Featured Post

The Last Dance Chapter One Free Essays

It is Palmer who reaches, close to the furthest limit of September. He tells Cynthia on the phone that he’s had a transoceanic cal...

Wednesday, December 25, 2019

Symptoms And Treatment Of Hypertension Essay - 2149 Words

Introduction Mrs. A (pseudonym) is an 83-year-old Samoan female of Christian religion who was admitted to an urban hospital on 02/04/15 by GP referral. She came in with chest pain associated with productive cough and shortness of breath (SOB) on exertion. She also complained of having recurrent episodes of vomiting mixed with saliva and fatigue. She has a history of asthma, hypertension, type 2 diabetes mellitus on Metformin and double incontinence due to a long-standing history of intermittent constipation. Her chest computed tomographic (CT) revealed right lower lobe opacity indicating pulmonary consolidation, which means that her right lower lung has accumulated exudates in the alveoli that would have normally been filled by gas, indicative of bacterial pneumonia. Furthermore, a sputum gram stain sample collected from Mrs. A showed gram-positive bacteria, which is also a characteristic of pneumonia. Her blood tests revealed a high haemoglobin count, which may be caused by an underlying lung di sease, as well as high white blood cell count confirming the presence of infection. Considering all diagnostic results, Mrs. A was diagnosed with right lower lobe bacterial pneumonia. Mrs. A lives in Auckland with her daughter who supports her with some of her activities of daily living (ADLs). She also gets social services support three times a day with regards to washing and changing her nappy. She quitted smoking 15 years ago and was never an alcoholic. In terms of her mobility,Show MoreRelatedSymptoms And Treatment Of Hypertension892 Words   |  4 PagesByvalson †¢ Byvalson is a combination of Nebivolol (beta-blocker) and Valsartan (angiotensin II receptor blocker) Indication †¢ For treatment of hypertension †¢ Byvalson may be used as monotherapy or in combination with other antihypertensive medications Mechanism of Action †¢ Nebivolol o Blocks the beta-1 receptors in heart and vascular smooth muscle and thus reduces the heart rate, cardiac output and blood pressure o Reduces vascular resistance by vasodilation, decreases myocardial contractility andRead MoreSymptoms And Treatment Of Hypertension1098 Words   |  5 PagesBACKGROUND Background1-6 †¢ Hypertension is persistent elevated blood pressure causing increased pressure against arterial walls leading to stretching and damage to organs such as heart and kidneys, of which systolic blood pressure (SBP) is an important predictor. †¢ Reduction in blood pressure is positively correlated with reduced incidence of cardiovascular events †¢ Hypertension is treated with daily lifestyle changes along with pharmaceutical drugs to achieve a lower systolic blood pressure, howeverRead MoreSymptoms And Treatment Of Hypertension Essay1692 Words   |  7 Pages3. According to the B.P value, what stage of hypertension is M.K. experiencing? Explain the rationale for her current medications for her hypertension. Also, discuss the impact of this disease on the U.S population. According to the blood pressure in the assessment, M.K. has stage one hypertension. It was noted that she is currently being prescribed Lasix and Lotensin to help with her high blood pressure. Lotensin, also known as Benazepril, is an ACE-inhibitor, or angiotensin-coverting enzyme inhibitorRead MoreSymptoms And Treatment Of Hypertension1579 Words   |  7 Pagesand maintains hypertension. However, in the past fifty years, a wide range of hypertension (high blood pressure) medications have been created that have normalized the blood pressure of a majority of patients. Additionally, the alleviation of hypertension resulted in a decrease in other fatal incidents such as stroke and heart attack. Despite the fact that the creation of medicine is the role of pharmacologists, normal scientists indirectly discovered the foundations of hypertension and thus aidedRead MoreSymptoms And Treatment Of Hypertension1599 Words   |  7 Pages Psychosomatic disease affects both mind an d body; hypertension certainly applies to this due to its effect on both the mind and the body alike. Hypertension occurs when an individual has abnormally and excessively high blood pressure, in which stress is highly related to. High blood pressure can be perilous because it makes the heart work even harder in order to pump blood into your body, which ultimately leads to heart failure or other illnesses such as kidney disease and strokesRead MoreSymptoms And Treatments Of Mild Hypertension Essay1089 Words   |  5 PagesSignalment: †¢ 32 years’ old †¢ Female †¢ African-American descent Signs: †¢ Mild hypertension †¢ Acne appeared after treatment with oral contraceptives †¢ BMI of 29 †¢ Blood pressure is 138/88 †¢ Skin shows slight thickening and darkening across the neck Symptoms: †¢ Irregular and infrequent periods since middle adolescence †¢ Periods are more frequent (28-30 days) and menstrual flow varies between periods after her first child †¢ Periods are not excessively painful †¢ Reports frequent urination and alwaysRead MoreHypertension: Blood Pressure Measurements1062 Words   |  5 Pagesï » ¿Hypertension 1 Hypertension Timothy L. McNeill Richmond Community College Hypertension 2 Abstract Hypertension is a chronic medical condition in which the blood pressure in the arteries is elevated. Blood pressure is summarized in by two measurements, systolic and diastolic, which depend on whether the heart is muscle is contracting (systole) or relaxed between beats (diastole). Normal blood pressure at rest is within the range of 100-140mmHgRead MoreEssay on Understanding Pulmonary Hypertension954 Words   |  4 PagesUnderstanding Pulmonary Hypertension The human body is a very complex organism composed of different types of systems and functions. All the functions that each system has, is what makes possible for the body to obtain life. One of the most important systems in one’s body is the circulatory system, where the heart, the lungs, and the blood vessels work together to form the circle part of the circulatory system. The pumping of the heart forces the blood on its journey. The body’s circulatory systemRead MoreHypertension : High Blood Pressure1192 Words   |  5 PagesHypertension is unusually high blood pressure that affects nearly 600 million people around the world. So many people are affected because hypertension rarely shows any symptoms while damaging the eyes, brain, heart, and kidneys. There is no known cure for hypertension although it causes five million premature deaths per year. One of the most effective hypertension treatments is homeopathy, a branch of alternative medicine based on the idea tha t the body has the ability to heal itself. There is evidenceRead MoreTaking a Look at Arterial Hypertension1401 Words   |  6 PagesHypertension Arterial hypertension, symptons, consequences and prevention. Christye Candell Hypertension Arterial hypertension increases in a chronic way the arterial pressure. This disease will not show symptoms during a long period of time, hypertension is also known as the silence disease. If hypertension is not treated, it can develop serious complications like heart attacks, cerebral thrombosis or hemorrhage but this can be prevented if it’s controlled adequately on time. Arteries are the

