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1.
This article explores the impact of immersive technologies like virtual and augmented reality on video game competitions.These electronic games are structured u...  相似文献   
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Abstract

Aims: This trial-based economic evaluation (EE) assesses from a societal perspective the cost-effectiveness of an intensive 3-day cognitive theory-based intervention (CDT), compared to care-as-usual, in patients with relapsing remitting multiple sclerosis (RRMS) and low disability (Expanded Disability Status Scale [EDDS] score < 4.0).

Materials and methods: The trial of the EE was registered in the Dutch Trial Register: Trial NL5158 (NTR5298). The incremental cost-effectiveness ratio (ICER) was expressed in cost on the Control sub-scale of the Multiple Sclerosis Self-Efficacy Scale (MSSES) and the incremental cost-utility ratio (ICUR) in the cost per Quality Adjusted Life Years (QALY) using the EQ-5D-5L. Bootstrap, sensitivity, and sub-group analyses were performed to determine the robustness of the findings.

Results: The two groups of 79 patients were similar in baseline characteristics. The base case ICER is situated in the northeast quadrant (€72 (40.74/€2,948)) due to a higher MSSES Control score and higher societal costs in the CDT group. The ICUR is situated in the northwest (inferior) quadrant due to losses in QALY and higher societal costs for the CDT group (?0.02/€2,948). Overall, bootstrap, sensitivity, and sub-group analyses confirm the base case findings. However, when the SF-6D is used as a study outcome, there is a high probability that the ICUR is situated in the northeast quadrant.

Limitations: The relative short follow-up time (6?months) and the unexpected increase in MSSES Control in the control group.

Conclusions: When using the EQ-5D-5L to calculate a QALY, CDT is not a cost-effective alternative in comparison to care as usual. However, when using self-efficacy or SF-6D as outcomes, there is a probability that CDT is cost-effective. Based on the current results, CDT for patients with RRMS clearly show its potential. However, an extended follow-up for the economic evaluation is warranted before a final decision on implementation can be made.  相似文献   
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The aim of the study is to examine how destination knowledge acquired by cruisers through different information sources (online versus others) can moderate destination image formation and the relationship of image–satisfaction–behavioural intentions in a port of call. A multiple group analysis with partial least square method was carried out using data collected from a major tourism destination in Spain: Valencia. The findings revealed knowledge acquired through different information sources is a moderator of the image–satisfaction and satisfaction–behavioural intention relationships. The destination image formation is also significantly different from one group to the other. The findings of this study have a number of practical implications.  相似文献   
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This paper investigates the impact of migration on the food expenditure and household food security status of migrant‐sending households using data from eastern Indonesia. We find that migration significantly increases food expenditure and overall household expenditure. Combining the food frequency and food consumption module of the Indonesia Family Life Survey (East), this paper shows that having at least one migrant in the family increases the composite index of Food Consumption Score, as well as the family's food security. Evaluation of food diversity also shows that migration increases expenditure on six out of ten food groups.  相似文献   
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In this paper we suggest that the dual role played by the IMF, as a creditor and as a monitor of economic reforms, might explain the lack of credibility of the Fund threat of sanctioning non-compliance with conditionality. Specifically, we show that the IMF's desire to preserve its reputation as a good monitor may distort its lending decisions towards some laxity. Moreover, such distortionary incentives may be exacerbated by the length of the relationship between a country and the Fund. Estimating a dynamic panel of 53 middle-income countries, for the period 1982–2001, we find that a longer relationship does increase IMF disbursements.  相似文献   
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In recent decades, changes in parents’ attitudes towards the importance of spending time with children to optimize their future behaviour and cognitive development have greatly affected patterns of time allocation among both working and nonworking parents in all developed countries. We compare the two waves of the Italian Time Use dataset (1988 and 2002) to analyse how family time allocation changed over time in a country that was undergoing a marked increase in female employment rate and a continuous decline in total fertility rate. We focus especially on how parents’ time with their children depends on their employment status and household characteristics. Using a simultaneous sequential approach, we consider links among the different time uses of individuals and correlations with spouses’ decisions. We find that wives’ time at work time strongly influences the time spent by both spouses with their children in 2002, but not in 1988. Fathers were much more involved in childcare and rearing in 2002 than in 1988. In general, as women's work time increased, substitutes for their childcare time were found within the household (fathers or other co-resident adults).  相似文献   
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ABSTRACT

