Practices and rationales of embodied philanthropy

In the past decades, philanthropy, like many aspects of contemporary culture, has taken a bodily turn. This paper argues that embodied philanthropy, the temporarily alteration of one's physical appearance or routine behaviors in support of a cause, is flourishing because the body simultaneously and with relatively little effort serves the various needs of both participants and campaign organizers. The body's multivalent semiotic potential allows it to be, when philanthropically tasked, an income generator, billboard, martyred example, producer of emotion, pedagogical space, exemplar of good health, and style project and to cohere these functions despite potential tensions. A series of micro‐case studies of various Australian appearance, activity, and abstention‐based initiatives draws on cultural theories of the body to explicate these 7 core functions of the philanthropic body and highlight key concerns for campaign design and evaluation. This study contends that a holistic view of embodied philanthropy initiatives is needed to better understand their impact and provides practitioners and scholars with a framework for understanding an area of philanthropy where practice outstrips research.     

BUSINESS IMPROVEMENT DISTRICTS: PAST, PRESENT, FUTURE

The article covers the history of Business Improvement Districts (BIDs) in the USA and UK and some of the lessons learnt in the UK after the first year of operation. The authors then consider economic issues raised by the initiative and why BIDs will be the best option for some urban centres.     

Innovation and change in organizational relationships: interdisciplinary contexts

From July 13–15 of 1988 individuals from nine countries gathered at the Manchester Business School for the fifth international conference of INTERSTUDY (the International Association for the Study of Interdisciplinary Research). Entitled Interdisciplinary Research and the World Marketplace, the conference was co-sponsored by the Manchester Business School and the journal R&D MANAGEMENT. Founded in 1980, Inter-study has endeavoured to advance the art and science of IDR (interdisciplinary problem-focussed research) by organizing international meetings for representatives of the academy, industry, and government. Its major accomplishment has been publication of the results of those meetings in four books. These books, along with other publications in the growing field of IDR, provide a valuable collection of resources for scholars, managers, researchers, and practitioners.     

Business Continuity in the Face of Fraud and Organisational Change

We examine business continuity in the context of fraud and accounting for an organisation as a going concern. The issues addressed are timely and focus on two points. First, fraudulent activities in business are increasing worldwide with related costs reaching trillions of US dollars. Second, the conventional accounting concept of a going concern that typically signifies business continuity is arguably formed on a static view of business. As such, this view does not help mitigate opportunities for fraudulent statements of account. We contribute to the accounting literature by emphasising the dynamic nature of business and in doing so extend the discussion on Type 1 and Type 2 going concern errors. In that context we provide evidence of a possible Type 3 going concern error in an organisation's financial reporting. Drawing on an international fraud case involving an Indian company, Satyam, we illustrate the adaptive behaviour of resilient business organisations. The findings of our study show that even in the face of fraud dynamic, adaptive organisations can achieve business continuity.     

Labor–Management Partnership and Employee Voice: Evidence from the Healthcare Setting

This paper examines the relationship between labor–management partnership (LMP) and employee voice in the healthcare setting. We argue that the ability of LMP to deliver gains to employees is contingent on the quality of the procedural infrastructure on which it is established. We maintain that the quality of LMP processes influences employee trust in their employer and perceptions of union effectiveness and that these perceptions, in turn, are related to employee patient‐care voice.     

Cost-effectiveness of droxidopa in patients with neurogenic orthostatic hypotension: post-hoc economic analysis of Phase 3 clinical trial data

Objective:

Falls are associated with neurogenic orthostatic hypotension (nOH) and are an economic burden on the US healthcare system. Droxidopa is approved by the US FDA to treat symptomatic nOH. This study estimates the cost-effectiveness of droxidopa vs standard of care from a US payer perspective.

Methods:

A Markov model was used to predict numbers of falls and treatment responses using data from a randomized, double-blind trial of patients with Parkinson’s disease and nOH who received optimized droxidopa therapy or placebo for 8 weeks. The severity of falls, utility values, and injury-related costs were derived from published studies. Model outcomes included number of falls, number of quality-adjusted life-years (QALYs), and direct costs. Incremental cost-effectiveness ratios (ICERs) were calculated. Outcomes were extrapolated over 12 months.

Results:

Patients receiving droxidopa had fewer falls compared with those receiving standard of care and gained 0.33 QALYs/patient. Estimated droxidopa costs were $30,112, with estimated cost savings resulting from fall avoidance of $14,574 over 12 months. Droxidopa was cost-effective vs standard of care, with ICERs of $47,001/QALY gained, $24,866 per avoided fall with moderate/major injury, and $1559 per avoided fall with no/minor injury. The main drivers were fall probabilities and fear of fall-related inputs.

Limitations:

A limitation of the current study is the reliance on falls data from a randomized controlled trial where the placebo group served as the proxy for standard of care. Data from a larger patient population, reflecting ‘real-life’ patient use and/or comparison with other agents used to treat nOH, would have been a useful complement, but these data were not available.

Conclusion:

Using Markov modeling, droxidopa appears to be a cost-effective option compared with standard of care in US clinical practice for the treatment of nOH.     

REGULATION OF POLLUTION IN THE LABORATORY: RANDOM INSPECTIONS,AMBIENT INSPECTIONS,AND COMMITMENT PROBLEMS

We compare experimentally a traditional random inspection policy and a variant where the agency may carry out a preliminary inspection of the level of ambient pollution before implementing any individual inspection. Since the agency may have an incentive to announce high inspection probabilities and then secretly renege on its announcement to avoid implementing costly inspections, we are also interested in the agency's commitment power. We find that overall, ambient inspections increase efficiency but the effect is weaker than expected when the agency has no commitment power; and polluters' reactions to the lack of commitment power of the agency vary depending on whether the agency uses ambient inspections or not.     

Intensive tour guide training in regional Australia: an analysis of the Savannah Guides organisation and professional development schools

A number of authors believe that tour guide training may hold a key to passing on the concept of sustainable tourism to tourists. Savannah Guides Limited (SGL) is an organisation for tour guides interpreting and protecting the tropical savannahs of northern Australia. This paper examines the provision of intensive professional development schools, which the SGL organisation provides, to raise standards of professionalism for nature-based tour guides in remote regions. Its framework is based on Schein's three levels of organisational culture model, and Black and Ham's 10-element performance-based tour guide certification programme. Active participant observation of the development school process and a self-administered questionnaire to SGL members were used to understand the organisation's success. The main motivations for tour guiding are explored, as are the ways in which tour guides acquire knowledge. It is suggested that the provision of professional development schools in nature-based tourism regions benefits the guide and the tour guiding industry, and contributes to the protection of the natural environment. It is proposed that the SGL training model of professional development schools and certification be adopted by tour guiding organisations in other regional destinations as a way of nurturing and advancing quality tour guiding and professionalism.