Limits of imagineering: a case study of Penang

Penang Development Corporation, tasked with placing Penang at the forefront of Malaysia's economic development, has imagineered Penang into a city of vibrance and innovation. Besides manufacturing, tourism is promoted as a mainstay of the economy. Consequently, the themes of culture, heritage, sun and sea, adventure/nature and agro‐tourism have been selected and attractions have been appropriated and strategically amplified to fit into the themes. At each of these themed sites, symbols and signifiers make the consumption of the landscape easier, bolstered by a carnival spirit that will heighten the fun tourists come to expect. Tourists can also safely consume the exotic beaches without exposure to danger because they are ‘protected’ from the locals. The imagineering has excluded Penangites whose lived landscapes have been ignored in favor of images which tourists can easily consume. Penangites have rallied together to challenge the conservation program which they claim is biased to tourism, to assert their rights to the maintenance of public roads, and to their use of public places such as Batu Ferringhi beach. The article exemplifies the contestation that occurs when places are commodified into a few recognizable and marketable characteristics that are devoid of the socio‐spatial contexts from which they evolved. La Penang Development Corporation, chargée d'amener Penang au premier rang du développement économique malais, a imaginé Penang en cité vibrante et novatrice. Outre la construction industrielle, le tourisme est encouragé en tant que principal pilier économique. En conséquence, les thèmes Culture, Patrimoine, Mer et soleil, Aventure/Nature et Agro‐tourisme ont été choisis; des lieux attractifs ont été récupérés et adaptés de manière stratégique en fonction de ces thèmes. Sur chacun de ces sites thématiques, des symboles et signes facilitent la consommation du paysage, entretenue par une atmosphère festive à la hauteur des espérances des touristes. Les visiteurs peuvent aussi consommer en toute sécurité des plages exotiques, ‘protégées’ des populations locales. En effet, la vision de Penang en a exclu les habitants, dont les paysages vécus ont été ignorés au profit d'images consommées aisément par les touristes. Les Penangais se sont regroupés contre le Programme de conservation qui, selon eux, favorise le tourisme. Ils veulent défendre leurs droits à l'entretien de la voirie et à l'usage des lieux publics tels que la plage de Batu Ferringhi. L'article illustre la contestation qui naît lorsque des lieux sont banalisés selon quelques caractéristiques identifiables et commercialisables, mais dépourvues du cadre socio‐spatial à partir duquel ils se sont développés.     

The Effects of Superstition on Choice and Latency

This study investigates the effects of superstition characteristics on choice and latency. Three dimensions of superstition are investigated—valence, accessibility, and relevance. Exposure to negative, accessible, or relevant superstition resulted in faster choices made. Superstitions that were negative or relevant led to choices favoring the auspicious product than superstitions that were positive or irrelevant. The auspicious product was also more likely to be chosen if it were associated with a superstition that was more accessible than less accessible. Findings also suggested that when superstition was relevant, the effects of a negative superstition were amplified than when superstition was irrelevant. Relevancy had less effect on positive superstition.     

Cost-effectiveness of metformin plus vildagliptin compared with metformin plus sulphonylurea for the treatment of patients with type 2 diabetes mellitus: a Portuguese healthcare system perspective

Objective:

To evaluate the cost-effectiveness of vildagliptin plus metformin vs generic sulphonylurea plus metformin in patients with type 2 diabetes mellitus, not controlled with metformin, from a Portuguese healthcare system perspective.

Methods:

A cost-effectiveness model was constructed using risk equations from the UK Prospective Diabetes Study Outcomes Model with a 10,000-patient cohort and a lifetime horizon. The model predicted microvascular and macrovascular complications and mortality in yearly cycles. Patients entered the model as metformin monotherapy failures and switched to alternative treatments (metformin plus basal-bolus insulin and subsequently metformin plus intensive insulin) when glycated hemoglobin A1c >7.5% was reached. Baseline patient characteristics and clinical variables were derived from a Portuguese epidemiological study. Cost estimates were based on direct medical costs only. One-way and probabilistic sensitivity analyses were conducted to test the robustness of the model.

Results:

There were fewer non-fatal diabetes-related adverse events (AEs) in patients treated with metformin plus vildagliptin compared with patients treated with metformin plus sulphonylurea (6752 vs 6815). Addition of vildagliptin compared with sulphonylurea led to increased drug acquisition costs but reduced costs of AEs, managing morbidities, and monitoring patients. Treatment with metformin plus vildagliptin yielded a mean per-patient gain of 0.1279 quality-adjusted life years (QALYs) and a mean per-patient increase in total cost of €1161, giving an incremental cost-effectiveness ratio (ICER) of €9072 per QALY. Univariate analyses showed that ICER values were robust and ranged from €4195 to €16,052 per QALY when different parameters were varied.

Limitations:

The model excluded several diabetes-related morbidities, such as peripheral neuropathy and ulceration, and did not model second events. Patients were presumed to enter the model with no diabetes-related complications.

Conclusion:

Treatment with metformin plus vildagliptin compared with metformin plus sulphonylurea is expected to result in a lower incidence of diabetes-related AEs and to be a cost-effective treatment strategy.     

Online narratives about medical tourism in Malaysia and Thailand: a qualitative content analysis

This study explored the written online narratives about medical tourism in Malaysia and Thailand using qualitative content analysis. The Google search engine was used for narrative search. Multiple search terms including medical, health, wellness tourism; treatment abroad; medical or health travel; treatment, surgery, or plastic surgery; dental treatment or braces were used to obtain related blog posts, discussions, and forums via a purposeful sampling method. A total of 43 online narratives were included in this study. Themes were then created after an iterative analysis of the selected online comments or posts. The push factors that act as motivators were: cost (100%), attractions (81%), availability of facilitators (62%), physician’s background and expertise (58%), bandwagon effect (42%). The majority of the subjects (88%) stated that they were satisfied with the outcomes of their medical treatments received in Malaysia and Thailand.     

