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The favelas of Rio de Janeiro are some of the most dangerous places in the world. Havens for drug lords and their booming narcotics businesses, the urban slums that are home to 20 percent of the city’s population are notorious for soaring murder rates and a dearth of public services. Police often have little or no presence in most of Rio’s 800 favelas. And when they do, their conflicts with criminals frequently result in the killing of bystanders.

Brazilian officials have tried to bring order to the favelas with a set of policies and initiatives launched in 2008. A so-called pacification program has trained special teams of police to take a more targeted approach to fighting crime. The program has increased stability and reduced violence in about 30 favelas.

But Stanford researchers have found a hitch: When criminals are put out of business in one favela, they relocate to another. And that can lead to an increase in violence in the non-pacified slums.

“The cost of violence is disproportionately felt by the poor,” said Beatriz Magaloni, an associate professor of political science and senior fellow at Stanford’s Freeman Spogli Institute for International Studies. “Where there is violence, there is no investment. We are working with the government and the police and the community on ways to make these places safer and reduce that poverty by improving the quality of the police and devising ways to reduce the level of lethality they tend to use.”

To support the research she’s doing and the relationships she’s building in Brazil, Magaloni is working with FSI’s International Policy Implementation Lab, a new initiative that will bolster impact-oriented international research, problem-based teaching and long-term engagement with urgent policy implementation problems around the world.

Collaborating with a team of Stanford students, Magaloni is working with community groups, police organizations, government officials and other scholars to study existing policies and training procedures that could broaden the pacification program and make it more effective. The relationships have paid off with access to high-level government data, exclusive research findings and a pipeline between academics and policymakers that can improve living conditions for some of Rio’s poorest and most vulnerable people.

Her project is an example of the work being supported by the International Policy Implementation Lab, which recently awarded Magaloni’s project and those led by five other researchers a total of $210,000.

The lab, which is being supported in part by an initial $2 million gift from two anonymous donors, will grant another round of funding later this fiscal year to support projects led by Stanford faculty.

Recognizing that many Stanford scholars are engaged in international policy analysis, the Implementation Lab will help researchers who want to better understand policy implementation – a process often stymied by bureaucracy, politicking and budget constraints, but also often reflecting deliberation and experimentation by people across different countries, organizations, and cultures.

“The Implementation Lab will help us better understand health, security, poverty and governance challenges in an evolving world,” said FSI Director Mariano-Florentino Cuéllar.  “It will serve as a resource to foster communication across projects, so we can learn more about how implementation plays out in different settings and regions. Through the Implementation Lab, we can better engage faculty and students in understanding how policymakers and organizations change longstanding practices and actually execute policy.”

The Implementation Lab will support long-term projects grounded in policy-oriented research on a specific international topic. The projects must strive to connect scholarly research to interdisciplinary teaching, and will often involve long-term engagement with particular problems or international settings to better understand and inform the implementation of policy.

The first round of funding from the Implementation Lab will help shore up projects aimed at bolstering rural education in China, improving health care in India, curbing violence in Mexico and Brazil, and training government officials and business leaders in developing countries to improve economic growth and development.

And it will support a project led by political scientist Scott Sagan that uses online polling to better gauge the public’s tolerance for the use of nuclear weapons under certain scenarios – work that will lead to the collection of data that can inform how government officials craft military and diplomatic strategy.

“I can imagine two big benefits of the Implementation Lab,” said Sagan, a senior fellow at FSI and the institute’s Center for International Security and Cooperation.

“It will help pay for specific tasks that are sometimes not adequately funded elsewhere, especially in terms of student involvement,” he said. “And it will create a greater focus on policy implementation work that allows us to present our research results and see whether those results will have an impact on change.”

To encourage and support these ventures, the Implementation Lab will provide targeted funding, space for research projects and teaching, and a variety of support functions, including connections to on-campus resources that can assist with data visualization, locating interested students, and other tasks.  Those activities will be phased in during the next year based on the advice and feedback of faculty and others who are early participants.

The Implementation Lab is poised to be different from – but complementary to – other Stanford initiatives like the Hasso Plattner Institute of Design. FSI’s Implementation Lab is specifically focused on supporting long-term relationships and engaging students and faculty in the study of policy implementation in different national, organizational, and cultural settings.

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FSI Senior Fellow Grant Miller is working on improving health care in India.

