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Developed Countries (developed + country)
Kinds of Developed Countries Selected AbstractsCitizenship Rights and Repatriation of RefugeesINTERNATIONAL MIGRATION REVIEW, Issue 1 2003Gaim Kibreab This article examines the relationship between access to or lack of access to citizenship rights in countries of asylum and the propensity of refugees to return. It hypothesizes that in situations where refugees enjoy civil, social and economic citizenship rights in the context of favorable structural factors - relatively secure employment, self-employment, social services such as housing, schools, health care and social security - the importance of repatriation may diminish as a viable option. In North America, Western Europe, Australia and New Zealand, where refugees are able to enjoy rights of citizenship with definite prospects for becoming citizens (through naturalization) or denizens through acquisition of permanent status, and where favorable structural factors provide for the enjoyment of a decent standard of living, they tend to remain regardless of whether the conditions that prompted displacement are eliminated. The policy environments and the structural factors for refugees sheltering in Less Developed Countries (LDCs) are the antithesis of those refugees in Developed Countries (DCs). As a result, millions of refugees in the South have been ,voting with their feet' homewards to recoup citizenship rights which they lost in connection with displacement and which they have been unable to achieve in exile. [source] Relative Fitness and Frailty of Elderly Men and Women in Developed Countries and Their Relationship with MortalityJOURNAL OF AMERICAN GERIATRICS SOCIETY, Issue 12 2005Arnold Mitnitski PhD Objectives: To investigate the relationship between accumulated health-related problems (deficits), which define a frailty index in older adults, and mortality in population-based and clinical/institutional-based samples. Design: Cross-sectional and cohort studies. Setting: Seven population-based and four clinical/institutional surveys in four developed countries. Participants: Thirty-six thousand four hundred twenty-four people (58.5% women) aged 65 and older. Measurements: A frailty index was constructed as a proportion of all potential deficits (symptoms, signs, laboratory abnormalities, disabilities) expressed in a given individual. Relative frailty is defined as a proportion of deficits greater than average for age. Measures of deficits differed across the countries but included common elements. Results: In each country, community-dwelling elderly people accumulated deficits at about 3% per year. By contrast, people from clinical/institutional samples showed no relationship between frailty and age. Relative fitness/frailty in both sexes was highly correlated (correlation coefficient >0.95, P<.001) with mortality, although women, at any given age, were frailer and had lower mortality. On average, each unit increase in deficits increased by 4% the hazard rate for mortality (95% confidence interval=0.02,0.06). Conclusion: Relative fitness and frailty can be defined in relation to deficit accumulation. In population studies from developed countries, deficit accumulation is robustly associated with mortality and with age. In samples (e.g., clinical/institutional) in which most people are frail, there is no relationship with age, suggesting that there are maximal values of deficit accumulation beyond which survival is unlikely. [source] Intellectual Property Right Abuses in the Patent Licensing of Technology Standards from Developed Countries to Developing Countries: A Study of Some Typical Cases from ChinaTHE JOURNAL OF WORLD INTELLECTUAL PROPERTY, Issue 3-4 2007Ying Zhan While Western countries continually criticize developing countries, especially China, for a lack of effective protection of intellectual property rights (IPRs), the IPR abuses of developed countries in developing countries are also worth paying attention to. This article takes several representative cases that have occurred in recent years in China and discusses the IPR abuses in the licensing of technology standards from developed countries to developing countries. Under de facto standards, the IPR abuses of western enterprises are mainly conducted through blocking competitors by taking advantage of the status of controlling the standards. Under de jure standards, the most urgent antitrust concerns for developing countries are being charged an excessively high patent royalty and being refused independent licensing in practice by the western patent pools under the standards. In addition, this article also shows China's responses, such as improving its legal system to restrict IPR abuses and commonweal intellectual property litigation filed by IPR scholars. A brief analysis on categories of commonweal relative to IPR abuses is also presented. [source] After Cancún: what next for agricultural subsidies?EUROCHOICES, Issue 3 2003Tim Josling Summary After Cancún: what next for agriculturalsubsidies? The collapse of the Ministerial in Cancún highlighted the enhanced role of the developing countries in the WTO and the reduced ability of the US and the EU to manage the trade system. One aspect of these changes has been that developing countries have taken much more interest in the level of domestic support in developed countries. Developed countries believe that the shift of support from production-linked to decoupled instruments has had a positive impact on trade. Developing countries maintain that this reform has not helped them, and has perpetuated inequities in the trade system. Research suggests that the output effect of decoupled support is limited, if not negligible. Such decoupling may be necessary to reform domestic polices. Additionally, domestic policies are being challenged by developing countries using the trade litigation of the WTO. But such challenges risk undermining