Cost-benefit Calculations Research Articles

Do I care for you or for me? Processing of protected and non-protected moral values in subjects with extreme scores on the Dark Triad

Protected moral values facilitate empathic concern for others, who are exposed to an existential threat, so that one spontaneously helps without taking into account utilitarian cost–benefit considerations. Subjects scoring high on the “Dark Triad” machiavellism, psychopathy, and narcissism are prone to ignore such appeals for selfless help. Until now, data on moral processing and moral decision-making following requests for altruistic help, which directly contrast appeals to protected and non-protected values in subjects with high and low scores on Dark Triad traits, have been missing. In this pilot study 25 healthy subjects with high and 27 with low Dark Triad scores participated in this functional magnetic resonance imaging study. We used a script-driven imagery paradigm to directly contrast requests for selfless help appealing to protected versus non-protected, negotiable moral values. Appeals to protected versus non-protected moral values elicited stronger activations in a large network including insula, amygdala, supramarginal gyrus, and dorsolateral prefrontal cortex. Non-protected values evoked stronger activation in superior frontal sulcus, occipito-temporal junction, and posterior cingulate cortex. During decision-making, high-scorers on the Dark Triad showed increased activations in the superior parietal lobule, precuneus, and intraparietal sulcus. Behaviorally, protected versus non-protected values strongly reduced the reliance on personal cost–benefit calculations in low-scorers, while high-scorers continued to rely on utilitarian deliberations. Data suggest that appeals to protected versus non-protected values activate distinct brain regions associated with strong moral emotions, other-directed cognition, and rule-based decision-making processes. High-scorers display an increased reliance on cost–benefit calculations, which persists even when protected values are threatened.

Antifungal stewardship in solid organ transplantation.

Antifungal stewardship (AFS) has emerged as an important component of quality in managing invasive fungal infections (IFIs), and cost-benefit calculations suggest regular training in AFS is well worth the effort. This review will discuss the most common IFIs in solid organ transplantation (SOT)-recipients, how to diagnose them, and current recommendations for antifungal treatment and prophylaxis before demonstrating key takeaway points of AFS in this high-risk population. Effective AFS starts before a patient is admitted for SOT, through education and regular interactions of the interdisciplinary clinical team involved in patient management, considering local factors such as epidemiological data and knowledge of diagnostic options including local turnaround times. Understanding the spectrum of antifungal agents, their efficacy and safety profiles, and pharmacokinetics, as well as duration of therapy is hereby essential. The most frequent IFIs in SOT recipients are caused by Candida species, followed by Aspergillus species, both with increasing resistance rates. Diagnosis of IFI can be challenging due to unspecific clinical presentation and difficult interpretation of microbiological findings and biomarkers. Prophylactic strategies, such as those for invasive aspergillosis in lung transplantation or invasive candidiasis (IC) in certain liver transplant settings, as well as the selection of the appropriate therapeutic agents require detailed knowledge on the pharmacokinetics and drug-drug interactions of antifungals. Here in this review, we address what constitutes good AFS in this heterogeneous field of solid organ transplant recipients.

How sociotechnical imaginaries shape consumers’ experiences of and responses to commercial data collection practices

ABSTRACT How is the ongoing “datafication” in society experienced by consumers? Critical discussions regarding the impact of datafication on consumers seldom study consumers’ actual experiences. Conversely, the studies that do exist of consumers and their experiences of datafication tend to take an individualistic approach, arguing that how consumers experience and respond to the ongoing datafication is the result of their individual psychological make-up or the result of processes of cost–benefit calculations. Against that background, this article will instead show that the ways in which consumers experience and respond to datafication is linked to a number of broader sociotechnical imaginaries. Based on in-depth user interviews and drawing on previous work on sociotechnical imaginaries, this article develops an analysis of consumers’ multiple imaginaries of data collection practices. Findings show that how consumers approach data collection operations is shaped by sociotechnical imaginaries that were both individually and collectively performed by consumers interacting with and using data-collecting devices.

