BIS 16 Bank for International Settlements (2005). Handbook of Statistics (2006), Securities and Exchange Board of India. Excluding financial institutions. 7 February 14, 2007 Current Issues 6 †¦ and there's no retreat in 2006 USD bn 3 2 1 0 -1 Q3/05 China Q4/05 Q1/06 India Q2/06 Malaysia Source: BIS similar tenor in the domestic market) . It also coincided with the better valuation by foreign investors of Indian companies, indicative of their improving global competitiveness. Structured finance offers immense potential Securitisation is an attractive growth segment in India’s debt markets. The market is still in its nascent stages, where current activities primarily occur between banks, non-bank financial institutions and asset reconstruction companies through private placements. Paving the way for a secondary market is the implementation of the proposed changes to the Securities Contracts Regulation Act, which would 17 reclassify securitised debt as true marketable securities . Nevertheless, securitisation has developed robustly in recent years. Asset-backed securities (ABS) are the predominant asset class in India’s securitised segment. This should not come as a surprise given the large component of retail loans in banks’ and non-bank financial institutions’ balance sheets. The ABS market has risen exponentially since 2002, in tune with the sharp pick up in credit growth since then (see chart 18). In 2005, India’s ABS market volume was roughly USD 5 bn, making it the fourth-largest in Asia-Pacific (see chart 19). Mortgage-backed securities (MBS) volumes are just a small fraction of the ABS market. Growth so far has been slack, explained by the absence of a secondary market and the prepayment and interest rate 18 risks arising from prepayment/repricing of the underlying loans . But the growth of commercial bank credit for housing, averaging approximately 90% since 2002, suggests that mortgage-backed securities is a segment that will take off, so long as market infrastructure and regulatory provisions are firmly grounded. Other securitised assets backed by corporate loans, receivables and toll revenues have sprung recently, indicating the promising potential of the segment. As the government embarks upon modernising its infrastructure, the need to develop the structured finance segment will become crucial. Collateralised mortgage backed securities (CMBS), collateralised loan obligations (CLO) and collateralised debt obligations (CDO), which are actively traded in the United States, are innovations awaiting the Indian market in line with a maturing economy. Permitting foreign investors in the market will play a significant role in pricing and transparency. But for now, incomplete legislative and market norms may not allow the country to fully exploit the potential of securitisation activities. 17 Securitisation is picking up†¦ USD bn Volumes in ABS Volumes in MBS 5. 0 6 5 4 3 1. 8 0. 8 0. 3 0. 0 0. 3 2003 0. 7 0. 7 2 1 0 2002 2004 2005 Source: BIS 18 †¦ with India's ABS issuance a decent fourth place in Asia USD bn Korea Japan India Australia 120 100 80 60 40 20 0 2000 2001 2002 2003 2004 2005 Source: BIS B. Vibrant equity markets The development of India’s equity capital markets has taken a more progressive trajectory than the bond market, largely reflecting the government’s laissez faire approach in the segment. At 90% of 19 GDP , its size is comparable to that of other emerging countries, although is still small relative to many developed markets (see chart 20). 19 16 17 18 19 Hindu Business Line (2006). Kothari, Vinod (2006) and Bank for International Settlements (2005). Bank for International Settlements (2005). Based on the capitalisation of the Bombay Stock Exchange as of December 2006. February 14, 2007 8 India's capital markets India's equity market comparable to other emerging markets Local market capitalisation, % of GDP (2005) 200 150 100 50 0 Mexico Malaysia Brazil India Thailand Korea EU Indonesia Japan China USA Source: IMF 20 Indian equity markets have been volatile Standard deviation of rolling two-year weekly returns, index in USD 6 5 4 3 2 1 0 96 98 00 02 04 06 21 MSCI India MSCI World Source: Datastream Of India’s 23 stock exchanges, equity trading is most active in the National Stock Exchange (NSE) and the Bombay Stock Exchange (BSE). Since the NSE’s inception in 1994, it has caught up with the BSE in terms of capitalisation but exceeded it in turnover. The BSE boasts of over 4,000 listed companies, surpassing stock exchanges in the US. This explains its slightly higher market capitalisation over the NSE, although its lower turnover implies that inefficiencies remain due to the high proportion of untraded companies. Its share of total equity turnover is just 33% compared to 66% of its rival, the NSE. The increase in the limit for foreign direct investment in the stock exchanges to 49% announced early this year is expected to lend more dynamism to the equity capital markets. The investment limit for a single investor