Values and modern educational practices: A delicate balance

A Delicate Balance

The Accreditation Council for Graduate Medical Education (ACGME) recognized the importance of housestaff in the provision of hospital care when it regulated housestaff duty hours to improve patient safety. ACGME intended to create a better balance between the management of resident fatigue and the continuity of patient care, but the shorter hours mandated by duty hour reform have created more f...

A delicate balance

The utility of allogeneic stem cell transplantation for treating hematologic malignancies is enhanced by the graft vs. tumor (GvT) effect, but limited by graft vs. host disease (GvHD). Studies involving the inhibition of CD73 by genetic or pharmacologic means suggest that the levels of CD73-generated adenosine may be manipulated to control GvHD, while maintaining the GvT effect.

Myocardial hibernation: a delicate balance.

The pathophysiology of myocardial hibernation is characterized as a situation of reduced regional contractile function distal to a coronary artery stenosis that recovers after removal of the coronary stenosis. A subacute "downregulation" of contractile function in response to reduced regional myocardial blood flow exists, which normalizes regional energy and substrate metabolism but does not pe...

Civil servants and politics : A delicate balance

This recently published anthology contains twelve chapters authored by various primarily European academics, who address the balance between civil servants and politicians. The book is divided into three sections, the first of which sets the scene and explains the apparent increasing tension between civil servants and politicians. The second section includes a number of country studies, chosen ...

Patterns of Infection: a Delicate Balance