Monday, December 16, 2019

jazz concert review Essay - 560 Words

The first question I asked myself at the beginning of the quarter was how much do I actually know about jazz? I have always characterized jazz music as a rhythmic and instrumental form of music. My impression on the basis of the jazz has always been portrayed with the African-American race. I think this was build up from the rhythm ‘n’ blues era and meaning according to the dictionary (â€Å"style of music that was invented by African American musicians in the early part of the twentieth century and has very strong rhythms and often involves improvisation†). But Louis Armstrong’s famous reply was â€Å"if you had to ask, you’ll never know†. Whatever else he meant, he was at least saying that jazz is noticeable, but not necessarily understandable by†¦show more content†¦Maynard Ferguson, jazz legend, internationally renowned big band leader and one of the world’s greatest trumpet players with his Big Bop Nouveau Band. He draws u pon bebop, straight-ahead jazz, funk, swing, classical and contemporary music to create a fresh sound within the classic big band form. (cite from Jazz Alley web site) Because me being Korean, I personally was little surprised and impressed by two Korean were members of his big band. A massive piano player, Ji Young Lee, pretty amazing in all pieces, her extended work on â€Å"but beautiful† was really lovely and the most memorable. Stockton, powerful drum player, thrilled the audience especially one of my friend, with his solos. He was banging away using all his gear, play in energetic and lively. M.F. and his band provided a remarkable arrangement of Aint No Sunshine When Shes Gone, as well as some elegant and very impressive, as Maynard ended a song by playing a soft muted trumpet, while the rest of the band played softer and softer, creating the effect of a fade-out. Really high and loud all night long†¦ including my self and my friends, the audience seemed really appreciating his hit medley at the end. It made us to believe that he plays over the top with excellent showmanship. Our waitress was little busy most of that night but the cocktail was good so it was okay and the lighting was perfect. Oh, oneShow MoreRelatedEssay on Jazz Concert Review931 Words   |  4 PagesJazz Concert Review [pic] The first formal small jazz concert was held at the Maum Cafà © on Sep. 25th, 2008. There were many music performances have held at the Maum Cafà © but Zino Park, leader of the band, and manager of Maum Cafà © agreed to arrange a formal jazz concert for the first time. The main theme of this concert was â€Å"Smooth Jazz with Zino Park at Maum†. Before the concert began, the band members introduced themselves to the audience. The names of players were: Acoustic guitarRead MoreDevelopmental Aspects of Play1242 Words   |  5 Pagesindividual music appreciation and the connection to the global village. Course Objectives †¢ To explore and reconsider ideas about cultural contact in the process of musical change †¢ To understand music terminology †¢ To understand, review and write reports on live performances using terminology demonstrating knowledge of musical elements within rhythm, pitch, and structure †¢ To understand and further identify the social, economic, historical, philosophical and psychological elementsRead MoreThe Music Of Duke Ellington898 Words   |  4 PagesI attended the Jazz Ensembles Concert, The Music of Duke Ellington, on Wednesday, September 30, 2015 at the Griffin Concert Hall, University Center for the Arts. I was not really sure what to expect since I had never experienced Jazz in a concert hall setting, however, I believe I am still able to make an informed and unbiased review. Not only was this my first Jazz concert, but it was also my first time visiting the University Center for the Arts. I was greeted immediately and with a very welcomingRead MoreThe Music Of The Jazz Music892 Words   |  4 Pagesyour