support for the WTO. Until agreement is reached on these issues there will be little progress in further agricultural trade reform. A political solution must be found that continues the slow process of improvement of domestic farm policies and at the same time offers hope to developing countries that they will benefit from the improvement in the trade conditions for agricultural products. Aprčs Cancún:quel avenir pour les subventions? L'échec de la conférence ministérielle de Cancun met en évidence !e rôle accru des pays en voie de développement ŕ l'OMC, ainsi que la faible aptitude des Etats-Unis et de l'Europe ŕ gérer le systčme des échanges internationaux. Ces changements impliquent que les pays en voie de développement s'intéressent de plus en plus aux niveaux de protection internes des pays développés. Les pays développés croient que le glissement des aides vers plus de découplage aura eu un effet positif sur les échanges. Mais les pays en voie de développement continuent ŕ penser que ces réformes ne les ont pas aidés, et qu'elles ont perpétué les inégalités du commerce mondial. Le travail présenté ici semble montrer que l'effet du découplage sur l'offre est trčs faible, voire nul. Peut-ętre le decouplage est-il utile pour la réforme des politiques internes. Mais, au delŕ, ces politiques internes sont mises en cause par les pays en voie de développement, qui utilisent ŕ leur encontre les ressources de procédure mises ŕ leur disposition par l'OMC. De telles mises en cause sont de nature ŕ détruire le soutien de l'opinion ŕ l'OMC. II ne faut pas s'attendre ŕ beaucoup de progrčs dans les réformes du commerce international agricole tant qu'on n'aura pas trouve un accord sur ces questions. II est done necessaire d'élaborer des solutions qui confortent le lent progrčs des politiques internes des pays developpes, tout en offrant aux pays en voie de développement 1, espoir de bénéficier de l'amélioration des conditions des échanges agricoles. Nach Cancún: Was geschieht als nächstes mitAgrarsubventionen? Das Scheitern des Ministerialtreffensin Cancún hob die verbesserte Position der Entwicklungsländer in der WTO und die verminderte Fähigkeit der USA und der EU hervor, das Handelssystem zu lenken. Finer der Aspekte dieser Veränderungen bestand darin, dass die Entwicklungsländer ein sehr viel größeres Interesse am Ausmaß der Inlandsstützung in Industrieländern gezeigt haben. Die Industrieländer glauben, dass sich der Schritt von einer produktionsgebundenen Inlandsstützung hin zu einer entkoppelten Inlandsstützung positiv auf den Handel ausgewirkt hat. Die Entwicklungsländer behaupten jedoch, dass ihnen diese Reform nicht geholfen habe und dass so Ungerechtigkeiten im Handelssystem aufrecht erhalten würden. Forschungsergebnisse legen es nahe, dass sich die entkoppelte Inlandsstützung sehr begrenzt, möglicherweise nur geringfügig, auf die Produktion auswirkt. Eine solche Entkopplung ist möglicherweise notwendig, urn inländische Politikmaßnahmen zu reformieren. Zusátzlich werden die inländischen Politikmaßnahmen von den Entwicklungsländern zur Zeit im Rahmen der WTO-Verfahren zur Beilegung von Handelsstreitigkeiten angefochten. Solche Anfechtungen bergen jedoch immer das Risiko einer abgeschwächten Unterstützung für die WTO. Bis in diesen Punkten Einigkeit herrscht, wird es nur geringe Fortschritte für die Agrarhandelsreformen geben. Es muss eine politische Lösung gefunden werden, welche den langsamen Verbesserungsprozess bei den inländischen Agrarpolitikmaßnahmen voran treibt und welche die Entwicklungsländer zugleich hoffen lässt, von der Verbesserung der Handelsbedingungen für landwirtschaftliche Erzeugnisse profitieren zu können. [source] The Expansion of Global Governance into the Third World: Altruism, Realism, or Constructivism?INTERNATIONAL STUDIES REVIEW, Issue 1 2004Yakub Halabi This essay examines the expansion of global governance into developing countries. Its central thesis is that in the present era of globalization, competitiveness has become a major concern for developed countries, in particular, those facing tough competition from the developing states that have improved their terms of trade through state-led development strategies and have become major exporters of manufactured products. Developed countries seek the expansion of global governance in order to regulate the behavior of these developing states, thereby opening their economies to foreign investment and augmenting their wealth. Yet, a successful expansion of global governance requires the creation of internal institutions in the developing countries that may alter their political cultures. Given the unique problems of the developing states, this task cannot be achieved simply by internationalizing the countries in the Global South. This essay relies on the theory of social constructivism and contends that the creation of internal institutions compatible with global governance has been achieved only when developing countries have become convinced that global regulations will benefit them, not just the more developed states. [source] Cultural Perspectives of International Breast Health and Breast Cancer EducationJOURNAL OF NURSING SCHOLARSHIP, Issue 2 2007Karen Dow Meneses Purpose: To (a) describe teaching,learning strategies to foster cultural exchange among participants in the Train-The-Trainer (TTT) International Breast Health Program; (b) describe participants' perceptions of cultural influences on breast health and breast cancer; and (c) explore lessons learned about cultural influences on breast health TTT educational programs. Organizing Construct: The TTT curriculum was grounded in the belief that nurses can effectively deliver breast health and breast cancer education, that educational programs must be culturally relevant and sensitive to the needs of the target population, and that an urgent need exists worldwide to reduce the burden of breast cancer. Methods: A total of 32 nurses from 20 countries participated