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money is n't the only reason for the shift in practice preferences |
it reflects values of a generation that wants more time for families and personal interests says john h. <unk> iii who directs <unk> searches for <unk> international |
this is a change in the social fabric of medicine he says |
related <unk> trim hospital bills |
when <unk> <unk> spent several weeks at the medical center of vermont recently with a bone infection in her <unk> she shared a room just like most patients |
but unlike most patients her <unk> was her husband |
it was certainly good to have him handy mrs. <unk> says |
the <unk> cooperative care unit is one of about N nationwide where a family member or friend helps care for a patient in the hospital |
the philosophy is to make the patient and the family very responsible for a portion of their own care says anthony j. <unk> medical director of cooperative care at new york university medical center where the concept began N years ago |
it helps us and them while they 're here and it certainly makes them a better health-care team when they get home |
it also <unk> money |
because patients require less attention from nurses and other staff room charges are lower about $ N less per day than a regular room at the vermont hospital |
cancer patients <unk> prolonged radiation therapy diabetics learning to manage their blood sugar levels and <unk> <unk> patients are among those who spend time on <unk> units |
the approach has generated so much interest that <unk> is host to the first conference on cooperative care nov. N |
it 's really part of the hospital of the <unk> century dr. <unk> says |
odds and ends |
the chief nursing officer can be responsible for more than N employees and at least one-third of a hospital 's budget a head <unk> typically oversees up to N employees and $ N million |
so says the commonwealth fund a new york <unk> that 's <unk> a $ N million project to develop joint masters in business and nursing programs at N universities |
<unk> medical college in <unk> tenn. <unk> a new research publication in the spring the journal on health care for the poor and <unk> |
a group of michigan investors has offered to buy knight-ridder inc. 's ailing detroit free press for $ N million but has left unclear how the offer will be financed |
the offer came just prior to arguments before the u.s. supreme court over whether the free press should be allowed to enter into a joint operating pact with <unk> co. 's detroit news |
the group led by birmingham mich. <unk> william d. <unk> did n't name an investment banker backing the deal or say how much its members will contribute to the offer |
indeed some individuals identified with the group said they have n't committed any money to the bid and were n't aware of it until they heard about it in local news accounts over the weekend |
knight-ridder would n't comment on the offer |
the company has said the paper is n't for sale and has rebuffed mr. <unk> 's earlier requests for access to free press financial statements |
in his letter to knight-ridder president james k. <unk> mr. <unk> said he arrived at the $ N million figure using knight-ridder 's corporate financial statements and comments by knight-ridder officials that the free press has a $ N million value in salvage |
but in an interview mr. <unk> said he and his investment banker would need access to full financial records before <unk> up the offer |
mitsui & co. said it started a joint venture with <unk> <unk> chemical co. a major pharmaceutical manufacturer in south korea to manufacture <unk> <unk> |
the new company is capitalized at about $ N million |
mitsui expects the <unk> products to be exported to southeast asia and africa |
it also hopes to enter the u.s. market |
nrm energy co. said it filed materials with the securities and exchange commission calling for it to restructure into a corporation from a limited partnership |
the partnership said it is proposing the change largely because the provisions of its senior notes restrict it from making distributions on its units outstanding |
nrm suspended its common distribution in june N and the distribution on its $ N cumulative convertible acquisition preferred units in september |
however unpaid distributions on the acquisition preferred are cumulative and would total $ N million a year hurting nrm 's financial flexibility and its ability to raise capital nrm said |
in following several other oil and gas partnerships that have made the conversion to a corporation in the last year nrm also noted that tax advantages for partnerships have diminished under new tax laws and said it would save $ N million a year in administrative costs from the change |
under the plan nrm said holders of its common units will receive one share of new common stock in edisto resources corp. for every N common units owned |
holders of nrm 's $ N cumulative convertible acquisition preferred units will receive one new common share in edisto for every N units they own |
after the transaction current common <unk> will own about N N of edisto current acquisition preferred holders will own N N and current stockholders of edisto will own about N N about the same stake as edisto owns now in nrm |
edisto currently is the general partner of nrm |
as the largest holder of acquisition preferred units mesa limited partnership would own about N N of edisto after the transaction |
as part of the transaction edisto agreed to give mesa an <unk> texas oil and gas partnership managed by t. boone pickens jr. a seat on its board |
nrm said its $ N senior cumulative convertible preferred units will be converted into an equal number of shares of $ N senior cumulative convertible preferred stock of edisto |
the transaction is subject to approval of nrm <unk> of record on oct. N among other conditions |
nrm said it expects <unk> to vote on the restructuring at a meeting dec. N |