was set at 5%. It did not take long after the new limit was announced that the New York Stock Exchange (NYSE), Goldman Sachs, General Atlantic and Softbank Asian Infrastructure Fund all acquired a 5% stake in the National Stock Exchange (NSE). Increased foreign presence is expected to help the NSE to inch forward to the global markets, generate a wider customer and investor base and offer more innovative products. The Bombay Stock Exchange is also courting strategic investors. If it succeeds, this should help speed up the process of consolidating the thousands of inactive listed companies n the board. Moreover, the move will enhance its competitive strength against the NSE, which has diminished over the past decade. Higher volatility, improving performance Benchmarking the risk/return characteristics of India’s equity markets against the world average shows that India’s stock market has 20 historically been more volatile (see chart 21), while its returns have, until recently, underper formed. This should not come as a surprise as the past decade witnessed several political and economic uncertainties, undermining business and investor confidence. Only from 2006 has India’s stock market begun to outperform the world’s index as momentum to liberalise the economy gathered pace and investors began to take notice (see chart 22). Reflecting the recent sharp run-up in equity prices, India’s stock markets today rank among the most expensive in the world (see chart 23), raising concerns over a correction, especially if earnings disappoint. However, sustained economic growth combined with continued market-friendly capital market reforms should prove to be supportive factors for superior returns in the medium run. Indian equities returns: catching up MSCI total return index, 1994=100 300 250 200 150 100 50 0 94 96 98 00 02 04 06 MSCI India MSCI World Source: Datastream 22 20 Since the world index is a composite of indices and therefore, by nature, more diversified, it is expected to exhibit less volatility than the country index. 9 February 14, 2007 Current Issues Are India's equity prices stretched? Price/earnings ratio, times 30 25 20 15 10 5 0 96 98 00 02 04 06 In terms of sectoral composition in benchmark indices, India’s stock market is broad-based, putting it roughly in line with the world index (see chart 24). The higher weight of the IT sector today reflects the country’s increasing turn toward a knowledge-based economy. But this may change, with consumer discretionary and consumer staples projected to get a larger share of the pie in tandem with rising incomes and as household preferences become more discerning. The shares of financials and healthcare sectors are also expected to increase markedly as industry consolidation picks up and the door to foreign direct investment is widened. Foreign investors seize local market opportunities Reflecting India’s improving macroeconomic fundamentals, increasing corporate profitability and competitiveness, and greater integration with the world economy, foreign institutional investors’ (FIIs) participation grew steadily over the past 3 years (see chart 25). True, FII invest in local bonds and equity, but their interest has largely been on the latter. The inflow of portfolio capital continues to test new highs and in recent years has outpaced the inflow of foreign direct investment (FDI). India’s accounting standards, although still not in full convergence with international practices, combined with the quarterly reporting frequency mandated by the SEBI on listed companies, offer guidance in corporate valuation. Greater inflows are still to be expected, arising from international investors’ quest for higher returns and improved portfolio diversification, buttressed by ongoing structural changes in India’s economy and its financial markets. Sustained inflow of capital will not only bring greater liquidity in the market, but foreign presence will encourage further market transparency. Overseas listing inching up Domestic companies, both large- and small-cap, have been allowed to list abroad by way of American Depository Receipts and Global Depository Receipts (ADR, GDR) since 1992. Owing to global and local market conditions (e. g. global liquidity, stock market crashes, economic and financial crises), the amount raised through the ADR route since its inception has been quite volatile. Only in recent years have issuances picked up steadily, with the amount raised in fiscal year 2005/2006 exceeding USD 2. 5 bn, a level not seen in over 10 21 years (see chart 26). As one of the measures to allow greater capital account convertibility, the RBI has allowed two-way fungibility for Indian ADRs/GDRs. This allows holders of the instruments to cancel them with the depository and sell the underlying shares in the market. The company can then issue ADRs anew to the extent of the shares converted into local shares. This was not the case in the last decade, which limited companies’ ability to access capital abroad. Further room for improvement Impressive though the developments may be, India’s stock markets still have some room for improvement. For one, the shareholder pattern needs to be broadened, as ownership is concentrated in the 22 promoters and company insiders show an increasing presence. This implies that minority shareholders’ interest is minimal, which needs to be increased for the sake of an improved corporate governance. 