Cost-benefit Analysis of Seismic Retrofitting Strategies for Residential Buildings in Surabaya, Indonesia

Surabaya has potential vulnerability to a seismic activity as it has residential buildings with unreinforced confined masonry structures. This building structure is vulnerable to the massive destruction during the earthquake. Retrofitting existing unreinforced masonry structures is necessary as a mitigation strategy. However, the lack of funding and the high cost of retrofitting adaptation have become major obstacles. This study discussed a cost-benefit analysis of the seismic retrofitting strategies in confined masonry buildings in Surabaya. We added practical column, structural beams and a combination of practical column and structural beams as the retrofitting model. The model was then compared to normal buildings for a cost-benefit analysis. The results demonstrated that adding practical columns could significantly reduce the building damage by 4.75 %. The additional combination of a practical column and structural beams shows zero damage to the building after the earthquake. The reinforcement of structural beams represents the highest cost-benefit ratio (44.44) due to the lowest retrofitting cost with 30.73% of damage. The costbenefit calculation is expected to give the community remarkable information regarding the critical value of seismic retrofitting to achieve the sustainable development.

EU Accession Conditionality and Compliance with the Energy Community Treaty: A Missing Link

EU accession conditionality is expected to be an incentive for third countries to apply EU energy rules. However, looking at the latest Energy Community (EnC) Implementation Report (2021), Ukraine, then a non-candidate country, performed better than the candidate country of Serbia in liberalizing its energy sector. Adopting the EU external governance approach, this article investigates whether this result depends on the EU’s bargaining power or, rather, on the domestic cost-benefit calculation of implementing the EnC acquis. While applying this legislation proves to be quite costly for both Serbia and Ukraine, the EU’s bargaining power turns out to have opposite effects in the two cases. This has increased in Ukraine as a result of the deterioration of relations between Moscow and Kiev, thus leading to an increasingly implementation of the EnC acquis. Conversely, the EU’s bargaining power has decreased in Serbia due to Russia’s significant presence in the country’s energy sector, which is a major obstacle to the implementation of the EnC legislation. A significant level of EU bargaining power has therefore the potential to reverse the impact of domestic factors, leading to a reconsideration of the role that international energy dynamics play in accession conditionality. Finally, conclusions are drawn on how the EnC can benefit from this finding and improve its effectiveness. Energy Community, EU external governance, Energy governance, Accession conditionality, Ukraine, Serbia

ALARP: when does reasonably practicable become rather pricey?

The Ionising Radiations Regulations 2017 require employers to restrict radiation doses to their employees and the public to be As Low As Reasonably Practicable. This article looks at the boundary between what might be considered to be reasonable and unreasonable in protecting staff and the general public in the field of hospital-based diagnostic radiology. A simple test for locating this boundary based on a cost-benefit approach is devised and its use illustrated using hospital-based radiation protection examples. It is concluded that a cost-benefit calculation based on the legal definition of As Low As Reasonably Practicable may have some use in the support of radiation protection decision-making in the hospital environment, but only within the context of existing legal, practical and ethical considerations.

“Stepping Down the Ladder”: The Impacts of Fossil Fuel Subsidy Removal in a Developing Country

This paper provides quasi-experimental evidence from Ghana on the impact of fossil fuel subsidy removal on cooking fuel choices. We find that households “stepped down the energy ladder”: modern fuel use decreased, while the use of transition and traditional fuels expanded. Price increases of 50% for liquefied petroleum gas (LPG) and 20% for diesel caused the share of households who mainly use firewood to increase by 3 percentage points. Urban households increased charcoal consumption by around 17%, while LPG expenditure remained constant—indicating that consumption dropped. Back-of-the-envelope cost-benefit calculations suggest that overall welfare costs, including from increased cooking-related greenhouse gas emissions, were slightly higher than fiscal savings. The LPG subsidy removal in particular was likely socially damaging. Our findings highlight the ambiguous impacts of removing LPG subsidies in developing-country contexts, where they contribute to the adoption and use of clean cooking fuels.

