AIM:To compare program costs of chronic hepatitis B(CHB) screening and treatment using Australian and other published CHB treatment guidelines.METHODS:Economic modeling demonstrated that in Australia a strategy of hep...AIM:To compare program costs of chronic hepatitis B(CHB) screening and treatment using Australian and other published CHB treatment guidelines.METHODS:Economic modeling demonstrated that in Australia a strategy of hepatocellular cancer(HCC) prevention in patients with CHB is more cost-effective than current standard care,or HCC screening.Based upon this model,we developed the B positive program to optimize CHB management of Australians born in countries of high CHB prevalence.We estimated CHB program costs using the B positive program algorithm and compared them to estimated costs of using the CHB treatment guidelines published by the AsianPacific,American and European Associations for the Study of Liver Disease(APASL,AASLD,EASL) and those suggested by an independent United States hepatology panel.We used a Markov model that factored in the costs of CHB screening and treatment,individualized by viral load and alanine aminotransferase levels,and calculated the relative costs of program components.Costs were discounted by 5% and calculated in Australian dollars(AUD).RESULTS:Using the B positive algorithm,total program costs amount to 13 979 224 AUD,or 9634 AUD per patient.The least costly strategy is based upon using the AASLD guidelines,which would cost 34% less than our B positive algorithm.Using the EASL and the United States Expert Group guidelines would increase program costs by 46%.The largest expenditure relates to the cost of drug treatment(66.9% of total program costs).The contribution of CHB surveillance(20.2%) and HCC screening and surveillance(6.6%) is small-and together they represent only approximately a quarter of the total program costs.CONCLUSION:The significant cost variations in CHB screening and treatment using different guidelines are relevant for clinicians and policy makers involved in designing population-based disease control programs.展开更多
The paper presents a comparative analysis of the "Youth Guarantee Plan" implemented by two Italian regions: Emilia Romagna and Sicily. Within the tradition of the sociology of public action, the study proposes a de...The paper presents a comparative analysis of the "Youth Guarantee Plan" implemented by two Italian regions: Emilia Romagna and Sicily. Within the tradition of the sociology of public action, the study proposes a deepening of the institutional and cognitive analysis of public policies. From the comparison, two distinct models of public action emerge: The first model that implemented by the Emilia Romagna Region, appears more procedural and more founded on the involvement of institutions present in the territory (employment centres, universities, chambers of commerce, professional bodies), whilst the second model, implemented by the Sicily Region, seems founded mainly on the emphasis placed on the economistic definition of the policy. From the study, most of all, the processes through which the distinct regional public actions succeed in interpreting the innovative potential of the Youth Guarantee Plan and the relations existing between the effectiveness of the policies and the collective meanings that institutions and individuals assign to them, emerge.展开更多
Based on circular economy and sustainable manufacture theories, the drawbacks in the existing quality management models are analyzed. The requests that satisfy the big system 'environment-society-economy' are ...Based on circular economy and sustainable manufacture theories, the drawbacks in the existing quality management models are analyzed. The requests that satisfy the big system 'environment-society-economy' are summarized to build up a model. A Chinese traditional cultural principle is applied and the relevant contents are sublimated as the platform to set up the model. The new quality management concept models are put forward: 'T-D-R' three dimension structures and 'ecological quality loop' model, from which the new quality concepts are formed. The paper elaborates the contents and the process of setting up the models. The big system quality problems can be handled by the new quality concept and model that are validated in practice.展开更多
The main aim of this paper is to test whether the foreign currency translation adjustments (FCTAs), the largest components of other comprehensive income (OCI) for most firms, are incrementally value-relevant for i...The main aim of this paper is to test whether the foreign currency translation adjustments (FCTAs), the largest components of other comprehensive income (OCI) for most firms, are incrementally value-relevant for investors with respect to the net income (NI). Previous archival research on the value relevance of FCTAs has documented a weak or non-existent link between FCTAs and firm valuation (Pinto, 2005). The hypothesized reasons could reside in the econometric method employed, in the use of as-if numbers, and in the missing consideration of the differential effect that exchange rate changes have on firms of varying levels of capital intensiveness. This study adds to the existing literature by empirically testing the value relevance of as-reported FCTAs numbers in the earnings and book value model the Ohlson-like interacted model through panel data techniques. The main finding of this study is that as-reported FCTAs are significantly and incrementally value-relevant, when their parameter estimates are allowed to vary in the cross-section.展开更多
Almost a decade has elapsed since the outbreak of the international financial crisis, during which the West was trapped in a dilemma unprecedented since the end of the Second World War. The problems facing the West, p...Almost a decade has elapsed since the outbreak of the international financial crisis, during which the West was trapped in a dilemma unprecedented since the end of the Second World War. The problems facing the West, particularly those of Europe and the US, are fundamental and institutional, including reduced economic superiority, political systems and development models seriously questioned, and increasing terrorist attacks bringing up security chaUenges, to mention just a few. Western obsession with multiple crises is another new factor of change with structural impacts on both the international structure and order over the past nearly thirty years following the disintegration of the Soviet Union and collective rise of emerging economies. The aftermath: the power and influence of the West is declining, with the grand trend of rising East and declining West persisting in the international structure; both Europe and the US have made major adjustments on their foreign strategies, while their value diplomacy offensive has been frustrated, and while trade protectionism is on the rise; and the major power relationship has seen a new round of adjustment. A comprehensive and in-depth understanding of the drastic changes in the West may help China stick to its own development path and promote global governance with more self-confidence so as to make more contributions to world peace, stability and development.展开更多
