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According to Dand (1997), more than 200 takeovers occurred in the chocolate industry between 1970 and 1990, and about 50% of global market is presently supplied by 17 companies; whereby a global scale is the rapid centralisation among chocolate producers.
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The time needed to complete the centralisation process varied among the nine regions from two to eight years.
Ernst&Young were among the first, advertising that centralisation could "result in a 40% increase in earnings, but 40% of this [increase in earnings] would go to the tax man... But when the two were integrated, net profit improvement soared...".. One consultant, Bill Bronsky, explained in a trade paper in 2006: "This is the multimillion pound opportunity.
Additionally, while there is evidence that organised inpatient stroke care is beneficial to patients with intracerebral haemorrhage as well as ischaemic stroke, 15 the improvements in outcomes from centralisation that we found in our study were largely among patients with ischaemic stroke.
However, there has been a paucity of data from the UK examining the relationship of birth at extremely low gestational ages to the expertise in the hospital of birth and a continuing reluctance among practitioners to support the principle that centralisation of specialist services will improve outcomes for this group within the UK model of care.
Obstetric care (including centralisation of deliveries with GA<28 weeks) and neonatal care are among the services provided.
This centralisation of electrical power, means that the economic and political power is centralised too.
Centralisation of the political system and overenergetic whips who relish stamping out dissent are among the problems.
Reversing generations of centralisation.
Centralisation has crept in there".
More, not less, centralisation is the answer.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com