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The hospital organization of the future.

The future of hospital Nuclear Medicine is triggered by the hospital organisation itself. In general, the hospital organisation of the present requires substantial changes in order to be competitive, economical, and abreast of the rapid progresses in medical developments and patient management. It also must be flexible to changes in health politics. In this special report an organisational hospital structure is outlined which may help encounter the challenging hospital future. Some hospitals have already implemented convincing changes, whereas others are far behind.

Delivery of Health Care↗

[Science and economic development].

In times of great turbulences at a planetary scale, as a result of economic and social disparities, of environmental erosion, cultural uniformization and progressive weakness of international ethical and legal international institutions, the reinforcement of scientific research appears as one of the crucial keys to correct the present trends. Increase of knowledge and its adequate application are not only the fundamental pillars of the urgent general enhancement of the quality of life, but also economic competitiveness is based on knowledge. In this communication recent data on the ERA (European Research Area) are presented and commented as well as the proposal of a European Fund (of 2000 million of euros initially) which, administered by a European Research Council, would improve the EU trade and productive perspectives and, above all, will avoid or reduce the present brain-drain of those who, lacking opportunities in Europe, emigrate to other countries, particularly the United States.

European Union↗

Path-dependent economic evolution with capital accumulation and education.

This paper proposes a dynamic economic model with wealth accumulation and human capital accumulation. The economic system consists of one production sector and one university. The university carries out education. The model describes a dynamic interdependence between wealth accumulation, human capital accumulation, and division of labor under perfect economic competition and the government intervention in education. We provide conditions for the existence of equilibrium points and stability of the nonlinear dynamic system. The simulation results demonstrate path-dependent processes of the nonlinear evolution. Some insights into East Asia's industrializing processes are provided.

Journal Article↗

Ethical implications of for-profit corporate sponsorship of research.

Academic institutions and commercial companies both recognize the need for the United States to enhance its economic competitiveness worldwide. Improved trading status is linked, in part, to education and to research and development (R&D) as cooperative efforts between nonprofit colleges and universities and for-profit corporations. As more and more colleges and universities seek for-profit corporate sponsors for their research programs, their collaboration may be complicated by several ethical issues. Most of these issues arise because of the differences between academic and corporate missions. This paper emphasizes that these differences are not irreconcilable; indeed, there are many successful research partnerships between academia and for-profit corporations. With a solid understanding of each partner's mission, productive corporate sponsorship of academic research is possible.

Biomedical Research↗

[Business activity in medicine: economic analysis of medical support programs and characteristics of management in business risks in health care system (problems and perspectives)].

Current scientific data on the assessment of cost expenditure on the realization of programs to assist medically patients with cardiological, oncological, rheumatologic and other diseases were analyzed. Peculiarities of the management of business risks were considered in the article. It was concluded that the management of business risks in health care system should be improved.

Delivery of Health Care↗

What's in store.

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Commerce↗

[Medical monopolies--a choice between quality and equality?].

BACKGROUND: The highly specialised medical services in Norway consist of 33 monopolies and 8 bipolies, involving both a duty of referral and a duty of admittance for defined patient groups. All the specialised services are located to large hospitals in southern Norway. MATERIAL: In conjunction with a thorough review of the specialised services, the geographical distribution of the 2711 patients treated in 2001 was analysed. RESULTS: The geographical distribution was highly skewed, with a decreasing coverage with increasing distances from the monopoly centres. The ratio between the county with the most and the one with the least use of the services was 2.3. Northern Norway had a significantly lower usage. INTERPRETATION: Monopolies seem to have an inherent tendency to give poor distribution of health care. Medical monopolies seem to have many of the negative effects associated with economic monopolies. A cautious attitude towards new and a rigid control of old monopolies is recommended. Equality of access to services should be maintained as a primary goal in public health care systems.

Centralized Hospital Services↗

Aerobic granulation in a sequencing batch reactor (SBR) for industrial wastewater treatment.

Aerobic granulation seems to be an a attractive process for COD removal from industrial wastewater, characterised by a high content of soluble organic compounds. In order to evaluate the practical aspects of the process, comparative experimental tests are performed on synthetic and on industrial wastewater, originating from pharmaceutical industry. Two pilot plants are operated as sequencing batch bubble columns. Focus was put on the feasibility of the process for high COD removal and on its operational procedure. For both wastewaters, a rapid formation of aerobic granules is observed along with a high COD removal rate. Granule characteristics are quite similar with respect to the two types of wastewater. It seems that filamentous bacteria are part of the granule structure and that phosphorus precipitation can play an important role in granule formation. For both wastewaters similar removal performances for dissolved biodegradable COD are observed (> 95%). However, a relatively high concentration of suspended solids in the outlet deteriorates the performance with regard to total COD removal. Biomass detachment seems to play a non-negligible role in the current set-up. After a stable operational phase the variation of the pharmaceutical wastewater caused a destabilisation and loss of the granules, despite the control for balanced nutrient supply. The first results with real industrial wastewater demonstrate the feasibility of this innovative process. However, special attention has to be paid to the critical aspects such as granule stability as well as the economic competitiveness, which both will need further investigation and evaluation.

Aerobiosis↗