基金Supported by A Cancer Council NSW grant,to George Jthe Robert W Storr bequest to the Sydney Medical Foundationgrants from the NHMRC
文摘AIM:To compare program costs of chronic hepatitis B(CHB) screening and treatment using Australian and other published CHB treatment guidelines.METHODS:Economic modeling demonstrated that in Australia a strategy of hepatocellular cancer(HCC) prevention in patients with CHB is more cost-effective than current standard care,or HCC screening.Based upon this model,we developed the B positive program to optimize CHB management of Australians born in countries of high CHB prevalence.We estimated CHB program costs using the B positive program algorithm and compared them to estimated costs of using the CHB treatment guidelines published by the AsianPacific,American and European Associations for the Study of Liver Disease(APASL,AASLD,EASL) and those suggested by an independent United States hepatology panel.We used a Markov model that factored in the costs of CHB screening and treatment,individualized by viral load and alanine aminotransferase levels,and calculated the relative costs of program components.Costs were discounted by 5% and calculated in Australian dollars(AUD).RESULTS:Using the B positive algorithm,total program costs amount to 13 979 224 AUD,or 9634 AUD per patient.The least costly strategy is based upon using the AASLD guidelines,which would cost 34% less than our B positive algorithm.Using the EASL and the United States Expert Group guidelines would increase program costs by 46%.The largest expenditure relates to the cost of drug treatment(66.9% of total program costs).The contribution of CHB surveillance(20.2%) and HCC screening and surveillance(6.6%) is small-and together they represent only approximately a quarter of the total program costs.CONCLUSION:The significant cost variations in CHB screening and treatment using different guidelines are relevant for clinicians and policy makers involved in designing population-based disease control programs.
文摘The paper presents a comparative analysis of the "Youth Guarantee Plan" implemented by two Italian regions: Emilia Romagna and Sicily. Within the tradition of the sociology of public action, the study proposes a deepening of the institutional and cognitive analysis of public policies. From the comparison, two distinct models of public action emerge: The first model that implemented by the Emilia Romagna Region, appears more procedural and more founded on the involvement of institutions present in the territory (employment centres, universities, chambers of commerce, professional bodies), whilst the second model, implemented by the Sicily Region, seems founded mainly on the emphasis placed on the economistic definition of the policy. From the study, most of all, the processes through which the distinct regional public actions succeed in interpreting the innovative potential of the Youth Guarantee Plan and the relations existing between the effectiveness of the policies and the collective meanings that institutions and individuals assign to them, emerge.
基金The Support from Science Foundation(51489030205JB3501)
文摘Based on circular economy and sustainable manufacture theories, the drawbacks in the existing quality management models are analyzed. The requests that satisfy the big system 'environment-society-economy' are summarized to build up a model. A Chinese traditional cultural principle is applied and the relevant contents are sublimated as the platform to set up the model. The new quality management concept models are put forward: 'T-D-R' three dimension structures and 'ecological quality loop' model, from which the new quality concepts are formed. The paper elaborates the contents and the process of setting up the models. The big system quality problems can be handled by the new quality concept and model that are validated in practice.
文摘The main aim of this paper is to test whether the foreign currency translation adjustments (FCTAs), the largest components of other comprehensive income (OCI) for most firms, are incrementally value-relevant for investors with respect to the net income (NI). Previous archival research on the value relevance of FCTAs has documented a weak or non-existent link between FCTAs and firm valuation (Pinto, 2005). The hypothesized reasons could reside in the econometric method employed, in the use of as-if numbers, and in the missing consideration of the differential effect that exchange rate changes have on firms of varying levels of capital intensiveness. This study adds to the existing literature by empirically testing the value relevance of as-reported FCTAs numbers in the earnings and book value model the Ohlson-like interacted model through panel data techniques. The main finding of this study is that as-reported FCTAs are significantly and incrementally value-relevant, when their parameter estimates are allowed to vary in the cross-section.
文摘Almost a decade has elapsed since the outbreak of the international financial crisis, during which the West was trapped in a dilemma unprecedented since the end of the Second World War. The problems facing the West, particularly those of Europe and the US, are fundamental and institutional, including reduced economic superiority, political systems and development models seriously questioned, and increasing terrorist attacks bringing up security chaUenges, to mention just a few. Western obsession with multiple crises is another new factor of change with structural impacts on both the international structure and order over the past nearly thirty years following the disintegration of the Soviet Union and collective rise of emerging economies. The aftermath: the power and influence of the West is declining, with the grand trend of rising East and declining West persisting in the international structure; both Europe and the US have made major adjustments on their foreign strategies, while their value diplomacy offensive has been frustrated, and while trade protectionism is on the rise; and the major power relationship has seen a new round of adjustment. A comprehensive and in-depth understanding of the drastic changes in the West may help China stick to its own development path and promote global governance with more self-confidence so as to make more contributions to world peace, stability and development.