“The Stanford International Policy Lab is creating an exciting new community that will catapult our ability to have meaningful and sustained policy engagement and impact through common learning and sharing of experiences with like-minded scholars from all corners of campus,” said Grant Miller, an associate professor of medicine and FSI senior fellow whose project on improving health care in India is being supported by the Implementation Lab.

Ann Arvin, Stanford’s vice provost and dean of research, said the International Policy Implementation Lab will help and encourage faculty to make their scholarship more relevant to pressing problems.

Demands for specialized resources, narrowly focused engagement of students, the ability to consider a long-term horizon, and an understanding of the often opaque processes of policy formulation and implementation pose considerable challenges for researchers seeking to enhance the potential of their policy-oriented research to achieve real impact.

“The International Policy Implementation Lab will help our faculty and students address these obstacles,” Arvin said. “We anticipate that this novel program will bring together Stanford scholars who seek solutions to different policy-related problems at various places around the world, but whose work is linked by the underlying similarities of these challenges. The Implementation Lab will give them the opportunity to learn from each other and share ideas and experiences about what succeeds and what is likely to fail when it comes to putting policy into practice.”

That’s what attracts Stephen Luby to the lab.

“The mistake that researchers often make is that they work in isolation,” said Luby, whose work on reducing pollution caused by the brick making industry in Bangladesh is being supported by the Implementation Lab. “Then they think they’re ready to engage in the implementation process, and realize they haven’t engaged with all the stakeholders. Policy implementation is an iterative process. You need feedback from all the right people along the way.”

Luby, a professor of medicine and senior fellow at FSI and the Stanford Woods Institute for the Environment, is working with brick makers and suppliers, as well as anthropologists and government regulators, to identify better ways to curb the pollution created by the coal-burning kilns throughout Bangladesh.

“Pneumonia is the leading cause of death among kids in Bangladesh,” Luby said. “And the brick kiln pollution is largely responsible for that. They’re using a 150-year-old technology to bake bricks, and there are better, cleaner ways to do it.”

But swapping coal-burning kilns for ones that are fired with cleaner natural gas is expensive, and there is little incentive for brick makers to change.

The government has passed regulations aimed at reducing pollution, but corruption, toothless laws and poor enforcement continue to undermine those policies.

"The country is caught in an equilibrium where people are getting cheap bricks but at a high cost to health and the environment,” Luby said. “We need to disrupt that equilibrium, and I look to the Implementation Lab to help us think this through. There’s a community of scholars who want to transform their work into implementation, and the lab will help convene them.”


For more information about FSI's International Policy Implementation Lab, please refer to this Concept Note or contact Elizabeth Gardner.

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Koret Distinguished Lecture Series: Lecture IV

From early 2012, South Korea-Japan relations worsened due to what many Koreans regard as a series of Japanese provocations involving historical and territorial disputes. Unfortunately, the neighbors failed to utilize the opportunity to improve the situation following leadership changes in both countries at the beginning of 2013. Today their bilateral relationship, long considered a cornerstone of peace and stability in Northeast Asia, appears to the worst since the normalization of diplomatic ties in 1965. Former Korean ambassador to Japan Shin Kak-soo will analyze the complicated structural reasons behind this downward spiral and explore whether differences over history can be addressed and an early diplomatic "reset" achieved.

Ambassador Shin has served various diplomatic positions during his thirty-five year career in foreign affairs, including service as ambassador to the State of Israel from 2006 to 2008 and to Japan from 2011 to 2013. He is currently a professor at the Korean National Diplomatic Academy and also a special research fellow at the Institute of Japanese Studies, Seoul National University.

The Koret Distinguished Lecture Series was established in 2013 with the generous support of the Koret Foundation

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Shin Kak-soo former Korean Ambassador to Japan Speaker
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Masahiko Aoki has been engaged with Stanford University for over four decades. He has witnessed the roots of Silicon Valley grow and seen the many successes of students who formerly passed through his classroom. Selected academic papers written over his 40-year academic career have recently been published.

Aoki is the Henri and Tomoye Takahashi professor emeritus of Japanese Studies in the department of economics and a senior fellow at the Stanford Institute for Economic Policy Research (SIEPR) and the Freeman Spogli Institute for International Studies (FSI), in residence at Shorenstein APARC.

You have been at Stanford since 1967 in different capacities – what has changed since then? Can you share some memories with us? 

