scholarly journals Cost effectiveness analysis of implementing tuberculosis screening among applicants for non-immigrant U.S. work visas

Pneumonia ◽  
2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Bisma Ali Sayed ◽  
Drew L. Posey ◽  
Brian Maskery ◽  
La’Marcus T. Wingate ◽  
Martin S. Cetron

Abstract Background While persons who receive immigrant and refugee visas are screened for active tuberculosis before admission into the United States, nonimmigrant visa applicants (NIVs) are not routinely screened and may enter the United States with infectious tuberculosis. Objectives We evaluated the costs and benefits of expanding pre-departure tuberculosis screening requirements to a subset of NIVs who arrive from a moderate (Mexico) or high (India) incidence tuberculosis country with temporary work visas. Methods We developed a decision tree model to evaluate the program costs and estimate the numbers of active tuberculosis cases that may be diagnosed in the United States in two scenarios: 1) “Screening”: screening and treatment for tuberculosis among NIVs in their home country with recommended U.S. follow-up for NIVs at elevated risk of active tuberculosis; and, 2) “No Screening” in their home country so that cases would be diagnosed passively and treatment occurs after entry into the United States. Costs were assessed from multiple perspectives, including multinational and U.S.-only perspectives. Results Under “Screening” versus “No Screening”, an estimated 179 active tuberculosis cases and 119 hospitalizations would be averted in the United States annually via predeparture treatment. From the U.S.-only perspective, this program would result in annual net cost savings of about $3.75 million. However, rom the multinational perspective, the screening program would cost $151,388 per U.S. case averted for Indian NIVs and $221,088 per U.S. case averted for Mexican NIVs. Conclusion From the U.S.-only perspective, the screening program would result in substantial cost savings in the form of reduced treatment and hospitalization costs. NIVs would incur increased pre-departure screening and treatment costs.

This essay is a response to Guillermo Ibarra’s contribution to this book, Global Perspectives on the United States. It argues that Ibarra’s essay can usefully remind readers of the many ways the U.S. and Latin America are connected. While Ibarra highlights the transnational nature of U.S. cities and how Mexican immigrants in the U.S. remain tied to communities in their home country while simultaneously embracing largely positive views of the U.S., Spellacy wants to situate Ibarra’s project in relation to scholarly and artistic works that conceive of the Americas as a space joined by historical ties and the continued traffic of people, ideas, commodities, and culture across national borders. Spellacy asks how a hemispheric understanding of the Americas could help us comprehend the new form of citizenship embraced by Mexican immigrants considered in Ibarra’s essay, and she suggests that it might be fruitful to think across disciplinary divides and consider these questions in relation to scholars working on hemispheric cultural studies. For example, she asks, if citizenship is performed rather than taken for granted, is it not important to consider the role culture plays in this process?


2010 ◽  
Vol 24 (3) ◽  
pp. 355-394 ◽  
Author(s):  
Luzi Hail ◽  
Christian Leuz ◽  
Peter Wysocki

SYNOPSIS: This article is Part I of a two-part series analyzing the economic and policy factors related to the potential adoption of IFRS by the United States. In this part, we develop the conceptual framework for our analysis of potential costs and benefits from IFRS adoption in the United States. Drawing on the academic literature in accounting, finance, and economics, we assess the potential impact of IFRS adoption on the quality and comparability of U.S. reporting practices, the ensuing capital market effects, and the potential costs of switching from U.S. GAAP to IFRS. We also discuss the compatibility of IFRS with the current U.S. regulatory and legal environment, as well as the possible macroeconomic effects of IFRS adoption. Our analysis shows that the decision to adopt IFRS mainly involves a cost-benefit trade-off between (1) recurring, albeit modest, comparability benefits for investors; (2) recurring future cost savings that will largely accrue to multinational companies; and (3) one-time transition costs borne by all firms and the U.S. economy as a whole, including those from adjustments to U.S. institutions. In Part II of the series (see Hail et al. 2010), we provide an analysis of the policy factors related to the decision and present several scenarios for the future evolution of U.S. accounting standards in light of the current global movement toward IFRS.


Author(s):  
Linda M. Nichols ◽  
Kurt H. Buerger

Formerly in the United States, most accounting principle changes were traditionally recorded using the cumulative effect method, wherein the net effect of the principle change flows through the income statement as a special item. International accounting standards, in comparison, have recorded accounting principle changes retrospectively by adjusting beginning stockholders equity in the year of the change. In 2002, the FASB began a convergence project with the IASB, in which they have and are attempting to agree on standard accounting treatments in areas in which the U.S. standards and IAS differ. The project initially looked at seventeen areas of difference in which it was believed that convergence could be reached. One of those areas was in accounting for principle changes. Resulting from the convergence project, the FASB issued SFAS No. 154 in 2005, which changes U.S. GAAP to require that accounting principle changes be recorded retrospectively, as is required by international standards. This study examines the decisions of statement users in the U.S., Germany, and Austria to determine if the method of accounting used for principle changes affects their decisions. The findings reveal that the method used in interaction with the home country of the user has a significant effect on the decisions of statement users.


Author(s):  
Hyunmin Kim ◽  
Jade Setias

ABSTRACTObjectiveAlthough there have been studies showing the determinants of obesity, there have been relatively little attention paid to other factors such as mental health disorders like depression and chronic illnesses like hypertension. In addition, there exists a controversy over the association between hypertension and depression. Thus, we have investigated the associations among hypertension, depression, and obesity by adjusting age, gender, race, and socioeconomic status. The data was from the 2011 National Health and Nutrition Examination Surveys (NHANES). MethodThis survey is conducted every year and in particular the data involves approximately 5,000 individuals of all ages in the United States, who completed the health examination component of the survey. We have utilized a logistic regression analysis to examine how hypertension, depression and obesity are associated one another. We have also used a proportional odds model to test how hypertension and depression may affect obesity. ResultThe main findings from the results of study are the following: first, being obese and feeling down, depressed or hopeless were associated with an increased likelihood of having hypertension and second, hypertension and depression may positively affect obesity. The findings suggest that as the determinants of obesity, depression and hypertension should be timely diagnosed and treated properly for considering the associations one another. By doing so, it can provide with the overall cost-savings and more importantly, people’s health.