Exploring the Relationships between UN Sanctions and Mediation

Abstract Sanctions and mediation are often applied simultaneously by the UN, but there has been little systematic exploration of their interrelationships. Drawing on research from the Sanctions and Mediation Project (SMP), both complications and complementarities can be identified. Sanctions can complicate mediation by fostering exclusion, emboldening nonsanctioned parties, closing mediation space, undercutting mediator impartiality, and forcing premature agreements. At the same time, sanctions can complement mediation by deterring spoilers, breaking stalemates, incentivizing cooperation, modifying cost-benefit calculations, ensuring broad participation in talks, and facilitating the onset of talks. The conditions under which complementarity can be enhanced include UN Security Council unity, focus and coherence of mandates, and regional cooperation. This article concludes with policy recommendations for different institutional actors and some suggestions for future research.

대북 경제제재의 효과성 분석

This article concludes that UNSC economic sanctions on Byungjin Policy were effective in US-North Korea Hanoi Summit, investigating Kim Jong Un’s decision making to pursuit summit diplomacy was motivated by the urgency of sanctions lift. It can be presumed that Kim’s cost-benefit calculation pursuing his political survival, which is the top priority of the North Korean foreign policy, can be worked via not a nuclear programme but an economic improvement along with US-NK normalization.
 To empirically confirm research hypothesis whether UNSC sanctions coerced the failure of Byungjin Policy, this article investigated the correlation both Byungjin Policy and UNSC sanctions in 2013-2019. As a result, it is probable that dictator Kim would determine a strategic trade-off between dismantling Yongbyon nuclear facility and UNSC sanctions lift to secure economic improvement, which is a preliminary affair to prolonging his tenure in office. Given the effectiveness of UNSC sanctions on Byungjin policy, economic pressure on North Korean regime was at least effective to induce Kim’s recalibration as to political survival although economic sanctions hardly coerce North Korea’s denuclearization.

Educational Policies Matter: How Schooling Strategies Influence Refugee Adolescents' School Participation in Lower Secondary Education in Germany.

This article investigates the educational participation of refugee adolescents in Germany as a main European destination country of refugee migration. Opportunities and restrictions for school participation vary not only across countries–, but in the case of the Federal Republic of Germany, also within countries. The influence of different regional educational policies on refugees' educational participation and the extent to which they limit or enable individual agency, are however, widely understudied. We thus aim to analyze how different regional educational policies within Germany influence refugee students' educational participation regarding four central indicators: the duration until school enrollment, the type of class attended (newcomer vs. regular class), the type of school attended, and whether they are enrolled in settings appropriate for their age. We rely on a theoretical model which sees educational decisions as the result of rational cost-benefit calculations. The individual educational investments depend on individual motivations and resources within a given opportunity structure. We integrate the legal regulations via the opportunity structures into the theoretical model. Our analyses are based on data from 2,415 adolescents who were interviewed in the “ReGES–Refugees in the German Educational System” study. Our results show significant correlations between different regional educational policies and the four domains of educational participation. These effects remain stable when considering family and individual resources, as well as further control variables that previous research on social and ethnic educational inequality has shown to be relevant. Family and individual resources only partially influence educational participation. This indicates that refugee students and their parents have only limited options for action concerning their educational participation. Thus, our study shows that educational policies in fact matter: the assignment to a federal state plays a significant role in determining the duration until school enrollment, whether one is placed to a grade level age-appropriately, and whether one attends a newcomer class. Most significantly, legal regulations strongly influence refugees' chances of attending a higher school track (Gymnasium). Due to the low permeability of the German education system, this creates path dependencies for the further education and career paths of new immigrant students.