I first came to Stanford as an assistant professor in 1967. Campus and the surrounding environment were different then – there were series of apricot orchards along El Camino to the south and my office was located in a wooden building – the old president’s house where the engineering buildings stand today. Changes at the university and in Silicon Valley have been fascinating to witness. I was away from Stanford in the 1970s, but when I came back in the 1980s, I had over 200 students at a time in my classes. This was because of widespread interest in Japan’s economic performance, which was then challenging American industries. Now students are inclined to be more interested in the rise of China. I share the same interest.

What has been most interesting for me is collaboration with graduate students and faculty to develop institutional studies. In the 1990s, I worked with Paul Milgrom, Avner Greif and Marcel Fafchamps among others, to initiate the field of comparative institutional analysis in the economics department. Greif and Fafchamps now have appointments in FSI like myself. Our research worked to understand why and how institutions matter to economic performance. However, my interests have expanded since then. I aim to understand relations between economic and demographic variables as well as institutional complementarities between economic institutions, social norms and political governance. As for my former students, many of them can now be found in important academic, government and private sector roles across the world.

What particular “lens” do you use to conduct your research?

Some influential economists understand that the nature of polity determines economic performance. They say this correlation is obvious if we compare the exploitative political regime like North Korea with that of a democratic political regime like South Korea. But this “lens” is a bit too simplistic for me. Why do ‘bad’ political regimes persist in some countries?  The relationship between political governance and economic performance is more complex than “the former simply causes the latter.”

To understand the relationship between political governance and the economy, I use game-theoretic concepts. While I am not a game theorist, I still believe that human interaction – whether economic, political or social – is a kind of game. People form beliefs based on how others play societal games. One of the important insights derived from these ideas is that political governance and economic institutions actually co-evolve. Furthermore, we need to look at the historical context to understand the present.

How have you applied these theories to the cases of Japan and the United States?

One of my major research interests has been the comparison of corporate governance across countries. Financial economists view the corporation as the property of stockholders. But we can also view the corporation as a system of distributed cognition. That is, the corporation is a group of people who have different cognitive roles and capabilities. Individuals can be organized to achieve economic value using physical assets as tools for respective cognitions.

By looking at corporations in this reversed way, we can identify different types of organizational architecture and their comparative advantages. In short, my research has found that managers’ cognitive assets are prioritized in U.S. corporate model, while workers’ entrepreneurial cognitive assets are prioritized in Silicon Valley’s model. In contrast, Japan favors a model where manager and workers’ cognitive assets are more interdependent.

You emphasize the connection between economics and demographics. What can be done about Japan and greater Asia’s rising demography problems?

Human capital is very valuable, but cultivating human capital is quite costly. Due to this constraint, the total fertility rate of women has declined as the economy develops. Scholars call this phenomenon the demographic transition. In addition, as economies further develop, people live longer and the working age population in the total population declines. Japan, Singapore and Taiwan are experiencing this phenomenon. Korea will follow this trend soon and at an even faster rate than Japan. Even if China modifies the one-child policy, the demographic dilemma cannot be escaped. And even for California, which is typically considered to be the youngest state in the U.S., a study predicts it will become the oldest state around year 2030.

So, what can be done to cope with this phenomenon? One option to raise the retirement age. Over two decades ago, Japan started this policy and has seen noted, positive effects. Another option is to increase and secure participation of women in the workforce. Across Asia, total populations are still rising due to immigration. Japan should consider liberalizing immigration. It is interesting to note that in the past 1,500 years Japan’s cultural development benefitted greatly from migration and assimilation of people, such as monks, political refugees and artists from Korea and China. 

With the recent execution of Abenomics, what performance can we expect to see from Japan’s economy in year 2014?

Abenomics has only been assessed in terms of short-term effects on the economy. Instead, my view is that Japan is now in the process of longer-term institutional change. Lifetime employment was the core of Japan’s overall institutional arrangement until some twenty years ago. The main banking system and government-industry relationship complemented and mutually reinforced lifetime employment. Though, with the demographic transition, the Japanese government has found it increasingly difficult to sustain. However, Japan’s institutional arrangements are normally very resilient. I think institutional transformation fitting this new demographic phenomena will require the duration of one generation. Institutions cannot be changed overnight by a revolution or government decree.

Of course, Abe could accelerate institutional adaptation by expanding the roles and opportunities for women and young people and creating more open foreign policy. This policy agenda may be related to the so-called “third arrow” of Abenomics, a period of structural reform following monetary easing and fiscal stimulus. But what Abe can do and has the willingness to do has yet to be fully seen. Thus, if we believe that Japan started the process of institutional change in the early 1990s and requires one generation to attain visible outcomes, the next several years are crucial. Tokyo has been chosen as the host city for the 2020 summer Olympics. I hope this event will act as Japan’s opportunity to display its changes to the international audience. 

