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31.
Wadie Messoudi Toufik Elmahi Chakib Nejjari Nabil Tachfouti Ahmed Zidouh Ghali Saadani 《Journal of medical economics》2013,16(11):1153-1159
AbstractObjective: Cervical cancer is a huge public health issue in Morocco which represents the second most frequent and fatal cancer among women. Countries that have not yet introduced the HPV vaccine could benefit greatly, but before implementation it is necessary to perform country-specific economic assessments that include current screening practices.Methods: A Markov model was developed to simulate the natural history of HPV and cervical cancer so as to calculate the long-term health benefits and costs of HPV vaccination and current screening by visual inspection with acetic acid (VIA). Starting from a previous transition probability matrix used for a model from Spain, the present model was calibrated to cervical cancer incidence from Morocco. Cost survey data was used to estimate the cost of screening and clinical procedures from the public healthcare perspective. Incremental cost-effectiveness ratios were calculated as 2018US$ per additional year of life saved (YLS) and both costs and health outcomes were discounted at 3%.Results: The expected reduction in lifetime risk of cervical cancer for current screening would be 14% at a cost of US$551/YLS compared with no intervention, assuming VIA every 3 years in women aged 30–49 at 10% coverage. HPV vaccination of pre-adolescent girls at 70% coverage would reduce the lifetime risk of cervical cancer by 62% at a cost of US$1,150/YLS, compared with no intervention. When implementing HPV vaccination in combination with current screening, vaccination would be dominated, and the combined strategy would provide a 69% reduction at a cost of US$2,843/YLS, compared with screening alone. Current screening would be dominated by vaccination when screening coverage is higher than 15%, whereas the combined strategy rapidly exceeds US$4,000/YLS.Conclusions: HPV vaccination could be highly effective and cost-effective in Morocco. Current screening would be good value for money compared with no intervention, but scaling-up screening coverage would make it inefficient compared with vaccination. 相似文献
32.
When labour market participation influences bargaining power in a household, the male and the female labour supplies can be either positively or negatively related. If negatively related, possibilities include: ‘balance of power’, the complete dominance of one member, and circumstances where inequity persists with incomplete dominance. If effort levels are positively sloped, it is possible to have equilibrium at either high or low effort levels leading to equity. The effects of economic development and wage discrimination are also discussed. 相似文献
33.
Ahmed. A. A. Asseery 《Applied economics》2013,45(6):723-728
The study shows that procurements of traditional arms by two countries have the possibility of moving together over time. This is demonstrated with reference to Iran and the member states of the Gulf Co-operation Council (GCC) for the period 1961- 1996. Acquiring arms by the member states of the GCC is shown to be only a response to the perception of their leaders to the external threat posed by Iran throughout the varying regimes that have ruled Teheran. In the light of the recent emergence of macroeconomic problems such as unemployment in the economies of the GCC coupled with the ineffectiveness of the financially exhausting build-up of arms as a military deterrent policy, one important implication of the study is that the priority of the GCC leaders will have to turn to a more effective deterrent policy such as acquiring nuclear technology rather than engaging in a costly and unsuccessful Arab military alliance as experienced in the 1970s. 相似文献
34.
The importance of international trade to the Malaysian economy can hardly be exaggerated. Trade represents a lifeline for the Malaysian economy. Export‐oriented industrialization in the 1990s converted the labor‐surplus economy into a labor‐deficit one and then back to a labor‐surplus one in 2000 and beyond. The incidence of poverty has fallen by half since the early 1980s. Trade has also contributed much to the structural transformation and modernization of the economy. Had Malaysia been a closed economy, Malaysia would have shared the same fate as some other less developed countries that remain economically backward. Its external trade policy has paved the way for greater inflows of foreign direct investment, as foreign direct investors are not so much interested in serving the small domestic market as serving the vast external market. The large inflows of foreign direct investment have conferred positive effects on the domestic economy. This has meant significant improvements in the overall living standards for the Malaysians. Internationalization has provided employment opportunities, thereby raising their living standards through higher and more stable earnings. © 2009 Wiley Periodicals, Inc. 相似文献
35.
Guy Charest Jean‐Claude Cosset Ahmed Marhfor Bouchra M'Zali 《Canadian Journal of Administrative Sciences / Revue Canadienne des Sciences de l\u0027Administration》2014,31(3):160-174
This study investigates whether relaxation of firms' financial constraints is an important outcome of the US cross‐listing mechanism. We use the association between investment spending and cash flow to test for the presence and importance of firms' financing constraints. Consistent with the bonding hypothesis, the results suggest that US exchange and private placement cross‐listings significantly alleviate firms' financing constraints. In addition, the financial benefits associated with exchange listings are larger than those associated with private listings, while on the other hand, over‐the‐counter programs do not improve capital allocation. The study also shows that US exchange cross‐listing benefits have not been eroded by the enactment of the Sarbanes‐Oxley (SOX) Act in 2002. Copyright © 2014 ASAC. Published by John Wiley & Sons, Ltd. 相似文献
36.
We show risk exposures and premiums associated with the Chen, Roll, and Ross (1986) risk factors change over time and depend on stock market and business cycle condition. Findings also indicate that factor risk premiums change sign between January and non-January, especially during bull markets. These findings serve as a caveat for portfolio managers who allocate assets to match desired exposures to key macroeconomic risk factors. 相似文献
37.
38.
Jameel Ahmed 《The Developing economies》2016,54(2):139-161
This paper attempts to pin down the key drivers of demand for and supply of real private sector credit in Pakistan. I use both the equilibrium and disequilibrium econometric frameworks, specifically tackling the issue of lack of consistency and/or efficiency of joint estimators in the former via the three‐stage least squares technique. On the demand side, I find that higher economic activity provides stimulus to credit whereas inflation dampens it. The stock market seems to play a dual role: as a source of alternative financing, a bullish market negatively impacts credit while, as an indicator of economic expectations, it provides a positive impetus. On the supply side, banks' lending capacity is found to be the major driver of credit while government borrowing has a crowding‐out effect. Pakistan currently faces supply constraints, which might put an additional check on capacity utilization by firms, thus damaging growth prospects. The results have important policy implications. 相似文献
39.
Khaled Elsayed 《Journal of Business Ethics》2006,65(3):297-308
An emergent body of literature examined why some firms apply some environmental initiatives while other firms do not take responsibility for their natural environment? Thus, firm environmental orientation (responsiveness and performance) are linked in the literature to several variables. Unfortunately, the relationship between firm environmental orientation and either available resources or firm size showed mixed results and inconclusive evidence. Therefore, the aim of this paper is to show empirically how available resources and firm size can explain differences in firm environmental responsiveness and environmental performance. Econometric results of environmental responsiveness using the logistic regression model demonstrated that firm size does appear to add something unique in explaining differences in environmental responsiveness while available resource can be safely dropped from the model. However, econometric analysis of environmental performance using the maximum-likelihood random effects model showed strong evidence that available resources and firm size are significant predictors of firm environmental performance. 相似文献
40.
Steve Berry Ahmed Khwaja Vineet Kumar Andres Musalem Kenneth C. Wilbur Greg Allenby Bharat Anand Pradeep Chintagunta W. Michael Hanemann Przemek Jeziorski Angelo Mele 《Marketing Letters》2014,25(3):245-256
This article reviews the rapidly growing literature on structural models of complementary choices. It discusses recent modeling developments and identifies promising areas for future research. 相似文献