in three TTT programs held before the biennial meetings of the International Society of Nurses in Cancer Care (ISNCC) since 2000, with follow-up by E-mail survey. Narrative descriptions of their perspectives and experiences are reported. Results: Teaching,learning strategies incorporated cultural values into a TTT program to engage participants in sharing their individual and collective experiences about women with breast cancer. Conclusions: Developing countries are increasingly multicultural. Developed countries have large immigrant populations that generally maintain the cultural values and practices about breast cancer from the country of origin. These "lessons learned" are important in planning other educational programs. [source] Basmati Rice: Geographical Indication or Mis-IndicationTHE JOURNAL OF WORLD INTELLECTUAL PROPERTY, Issue 2 2006Harsh V. Chandola Indian farmers may not understand the Lockean or the Hegelian justification for intellectual property. Neither do they understand the politics (realpolitik) of the negotiations of the Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS). Many of them had no idea that in September 2003 their fate might have been decided in the Cancun Ministerial meeting of World Trade Organization (WTO) member countries. But they do understand simple economics, i.e. if the American company which has registered a patent for basmati rice continues to sell rice as American-style basmati rice, it may hurt their exports. If the Indian Government had a key to the past, they would have definitely renegotiated-TRIPS to protect $350 million export market of basmati rice. Even if we opprobrium TRIPS and characterize it as an instrument of exploitation used by developed countries to protect their own interest, the fact of the matter is, there is no escape from it. Withdrawing from TRIPS entails too many implications for the Indian economy, and it would be cynical to suggest such an idea. Developing and least developed countries have fallen to the economic and political pressure of the Developed countries, and the former group of countries will never be able to convince the latter to renegotiate TRIPS to bring a balance to it, even if their call is eloquent, justified and reflects reality. It would be like knocking on the lid of a coffin: knock, as much as you like, you will not wake him. Post-Cancun (WTO Ministerial Meeting), it is vital for the Indian Government to formulate strategies to protect its interest in TRIPS. The strategy should focus on the options available within the TRIPS framework. We might have lost advantage in the field of patents to western pharmaceutical companies, but if a proper strategy is formulated we will be able to protect our basmati exports. [source] Intellectual Property Rights in Biotechnology and the Fate of Poor Farmers' AgricultureTHE JOURNAL OF WORLD INTELLECTUAL PROPERTY, Issue 1 2006Bongo Adi The recent revolution in the field of biotechnology has triggered off another round of controversy between the developed countries of the North and the developing countries of the South concerning access to genetic resources and equitable sharing of its benefits. Developed countries assert ownership claims on associated technologies, while developing countries claim ownership of genetic resources. The heart of the matter, however, lies in the application of conflicting conventions and protocols in respect of genetic resources and biotechnology: genetic resources are treated as public goods, while biotechnology is treated as a private good. Developing countries that claim ownership to a large reserve of the earth's pool of genetic resource feel that this exposes them to the exploitative tendencies of multinational corporations (MNCs) that are mainly owned by developed countries of the North. MNCs exploit the advantages as well as the weaknesses in the various conventions increasingly to monopolize the seed and germplasm industry, without due consideration for farmers and developing countries. This paper analyses these developments and proposes that a better regime of benefit sharing that recognizes farmers' or indigenous rights alongside patents and plant breeders' rights will go a long way to introducing a more even playing field that is mutually favourable to both parties. [source] Local Participation in Natural Resource Monitoring: a Characterization of ApproachesCONSERVATION BIOLOGY, Issue 1 2009FINN DANIELSEN conservación; evaluación de la biodiversidad; esquemas de monitoreo; intereses locales; manejo de recursos naturales Abstract:,The monitoring of trends in the status of species or habitats is routine in developed countries, where it is funded by the state or large nongovernmental organizations and often involves large numbers of skilled amateur volunteers. Far less monitoring of natural resources takes place in developing countries, where state agencies have small budgets, there are fewer skilled professionals or amateurs, and socioeconomic conditions prevent development of a culture of volunteerism. The resulting lack of knowledge about trends in species and habitats presents a serious challenge for detecting, understanding, and reversing declines in natural resource values. International environmental agreements require signatories undertake systematic monitoring of their natural resources, but no system exists to guide the development and expansion of monitoring schemes. To help develop such a protocol, we suggest a typology of monitoring categories, defined by their degree of local participation, ranging from no local involvement with monitoring undertaken by professional researchers to an entirely local effort with monitoring undertaken by local people. We assessed the strengths and weaknesses of each monitoring category and the potential of each to be sustainable in developed or developing countries. Locally based monitoring is particularly relevant in developing countries, where it can lead to rapid decisions to solve