21 MSCI India, USD MSCI World, USD MSCI India average for the period Source: Datastream 23 India's equity market composition is broad-based % 100% 80% 60% 40% 20% 0% MSCI India MSCI World Utilities Telecommunication services Materials IT Industrials Healthcare Financials Energy Consumer staples Consumer discretionary Source: Datastream 4 Foreign investors flock to India's capital markets 15 10 5 0 01 02 03 04 05 06E 1200 800 400 0 Foreign direct investment, USD bn (left) Portfolio investment, USD bn (left) Net new number of FIIs (right) Sources: Reserve Bank of India, Deutsche Bank Research 25 22 Four of the top 25 ADR listings as of December 2005 are Infosys Technology (USD 884 m), ICIC I Bank Ltd (USD 466 m), Satyam Computer Services Ltd (USD 323 m) and HDFC Bank Ltd (USD 300 m). Data are from Citigroup Corporation (http://wwss. citissb. com/adr/www/adr_info/YE2005_DR. pdf). Promoters include family members, relatives and close associates. February 14, 2007 10 India's capital markets ADR issuance makes a strong comeback USD bn 3. 0 2. 5 2. 0 1. 5 1. 0 0. 5 0. 0 1992 1994 1996 1998 2000 2002 2004 The presence of institutional investors in the equity market is also low, resulting from the restrictive investment guidelines set by the government for the insurance industry, banks and pension funds. Of note, while only 18% of the listed companies in the NSE are owned by retail investors, they account for an estimated 85% of the trading 23 volume, according to a recent paper by McKinsey . This suggests that retail investors tend to speculate in the stock market rather than follow a strategy of pursuing long-term benefits. A resumption in privatisation is also key to further developing India’s equity markets. Since FY 2003/2004, privatisation activities have dwindled, driven in part by the lack of political consensus to keep it on track (see chart 27). The sluggish process prevents publicly owned companies from accessing more efficient sources of funding. It also interferes with their movement toward market-disciplined processes and better corporate governance. Source: Securities and Exchange Board India 26 C. Financial derivatives march ahead While some form of financial derivatives trading in India dates back to the 1870s, exchange traded derivative instruments started only in 2000. Then, stock index futures, with the Sensex 30 and the S CNX Nifty indices as the underlying, began trading at the BSE and NSE. Since their inception, the basket of instruments has expanded and now features individual stock futures, and options for stock index and individual stocks. Among the four asset classes, single-stock futures have the lion’s share, accounting for nearly 60% of the turnover in the NSE’s derivatives segment (see chart 28). In its relatively short life span, single-stock futures are outperforming those in other global derivatives market (see chart 29). The security largely owes its success to the timing of its introduction: it came into stream shortly after â€Å"badla†, a futures-like practice which permitted traders to carry forward sizeable net positions until the next settlement period, was 24 banned. The key difference with badla is that a clearing corporation owned by the NSE guarantees the futures transaction, thereby reducing settlement risks. The derivative instruments traded in the exchanges reflect many of the features of the underlying instruments. First, as with the wholesale debt and equities segments, the NSE has steadily outpaced the BSE in terms of trading in the derivatives segment over the years. The NSE thus reflects the market’s overall activity and sentiment. 100% 80% 60% 40% 20% 0% 2001 2002 2003 2004 2005 Index futures Index options Stock futures Stock options No clear signs of commitment to privatisation INR bn 20 Privatisation proceeds Average, 1991-2005 15 10 5 0 91 93 95 97 99 01 03 05 Sources: Department of Disinvestment, Ministry of Finance 27 Stock futures most popular derivatives segment Exchange-traded derivatives, % total turnover Second, equity derivatives have developed more rapidly than their fixed income counterparts. Exchange-traded derivatives for interest rates failed to take off when introduced by the NSE in 2003, largely 25 reflecting a flawed contract design. Interest rate derivatives are primarily traded over-the-counter (OTC), and although any domestic money or debt market rate may be used as a benchmark rate, the Mumbai Interbank Offered Rate (MIBOR) and Mumbai Interbank Forward Offered Rate (MIFOR) are those that are widely used. Interest rate swaps and forward rate agreements are instruments available for managing interest rate risks, although the former is by far the preferred choice. The overnight interest swap (OIS) is estimated to trade between USD 500 million and USD 1 billion per 26 day. A survey by FitchRatings of India’s derivatives market in 2004 23 24 25 26 Source: National Stock Exchange 28 Farrell, Diana et al. (2006). Gorham, Michael et al. (2005). FitchRatings (2004). FitchRatings (interview). 