The cost of diabetes and obesity in Australia

Aims: To assess and compare the direct healthcare and non-healthcare costs and government subsidies by body weight and diabetes status.

Methods: The Australian Diabetes, Obesity and Lifestyle study collected health service utilization and health-related expenditure data at the 2011–2012 follow-up surveys. Costing data were available for 4,409 participants. Unit costs for 2016–2017 were used where available or were otherwise inflated to 2016–2017 dollars. Age- and sex-adjusted costs per person were estimated using generalized linear models.

Results: The annual total direct cost ranged from $1,998 per person with normal weight to $2,501 per person with obesity in participants without diabetes. For those with diabetes, total direct costs were $2,353 per person with normal weight, $3,263 per person with overweight, and $3,131 per person with obesity. Additional expenditure as government subsidies ranged from $5,649 per person with normal weight and no diabetes to $8,085 per person with overweight and diabetes. In general, direct costs and government subsidies were higher for overweight and obesity compared to normal weight, regardless of diabetes status, but were more noticeable in the diabetes sub-group. The annual total excess cost compared with normal weight people without diabetes was 26% for obesity alone and 46% for those with obesity and diabetes.

Limitations: Participants included in this study represented a healthier cohort than the Australian population. The relatively small sample of people with both obesity and diabetes prevented a more detailed analysis by obesity class.

Conclusion: Overweight and obesity are associated with increased costs, which are further increased in individuals who also have diabetes. Interventions to prevent overweight and obesity or reduce weight in people who are overweight or obese, and prevent diabetes, should reduce the financial burden.     

The consequences of managerial indiscretions: Sex,lies, and firm value

Personal managerial indiscretions are separate from a firm's business activities but provide information about the manager's integrity. Consequently, they could affect counterparties’ trust in the firm and the firm's value and operations. We find that companies of accused executives experience significant wealth deterioration, reduced operating margins, and lost business partners. Indiscretions are also associated with an increased probability of unrelated shareholder-initiated lawsuits, Department of Justice and Securities and Exchange Commission investigations, and managed earnings. Further, chief executive officers and boards face labor market consequences, including forced turnover, pay cuts, and lower shareholder votes at re-election. Indiscretions occur more often at poorly governed firms where disciplinary turnover is less likely.     

Green Demarketing in Advertisements: Comparing “Buy Green” and “Buy Less” Appeals in Product and Institutional Advertising Contexts

This research compares consumer response to traditional green advertising appeals to that of less conventional, “green demarketing” (GD) appeals—messages by for-profit companies encouraging reduced category consumption for the sake of the environment. Rather than encouraging greener consumption, modern environmentalism calls for decreased consumption overall, a trend reflected in recent advertising campaigns (e.g., Patagonia's “Don't Buy This Jacket”). Despite its potential impact and unconventionality, research on GD in general is sparse, and no empirical research has examined consumer response to GD appeals relative to traditional green appeals. In three experiments, we find that, in the context of product advertising, consumers' attitudes for green ads are more favorable than those for GD ads, mediated by greater inferences of genuine environmental concern. However, we find the reverse pattern in the context of institutional ads. Further, an “anti-consumption amplifier” message embedded in the ad—espousing the potential harm of overconsumption—further boosts favorable consumer attitudes for the GD institutional ad relative to its traditional green counterpart. Importantly, we assess all effects while controlling for consumers' individual levels of green consumerism, such that implications may be applied more generally rather than to a specific segment of green consumers.     

Öffentliches und Geheimes

In the second half of 2009, the entire media agenda in Germany was dominated by the swine flu, next to the German Federal Parliament elections. Criticism was voiced in the media against the pharmaceutical industry for lobbying the nationwide swine flu vaccination, which was widely considered nothing but a product of the industry’s lobbying power. In order to avoid the usual interviews with lobbyists, we attempted to apply a new methodological framework approach in analysing lobbying processes and key stakeholders in the public sphere—and outside. Crucial to the diversified approach, which involves quantitative content analysis of media coverage and press releases, are interviews with journalists, lobbyists’ network analysis and internet research on biographies. Although a conspiracy could not be conclusively proven, the results do indicate associations that validate the criticism of the industry’s lobbying activities.     

A Qualitative Analysis to Determine the Domains and Skills Necessary to Lead in Public Health

Leadership programs in public health have been declining in numbers since 2012. The decline in training programs could be due to the lack of outcome‐based results and the lack of a manageable set of standardized skills needed for public health leadership. A comprehensive study was completed in two phases to determine if the current model of public health leadership institutes is effective at generating outcome‐based results. The following paper will focus on the first phase of the study. The first phase included a qualitative analysis to determine the domains, definitions, and skills needed to lead. An analysis of the skills, domains, definitions, and traits included in five established and commonly used leadership models/theories in public health leadership development (Transformational, Servant, Appreciative, Collaborative, and Emotional Intelligence leadership) plus the National Public Health Leadership Development Network (NLN) Leadership for Community Health, Safety & Resilience Competency Framework was completed. Of the 161 different skills, definitions, traits, and/or competencies from the five leadership models and the NLN competency framework, 123 were determined to be related to one of six domains needed for leadership and were defined into 21 skills. The findings could lead to more uniformity in public health leadership development and evaluation.     