There is growing evidence that nature-based recreation (NBR) during childhood promotes connectedness to nature, which in turn fuels NBR during adulthood. In addition to providing a number of health benefits, NBR participation may enhance leisure satisfaction, an important predictor of happiness and life satisfaction. In this exploratory study, we tested these hypothesised links using a path model with a cross-sectional sample of 224 Brazilian college students, where NBR participation during childhood increases connectedness to nature and NBR participation during adulthood, which in turn promotes leisure satisfaction. The model fit the data well χ2 (2) = 1.924, χ2/df = 0.962 (N = 220, p = .38), CFI = 1.00, AGFI = .978, GFI = .996, and RMSEA = .00, with results showing an indirect positive link between NBR during childhood and leisure satisfaction, and a direct link between NBR during adulthood and leisure satisfaction. The indirect effect of connectedness to nature on leisure satisfaction was also significant: NBR during childhood fostered connectedness to nature, which motivated NBR during adulthood and higher levels of leisure satisfaction. Leisure practitioners can improve people’s leisure satisfaction by promoting engagement in NBR activities across life stages and emphasising connection to nature.  相似文献   
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This study endeavors to enhance political marketing literature about the impact of lobbying on firm performance. Our sample is composed of 140 U.S. firms and spans the years 2007–2014 to encompass the 2007–2009 recession and the subsequent recovery period. Our findings indicate that lobbying expenses positively contribute to firm performance. Also, government contracts in both ways, dollar amount and number of government contracts, act as mediators between lobbying expenses and firm performance. In addition, organizational slack moderates the relationship between lobbying expenses and government contracts. The managerial implications suggest that lobbying expenses can be leveraged as a potent tool for firm performance. Firms with larger lobbying efforts acquired both, higher dollar amounts and a greater number of government contracts.  相似文献   
9.
Abstract.  Current debate on networking focuses on network structures and firm strategies. In this perspective, theoretical analysis has been concerned with allocative issues. This essay proposes a different interpretation. Starting from the existing theoretical framework, we emphasise the nature and the implications of different types of networks with respect to socio‐economic development from a distributional point of view. Within this context, we develop the analysis of subcontracting starting from the concept of economic power. We then provide an analysis of governance in production by considering the attitudes and the nature of the actors involved. The externalisation of activities by large transnationals, which characterises current corporate restructuring, is often related to the search for greater flexibility, but also for greater power over governments, labour, and subcontractors. Differently, networks based on the mutual dependence of actors, which are not necessarily built around a large firm, could – under particular conditions – reach large production scales or more complex scopes without breaking the links with territorial systems, thus including local objectives in the strategic decision‐making process. Our conclusion is that the impact of subcontracting networks varies enormously. This is crucial to an understanding of future trends and possibilities. Not least, firms and public policy agencies need to understand the implications of different forms of subcontracting network and how those forms actually differ in practice.  相似文献   
10.
Mortality forecasting has crucial implications for insurance and pension policies. A large amount of literature has proposed models to forecast mortality using cross-sectional (period) data instead of longitudinal (cohort) data. As a consequence, decisions are generally based on period life tables and summary measures such as period life expectancy, which reflect hypothetical mortality rather than the mortality actually experienced by a cohort. This study introduces a novel method to forecast cohort mortality and the cohort life expectancy of non-extinct cohorts. The intent is to complete the mortality profile of cohorts born up to 1960. The proposed method is based on the penalized composite link model for ungrouping data. The performance of the method is investigated using cohort mortality data retrieved from the Human Mortality Database for England & Wales, Sweden, and Switzerland for male and female populations.  相似文献   
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