11 February 14, 2007 Current Issues Single-stock futures: India is world leader World ranking in terms of volumes traded 2005 National Stock Exchange Johannesburg Stock Exchange BME Spanish Exchanges Euronext Liffe Borsa Italiana OMX Athens Stock Exchange Budapest Stock Exchange Australian Stock Exchange Warsaw Stock Exchange 1 2 3 4 5 6 7 8 9 10 2004 1 4 3 2 6 5 7 8 9 10 estimated that trading volumes at the end of the year amounted to roughly INR 30 bn, a three-fold increase from January 2004. This is expected to have picked up even further since then, spurred by sustained uncertainty over the interest rate outlook, leading market participants to hedge their exposures. Tenors up to 5 years are the most liquid in the OIS market despite the fact that the yield curve stretches out to 30 years. Fitch attributed this to the absence of counterparty lines for longer maturities and partly by the lack of risk management tools for interest rate exposures longer than 5 years. There are a number of factors, though, which mitigate the risks in OTC derivatives for interest rates. One is that the 27 majority of counterparties have ratings that are investment-grade. Another is that India as accepted International Swaps and Derivatives Association (ISDA) documentation before striking any agreement with counterparties. However, combined with banks’ and other institutional investors’ large exposures to government bonds, and the prospects of a deepening bond market in general, the need to develop exchange-traded futures and options for interest rates is evident. This will significantly reduce risks inherent in the OTC markets through centralized settleme nt, enhanced risk management and multilateral netting. Source: World Federation of Exchanges 9 Household sector the largest saver in the economy % of total savings 120 100 80 60 40 20 0 -20 2000 2001 2002 2003 2004 Households Public sector Private corporates Source: Reserve Bank of India III. Right mix of investors, but participation is still low A vibrant secondary market is characterised by the active participation of retail and institutional investors, underpinned by their longterm investment goals, with adjustments made in accordance with their short-term liquidity needs and in response to the business cycle. With a population of over 1 billion, India offers a large pool of potential investors. Indian households are by far the largest saver in the economy, constituting nearly 80% of the economy’s aggregate saving (see chart 30). Insurance companies, pension funds, mutual funds and foreign institutional investors (FIIs) form India’s institutional investor base. Combined, their assets account for about 25% of GDP (see chart 31). This represents a significant increase compared to the mid-1990s, prior to the opening up of many of the sectors, such as the insurance industry, to competition. But, to put it in perspective, the combined size of the Indian institutional investors sector amounts to less than half of US mutual fund assets alone. By and large, Indian investors tend to be conservative in their investment decisions, with a general preference for safe returns and capital preservation. As for large domestic institutional investors such as pension funds and insurance companies, their investment style has largely been the result of regulation. 30 Households are ultraconservative in their investment decisions Composition of household financial savings, % (average, 2000-2005) 9. 17. 2 12. 8 42. 0 12. 5 2. 4 Currency Deposits Shares and debentures Government securities Small savings Insurance funds Provident and pension funds Sources: Securities and Exchange Board of India, Reserve Bank of India A. Indian household investments: low risk, low return 3. 9 The lion’s share of households’ total financial savings, roughly 50%, is placed in bank deposit account s (see chart 31). The rest of the pie is 28 spread over small savings accounts , at just over 10%, and a combined 25% in insurance and pension funds. Because of these institutions’ conservative approach to investing, they appeal very strongly to households. 