Development of human resource management in Vietnam: A semantic analysis

The present study offers a logical understanding of the development of human resource management (HRM) in Vietnam over the past 30 years. While previous studies have examined the adoption of HR practices, there remains a need to understand the current state of HRM development in Vietnam. Using a semantic analysis approach, we systematically analyzed the themes and concepts from 100 journal articles related to HRM in Vietnam, selected from academic databases between 1984 and 2013. The main study findings show that the development of HRM is associated with the key stages of economic development in Vietnam.     

Risk perceptions across the current political spectrum in Finland: a study of party members

Political party member perceptions of risk continue to attract a great deal of attention in current public discourse and media coverage, yet little research exists in terms of a comparative analysis of Finnish political parties’ views on the issue. Party members are in many ways a highly significant social group, one that exercises a great deal of decision-making power in modern civil societies. This article provides a novel and up-to-date look into the key areas of perceived risk held by the members of Finland’s political parties, in addition to a comparison of inter-party differences and similarities. The analysis is based on a unique survey data-set of the members of Finland’s six major political parties (N = 12,427). Included are the Finns Party, Centre Party, Left Alliance, Social Democratic Party, Green League and National Coalition Party. Together, these represent the political spectrum in Finland. Risk factors included primary categories dealing with various national, institutional, cultural and economic issues. Also included in the analysis was a look into whether length of party membership affects risk concern for the included issues. Findings showed that national and external risks were more of a concern for the Finns Party, while the Left and the Social Democrats considered economic issues a greater risk than did others. Furthermore, economic risk was most concerning to the left while external risks were generally viewed in line with the current centre-right administration. Some notable differences between old and new party members were also found. Findings emphasize the importance of understanding how political party members differ in their views of various societal risks while providing new points of comparison between those parties toward improved clarity of the national political landscape.     

Delinquency and Default in Arms: The Effects of Protected Equity and Loss Aversion

This paper extends the extant literature in understanding the effects of equity and debt on delinquency and default by focusing on a variant of borrower equity where part of equity is “protected”. The CPF scheme in Singapore stipulates that the refund of borrower’s retirement funds utilized for property purchase prior to September 2002 takes priority over loan obligations. A decision to utilize CPF for property purchase actually increases ex post delinquency and default risk as it effectively reduces cash equity commitment. In particular, any erosion in house value that places protected equity at risk translates into potential wealth reduction or financial liability for the borrower. While loss aversion is evident for non-distressed sellers, the effect of equity losses for distressed borrowers is not as clear. Our research suggests that averting losses in committed equity may be a secondary consideration for borrower subject to income shocks, recognizing that delinquency and default are precursors to foreclosure. Interestingly, we find that the borrowers are strongly averse to incurring protected equity-induced wealth loss or financial liability. This study suggests that the first-lien “anomaly” associated with CPF refund may reduce delinquency and default risks for mortgage backed securities.

Identification and Occupational Stress: A Stress‐Buffering Perspective

Occupational stress research has consistently demonstrated many negative effects of work stressors on employee adjustment (i.e., job‐related attitudes and health). Considerable literature also describes potential moderators of this relationship. While research has revealed that different workplace identifications can have significant positive effects on employee adjustment, it has neglected to investigate their potential stress‐buffering effects. Based on identity theories, it was predicted that stress‐buffering effects of different types of identifications (distal versus proximal) would be revealed when the identification type and employee adjustment outcome type (distal versus proximal) were congruent. Predictions were tested with an employee sample from five human service nonprofit organizations (N = 337). Hierarchical multiple regression analyses revealed that main and moderated effects relating to identification supported the notion that occupational stress would be reduced when there was congruence of distal and proximal identifications and distal and proximal outcome types. However, stress‐buffering effects were also found for high identifiers and low identifiers that were not in line with hypotheses posing questions for the definitions of distal and proximal identifications. Findings are discussed in terms of theoretical and practical implications. © 2013 Wiley Periodicals, Inc.     

The effects of retail channel integration through the use of information technologies on firm performance

The ability of information technologies (ITs) to integrate activities and offerings across multiple channels offers a promising opportunity for retail firms to enhance their relationship with their customers and firm performance. Consumers value the flexibility to learn about the available offerings, complete their orders and obtain customer service across different channels in a convenient and integrated manner. Therefore, the retail industry has begun to use IT extensively to automate and integrate business processes across their traditional and online channels. This study examines the impacts of the use of IT by retail firms in integrating channel activities for selling to customers. Our research model argues that retail channel integration through IT should enhance the efficiency and innovation of a retail firm. In turn, these improvements should enhance their overall performance. We also propose that the environmental dynamism would moderate the effects of improvements in efficiency and innovation on firm performance. We draw upon recent theories in organizational resource integration and organizational learning to develop our research model and hypotheses. Based on survey data from 125 multichannel retailers in Singapore, we find that retail channel integration through the use of IT allows firms to not only be efficient in delivering the current offerings, but also be innovative in creating future offerings. Further, we find that environmental dynamism does positively moderate the effects of innovation ability on performance. Our results provide managerial insights for firms involved in digital integration not only in the retail sector but also in other service industries. These findings could also serve as a foundation for further research on service operations management for firms with both physical and online operations.