Where health care dollars are spent when pediatric palliative care is provided

Although pediatric palliative care has become more accessible over the past decade, little research has been performed that focuses on the financial impact of providing palliative care in an inpatient hospital setting. Using a case-controlled methodology, health care costs and the distribution of these costs were compared between children who received palliative care to those who did not. In comparing children who received palliative services to case controls, the similarities are striking, and the differences may have clinical significance. Children receiving care coordinated by the palliative care program underwent fewer radiology procedures and received greater assistance from pharmacologic services. This reflects greater attention and interventions provided to treat pain and provide comfort.     

Genetic Screening in the Workplace: Legislative and Ethical Implications

This paper discusses legal and ethical issues related to genetic screening. It is argued that persons identified with actual or perceived deleterious genetic markers are protected by the American with Disabilities Act of 1990 and the Civil Rights Act of 1991, if members of a protected group, regardless of whether or not they are currently ill. However, legislation may not protect all employees in all scenarios, in which case, ethical principles should guide decision-making. In doing so a model of preventive ethics is proposed to better understand the multiple levels on which this issue resides.     

TOP MANAGEMENT TURNOVER AND CEO SUCCESSION: AN INVESTIGATION OF THE EFFECTS OF TURNOVER ON PERFORMANCE

One strategic action which is often taken by firms in need of a turnaround is to bring in a new chief executive officer (CEO). Many observers argue, however, that having done this the new CEO must replace large numbers of top managers in order to effect a change in the firm's interactions and subsequent performance. Critics of this perspective insist that just the opposite is true. Substantial levels of turnover may only serve to further disrupt the organization decreasing performance still more. This controversy is addressed in the following study using a sample of 84 firms all of which experienced CEO succession during the year 1980. Analyses rely on a three-year-period pre-succession and three-year period post-succession. Three hypotheses are proposed. First, poor performance prior to CEO succession leads to greater turnover afterward. Second, that turnover is curvilinearly related to performance after the succession. And, finally, that successor type (i.e. whether the CEO was an inside or outside candidate) is related to the level of turnover in upper level management positions in the post-succession period. the results from tests of these hypotheses are presented, and the implications of these findings are discussed.     

External currency market data: An application from BIS series

The Bank for International Settlements, in its Annual Report, has provided the most-used data source for statistical work by international financial researchers concerned with the Eurodollar market and with other external currency markets. Unfortunately, the often-confusing and complicated published series have been used indiscriminately. This paper develops an approach for identifying foreign private non-bank ownership of US dollars held in offshore markets. Explicit consideration of the types and strength of assumptions necessary makes evident the care that should be exercised in the use and interpretation of the various BIS data series.     

What's in a name.com?: The effects of ‘.com’ name changes on stock prices and trading activity

This paper uses a market signaling perspective to examine investor reactions to firm announcements of name changes to include ‘.com.’ Firms that change their name as a purely cosmetic technique are contrasted to those that employ other strategic investments. Results show that announcements of ‘.com’ name changes are associated with significant increases in stock prices and trading activity. Furthermore, the magnitude of investor reactions is significantly larger when name changes are accompanied by other strategies. Copyright © 2001 John Wiley & Sons, Ltd.     

Striking a Balance for Sustainable Tourism: Implications of the Discourse on Globalisation

Tourism, as a macro global force, is welcomed but often viewed with reticence as it can damage environments and bring about negative economic and sociocultural changes. For tourism to be sustainable, balance is integral. This paper questions the comprehension behind 'balance' using the discourse evident in globalisation studies. It argues that globalisation is not driven from 'out there'; external processes and activities interact with local conditions such that the outcomes of globalisation are moderated by processes that function at multiple layers. Understanding that power relationships interplay in a specific context and the organisational milieux in which the tourism experience is encountered help to elucidate the tensions that exist and throw light on the 'balance' that sustainable tourism aspires for. Whether the effects of tourism are expressed in terms of the economy, culture and heritage or the environment, understanding the global-local nexus credits local players with more control and enables a better understanding of the forces underpinning change and hence sustainability.     

The role of organizational culture,capabilities, and adoption of e-marketing on nonprofits' organizational performance

Nonprofit organizations are facing increasing challenges to survival and mission accomplishment in a market economy. Thus, many nonprofit organizations are actively exploring how to enhance organizational performance through Internet and communication technologies in the digital era. The relationship between e-marketing adoption and organizational performance of for-profit companies has been studied intensively. However, this relationship has not been examined in the nonprofit context. The objectives of this study are to investigate factors promoting the adoption of e-marketing and the latter's effect on the performance of nonprofits. This paper surveyed 54 nonprofits and used partial least squares structural equation modeling (PLS-SEM) to test the research hypotheses grounded in resource dependence theory and e-marketing orientation. Results indicated that top management's attitudinal emphasis on e-marketing does not lead to e-marketing adoption. Differs from for-profit companies, nonprofits' e-marketing adoption is mainly related to planning and implementation capabilities. Moreover, although planning strongly influences e-marketing adoption, implementation capabilities play a crucial role in a performance-driven adoption. Hence, if e-marketing is adopted without sufficient manpower and skills, organizational performance will not be enhanced even with adequate e-marketing budget.