27 31 28 FitchRatings (2004). Small savings accounts are direct claims against the government. February 14, 2007 12 India's capital markets Over the past 5 years, households had a mere 5% of their savings invested in the stock market on average. Granted, the general aversion to riskier instruments such as equities is not only a product of the public’s preference for safe returns. India’s equity markets have experienced several candals in the past, resulting occasionally in substantial capital losses to many investors. This has essentially discouraged a considerable number of them to return to the stock markets, although in the past two years confidence has gradually regained some ground. How many households are investing in the capital markets? A joint survey by the Securities and Exchange Board of India and National Council for Applied Economics Research ( SEBI-NCAER) in March 2003 estimated that only 13 million households out of the total 177 million surveyed have investments in the capital markets. This is equivalent to a mere 7% of total Indian households. The robust economic expansion since the survey and the resulting increase in per capita GDP (see chart 32) may have widened the household investor base, but possibly not enough to considerably increase market volumes. A key ingredient to reduce households’ risk aversion is improving their understanding of long-term investment, particularly in the equity market. Regarding bonds, there is a concerted effort among the RBI and SEBI, as well as the BSE and NSE, to raise retail investors’ knowledge about the mechanics and risk/return tradeoffs of debt securities. However, the thin volumes can be expected to persist so 29 long as the government continues to provide savings schemes , which reduce incentives to invest in fixed-income instruments. India's GDP per capita steadily rising USD 900 800 700 600 500 400 300 200 100 0 00 01 02 03 04 05E 06F Sources: Institute of International Finance, Reserve Bank of India, DB Research 32 B. Institutional investors: Easing regulations will unlock capital market growth Nearly 25% of households’ total financial savings are allocated in insurance and pension funds, dominated by the government-owned Life Insurance Company of India (LIC) and the Employee Pension Fund (EPF). The LIC continues to hold a near monopoly of the industry, accounting for nearly 75% of the business, despite the opening up of the industry to private competition in 1999. Similarly, although mutual funds have been permitted to offer pension plans, a majority of the public retirement scheme remains under the control of the EPF. The guaranteed rate of return of 9% they offer is a strong incentive for investors to place their financial savings with the institution. Overall, just roughly 10% of the labour force is enrolled in a pension scheme. The rest of the workers rely on their families for support at old age or on their accumulated savings. Stringent asset allocation guidelines constrain returns Portfolio allocation decisions by the insurance and pension fund sector remain deeply regulated, requiring each to invest between 25 to 50% of total funds in government bonds or government-approved securities. Just over 85% of the LIC’s total investments are in public securities – most of which are of long-term maturities – and about 15% in private securities. Given India’s young labour force, it will take quite a number of years before a rush for redemption occurs, suggests that the LIC may not necessarily be optimising its portfolio returns. Portfolio managers’ tendency to follow a buy-and-hold strategy precludes efficient duration management and the opti- A small institutional investors sector Assets, % of GDP Insurance companies Pension funds Mutual funds Foreign institutional investors 0 5 10 15 Sources: Various domestic associations, IADB, author's estimates 33 29 Small savings schemes sponsored by the government offer guaranteed annual returns of 3. 5% to 9% (Reserve Bank of India). 13 February 14, 2007 Current Issues misation of the portfolio’s risk/return profile. At the same time, the underdeveloped corporate bond markets inhibit fixed income portfolio managers to exploit relative value across different segments. Suboptimal returns are also generated by the limited exposure allowed in the equity markets as a result of stringent regulation. Simply put, there is significant room to improve upon households’ long-term wealth creation, but this will call for the relaxation of portfolio asset allocation rules prescribed by the government. Greater private participation will encourage competition in the insurance and pension funds, bringing product innovations in the market that better match investor risk/return requirements. Creating more active markets with greater foreign presence Foreign institutional investors (FII) and mutual funds are accorded considerable leeway in their asset allocation decisions in contrast to the insurance and pension fund sectors. Because they can adjust their positions in response to changes in their liquidity needs or the economic environment, they tend to set the tone in market sentiment or influence prices despite their comparatively small size. FIIs can invest across a variety of instruments in the local markets but are subject to limits. Current regulations permit all FIIs combined to own no more than 24% of any Indian company’s total paid-up capital. Investments over the threshold are subject to the approval of the company’s Board of Directors. There are ongoing calls to raise the limit further, which remain in constant debate among the policymakers, due to their concerns about potential destabilising effects of sudden capital withdrawal. In 2004, maximum allowed FII investment in government securities, including Treasury bills, was raised to USD 2 bn from USD 1. 