the key threats affecting natural resources, can empower local communities to better manage their resources, and can refine sustainable-use strategies to improve local livelihoods. Nevertheless, we recognize that the accuracy and precision of the monitoring undertaken by local communities in different situations needs further study and field protocols need to be further developed to get the best from the unrealized potential of this approach. A challenge to conservation biologists is to identify and establish the monitoring system most relevant to a particular situation and to develop methods to integrate outputs from across the spectrum of monitoring schemes to produce wider indices of natural resources that capture the strengths of each. Resumen:,El monitoreo de tendencias en el estatus de especies o hábitats es rutinario en los países desarrollados, donde es financiado por el estado o por grandes organizaciones no gubernamentales y a menudo involucra a grandes números de voluntarios amateurs competentes. El monitoreo de recursos naturales es menos intenso en los países en desarrollo, donde las agencias estatales tienen presupuestos pequeńos, hay menos profesionales o amateurs competentes y las condiciones socioeconómicas limitan el desarrollo de una cultura de voluntariado. La consecuente falta de conocimientos sobre las tendencias de las especies y los hábitats presenta un serio reto para la detección, entendimiento y reversión de las declinaciones de los recursos naturales. Los tratados ambientales internacionales requieren que los signatarios realicen monitoreos sistemáticos de sus recursos naturales, pero no existe un sistema para guiar el desarrollo y la expansión de los esquemas de monitoreo. Para ayudar al desarrollo de tal protocolo, sugerimos una tipología de categorías de monitoreo, definidas por el nivel de participación local, desde ningún involucramiento local con el monitoreo realizado por investigadores profesionales hasta un esfuerzo completamente local con el monitoreo llevado a cabo por habitantes locales. Evaluamos las fortalezas y debilidades de cada categoría de monitoreo, así como su sustentabilidad potencial en países desarrollados o en desarrollo. El monitoreo basado localmente es particularmente relevante en los países en desarrollo, donde puede llevar a decisiones rápidas para resolver amenazas clave sobre sus recursos naturales, puede facultar a las comunidades locales para un mejor manejo de sus recursos naturales y puede refinar las estrategias de uso sustentable para mejorar la forma de vida local. Sin embargo, reconocemos que la precisión y exactitud del monitoreo llevado a cabo por comunidades locales en situaciones diferentes requiere de mayor estudio y los protocolos de campo requieren de mayor desarrollo para obtener lo mejor del potencial de este método. Un reto para los biólogos de la conservación es la identificación y establecimiento del sistema de monitoreo más relevante para la situación particular, así como el desarrollo de métodos para integrar los resultados de una gama de esquemas de monitoreo para producir índices de recursos naturales más amplios que capturen las fortalezas de cada uno. [source] The term structure of interest rates and the Mexican economyCONTEMPORARY ECONOMIC POLICY, Issue 3 2000JG. Gonzalez Can the yield spread, which has been found to predict with surprising accuracy the movement of key macroeconomic variables of developed countries, also predict such variables for a developing country experiencing economic turmoil? This article presents empirical results that suggest significant forecasting ability for the yield spread for segments of the Mexican economy during the 1995,1997 period of economic volatility. The actual and predicted variable changes sometimes conflict with those experienced by developed countries in part because of the unusually close relationship between the Mexican Treasury and the Banco de México. Consequently, analysts and policy officials may exploit the forecast potential of the yield spread, but only in the context of evolving institutional considerations. [source] Corporate-Governance Ratings and Company Performance: A Cross-European StudyCORPORATE GOVERNANCE, Issue 2 2010Annelies Renders ABSTRACT Manuscript Type: Empirical Research Question/Issue: Prior studies have failed to unequivocally establish a positive relationship between corporate-governance ratings and company performance, although theoretically, we would expect to find one. In this paper, we try to establish whether a positive relationship exists through modeling the relationship more carefully. Research Findings/Insights: After controlling for selection bias and endogeneity simultaneously, we find a significant positive relationship between corporate-governance ratings and performance. However, the strength of this relationship seems to depend on the quality of the institutional environment. Finally, we find that improvements in corporate-governance ratings over time result in decreasing marginal benefits in terms of performance. Theoretical/Academic Implications: Our paper contributes to the literature by showing that improved corporate-governance ratings lead to better performance, but that econometric problems might obscure this relationship. We also show that for a sample of developed countries the institutional environment affects the relationship between governance ratings and performance. Finally, this paper contributes to the literature on the impact, regarding compliance and effectiveness, of codes of good governance. Practitioner/Policy Implications: Our results are relevant for both companies and policy makers. They indicate that companies can improve performance by adhering to good corporate-governance practices. For policy makers, the findings suggest that soft laws and the invisible hand of the market lead to companies improving their corporate governance. [source] Environmental reporting by Indian corporationsCORPORATE