Brain stimulation over dorsomedial prefrontal cortex modulates effort-based decision making

Deciding whether to engage in strenuous mental activities requires trading-off the potential benefits against the costs of mental effort, but it is unknown which brain rhythms are causally involved in such cost-benefit calculations. We show that brain stimulation targeting midfrontal theta oscillations increases the engagement in goal-directed mental effort. Participants received transcranial alternating current stimulation over dorsomedial prefrontal cortex while deciding whether they are willing to perform a demanding working memory task for monetary rewards. Midfrontal theta tACS increased the willingness to exert mental effort for rewards while leaving working memory performance unchanged. Computational modelling using a hierarchical Bayesian drift diffusion model suggests that theta tACS shifts the starting bias before evidence accumulation towards high reward-high effort options without affecting the velocity of the evidence accumulation process. Our findings suggest that the motivation to engage in goal-directed mental effort can be increased via midfrontal tACS.

Push or Pull: What Drives Emigration from Lithuania?

This article investigates the main economic and non-economic determinants of population emigration from Lithuania. Our study offers a new approach for modelling the push and pull factors considering the push–pull link. We construct the relative variables and deploy mixed models for the macro data of Lithuania and 24 European destinations over 2010–2019. Our findings reveal that such economic variables as relative economic welfare, unemployment and income inequality are the key push–pull factors. The study results indicate that changes in relative welfare have the highest power to change Lithuanian emigration with the main impact recorded the same year, while changes in relative income inequality and unemployment affect fewer emigrants, and it takes one year for the effect to materialise. The obtained higher importance of relative welfare compared to the average wage suggests that the goods and services provided by the state play a role in the personal cost–benefit calculation of prospective emigrants. This study addresses the research gap on the quantitative push–pull factor evaluation, the timing of their impact, connectivity of the push–pull factors and structural changes, providing a foundation for future research on the root causes of emigration.

Children and the US Social Safety Net: Balancing Disincentives for Adults and Benefits for Children.

A hallmark of every developed nation is the provision of a social safety net-a collection of public programs that deliver aid to the poor. Because of their higher rates of poverty, children are often a major beneficiary of safety net programs. Countries vary considerably in both the amount of safety net aid to children and the design of their programs. The United States provides less aid to families with children as a share of GDP (0.6 percent) than most countries: Among 37 OECD countries, only Turkey provides less, as shown in Figure 1. Countries that provide less aid to families with children have higher rates of child poverty. Among these same 37 countries, only Turkey and Costa Rica have higher child poverty rates than the United States. Why does the United States appear to be such an outlier in terms of the amount of aid it provides to families and child poverty rates? While there are likely multiple reasons, in this paper we focus on one possible explanation: Past emphasis on the negative behavioral effects of safety net programs for families over the benefits of such programs for children.

It Takes Two to Tango: How the COVID-19 Vaccination Campaign in Israel Was Framed by the Health Ministry vs. the Television News

BackgroundThe internet has become a major resource in information transfer during COVID-19, and traditional means of communication are digitized and accessible online to the public at large.ObjectivesThis study seeks to examine how Israel's two main television news channels (Channel 12 and Channel 13) covered the Covid-19 vaccination campaign, compared to how the Ministry of Health ran the campaign.MethodsA qualitative study based on triangulation of online content analyses from three different sources: advertising campaigns, social media posts and reports on television news channels. The research sample included 252 reports from the newsrooms of Channel 13 (n = 151) and Channel N12 (n = 101), Israel's two leading news channels, all broadcast between December 1, 2020 and November 30, 2021. The sample also included posts from Israel Ministry of Health Facebook page and advertising campaigns from the Facebook page of the Israel Government Advertising Agency (LAPAM), which constructs advertising campaigns for the MOH (113 items).ResultsThe research findings reveal congruence between the way the MOH framed its vaccination campaign and news coverage of the vaccination issue. The vaccination campaign used three primary framing strategies: (1) positive framing (emphasizing the vaccine's advantages and stressing that the vaccine is safe and effective based on cost-benefit calculations and public health perspectives); (2) fear appeal strategy (conveying persuasive messages that seek to arouse fear through threats of impending danger or harm); (3) attribution of responsibility strategy (blaming the unvaccinated and targeting all those who criticized Israel's generic vaccination policy).ConclusionAs the watchdog of democracy, the news should function as a professional and objective source that criticizes government systems if necessary and strives to uncover the truth throughout the crisis. Public trust, which is so essential during such a crisis, can be achieved only if the news channels provide reports and meaningful journalistic investigations that challenge the system. By doing so, they can help fight conflicts of interest that divert management of the crisis from the professional health field to the political-economic arena.