Die reale Zahlungsbereitschaft für Klimaschutz

Der Klimawandel und das globale ?ffentliche Gut Klimaschutz genie?en gro?e Aufmerksamkeit in der ?ffentlichen Debatte. Klimaschutz verursacht jedoch Kosten und es stellt sich die Frage, was die Menschen in Deutschland tats?chlich für Klimaschutz bereit sind zu zahlen. Dieser Beitrag stellt eine neue Studie zur Ermittlung der realen Zahlungsbereitschaft für Klimaschutz vor und diskutiert die Ergebnisse aus der Perspektive der Klimapolitik.     

Cross-cultural competence in the context of NGOs: bridging the gap between ‘knowing’ and ‘doing’

Abstract

International human resource management research in non-governmental organisations (NGOs) is scarce and it predominantly focuses on the recruitment and retention of volunteers. The context of NGOs is different from conventional for-profit international business settings with different kinds of challenges, especially in terms of providing appropriate training on managing multi-cultural teams and working with local project partners and communities. The literature also tends to focus on expatriate perspective and not on a host country perspective. We address this gap by examining how project managers and hosts experience cross-cultural issues on overseas assignments. We study volunteer project managers leading international and local youth volunteers during the Raleigh International programme in Malaysia. We use a qualitative methodology and data collected at 3 case locations via participant observation during 120 days contact with the respondents as well as interviews and surveys. We propose the CPACE (Curiosity, Passion, Adaptability, Communication and Empathy) framework describing competences needed in cross-cultural encounters and based on respondents’ actions as well as their words and it is relevant to a NGO context. The framework is intended to lay the foundation for future research and in particular to demonstrate the need for cross-cultural competence to be more grounded in particular contexts.     

DO INSIDERS PRACTICE WHAT THEY PREACH? INFORMED OPTION EXERCISES AROUND MERGERS AND ACQUISITIONS

We examine executive stock option exercises around a sample of merger and acquisition announcements between 1996 and 2006, focusing on a subset we identify as potentially informed. For stock‐financed acquisitions, we find a surge in informed exercises by acquirer insiders in the year leading up to the acquisition announcement, but target insiders display no similar increase. We find the market reaction upon the announcement for acquirers is negatively related to extreme early exercises and find some evidence of long‐run underperformance. Overall, our evidence indicates that insiders knowingly bid for firms when they personally believe their own firm is overvalued.     

Zur Definition und Schätzung von Mittelwerten für zufällige Variable auf der Sphäre

Zusammenfassung Diese Arbeit ist die gekürzte Fassung einer Dissertation, die vom Autor 1968 unter gleichem Titel in Würzburg ver?ffentlicht wurde. Es ist nicht sinnovll, Mittelwerte für zuf?llige Variable auf der Sph?re in der üblichen Weise, wie z. B. für zuf?llige Variable auf der reellen Achse, zu definieren. W. Uhlmann [1964] bediente sich entscheidungstheoretischer Begriffe, um für zirkul?re zuf?llige Variable mittlere Winkel zu definieren, die ihre Richtung unabh?ngig von der Wahl der Null-Richtung beibehalten. Die analoge Invarianzeigenschaft wird für alle hier definierten Mittelwertbegriffe (mittlere Richtung, mittlerer Gro?kreis, Mittelachse, Mittelkreis) gesichert, indem einfache Forderungen an die zu verwendenden Verlustfunktionen gestellt werden. Da als Sch?tzungen für diese Mittelwerte stets die entsprechenden Mittelwerte der empirischen Verteilung auftreten, haben diese auch die gleiche Invarianzeigenschaft. Um die Diskrepanz zwischen einer solchen Sch?tzung und dem zu sch?tzenden Mittelwert zu messen, werden neue Verlustfunktionen eingeführt. Es wird gezeigt, da? alle eingeführten Sch?tzungen bezüglich mindestens einer Verlustfunktion unverf?lscht sind, d. h. der erwartete Verlust wird minimal, wenn wir aus allen in Frage kommenden Objekten gerade den betreffenden Mittelwert gesch?tzt werden lassen. Dieser minimale Verlust wird die Dispersion der Sch?tzung bezüglich dieser Verlustfunktion genannt. Es wird bewiesen, da? alle ermittelten Dispersionen mindestens wien ^−1/2 gegen Null gehen, wenn n gegen Unendlich strebt.

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Summary This paper is shortened from an equally entitled dissertation which has been published by the author in 1968 at Würzburg. For random variables on the sphere it would make no sense to define means in the usual way as it is done e. g. for random variables on the real line. Introducing concepts of decision theory,W. Uhlmann [1964] defined mean angles for circular random variables the direction of which does not depend on the choice of the zero direction. Setting up simple conditions for the loss functions to be used, we ensure that all the means defined in the paper (mean directions, mean great circles, mean axes, mean circles) have the analogous invariance property. The estimators of these means are always the corresponding means of the empirical distribution, defined with respect to the same loss function and therefore they have the invariance property too. To measure the discrepance between an estimator and the estimated mean, new loss functions are introduced. It is shown that all the established estimators are unbiased with respect to at least one loss function, i. e. the expected loss is a minimum, if we take just the mean from all the things in question to be estimated by the regarded estimator. This minimum loss is called the dispersion of the estimator with respect to this loss function. It is proved, that all the calculated dispersions go to zero at least asn ^−1/2, ifn tends to infinity.