life? This is something funny for me because I love the Jazz music and when I have the opportunity to make my concert review, I thought that the best opinion that I can give you is about the jazz music. I was checking around because I did not have the opportunity to see an event of jazz music here in Reno so I checked in YouTube and I choose one of the most incredible concerts that I have never seen in my life. The international Jazz Day. One of the most important days that many people are joiningRead MoreBumper Jacksons Concert Review On Mondavi Center1327 Words   |  6 PagesJacksons Concert Review Walking towards Mondavi center, I was amazed by how shiny and resplendent she was at night. Having got my free ticket from the ticket office, I was led by well-dressed and kind staff to the Vanderhoef Studio where the concert will start soon. Upon entering the studio, I noticed that rather than rows of seats, there were round tables, on which little candles were dimming. Purple and blue lights were shed from the ceiling. I thought this set created a vibe that was so Jazz. SuddenlyRead MoreMusic Review : The Music1146 Words   |  5 PagesMusic Review #2 Last Monday, October 17th, I had the privilege of seeing the performances of the University Repertoire Ensembles. They were live at the School of Music’s Malcolm Bird Recital Hall, and each ensemble played several jazz melodies that were very engaging and entertaining. The University Repertoire Ensembles included the Contemporary Ensemble (CE), the Hard Bop Ensemble (HBE), and the Brazilian Ensemble (BE). The CE performed the songs, â€Å"Have You Heard,† â€Å"Sail Away,† and â€Å"Got A MatchRead MoreMotown Records Influence On Society Essay1128 Words   |  5 Pageswhen he was drafted to serve in the U.S. Army during the Korean War. When Gordy s service in the army ended in 1953, he returned to Detroit and used the money he had saved to pay for a record store called the ‘Three-D Record Mart’. His love or jazz influenced the records he tried to sell more than his customers requests and his business soon failed.Gordy worked for an assembly line at the Ford Motor Company. He did not find the work interesting, and as he worked he wrote songs in his head,Read MoreTaking a Look at Blood, Sweat and Tears1173 Words   |  5 Pagesgrotesque career moves. It could almost sound funny, talking about a group that sold close to six million records in three years and then squandered all of that momentum. They fused a rock roll rhythm section to a horn section, held out the promise of a jazz-rock fusion that could storm the pop charts. The band was organized in New York in 1967. Al Kooper (born February 5, 1944, NY). He was an ex member of the Blues Project, in need of money and a fresh start in music. Jim Fielder (born October 4, 1947Read MoreAlvin Ailey s Influence On The Landscape Of Modern Dance1453 Words   |  6 PagesAlvin Ailey spent his formative years going to Sunday School and participating in The Baptist Young People s Union. At age twelve, he moved to Los Angeles and, on a junior high school class trip to the Ballet Russe de Monte Carlo, fell in love with concert dance. Ailey began his formal dance training inspired by the performances of the Katherine Dunham Dance Company and the classes with Lester Horton that his friend, Carmen de Lavallade, urged him to take. Horton, the founder of the first racially integratedRead MoreAlvin Ailey: Cry Essay1153 Words   |  5 Pa gesAlvin Ailey: Cry When Alvin Ailey’s Cry premiered in 1971, Judith Jamison was praised for her tour-de- force 16-minute solo. An original New York Times review expressed that â€Å"She looks like an African goddess†. Cry - originally a gift for Ailey’s mother - was dedicated to â€Å"all black women everywhere, especially our mothers†. This work, one of Ailey’s greatest successes, evokes an emotional journey, as the performance depicts the struggles of African American women suffering the extraordinary hardships