SOCIAL RESPONSIBILITY AND ENVIRONMENTAL MANAGEMENT, Issue 1 2004A. Sahay Environmental management has entered boardrooms, factories and business premises with economic, social and legal consequences. Sound environmental management provides corporations with a competitive advantage in addition to fulfilling corporate social responsibility and adding value to the business. The command and control policy of governments, the world over, has not produced the desired result. Corporate environmental reporting is emerging as a tool for the same. Indian corporations, like their counterparts in developed countries, took hesitant steps towards environmental protection , most of them driven by legal compliance. A selected few companies, however, took to environmental protection, enhancement and reporting through overall business considerations. The study indicates that environmental reporting, barring a few cases, is unsystematic and non-comparable. Though good work is being done by some industrial sectors and some units in different sectors, the reports seem to be aimed more at publicity than providing environmental facts and figures. A good quality of environmental reporting, like good environmental performance, needs to be encouraged and rewarded. Copyright © 2004 John Wiley & Sons, Ltd and ERP Environment. [source] Social Inequality in Education: A Constraint on an American High-Skills FutureCURRICULUM INQUIRY, Issue 4 2007THEODORE LEWIS ABSTRACT Countries everywhere are turning to education in the quest for competitive edge in the global economy. How to attain the high skills needed in new reformed workplaces is a preoccupation that can be observed across developed countries. In this widening discourse of high skills and competitiveness, the U.S. skills production model is being seen as undesirable because it is perceived to be premised upon educational inequality and skills polarization. This article agrees with such characterization of the U.S educational condition. It examines skill tendencies in new reformed workplaces and conceptions of how schools must respond, then interrogates assumptions underpinning college-bound/non-college,bound formulations that would have low socioeconomic status (SES) children pursuing watered-down academic fare, or vocational education, while high SES children are set on college pathways. I contend that curricula approaches that are premised on alternative post-school destinations leave the children of underclasses in the same unfavorable position as their parents, such curricula serving only to reproduce inequality. The article rejects curriculum tracking, and the notion of the non-college bound, and instead argues for the democratization of high status knowledge as the best response to the challenge of a high-skills future. [source] Health Care Supply Chain Design: Toward Linking the Development and Delivery of Care Globally,DECISION SCIENCES, Issue 2 2009Kingshuk K. Sinha ABSTRACT This article is motivated by the gap between the growing demand and available supply of high-quality, cost-effective, and timely health care, a problem faced not only by developing and underdeveloped countries but also by developed countries. The significance of this problem is heightened when the economy is in recession. In an attempt to address the problem, in this article, first, we conceptualize care as a bundle of goods, services, and experiences,including diet and exercise, drugs, devices, invasive procedures, new biologics, travel and lodging, and payment and reimbursement. We then adopt a macro, end-to-end, supply chain,centric view of the health care sector to link the development of care with the delivery of care. This macro, supply chain,centric view sheds light on the interdependencies between key industries from the upstream to the downstream of the health care supply chain. We propose a framework, the 3A-framework, that is founded on three constructs,affordability, access, and awareness,to inform the design of supply chain for the health care sector. We present an illustrative example of the framework toward designing the supply chain for implantable device,based care for cardiovascular diseases in developing countries. Specifically, the framework provides a lens for identifying an integrated system of continuous improvement and innovation initiatives relevant to bridging the gap between the demand and supply for high-quality, cost-effective, and timely care. Finally, we delineate directions of future research that are anchored in and follow from the developments documented in the article. [source] TRIPs and Public Health: The Doha Declaration and AfricaDEVELOPMENT POLICY REVIEW, Issue 1 2007Stine Jessen Haakonsson The Doha Declaration on the TRIPs Agreement and Public Health (2001), aimed at improving access to medicines, especially for HIV/AIDS, malaria and tuberculosis in developing and least developed countries, has not yet been used for compulsory licences to import generic medicines or for expanding production for export to poor countries. By analysing HIV/AIDS treatment in Uganda, this article discusses the variety of TRIPs-related channels for ensuring drugs for domestic treatment, and argues that emphasising the restrictive nature of TRIPs provisions fails to grasp the scale of the obstacles involved. Lack of domestic resources leaves African countries dependent on donor financing, which in turn constrains their ability to exploit international trade provisions. [source] Food Industrialisation and Food Power: Implications for Food GovernanceDEVELOPMENT POLICY REVIEW, Issue 5-6 2003Tim Lang Food supply chains of developed countries industrialised in the second half of the twentieth century, with significant implications for developing countries over policy priorities, the ensuing external costs and the accompanying concentration of market power. Very powerful corporations dominate many sectors. Primary producers are locked into tight specifications and contracts. Consumers