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Purpose – To examine potential sex differences among American Indian and Alaska Native peoples (AIANs) in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs within the Indian Health Services (IHS).

Methodology/Approach – Data were drawn from the IHS Improving Healthcare Delivery Data Project with 437,608 persons in our analytical sample. We described sex and age differences in diabetes, comorbidities, healthcare utilization, and treatment costs among the adults with diabetes. We evaluated the statistical differences between men and women using confidence intervals calculated at the 95% level, with nonoverlapping confidence intervals indicating statistical significance.

Findings – The prevalence of diabetes among females was somewhat higher than that of males (10.82 vs 9.16%, respectively, p < 0.05). Among adults with diabetes, males had statistically higher prevalence of hypertension, cardiovascular disease, and substance use disorders and fewer mental health disorders compared to females. Although males had overall lower average cost of services than females, males had higher utilization for hospital inpatient services than females, and females used more outpatient services.

Research limitations/implications – We are limited to one fiscal year of data and thus cannot predict the influence of healthcare utilization patterns on the overall health of this population. Although a large sample, the findings are only generalizable to the active users of the participating IHS Service Units.

Originality/Value of Paper – This study fills a major gap in our knowledge of sex differences in diabetes prevalence, comorbidities, healthcare utilization, and treatment costs among AIANs. Differences in the comorbidities that characterized the AIAN adult males and females with diabetes in this sample have important implications for mortality and cost of care. Diabetes management that addresses such gender-specific comorbidities, particularly substance use disorders among men and mental health disorders among women, promises to reduce these comorbidities and related complications.

This article is concerned with the reconsideration of the proposition that monetary policy is more effective under flexible exchange rates than under fixed, in the light of the low elasticities of imports and exports with respect to the exchange rate that may prevail in the short run. It is shown that when the framework put forward in this context is modified, recent results are not generally supportable.

The purpose of the paper is to outline the global financial and economic crisis that began in 2007, together with the macroeconomic policy changes that were put in place as a result.

The content is partly descriptive and partly analytical.

The paper sets out the history of the financial and economic crisis to date.

This is determined by the subject matter, and consists mainly in the manner in which the material is presented.

Since the first Volume of this Bibliography there has been an explosion of literature in all the main areas of business. The researcher and librarian have to be able to uncover specific articles devoted to certain topics. This Bibliography is designed to help. Volume III, in addition to the annotated list of articles as the two previous volumes, contains further features to help the reader. Each entry within has been indexed according to the Fifth Edition of the SCIMP/SCAMP Thesaurus and thus provides a full subject index to facilitate rapid information retrieval. Each article has its own unique number and this is used in both the subject and author index. The first Volume of the Bibliography covered seven journals published by MCB University Press. This Volume now indexes 25 journals, indicating the greater depth, coverage and expansion of the subject areas concerned.

The nation's oldest greeting card company remakes itself with a slew of new products sold in entirely new venues.

The maritime industry is increasingly impacted by the Internet of things (IoT) through the automation of ships and port activities. This increased automation creates new security vulnerabilities for the maritime industry in cyberspace. Any obstruction in the global supply chain due to a cyberattack can cause catastrophic problems in the global economy. This paper aims to review automatic identification systems (AISs) aboard ships for cyber issues and weaknesses.

The authors do so by comparing the results of two receiver systems of the AIS in the Port of Houston; the JAMSS system aboard the Space Station and the “Harborlights” system for traffic control in the Port.

The authors find that inconsistent information is presented on the location of same ships at the same time in the Port. Upon further investigation with pilots, the authors find that these inconsistencies may be the result of the strength of power with which an AIS is transmitted. It appears the power may be reduced to the AIS in port but that it varies within port and varies by pilot operators. This practice may open the AIS system for tampering.

Further, this inconsistency may require further policy regulation to properly address cyber information in a port.