Sunday, December 8, 2019

Stress in Emergency Department Physicians †MyAssignmenthelp.com

Question: Discuss about the Stress in Emergency Department Physicians. Answer: Introduction Human resources are the people that are either working for an organization or a company and human resource department is responsible for the effective management of the employees. In the year 1960, the labour relations gained attention and the organizational behaviour and motivation slowly gained traction. Human resource management is a generalized term which takes into account the employee development in an organization. Human resource management is also called the talent management. and it involves the management of organizational human resources or capital. Human resource management is focussed on several areas and it includes staffing and recruiting; benefits and compensation; learning and training; employee and labour relations; organization development. Human resource management includes the administering and developing the programs that are designed to increase the effectiveness of a business or an organization. It also involves the cultivation, management, creation of a bette r employee-employer relation (Bratton Gold, 2017). This study is based on the critical and an in-depth analysis from the point of view of a human resource professional who is working in a regional hospital. Presently there is a big shortage of doctors and in the coming years, the shortage will rise to a great extent. The shortage of the doctors in the rural areas is a serious problem in Australia and it provides an opportunity for the doctors of New Zealand to make easy out of practising in Australia for a week. The city-based doctors are unwilling to work in the rural areas, and thus this provides an immense opportunity for the doctors from New Zealand to work in Australian rural hospital for a week and earn huge sums of money. Recently, shortage of staffs in the healthcare sector has led to the increased pressure on the existing staffs and the doctors. This has led to increased fatigue and burnout within the healthcare professionals. The clinical staffs are experiencing immense work pressure and associated depression. The shortage of doctors in the emergency departments has led to the increased level of pressure within the healthcare setup. The situation, however, is not that gloomy b ecause there are people are desperately trying to get into this healthcare sector. In one case it has been found that in one hospital one doctor is overseeing 26 patients. This busy schedule has resulted in too many doctors choosing to suicide due to the deterioration of their personal health. The doctors either choose to commit suicide or try to self-diagnose themselves. The doctors that are well aware of their health condition seek professional help. There have been studies in the American hospital that specify the doctors are continuously undergoing clinical depression and this has led to several kinds of medication errors and prescribing errors. The doctors often are reluctant to treat their colleagues that are suffering from mental illness. Reward practices Human Resource Management has the responsibility to look after the hard work of the employees. The employee can be a doctor, a nurse, physician or a clinical staff. The rewarding practices are the strategies that act to recognise the positive action of a doctor in a clinical setting. This rewarding practice if implemented and executed well can bring positive outcome in the overall performance of the emergency department. Recognising the hard work and the efforts of the employee's help in encouraging and boosting the morale of the doctors that work in an emergency department (Cogin, Ng Lee, 2016). The various types of the reward practices that can be used here with respect to the management of the senior emergency staff are as follows: Monetary rewards- monetary rewards are the type of the rewards that can be readily given to the emergency staff for the hard work in the emergency department. There is another type of monetary reward like providing incentives to the senior emergency staff for the large number of the patients that they attend and also for the extended hours of work (Young et al., 2010). Non-monetary rewards- the non-monetary rewards include the awards that are not in the monetary form and includes the promotion, usage of the hospital facilities, letters of appreciation, certificates and awards. Flexible pay- this kind is pay is dependent on the performance of an individual that is working in an emergency healthcare unit and demands long hours of work. Although the senior emergency staff will get the basic pay that he is allotted to, however, the long hours of work along with the extra number of patients that the emergency unit is attending can provide an option for extra pay (Young et al., 2010). Recognition- recognition