may benefit from cheaper food but there are quality implications and health externalities. As consumer confidence has been shaken, new quality agencies have been created. Tensions have emerged about the state's role as facilitator of industrial efficiencies. Food policy is thus torn between the pursuit of productivity and reduced prices and the demand for higher quality, with implications for both producers and consumers in the developing world. [source] Mental health economic studies from developing countries reviewed in the context of those from developed countriesACTA PSYCHIATRICA SCANDINAVICA, Issue 2 2000A. Shah Objective: Mental health economic studies from developing countries were reviewed in the context of such studies from developed countries. Method: Mental health economic studies were ascertained through a systematic Medline search, chasing references at the end of papers acquired from the initial medline search and details of studies furnished by members of the WHO collaborating centre. Results: Only a small number of mental health economic studies from developing countries were identified. They were mainly cost-of-illness and cost-effectiveness studies. Conclusion: Psychiatric disorders impose a significant burden in developing countries. It is not always possible to extrapolate findings from developed countries to developing countries. Potential avenues for future research and development are discussed. [source] SECOND LOOK COLONOSCOPY: INDICATION AND REQUIREMENTSDIGESTIVE ENDOSCOPY, Issue 2009Jean-Francois Rey Background:, There are circumstances when a colonoscopy should be repeated after a short interval following the first endoscopic procedure which has not completely fulfilled its objective. Review of the literature:, A second look colonoscopy is proposed when there remains a doubt about missed neoplastic lesions, either because the intestinal preparation was poor or because the video-endoscope did not achieved a complete course in the colon. The second look colonoscopy is also proposed at a short interval when it is suspected that the endoscopic removal of a single or of multiple neoplastic lesions was incomplete and that a complement of treatment is required. When the initial endoscopic procedure has completely fulfilled its objective, a second look colonoscopy can be proposed at longer intervals in surveillance programs. The intervals in surveillance after polypectomy are now adapted to the initial findings according to established guidelines. This also applies to the surveillance of incident focal cancer in patients suffering from a chronic inflammatory bowel disease. Conclusion:, Finally, in most developed countries, a priority is attributed to screening of colorectal cancer and focus is given on quality assurance of colonoscopy which is considered as the gold standard procedure in the secondary prevention of colorectal cancer. [source] Photodiagnostic techniques for the endoscopic detection of premalignant gastrointestinal lesionsDIGESTIVE ENDOSCOPY, Issue 3 2003Ralph S. DaCosta Considerable attention is given to the clinical diagnosis of gastrointestinal (GI) malignancies as they remain the second leading cause of cancer-associated deaths in developed countries. Detection and intervention at an early stage of preneoplastic development significantly improve patient survival. High-risk assessment of asymptomatic patients is currently performed by strict endoscopic surveillance biopsy protocols aimed at early detection of dysplasia and malignancy. However, poor sensitivity associated with frequent surveillance programs incorporating conventional screening tools, such as white light endoscopy and multiple random biopsy, is a significant limitation. Recent advances in biomedical optics are illuminating new ways to detect premalignant lesions of the GI tract with endoscopy. The present review presents a summary report on the newest developments in modern GI endoscopy, which are based on novel optical endoscopic techniques: fluorescence endoscopic imaging and spectroscopy, Raman spectroscopy, light scattering spectroscopy, optical coherence tomography, chromoendoscopy, confocal fluorescence endoscopy and immunofluorescence endoscopy. Relying on the interaction of light with tissue, these ,state-of-the-art' techniques potentially offer an improved strategy for diagnosis of early mucosal lesions by facilitating targeted excisional biopsies. Furthermore, the prospects of real-time ,optical biopsy' and improved staging of lesions may significantly enhance the endoscopist's ability to detect subtle preneoplastic mucosal changes and lead to curative endoscopic ablation of these lesions. Such advancements within this specialty will be rewarded in the long term with improved patient survival and quality of life. [source] Global burden of disease from alcohol, illicit drugs and tobaccoDRUG AND ALCOHOL REVIEW, Issue 6 2006JÜRGEN REHM PhD Abstract The use of alcohol, tobacco and illicit drugs entails considerable burden of disease: in 2000, about 4% of the global burden as measured in disability adjusted life years was attributable to each alcohol and tobacco, and 0.8% to illicit drugs. The burden of alcohol in the above statistic was calculated as net burden, i.e. incorporating the protective health effects. Tobacco use was found to be the most important of 25 risk factors for developed countries in the comparative risk assessment underlying the data. It had the highest mortality risk of all the substance use categories, especially for the elderly. Alcohol use was also important in developed countries, but constituted the most important of all risk factors in emerging economies. Alcohol use affected younger people than tobacco, both in terms of disability and mortality. The burden of disease attributable to the use of legal substances clearly outweighed the use of illegal drugs. A large part of the substance-attributable burden would be avoidable if known effective