The Faculty Spotlight Q&A series highlights a different faculty member at Shorenstein APARC each month giving a personal look at his or her teaching approaches and outlook on related topics and upcoming activities.

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In an interview with Ars Technica about the visit to the Bay area of North Korean defectors, KSP associate director David Straub criticized their launching of propaganda-carrying balloons into North Korea as irresponsible in light of North Korean threats to retaliate by again attacking South Korea militarily. Although not included in the published interview, Straub prefaced his comments by noting that he "strongly agree[d] on the need to provide the North Korean people with as much information as possible about the outside world and their situation in it," but questioned the effectiveness of the balloon campaign compared to other, less provocative means.

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Koret Distinguished Lecture Series: Lecture III

South Korean President Park Geun-hye recently made headlines by declaring that Korean unification would represent a huge bonanza for both the Korean people and the international community, rather than pose unacceptable risks and costs, as some have argued. The core goal and ultimate aim of her trustpolitik toward North Korea is in fact the unification of the divided Korean Peninsula. Unification will end a highly abnormal situation, resolve the nuclear issue, and provide a peace dividend not only to the Korean people but also to the United States and countries in the region. Trustpolitik aims to achieve unification by establishing sustainable peace on the Korean Peninsula, inducing positive change in North Korea, and mobilizing international support for unification. Kim Hwang-sik, South Korea’s prime minister from 2010-2013, will lay out President Parks vision for a unified Korea and her plan to achieve it, and explain why the United States should strongly support the effort. 

Born in South Jeolla Province in 1948, Kim Hwang-sik studied law at Marburg University in Germany and graduated from Seoul National University in 1971. He passed the National Judicial Examination in 1972 and then served as judge in district and high courts, becoming president of the Kwangju district court and, from 2005 to 2008, a Supreme Court justice. He served as chairman of the Board of Audit and Inspection from 2008 to 2010, and as President Lee Myung-baks prime minister from October 2010 to February 2013.

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Kim Hwang-sik former Prime Minister of South Korea Speaker
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The number of obese and overweight people continues to rise in developing countries – Cambodia is no exception. Obesity and being overweight are in turn associated with a higher risk of chronic non-communicable diseases like diabetes. However, the relationship between body weight and disease risk may not be the same in different countries. If Asian populations show an elevated risk of disease at a lower body weight than in the west, policy recommendations based on western body mass index (BMI) standards may not be appropriate.

How should healthcare providers counsel patients and policymakers design policies to reduce risk and create prevention strategies in Cambodia, as well as elsewhere across the Asia-Pacific?

Former Developing Asia Heath Policy Fellow Siyan Yi, joined by other global health experts, considered these questions and recently published his findings in “Appropriate Body Mass Index and Waist Circumference Cutoff for Overweight and Central Obesity among Adults in Cambodia” in PLOSOne, Vol. 8, Issue 10, (October 2013).

Using cross-sectional data from a national survey conducted by the World Health Organization and Ministry of Health in Cambodia, the study aimed to identify the appropriate BMI and waist circumference (WC) cutoff to understand which individuals are considered overweight and thus have an elevated risk of disease.

For both men and women, significant associations were found between individuals who had diabetes, hypertension, and high cholesterol and a WC of greater than/equal to 80.0 cm and a BMI of greater than/equal to 23.0 kg/m2. Therefore, the study suggests that relevant cutoff to determine obesity designation is a WC 80.0 cm and a BMI 23.0 kg/m2, which is lower than the standard cut-off in the west.

The article findings may be particularly helpful to health policymakers in Cambodia. It is the first study of its kind – using nationwide data to suggest specific WC and BMI cutoff among Cambodian adults. The cutoff can act as a benchmark for health care providers to administer proper diagnosis. Furthermore, national public health programs could be developed to better target this population for health improvement.

Yi is now the Research Director of Population Health & Development at Khmer HIV/AIDS NGO Alliance (KHANA), an NGO in Cambodia that provides integrative HIV/AIDS prevention and support services.

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Japan’s first decade of the twenty-first century was both disappointing and bewildering, producing wildly contrasting evaluations. Many have come to call this period the “second lost decade,” characterized by policy paralysis and overall lackluster economic growth.