<unk> co. and <unk> corp. said they 've discontinued talks toward a definitive agreement regarding <unk> ' acquisition of <unk> 's chemical <unk> group |
the companies reached an agreement in principle for the sale in august |
terms were n't disclosed |
<unk> <unk> produces <unk> and coatings while the los angeles-based <unk> coatings group produces industrial coatings |
<unk> corp. agreed to sell its headquarters building here to manufacturers life insurance co. of toronto and will lease the <unk> facility until it moves to a new quarters in N |
the <unk> concern did n't disclose terms of the sale which will close in the first quarter of next year |
proceeds from the planned sale of the <unk> building will help reduce the debt incurred as a result of our july N recapitalization said a <unk> official |
the recently revived enthusiasm among small investors for stock mutual funds has been <unk> by a jittery stock market and the <unk> over program trading |
after hitting two-year highs this summer net sales of stock funds slowed in september according to the investment company institute a trade group |
the sales recovery <unk> to a halt this month some analysts say |
confidence was starting to come back because we did n't have wildly volatile days says tyler <unk> research director for <unk> <unk> <unk> & co. a boston research firm |
now everything such as program trading and wide stock market swings that everyone had pushed back in their <unk> is just sitting right there |
net sales of stock funds in september totaled $ N million down from $ N billion in august the institute said |
but if reinvested dividends are excluded investors put in only $ N million more than they pulled out for the month |
october 's numbers which wo n't be released for a month are down further mutual fund executives say |
investors in stock funds did n't panic the weekend after mid-october 's 190-point market plunge |
most of the those who left stock funds simply switched into money market funds |
and some fund groups said investors actually became net buyers |
but the stock market swings have continued |
the recent outcry over program trading will cast a pall over the <unk> environment in the coming months some analysts say |
the public is very close to having had it mr. <unk> says |
investors pulled back from bond funds in september too |
net sales of bond funds for the month totaled $ N billion down two-thirds from $ N billion in august |
the major reason heavy outflows from high-risk high-yield junk bond funds |
big withdrawals from the junk funds have continued this month |
overall net sales of all mutual funds excluding money market funds fell to $ N billion in september from $ N billion in august the trade group said |
small net inflows into stock and bond funds were offset by slight declines in the value of mutual fund stock and bond portfolios stemming from falling prices said jacob <unk> the institute 's chief economist |
many small investors went for the safety of money market funds |
assets of these and other short-term funds surged more than $ N billion in september the institute said |
analysts say additional investors transferred their assets into money funds this month |
at fidelity investments the nation 's largest fund group money funds continue to draw the most business says michael <unk> vice president marketing |
in october net sales of stock funds at fidelity dropped sharply mr. <unk> said |
but he emphasized that new accounts new sales inquiries and subsequent sales of stock funds are all up this month from september 's level |
investor interest in stock funds has n't stalled at all mr. <unk> maintains |
he notes that most of the net sales drop stemmed from a <unk> period following the friday the 13th plunge |
if that follows through next month then it will be a different story he says |
but mr. <unk> adds sales based on a few days ' events do n't tell you much about october 's trends |
one trend that continues is growth in the money invested in funds |
buoyed by the continued inflows into money funds assets of all mutual funds swelled to a record $ N billion in september up fractionally from $ N billion in august |
<unk> managers meantime went into october with less cash on hand than they held earlier this year |
these managers held N N of assets in cash at the end of september down from N N in august and N N in september N |
large cash positions help buffer funds from market declines but can cut down on gains in rising markets |
managers of junk funds were <unk> their cash <unk> after the september cash crunch at campeau corp |
<unk> managers raised their cash position to N N of assets in september from N N in august |
in september N that level was N N |
investors in all funds will seek safety in the coming months some analysts say |
among stock funds the conservative <unk> portfolios probably will remain popular fund specialists say |
there will be a <unk> and possibly greater focus on conservative equity funds at the expense of growth and aggressive growth funds says <unk> <unk> an analyst at strategic insight a new york <unk> concern |
secretary of state baker we read decided to kill a speech that robert gates deputy national security adviser and a career soviet expert was going to give to a student <unk> the national <unk> security conference |
we keep wondering what mr. gates wanted to say |
perhaps he might have cited mr. gorbachev 's need for a stable currency free and competitive markets private property and real prices and other <unk> reforms |
perhaps he 'd have called for a <unk> political and economic system without a dominant communist party |
or political arrangements to alleviate the <unk> and demands of soviet ethnic minorities and republics |
why a bob gates might even have said nor are soviet problems susceptible to rescue from abroad through abundant western credits |
if mr. gates had been allowed to say these things we would now be hearing about <unk> and disarray on foreign policy |
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