interventions were implemented. [source] Prioritizing migraine biomarkers researchDRUG DEVELOPMENT RESEARCH, Issue 6 2007David Gurwitz Abstract Migraine is among the most common chronic disorders in the developed countries, affecting up to 17% of adult women and 6% of adult men. It is also among the chronic disorders most commonly associated with recurring absence from work. It has been estimated that in the United States the indirect annual societal cost of migraine, mostly as lost work, is US$12 billion. Migraine diagnosis and treatment is hindered by the lack of reliable serum or genetic biomarkers that could potentially improve treatment choices. Research programs focused on identifying and developing migraine biomarkers for both prevention and treatment must be included in the national biomedical research agenda. Drug Dev Res 68:267,269, 2007. © 2007 Wiley-Liss, Inc. [source] Formal and Informal Risk Sharing in LDCs: Theory and Empirical EvidenceECONOMETRICA, Issue 4 2008Pierre Dubois We develop and estimate a model of dynamic interactions in which commitment is limited and contracts are incomplete to explain the patterns of income and consumption growth in village economies of less developed countries. Households can insure each other through both formal contracts and informal agreements, that is, self-enforcing agreements specifying voluntary transfers. This theoretical setting nests the case of complete markets and the case where only informal agreements are available. We derive a system of nonlinear equations for income and consumption growth. A key prediction of our model is that both variables are affected by lagged consumption as a consequence of the interplay of formal and informal contracting possibilities. In a semiparametric setting, we prove identification, derive testable restrictions, and estimate the model with the use of data from Pakistani villages. Empirical results are consistent with the economic arguments. Incentive constraints due to self-enforcement bind with positive probability and formal contracts are used to reduce this probability. [source] FOUR PROPOSITIONS ABOUT INTERNATIONAL LABOUR STANDARDSECONOMIC AFFAIRS, Issue 4 2009Art Carden International labour rights organisations pay considerable attention to the working conditions in less developed countries. For labour rights activists, labour standards such as collective bargaining rights and maternal leave promote economic progress. We argue that this perspective has the causation backwards and that it is economic development that causes the codification of improved working conditions. [source] FREE TRADE, ,PAUPER LABOUR' AND PROSPERITY: A REPLY TO PROFESSOR MISHANECONOMIC AFFAIRS, Issue 1 2006John Meadowcroft In an Economic Viewpoint published in the September 2005 edition of Economic Affairs, ,Can Globalisation Depress Living Standards in the West?', Professor E. J. Mishan argued that globalisation may reduce living standards in the West by decreasing the labour,capital ratio in developed countries as firms move production to countries where labour is cheaper and/or migrants to the West from the developing world bid down wage rates. In a reply to Professor Mishan's article, Dr John Meadowcroft argues that this view of globalisation is far too pessimistic and explains why free trade, not protection, will secure the prosperity of developed and developing economies. In a final comment, Professor Mishan responds to this critique of his analysis. [source] The Changing Structure of the UK Economy: Implications for the Current AccountECONOMIC OUTLOOK, Issue 2 2005Article first published online: 4 MAY 200 In common with other developed countries, the UK has seen the relative importance of the service sector grow, accounting for an ever greater share of employment and output , a trend that has accelerated over recent decades. At the same time, globalisation means that international trade is of increasing importance as a share of UK expenditure. With the traded goods sector dwindling in importance, what are the implications for the current account? This paper examines the changing structure of the UK economy and prospects for the current account. Although the current account is expected to remain in deficit for the foreseeable future, the size of the deficit is likely to remain manageable as growing surpluses from trade in services and investment income offset a widening goods deficit. [source] Expenditure on the NHS in PerspectiveECONOMIC OUTLOOK, Issue 3 2000Martin Chalkley In the wake of the recently-announced increases in health spending, Martin Chalkley reviews the record of health spending in the UK both historically and comparatively. It is clear that prices paid by the NHS have increased more than prices in general, and once this is allowed for then it appears that real health spending today is only twice that of 50 years ago as compared with the fourfold increase suggested when using a general price deflator. Such differential inflation is obviously not a problem which is confined to the UK, and it does add considerably to problems in making proper comparisons between levels of health spending in different countries. In spite of these difficulties, it seems that compared with many other developed countries, health spending in the UK as a proportion of GDP is modest. So, looking ahead, there is some way to go before the UK attains the levels of spending achieved in many other countries. But understanding the reasons for relative price changes is vital if any proposed increases in spending is to be translated into increases in the quantity and quality of services provided. [source] The relative sophistication of Chinese exportsECONOMIC POLICY, Issue 53 2008Peter K. Schott SUMMARY Chinese exports China's exports have grown dramatically over the last three decades in large part due to its rapid penetration of new product markets. To help address the implications of this growth for developed economies, this paper gauges