can be defined as the genuine appreciation, approval, acknowledgement of the employee performance. The recognition is also a form of reward which is can be given to the employees on an annual basis. This recognition can be delivered one to one basis, verbally or in a written form (Cogin, Ng Lee, 2016). Implication of rewards practices for the management of employee performance in an emergency ward Reward system can be considered an important part that contributes to the employee performance. Employee performance is highly affected by the becomes more effective due to the high rewards system. Especially in an emergency ward, the senior management staff performs the toughest work of attaining the emergency cases that come pouring in during the hospital hours and even during the night. This leads to the exhaustion and burnout of the healthcare professionals. The working ability can be greatly enhanced when the rewards given to the employees in an emergency ward are attractive. Job performance is an important aspect of the human resource management (Boselie, 2010). Performance is important for the purpose of achieving the better health outcomes and treatment of the patients that are coming in at an emergency situation. Rewards are considered important as it acts as a motivating factor for the employees. The best part is that better rewards system attracts the newer employees and i t acts as a rewarding factor for the for the existing employees. The good work of the employees is necessary for the better health outcomes of the patient and the also help in delivering better healthcare. Employees give their best efforts in order to achieve the better health outcomes along with the rewards for the good work. Rewards are important so that the employees stay engaged and their work is in accordance with the way that promotes better care for the patients. Employees that want to work hard will also look to attain the different types of the rewards like the monetary and the non-monetary rewards (Lutwama, Roos Dolamo, 2013). There are different types of employees and their personal choice for the monetary and the non-monetary rewards vary. Employees when feel that being in a hospital that will highly provide all the scope of gaining the required exposure along with the career growth, then such employees will certainly remain committed to their work. Especially in an eme rgency ward, the senior emergency staff has the responsibility of overseeing the different types of patients and that too in large numbers. In such scenarios, often the senior emergency staff have to work for long hours and attain several patients at the same time. The emergency staffs have to deal with different types of complicated cases and during such events, the rewarding mechanisms play a major role in keeping the staffs motivated (Ibrar Khan, 2015). Human resource executive plays a major role here with them in integrating the reward mechanism it increases the quality of health care dispensed to the ailing patients and at the same time motivates the emergency staffs. Reward systems are implemented within the work and it leads to the effectiveness of the hospital emergency team that looks after the critical cases. It has been found that the satisfaction of the employees is highly affected by the reward practice in place. There are different types of employees that get motivated either by the monetary rewards or by the employee recognition. At the same time if the rewarding system is ineffective then it will impact the employee satisfaction and will also demotivate the employees. This will negatively impact the healthcare delivery of the senior emergency staff (Ibrar Khan, 2015). Alternative reward practices The employees that work in an emergency ward are the most versatile and capable of handling pressure during the critical cases. It is thus necessary for the human resource executive to reciprocate with the similar kind of reward that will be at par with the working capability of the emergency staffs. Especially there is a shortage of doctors in Australia and this is the reason that the emergency staffs face the extra burden of work pressure. In such situations, the rewards must be high in order to keep the doctors stay motivated and deliver the best. The health conditions of the patients that arrive in the emergency department demand critical care. Due to this reason, the senior emergency staff that work in such cases often have to handle the cases critically. Their decisions either to complete recovery or death of the patient (Bragard, Dupuis Fleet, 2015). Thus other than the rewards these senior emergency staffs need a different kind of reward system that will keep them motivated. Such rewards are leadership roles with respect to the complete overseeing the performance of the critical tasks; work as a mentor for the staffs that are working in an emergency ward; acclamation