75 bn and in corporate bonds to USD 1. 5 bn from just USD 0. 5 bn. Hedging foreign currency exposures in the forward market is permitted. Assets under management of mutual funds have soared USD bn 70 60 50 40 30 20 10 0 09/93 09/04 09/05 09/06 Although efforts to welcome FIIs are encouraging, the total amount of investment limits accorded to them is still meagre. Easing FII controls would accelerate the deepening and broadening of the capital markets, but this would require redressing capital account regulations aimed at preserving market stability in case portfolio positions are unwound. Mutual funds are a viable long-term saving vehicle The landscape of the mutual fund industry has undergone significant changes since the establishment of the Unit Trust of India in 1964, which for decades held the monopoly. By the mid 1990s, barriers to entry were gradually dismantled, allowing domestic and foreign private institutions to enter the fray. Assets under management have grown to around USD 65 bn in September 2006 nearly 10% of GDP (see chart 34), quadrupling in value since 1993. At its current growth rate, the sector’s size will double over the next 10 years. With intense competition came the adoption of measures to improve transparency. Restrictions on investment in debt instruments and money markets were loosened. A number of different schemes 30 are now available in the market , which appeals to investors’ varying investment objectives and constraints. The listing of openended schemes allowed investors the flexibility to adjust their fund exposures, while regulations against fund managers’ use of Source: Association of Mutual Funds of India 34 30 These include assured return, balanced, floating rate, fund of funds, gilt, growth, income, liquid and money market funds. February 14, 2007 14 India's capital markets Still very low penetration of mutual funds Households' investment by type, %* 39. 2 20. 9 6. 2 44. 7 erivatives have been relaxed, allowing them to hedge their positions. Given the rapid growth of the industry in the past 3 years, can the Indian mutual fund industry be characterised as having come of age? Not when seen in the light of the low share of mutual funds in the household sector’s total investment pie (see chart 35). One promising development announced in the Budget in 2006 was the lifting of overseas investment limits by mutual funds to USD 3 bn from USD 2 bn. This will allow domestic fund managers to offer new opportunities in higher-yielding funds, such as those dedicated to emerging markets and alternative investments (e. . commodities), which are currently not available in the local market. Combined with rising per-capita income, improving awareness of capital market investing and pension fund reforms will make mutual fund investing a viable long-term investment vehicle. 27. 5 76. 2 17. 3 5. 5 UTI scheme Fixed deposits EPF/PPF Post office Others 8. 5 Mutual fund Fixed Bonds LIC IVP, NSC NCC IV. The road ahead 35 Source: Securities and Exchange Board of India Capital market liberalisation is good for GDP growth Real GDP growth per capita, % 6 5 4 3 2 1 0 -1 -2 India’s regulators have been active in seeking ways to develop the country’s financial markets, and a culture of introducing greater risk management is starting to set in. The main challenge ahead is to strengthen the political will to further ease regulations in the capital markets and the limits prescribed to market participants. India’s economy is expected to benefit enormously from the process of gradual capital market liberalisation. Empirical evidence has shown that emerging market economies that have heralded changes in their 31 financial markets experienced higher growth and investment (see chart 36). India is no exception, with per-capita GDP and domestic investment rising post-liberalisation. Economies which pursued deeper financial market reforms, and whose per-capita incomes were roughly similar to India’s prior to their liberalisation periods, not surprisingly experienced even greater rewards. Drawing from these countries’ experiences, India’s growth potential can experience a sustained pick-up if it stays on the path of reforming its capital markets. Full capital account convertibility no longer appears to be a pipe dream, going by the RBI’s reconsideration of the Tarapore 32 Committee’s roadmap to capital account liberalisation . Early in 2006, the conditions for full capital account convertibility have been re-examined against issues such as exchange rate management, prudential safeguards to monetary and financial stability and 33 implications of dollarisation in India . Although full