The Reimbursement Rate of New Rural Cooperative Medical Scheme and Self-Rated Health Among Rural Middle-Aged and Elderly.

ObjectivesThe ultimate goal of the New Rural Cooperative Medical Scheme (NRCMS) is to improve physical and psychological health and aim to provide equitable, affordable, cost-effective healthcare services for all rural people. One of our major concerns from the perspective of policy outcome is whether middle-aged and elderly can benefit from the insurance to improve self-rated health. The main objectives of this study are to answer the questions that the reimbursement rate of the NRCMS is a possible explanation of why and how rural middle-aged and elderly shift from non-medical service inputs to medical service to produce health based on a family production theory.MethodsData were obtained from the China Health and Retirement Longitudinal Study (CHARLS) conducted in 2018, which involved 1,030 rural adults aged 45 years and older, and ordinal logistic regression estimator and two-step regression were used to examine these assumptions. Our approach controlled for the health status of those people at the same administrative level of the hospital.ResultsOur study shows some interesting results. First, the reimbursement rate of NRCMS predicted a higher level of SRH among rural middle-aged and elderly, but that all of the indirect effect of it on SRH could be explained in total by satisfaction of local medical services utilization (ab = 0.0492). Second, the results further showed that the odds ratio of satisfaction from affordable, convenient, high-quality medical services is 2.402 times (p < 0.01) greater for those with higher reimbursement levels than for their counterparts with lower reimbursement. Third, the odds ratios of inpatient care visit, outpatient care visit, and physical examination among policyholders of NRCMS are also 1.116, 1.628, and 1.08 times greater, respectively, than their counterparts who are not satisfied with these local medical services.ConclusionsOur results concluded that generous insurance reimbursement can reduce the price of healthcare and costs of utilization that both had a dramatic effect on SRH among middle-aged and elderly when their demand for medical treatment is incurred. The government should focus on the healthcare cost, utilization, and health benefit calculations of health insurance policy options at the stage of rapid aging in rural China.

Utility of a canine TSH assay for diagnosis and monitoring of feline hyperthyroidism.

This retrospective study was initiated to evaluate the utility of TSH measurements using a common canine TSH assay to diagnose and monitor feline hyperthyroidism after radioiodine or thyreostatic drug treatment. The electronic database of the University of Veterinary Medicine Vienna was searched for combined TSH and T4 measurements. 217 pairs of TSH and T4 from 136 cats with possible hyperthyroidism were assigned to group A (untreated; n = 24) and B (treated; n = 193). Measurements in group B were then subcategorized according to T4 concentrations (reference range 15-50 nmol/L): group B1 = elevated T4 (n = 46), group B2 = normal T4 (n = 84) and group B3 = decreased T4 (n = 63). Group B2 was further divided into cats with low normal (group B2a; n = 35), medium normal (group B2b; n = 29) and high normal (group B2c; n = 20) T4 concentrations. TSH was detectable in 4 (17 %) of the 24 untreated cats (group A) and did not return to normal despite seemingly successful therapy in two. Increased TSH concentrations were observed in 3.6 % of the treated cats in group B2 and 2.9 %, 6.9 %, and 0 % in subgroups B2a, B2b and B2c, respectively. Forty-four percent of the treated cats with a decreased T4 (group B3) had an increased TSH concentration. TSH correlated with treatment length (r = 0.358, p = 0.004) and was significantly higher in cats treated for more than 3 months (p = 0.008). TSH was detectable in a significant number of untreated hyperthyroid cats and thus this parameter should not be used to definitively rule out feline hyperthyroidism. Furthermore, the very low prevalence of increased TSH concentrations in treated hyperthyroid cats with a normal T4 and cost benefit calculations do not support the routine measurement of TSH in these cats. The fact that TSH correlated with time since treatment start and 56 % of the cats with a decreased T4 had TSH concentrations within the reference limits, suggests delayed recovery of the pituitary thyrotrophs which might explain the low prevalence of subclinical hypothyroidism in the present study. TSH measurement in cats with suspected or treated hyperthyroidism using a canine assay lacks diagnostic sensitivity and can only complement therapeutic decision-making.