by the local government authorities. A senior emergency staff has the responsibility of overseeing too many patients in a clinical setting. This work pressure can be reduced by recruiting junior doctors which can effectively work with the guidance and under the leadership of the senior emergency staffs. This can effectively reduce the burden on these senior doctors and thus provide them with the greater satisfaction and less pressure and burnout during the work hours. The leadership role can effectively reduce the negative impact on the mental health of the employees (Seow, 2013). The next important can come in the form of mentorship. The senior emergency staff can also undertake the role of the mentor. This mentorship is only given to the senior emergency staffs that are the most hardworking and the follows the rules and the gives the highest priority to the health of the patients. The mentorship is a kind of the acclamation provided to the senior emergency staff that work in a clinical setup. This will help the new junior joiners to work effectively in an emergency ward, because to work in an emergency ward a greater coordination is required which can be achieved only when a team performs well (Flowerdew et al., 2012). The most important acclamation that can be provided to the senior emergency staff is an acclamation by a local government authority. This can effectively help in providing recognition to the senior emergency staffs that he needs to have due to his hard work. Recommendation In order to properly support/engage/reward the senior emergency staff, there is are certain recommendations which can be given to the hospital management, which are as follows: More doctors need to be recruited so that the work pressure can be eased from the existing senior emergency staffs. Other than providing the monetary rewards, there is a definite need to provide the senior emergency staffs with the recognition due to the critical and the hard work they do. Other than the new doctors, new staffs like the nurses and the clinical staffs also need to be recruited by the hospital management in order to divide the workload evenly among all the employees. The salary package can be hiked on a six-month basis after analysing the critical cases handled successfully. The scheme of flexible pay can be introduced into the system so as to maximise the effort put by the senior emergency staff. Flexible pay will help the senior emergency staff to earn more from solving the more critical cases (Kapelyushnikov, Kuznetsov Kuznetsova, 2012). Conclusion From the above study, it can be concluded that the hospitals in Australia are currently facing a shortage of the doctors. Due to this reason, the existing doctors are under immense pressure to work with the low number of the staffs. This has impacted negatively on the doctors of the rural areas and has affected their mental wellbeing. The doctors regularly come under immense pressure and are often not able to cope up with the same. The study also incorporates solutions from the perspective of a human resource executive. The HR executive suggests a way so that the situation can be made better with better strategies. Reference Boselie, P. (2010). High performance work practices in the health care sector: a Dutch case study. International journal of manpower, 31(1), 42-58. Bragard, I., Dupuis, G., Fleet, R. (2015). Quality of work life, burnout, and stress in emergency department physicians: a qualitative review. European Journal of Emergency Medicine, 22(4), 227-234. Bratton, J., Gold, J. (2017). Human resource management: theory and practice. Palgrave. Cogin, J. A., Ng, J. L., Lee, I. (2016). Controlling healthcare professionals: how human resource management influences job attitudes and operational efficiency. Human resources for health, 14(1), 55. Flowerdew, L., Brown, R., Russ, S., Vincent, C., Woloshynowych, M. (2012). Teams under pressure in the emergency department: an interview study. Emerg Med J, 29(12), e2-e2. Ibrar, M., Khan, O. (2015). The impact of reward on employee performance (a case study of Malakand Private School). International Letters of Social and Humanistic Sciences, 52, 95-103. Kapelyushnikov, R., Kuznetsov, A., Kuznetsova, O. (2012). The role of the informal sector, flexible working time and pay in the Russian labour market model. Post-communist economies, 24(2), 177-190. Lutwama, G. W., Roos, J. H., Dolamo, B. L. (2013). Assessing the implementation of performance management of health care workers in Uganda. BMC health services research, 13(1), 355. Seow, E. (2013). Leading and managing an emergency departmentA personal view. Journal of Acute Medicine, 3(3), 61-66. Young, S., Bartram, T., Stanton, P., Leggat, S. G. (2010). High performance work systems and employee well-being: a two stage study of a rural Australian hospital. Journal of Health Organization and Management, 24(2), 182-199.