Author(s):  
Dylan Jennings ◽  
Miguel Figliozzi

Road autonomous mobile robots have attracted the attention of delivery companies and policy makers owing to their potential to reduce costs and increase urban freight efficiency. Established delivery companies and new startups are investing in technologies that reduce delivery times, increase delivery drivers’ productivity, or both. In this context, the adoption of road automatic (or autonomous) delivery robots (RADRs) has a growing appeal. Several RADRs are currently being tested in the United States. The key novel contributions of this research are: (a) an analysis of the characteristics and regulation of RADRs in the U.S. and (b) a study of the relative travel, time, and cost efficiencies that RADRs can bring about when compared to traditional van deliveries. The results show that RADRs can provide substantial cost savings in many scenarios, but in all cases at the expense of substantially higher vehicle miles per customer served. Unlike sidewalk autonomous delivery robots (SADRs), it is possible the RADRs will contribute significantly to additional vehicle miles per customer served.


2007 ◽  
Vol 2 (4) ◽  
Author(s):  
E. DeMichele ◽  
P. S. Machno ◽  
L. A. Stone

The U.S. National Biosolids Partnership (NBP), an alliance of the U.S. Environmental Protection Agency (USEPA), National Association of Clean Water Agencies (NACWA) and Water Environment Federation (WEF), was formed in 1997 in response to public acceptance issues dealing with biosolids management. The United States Congress provides funding to assist public agencies to improve existing biosolids management programs to maintain/achieve public support. The key to a successful program is systematic management and an independent third party audit to assure organizations are managing biosolids to meet the requirements of an excellent biosolids management program. The NBP program utilizes the ISO 14001 Environmental Management System principles. The program has defined 17 components of excellent biosolids management and the independent third party audit program. One hundred organizations are participating in the program and 16 agencies have been “certified” though a third party audit. The smallest agency serves a community of 200 people and the largest treats over a billion gallons a day. Participants are benefiting through cost savings, efficiencies and better public trust.


2013 ◽  
Vol 3 (1) ◽  
pp. 72-75
Author(s):  
Jongyeon Ee

Kim, a doctoral student from South Korea, went to a grocery store after being in the U.S. for only one week. When he got to a counter to pay for the items that he picked up, a clerk asked if Kim wanted cash back when he paid with his debit card. Since there was no cash back system in grocery markets in his home country, Kim did not understand right away what the clerk meant. Kim seemed to be puzzled and responded, “Yes, I want cash [back]” but changed his answer in a few seconds, “No, no, no. [I] don’t need [it].” On hearing him, the clerk whispered to another clerk:, “He’s an idiot.”


2016 ◽  
Vol 9 (2) ◽  
pp. 462-466 ◽  
Author(s):  
Samantha C. January

Resilience has become a popular buzzword in society today, both inside and outside academia. If you look at the mission statement of most companies nowadays, you are likely to come across some form of the term resilience. The United States Army has adopted The Ready and Resilient Campaign, which seeks to build and maintain resilience across all forces and integrate resilience into the culture of the U.S. Army so that improvements can be made in soldier resilience and unit readiness.


Author(s):  
Rosina Lozano

An American Language is a political history of the Spanish language in the United States. The nation has always been multilingual and the Spanish language in particular has remained as an important political issue into the present. After the U.S.-Mexican War, the Spanish language became a language of politics as Spanish speakers in the U.S. Southwest used it to build territorial and state governments. In the twentieth century, Spanish became a political language where speakers and those opposed to its use clashed over what Spanish's presence in the United States meant. This book recovers this story by using evidence that includes Spanish language newspapers, letters, state and territorial session laws, and federal archives to profile the struggle and resilience of Spanish speakers who advocated for their language rights as U.S. citizens. Comparing Spanish as a language of politics and as a political language across the Southwest and noncontiguous territories provides an opportunity to measure shifts in allegiance to the nation and exposes differing forms of nationalism. Language concessions and continued use of Spanish is a measure of power. Official language recognition by federal or state officials validates Spanish speakers' claims to US citizenship. The long history of policies relating to language in the United States provides a way to measure how U.S. visions of itself have shifted due to continuous migration from Latin America. Spanish-speaking U.S. citizens are crucial arbiters of Spanish language politics and their successes have broader implications on national policy and our understanding of Americans.


2018 ◽  
Vol 47 (3) ◽  
pp. 130-134

This section, updated regularly on the blog Palestine Square, covers popular conversations related to the Palestinians and the Arab-Israeli conflict during the quarter 16 November 2017 to 15 February 2018: #JerusalemIstheCapitalofPalestine went viral after U.S. president Donald Trump recognized Jerusalem as the capital of Israel and announced his intention to move the U.S. embassy there from Tel Aviv. The arrest of Palestinian teenager Ahed Tamimi for slapping an Israeli soldier also prompted a viral campaign under the hashtag #FreeAhed. A smaller campaign protested the exclusion of Palestinian human rights from the agenda of the annual Creating Change conference organized by the US-based National LGBTQ Task Force in Washington. And, UNRWA publicized its emergency funding appeal, following the decision of the United States to slash funding to the organization, with the hashtag #DignityIsPriceless.


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