For those studying Japan more closely, however, the same decades reveal nothing short of a broad transformation in numerous core tenets of Japan’s postwar political economy. How can we best capture this transformation?

Each chapter in this volume examines a different aspect of Japan’s political economy within a longer historical trajectory, from multiple angles, to depict a flexible but resilient system. We characterize Japan’s process of change as syncretism—practices foreign, domestic, old and new were selectively adopted, mixed and matched, along the way creating a new and unique hybrid system.


Syncretism: The Politics of Economic Restructuring and System Reform in Japan, edited by Kenji E. Kushida, Kay Shimizu, and Jean C. Oi, is available for purchase from Brookings Institution Press.

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With rising tensions over history and territory among Asian nations, China's rise as a regional power, and a so called rebalancing of the American role and presence our two most important alliances in the region will demand careful management in future years. What should we, and our partners in Japan and South Korea, be doing to assure that our alliances remain vibrant and relevant in this evolving regional context?

Ambassador Bosworth is a former career diplomat, he served as U.S. Ambassador to the Republic of Korea, the Philippines, and Tunisia. Most recently, he served as U.S. Special Representative for North Korea Policy for the Obama administration.

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Payne Distinguished Lecturer, Shorenstein Asia-Pacific Research Center, Freeman Spogli Institute for International Studies
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Stephen W. Bosworth was a Payne Distinguished Lecturer at the Walter H. Shorenstein Asia-Pacific Research Center in Freeman Spogli Institute for International Studies. He was a Senior Fellow at The Belfer Center for Science and International Affairs at the John F. Kennedy School of Government, Harvard University. He was also the Chairman of the U.S.-Korea Institute at the Johns Hopkins University Paul H. Nitze School of Advanced International Studies (SAIS). From 2001-2013, he served as Dean of The Fletcher School of Law and Diplomacy at Tufts University, where he then served as Dean Emeritus. He also served as the United States Ambassador to the Republic of Korea from 1997-2001.

From 1995-1997, Bosworth was the Executive Director of the Korean Peninsula Energy Development Organization [KEDO], an inter-governmental organization established by the United States, the Republic of Korea, and Japan to deal with North Korea. Before joining KEDO, he served seven years as President of the United States Japan Foundation, a private American grant-making institution. He also taught International Relations at Columbia University’s School of International and Public Affairs from 1990 to 1994. In 1993, he was the Sol Linowitz Visiting Professor at Hamilton College. He co-authored several studies on public policy issues for the Carnegie Endowment and the Century Fund, and, in 2006, he co-authored a book entitled Chasing the Sun, Rethinking East Asian Policy

Ambassador Bosworth had an extensive career in the United States Foreign Service, including service as Ambassador to Tunisia from 1979-1981 and Ambassador to the Philippines from 1984-1987. He served in a number of senior positions in the Department of State, including Director of Policy Planning, Principal Deputy Assistant Secretary of State for Inter-American Affairs, and Deputy Assistant Secretary for Economic Affairs. Most recently, from March 2009 through October 2011, he served as U.S. Special Representative for North Korea Policy for the Obama Administration. 

He was the recipient of many awards, including the American Academy of Diplomacy’s Diplomat of the Year Award in 1987, the Department of State’s Distinguished Service Award in 1976 and again in 1986, and the Department of Energy’s Distinguished Service Award in 1979. In 2005, the Government of Japan presented him with the Order of the Rising Sun, Gold and Silver Star. 

Bosworth was a graduate of Dartmouth College where he was a member of the Board of Trustees from 1992 to 2002 and served as Board Chair from 1996 to 2000. He was married to the former Christine Holmes; they have two daughters and two sons.

Stephen W. Bosworth Payne Distinguished Lecturer, Shorenstein Asia-Pacific Research Center, Freeman Spogli Institute for International Studies Speaker Stanford University
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Scholars, policymakers and business leaders from Japan and the United States recently gathered at Stanford to analyze energy innovation and build new bilateral endeavors.

“With rapid economic growth in emerging countries, world energy consumption has been and will be increasing, everyone has been wondering if there are enough energy resources for this growth," said Hideichi Okada, a former vice minister for International Affairs at Japan's Ministry of Economy, Trade and Industry.

Panelists weigh in on the changing energy picture in the U.S. and Japan.