Controversies in implementing non-invasive prenatal testing in a public antenatal care program.

Women's autonomy and an inclusive society for all individuals are highly valued in Norway. The Norwegian Biotechnology Act changed in 2020 allowing first-trimester screening and cell-free DNA for common trisomies to all pregnant women. However, implementing non-invasive prenatal testing (NIPT) in a public antenatal care program is difficult, because many patients, politicians, and medical professionals do not consider trisomy 21 a severe medical disease. Screening for trisomies at an early gestation might inevitably lead to an increase in pregnancy terminations and making cost-benefit calculations is ethically challenging. Moreover, offering NIPT to all pregnant women is debatable because of the lower prevalence of fetal trisomies in younger women. Therefore, appropriate genetic pre-test counseling is essential. Furthermore, organizing the service between private institutions and public hospitals poses another debate and challenges both quality and equal access to health services for women across the country.

Extension services can promote pasture restoration: Evidence from Brazil’s low carbon agriculture plan

Innovation and improved practices in the livestock sector represent key opportunities tomeet global climate goals. This paper provides evidence that extension services can pro-mote pasture restoration in cattle ranching in Brazil. We use a randomized controlledtrial implemented in the context of the ABC Cerrado (a large-scale program launched in2014 aimed at fostering technology adoption through a combination of training andtechnical assistance) to examine the effects of different types of extension on agriculturalpractices, input use, and productivity. Providing technical assistance to previously trainedproducers promoted pasture restoration, induced farmers to use inputs more intensively,helped them to improve their management and soil conservation practices, and substan-tially increased revenues. A cost–benefit calculation indicates that US$1 invested in theABC Cerrado program increased profits by US$1.08 to $1.45. Incorporating carbonsavings amplifies this return considerably.

Public administration reform and political will in cases of political instability: Insights from the Israeli experience

How do public administration reforms develop in cases of political instability? Administrative reform has always been on the agenda of governments. Ample literature discusses its necessity and the factors that are associated with both its successes and failures worldwide. Nevertheless, only a few studies discuss the impact of political instability on public administration reform. Focusing on the Israeli experience, we explore public administration reform in the context of political instability. Using content analysis and in-depth interviews, we highlight how political instability adds more costs to politicians’ cost-benefit calculations about actively promoting public administration reform, as well as how it blocks their desire to engage in mundane work when large, visible reforms have been proposed. Our findings indicate that the problems of non-governability and political instability that create the need for administrative reform also create powerful barriers to it—particularly the lack of political will.

Computer-mediated political expression: A conceptual framework of technological affordances and individual tradeoffs

ABSTRACT Digital media provide individuals platforms to express political views. Despite the significant scholarly attention to how and why political expression occurs through technologies and to what effect, research remains fragmented in its theoretical frameworks. The present work synthesizes research on computer-mediated communication and political communication to offer a framework that describes theoretically (a) which technological affordances lead (b) to which psychological processes with (c) which politically relevant actions. We address these questions in the context of four different technological affordances. In doing so, we emphasize the psychological cost-benefit calculations that occur when deciding whether to engage in political expression online.