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.     

Development of an inclined plate jet reactor system

A new design combines reaction or extraction and separation in one unit. Here are practical working details.     

Framing Work Through a Socio-technical Ensemble: The Case of Butler Co.

The paper argues for conceptualizing technology as a socio-technical ensemble which emerges from the socio-political context of the organization. This perspective is used to inform a case study carried out within a consumer goods company, where the focus is upon the configuration of work and technology associated with the job of sales representative. It is argued that the acquiescence and compliance of the sales representatives are to be understood primarily on the basis of senior management's effective deployment of its power resource through 'enacting the environment', the configuration and utilization of the ensemble, and its employment strategy. 'Closure' and 'stabilization' had occurred, and the ensemble was operating on a number of levels.     

Rio reconstruction and flood prevention in Brazil

Until the Rio Flood Reconstruction and Prevention Project, disaster-related projects funded by the World Bank focused primarily on reconstruction, especially immediate, short-term recovery. The Rio de Janeiro project was notable as a targeted effort to reduce disaster vulnerability by promoting long-term multisectoral development strategies. It taught that reconstruction projects must address specific disaster vulnerabilities as well as cross-sectoral needs in Improving urban environmental management. The project represents a significant step towards developing a strategy for long-term prevention and mitigation of natural disasters and environmental degradation. It is also a good example of an effort to develop support for long-term environmental policies by strengthening indigenous managerial and planning capabilities—something that was not possible in short-term recovery projects.     

Constructing and using a company Intranet: 'it's a very cultural thing'

Organisational Intranets provide a testing ground where certain theories of technology and organisations meet with emerging innovative practice. This paper develops a theoretical framework that is used to analyse a case study of the adoption, introduction and use of a company Intranet focusing on the competing representations of the Intranet presented by the staff involved.     

Supporting virtual organizations through constraint fusion

The formation and operation of dynamic and open virtual organizations is a central concern in business‐to‐business e‐commerce. Virtual organizations enable partner companies to develop and manufacture customized products with low costs and rapid delivery. Agent‐based architectures are an effective platform for such virtual organizations because they provide mechanisms to allow organizations to advertise their capabilities, exchange rich information, and synchronize workflows at a high level of abstraction. In this paper, we examine the KRAFT architecture and its features for supporting virtual organizations. In particular, we focus upon KRAFT's agent‐based architecture, and its use of constraints as a knowledge‐exchange medium. We show how constraint fusion supports the design of customized products. © 2001 John Wiley & Sons, Ltd.     

Asking ‘Why’ in AI: Explainability of intelligent systems – perspectives and challenges

Recent rapid progress in machine learning (ML), particularly so‐called ‘deep learning’, has led to a resurgence in interest in explainability of artificial intelligence (AI) systems, reviving an area of research dating back to the 1970s. The aim of this article is to view current issues concerning ML‐based AI systems from the perspective of classical AI, showing that the fundamental problems are far from new, and arguing that elements of that earlier work offer routes to making progress towards explainable AI today.     

NAFTA Chapter 11: “Tantamount to Expropriation”: Tantamount to Explosive

This paper provides an alternative methodology for testing the degree of international capital mobility through the analysis of a causality direction between the exchange rate and the interest rate for Sweden. The change of exchange rate regime in Sweden in 1992 is used here to illustrate how the alternative exchange rate regimes, fixed and floating, affect the degree of international capital flows. On the basis of new Granger non-causality testing procedures developed by Toda and Yamamoto (1995), the results exhibit that Granger-causality is unidirectional, running from interest rate to exchange rate under the floating exchange rate regime. The implication of this result is that the hypothesis of high capital mobility is supported only under the floating exchange rate regime.     

Framing Work Through a Socio-technical Ensemble: The Case of Butler Co.

The paper argues for conceptualizing technology as a socio-technical ensemble which emerges from the socio-political context of the organization. This perspective is used to inform a case study carried out within a consumer goods company, where the focus is upon the configuration of work and technology associated with the job of sales representative. It is argued that the acquiescence and compliance of the sales representatives are to be understood primarily on the basis of senior management's effective deployment of its power resource through 'enacting the environment', the configuration and utilization of the ensemble, and its employment strategy. 'Closure' and 'stabilization' had occurred, and the ensemble was operating on a number of levels.     

Incorporating international strategic alliances into overall firm strategy: A typology of six managerial objectives

This research differentiates between international strategic alliance (ISA) structures, functions, and objectives, focusing on the latter and the link to overall firm strategy. Six objectives are put forward–learning, leaning, leveraging, linking, leaping, and locking out–with a discussion of the strategic implications of each. From a theoretical perspective, it is suggested that more emphasis should be placed on ISA objectives as a means of supporting overall firm strategies, as opposed to focusing on ISA structures or functions. From an applied perspective, managers are encouraged to consider the long-term strategic implications inherent in specific alliance arrangements. © 1995 John Wiley & Sons, Inc.