convertibility is still not expected to occur overnight, the momentum towards that goal seems to have accelerated. Jennifer Asuncion-Mund (+49 69 910-31714, jennifer. [email  protected] com) Mexico Malaysia India Chile Investment growth per capita, % 6 4 2 0 -2 -4 Mexico Malaysia India Chile Thailand Pre-liberalisation average Post-liberalisation average Official liberalisation date: India, 11/92; Chile, 01/92; Mexico, 05/89; Malaysia, 12/88; Thailand, 09/87 Source: Federal Reserve Bank of St. Louis Thailand 31 32 36 33 Bekaert, Geert et al (2003). A committee headed by S. S. Tarapore submitted its recommendations for full capital account convertibility in 1997, shortly before the Asian financial crisis. In the event, authorities delayed the implementation of the Committee’s prescriptions, opting for calibrated measures instead. Reserve Bank of India (2006). 15 February 14, 2007 Current Issues Bibliography Bank of International Settlements. BIS Quarterly Review (various issues). Basel. Switzerland. Bekaert, Geert, Campbell R. Harvey and Christian T. Lundblad (2003). Equity Market Liberalization in Emerging Markets. Federal Reserve Bank of St. Louis. USA. Farrell, Diana, Susan Lund, Ezra Greenberg, Jaeson Rosenfeld and Fabrice Morin (2006). Accelerating India’s Growth Through Financial Sector Reform. McKinsey Global Institute. San Francisco, CA. USA. FitchRatings (2004). Fixed Income Derivatives – A Survey of the Indian Market. Mumbai. India. Gorham, Michael, Susan Thomas and Ajay Shah (2005). India: The Crouching Tiger. http://www. futuresindustry. org/downloads/fimag/india_rev. pdf Hindu Business Line (2006). SEBI Opens New Avenue for Companies to Raise Funds, http://www. thehindusbusinessline. com/2006/05/09/stories/2006050904210100. htm Institute of International Finance (2006). Corporate Governance in India: An Investor Perspective. Washington, DC. USA. The Insurance Regulatory and Development Authority (2001). IRDA Investment Amendment Regulation. Mumbai. India. International Monetary Fund. Global Financial Stability Report (various issues). Washington, DC. USA. Lee, Kyungjik and Martin Hohensee (2004). The Indian Bond Market. Deutsche Bank Global Markets. Singapore. Mohan, Rakesh (2006). Monetary Policy and Exchange Rate Frameworks: The Indian Experience. Singapore. National Stock Exchange (2005). Indian Securities Review: A Review. Mumbai. India. National Stock Exchange. NSE Factbook (various issues). Mumbai. India. Patil, R. H. (2001). Broadbasing and Deepening the Bond Market in India. Wharton University. Pennsylvania. USA. Rawkins, Paul (2006). India’s Public Finances: Do They Matter? Deutsche Bank Research. Current Issues. Frankfurt am Main. Germany. Reserve Bank of India. RBI Annual Report (various issues). Mumbai. India. Securities and Exchange Board of India. SEBI Annual Report (various issues). Mumbai. India. Sharma, V. K. and Chandan Sinha (2006). Developing Corporate Bond Markets in Asia: The Corporate Debt Market in India. Basel. Switzerland. Shirai, Sayuri (2002). Have India’s Financial Market Reforms Changed Firms’ Corporate Financing Patterns? Asian Development Bank Institute. Tokyo. Japan.  © Copyright 2007. Deutsche Bank AG, DB Research, D-60262 Frankfurt am Main, Germany. All rights reserved. When quoting please cite â€Å"Deutsche Bank Research†. The above information does not constitute the provision of investment, legal or tax advice. Any views expressed reflect the current views of the author, which do not necessarily correspond to the opinions of Deutsche Bank AG or its affiliates. Opinions expressed may change without notice. Opinions expressed may differ from views set out in other documents, including research, published by Deutsche Bank. The above information is provided for informational purposes only and without any obligation, whether contractual or otherwise. No warranty or representation is made as to the correctness, completeness and accuracy of the information given or the assessments made. In Germany this information is approved and/or communicated by Deutsche Bank AG Frankfurt, authorised by Bundesanstalt fur Finanzdienstleistungsaufsicht. In the United Kingdom this information is approved and/or communicated by Deutsche Bank AG London, a member of the London Stock Exchange regulated by the Financial Services Authority for the conduct of investment business in the UK. This information is distributed in Hong Kong by Deutsche Bank AG, Hong Kong Branch, in Korea by Deutsche Securities Korea Co. and in Singapore by Deutsche Bank AG, Singapore Branch. In Japan this information is approved and/or distributed by Deutsche Securities Limited, Tokyo Branch. In Australia, retail clients should obtain a copy of a Product Disclosure Statement (PDS) relating to any financial product referred to in this report and consider the PDS before making any decision about whether to acquire the product. Printed by: HST Offsetdruck Schadt & Tetzlaff GbR, Dieburg ISSN Print: 1612-314X / ISSN Internet and e-mail: 1612-3158