Sunday, December 1, 2019

XM-Sirius Essay Example

XM-Sirius Essay The BusinessWeek electronic publishing has covered the developments of XM and Sirius Radio Companies which have been close competitors in satellite radio broadcasting. Recently, the competition has ended by the merging of the two companies. However, some perceptions points out unprofitability of the merging. Thus, this paper will briefly discuss and examine some points of considerations, relating the capital structure and the short-term and long-term implications of this structure.DiscussionsRelatively the mergers Sirius-XM Radio has indicated â€Å"swing of momentum† leading to its profitability. Based on the 2008 Consolidated Statements of Operations, it manifested about 5% increase in the first quarter of 2008 valued at gross revenue of $578.8 Million and adjusted from operation losses. The indications of upswing capital performance can be noted from the independent revenue generations prior to the merging. This can be traced from the year 2003 financial-audit reports that indicated the consistent independent performances of both companies, as shown below in the significant ‘Return of Revenues in US Million Dollars from year 2003 to 2007’:Company20032004200520062007XM91.8243.5469.77901,138Sirius12.968.2186.7520.71,383.4Source: Securities and Exchange Commission, (2009)With the above illustrations and to the most recent financial performance update, the short-term financial performance upon the merging signifies capital liquidity, accordingly achieved substantial cash flow and recoupment from losses (Grover, 2009).It may be recalled that the previously strong competition of Sirius and XM have attributed to their losses in operations. This can be exemplified by the long planning expansions of XM and Sirius that favored the small competitor AM/FM radio companies which gradually acquired their customer-subscribers way back in 2004.It can be perceived, the indicated net revenue of $108.8 Million could restructure the capital budget under the c urrent merging of Sirius XM Radio Company. On the other hand, the cost of operations can be â€Å"fluidly† maintain within new capital structure, referring to one-time earmarking on the cost of expense, such as in incurring services retention costs on advertising, marketing, subsidy to equipment suppliers, customer care programs and royalty fees to shareholders.Partly, it can be recommended that long-term financial or capital restructuring must first recoup the operating costs and consistently maintain the financial liquidity or cash flows. On the other hand, the merging must likewise jointly defray the outstanding indebtedness of the two companies, referring to settle the previous financial liabilities at the time prior to the merging. Moreover, what could be then the bottomline of a long-term achievement of capital structure is to recover and reconsolidate the volume of customer-subscribers by promoting competitive services amidst the new set up of emerging competitors. Fro m this point of view, it may be on time for Sirius XM Radio companies to pursuing their infrastructural development plans of expanding satellite units and setting up of latest technologies.ConclusionThe merging of Sirius and XM radio companies have finally settled their â€Å"divisive† competition, in a sense that the long time competitions have divided their once captured customer-subscribers which gradually switched to their competitors. In conclusion, the operational losses would mean long-term planning for sustainable capital structure and revitalize the competitive stance in the new trends of marketplace and genre of customers.ReferencesGrover, R. (2009).   Ã¢â‚¬ËœDish Network Moves On Without Sirius XM’. BusinessWeek.Com.Retrieved 08 May 2009 fromhttp://www.businessweek.com/technology/content/mar2009/tc2009032_598666.htm.Securities and Exchange Commission (2009). ‘Sirius XM Radio, Inc. 2008 FORM 10-KAnnual Report’. Retrieved 08 May 2009 fromhttp:// idea.sec.gov/Archives/edgar/data/908937/000119312509049874/d10k.htm#toc.