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The Swedish organization in charge of reviewing research has judged that scandal-hit surgeon was guilty of scientific misconduct for misleadingly describing synthetic trachea operations as successful in a series of research articles. In 2014, four doctors at Stockholm's Karolinska University Hospital reported him to the then president of the Karolinska Institute (KI) for allegedly distorting the facts about his operations with artificial tracheas when presenting them in scientific journals. The articles were subsequently reviewed in 2015 by Uppsala University surgical sciences professor, who concluded that Macchiarini was guilty of research misconduct, but KI's overall assessment was to clear him and the co-authors.

Across the country, academies have been plagued by allegations of financial impropriety, conflicts of interest and even corruption. Unlike schools under local authority control, academies are responsible for their own financial management. Although this means that developing good corporate relations is essential, many have ended up without a proper framework for transparency and accountability. A 2014 report for parliament claimed that “conflicts of interest are common”, adding: “There is a broader sense that the academy system lacks transparency.”

German university heads have welcomed proposals by the Stifterverband – a network of foundations, businesses and individuals supporting the country’s higher education and research – for improved transparency in collaborations between universities and industry. The recommendations, issued in mid-April, stress the “responsibility of universities, as autonomous institutions, to regularly and appropriately inform the public about their collaborative projects with industry”.