the relative sophistication of Chinese exports along two dimensions. First, I measure China's export overlap with developed countries by comparing the set of products China exports to the United States with the bundle of products exported by the OECD. Second, I compare Chinese and other countries' exports within product markets in terms of the price they receive in the US market. While China's export overlap with the OECD is much greater than one would predict given its low wages, the prices that US consumers are willing to pay for China's exports are substantially lower than the prices they are willing to pay for OECD exports. This fact, as well as the increase in the ,OECD premium' over time, suggests that competition between China and the world's most developed economies may be less direct than their product-mix overlap implies. It may also reflect efforts by developed-country firms to compete with China by dropping their least sophisticated offerings and moving up the quality ladder. , Peter K. Schott [source] European Monetary Union: the dark sides of a major successECONOMIC POLICY, Issue 46 2006Charles Wyplosz SUMMARY European monetary union THE DARK SIDES OF A MAJOR SUCCESS This paper revisits the debates that have surrounded the launch of a unique experience: the adoption of a common currency among developed countries. A striking aspect of this history is that, pressed by what they correctly identified as a window of opportunity, policy-makers crafted this complex project in a short period of time, largely eschewing inputs from the academic profession. Academic research, in turn, developed its own views, which turned out to be critical of some ley orientations, yet it generally recognizes that, in the end, the launch of the euro has been a major success. Over time, many of the academic criticisms have been taken on board, but not yet fully. The monetary strategy has been slightly amended, but it remains the subject of disagreements between the European Central Bank and monetary economists. Events have confirmed that the Stability and Growth Pact was ill-designed; its reformulation goes some way to address some of the concerns but not all of them. Its ability to deliver fiscal discipline is in doubt. Another look at the experiment highlights the gap between the principles laid out by those who designed the monetary union and the pragmatism that has prevailed thereafter. The resulting tension between principles and actions sometimes obscures the fact that the Eurosystem has acted wisely so far. The widespread perception that monetary policy is not as transparent as it should be and suffers from a lack of adequate democratic accountability is not just annoying. The general public, including politicians, sometimes blames the Eurosystem for Europe's poor growth performance since the adoption of the euro. This is unfair and could dangerously undermine the monetary union if the Eurosystem were to become the scapegoat for the slow and incomplete reforms that are needed to revigorate the euro area's economies. , Charles Wyplosz [source] Why should addiction medicine be an attractive field for young physicians?ADDICTION, Issue 2 2009Michael Soyka ABSTRACT Aims The clinical practice and science of addiction are increasingly active fields, which are attracting professionals from diverse disciplines such as psychology and neurobiology. Our scientific knowledge of the pathophysiology of addiction is rapidly growing, along with the variety of effective treatments available to clinicians. Yet, we believe that the medical specialties of addiction medicine/psychiatry are not attracting the interest and enthusiasm of young physicians. What can be done? Methods We offer the opinions of two experience addiction psychiatrists. Results In the US, there has been a decline in the number of psychiatrists seeking training or board certification in addiction psychiatry; about one-third of graduates with such training are not practicing in an addiction psychiatry setting. There is widespread neglect of addiction medicine/psychiatry among the medical profession, academia and national health authorities. This neglect is unfortunate, given the enormous societal costs of addiction (3,5% of the gross domestic product in some developed countries), the substantial unmet need for addiction treatment, and the highly favourable benefit to cost yield (at least 7:1) from treatment. Conclusions We believe that addiction medicine/psychiatry can be made more attractive for young physicians. Helpful steps include widening acceptance as a medical specialty or subspecialty, reducing the social stigma against people with substance use disorders, expanding insurance coverage and increasing the low rates of reimbursement for physicians. These steps would be easier to take with broader societal (and political) recognition of substance use disorders as a major cause of premature death, morbidity and economic burden. [source] Greenhouse gas emission policies in the UK and Germany: influences and responsesENVIRONMENTAL POLICY AND GOVERNANCE, Issue 3 2002Bettina Schrader Climate change is considered to be one of the greatest environmental threats. In response to this threat, developed countries agreed in Kyoto to legally binding targets, which will reduce their atmospheric emissions. In April 1999 Germany introduced an environmental tax. At the same time the UK announced the introduction of a levy on energy consumption, from April 2001. This paper investigates the proposals from both governments and the influences upon them of a variety of institutions (NGOs, industry and business organizations). The similarities and differences between the consultation experiences, and the resulting policies, will be discussed for the two countries. Lessons are drawn applicable to the wider context of EU environmental legislation. Copyright © 2002 John Wiley & Sons, Ltd. and ERP Environment [source] | |||||||||||||||||||||||||||||||||||||||||||||||||