Okada said Japan and the U.S. share concerns about world geopolitical change in energy supply and demand, and nuclear policy. Okada is at Stanford as the Sasakawa Peace Fellow at the Walter H. Shorenstein Asia-Pacific Research Center (Shorenstein APARC) this year.

Okada's remarks came during the the New Channels Dialogue, a two-day conference organized by the Japan Program at Shorenstein APARC and the Sasakawa Peace Foundation. It is the first of three annual conferences aimed to stimulate debate on 21st century problems faced by both nations. 

“In the aftermath of the disaster at Fukushima, Japan has reinvigorated its search for cutting-edge technologies and alternative sources of energy,” said Yuji Takagi, president of the Sasakawa Peace Foundation. In parallel, the U.S. has increased its production of shale gas as a viable alternative of natural gas.

Confluence of national interest and demand, and shared historical connections between the U.S. and Japan, suggest an ideal environment for further partnerships between the two countries.

“We have entered an especially important period in bilateral relations between the Asia-Pacific [and the U.S.] – it is undergoing such rapid change and technology is transforming. In this context, I believe the U.S.-Japan relationship will only become more important,” Takagi said.

Experts and Stanford scholars discuss electricity systems in California and Japan.

Okada cited the joint U.S.-Japan wind power project in Hawaii as an example of recent cooperation. Last December, Maui became the site of a multi-year renewable energy project between the American and Japanese governments.

Other panelists offered different perspectives on energy opportunities from across sectors, included among them were Julia Nesheiwat, the State Department’s Deputy Assistant Secretary at the Bureau of Energy Resources; Hirofumi Takinami, a member of the Japan’s House of Councilors and former visiting fellow at Shorenstein APARC; Thomas Starrs, SunPower vice president; Nobuo Tanaka, former IEA Executive Director; and Frank Wolak, Stanford economics professor and director of the Program on Energy and Sustainable Development.

Topics discussed included:

  • Energy constraints experienced by Japan since the Fukushima nuclear disaster, and challenges facing Japan’s electricity industry liberalization.
  • Regional implications of China’s rise as a major energy consumer and producer.
  • Geopolitical and trade balance effects on the United States and Japan resulting from the shale gas revolution transforming the U.S. into a major energy producer.
  • Broad impacts to the energy industry caused by geopolitics and financial instability.
  • Lessons learned from California’s experience with electricity industry liberalization.
  • Multilateral partnerships for energy technology and innovation.

The second day of the conference was a closed session in which candid, in-depth discussions were held. Participants also went on a site visit to Bloom Energy led by principal cofounder and chief executive officer K.R. Sridhar.

The New Channels Dialogue highlighted energy imperatives and created a network of exchange anticipated to continue beyond the conference. A report that encompasses major points and policy recommendations will be published in the forthcoming months. 

  

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Background: Body mass index (BMI) and waist circumference (WC) are used in risk assessment for the development of noncommunicable diseases (NCDs) worldwide. Within a Cambodian population, this study aimed to identify an appropriate BMI and WC cutoff to capture those individuals that are overweight and have an elevated risk of vascular disease.

Methodology/Principal Findings: We used nationally representative cross-sectional data from the STEP survey conducted by the Department of Preventive Medicine, Ministry of Health, Cambodia in 2010. In total, 5,015 subjects between age 25 and 64 years were included in the analyses. Chi-square, Fisher’s Exact test and Student t-test, and multiple logistic regression were performed. Of total, 35.6% (n=1,786) were men, and 64.4% (n=3,229) were women. Mean age was 43.0 years (SD = 11.2 years) and 43.6 years (SD = 10.9 years) for men and women, respectively. Significant association of subjects with hypertension and hypercholesterolemia was found in those with BMI $23.0 kg/m2 and with WC .80.0 cm in both sexes. The Area Under the Curve (AUC) from Receiver Operating Characteristic curves was significantly greater in both sexes (all p-values, 0.001) when BMI of 23.0 kg/m2 was used as the cutoff point for overweight compared to that using WHO BMI classification for overweight (BMI $25.0 kg/m2) for detecting the three cardiovascular risk factors. Similarly, AUC was also significantly higher in men (p-value, 0.001) when using WC of 80.0 cm as the cutoff point for central obesity compared to that recommended by WHO (WC $94.0 cm in men).

Conclusion: Lower cutoffs for BMI and WC should be used to identify of risks of hypertension, diabetes, and hypercholesterolemia for Cambodian aged between 25 and 64 years.

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Siyan Yi
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