When the story is too short

When there is too much light.

A great deal of importance has happened in research investigating photosynthetic response to environmental stress in the 25 years since the last anniversary issue of Plant Physiology. However, from my perspective, the importance of one set of discoveries stands out from the others for its far reaching influence on how we think about the photosynthetic response to a wide range on environmentally...

QT syndrome presenting as syncope : How short is too short ?

When is a patient too well and when is a patient too sick for a liver transplant?

1. Liver transplantation is currently offered as a therapeutic option for patients with a wide range of end-stage liver diseases. 2. Conventional wisdom suggests that patients who receive a liver transplant have a greater expected lifetime when compared to comparable candidates on the waiting list. 3. The model for end-stage liver disease (MELD) scoring system is an excellent predictor of morta...

The Kasai portoenterostomy: when is it too late?

BACKGROUND/PURPOSE Kasai portoenterostomy is recommended as the primary initial therapy for extrahepatic biliary atresia if the procedure can be performed within 10 to 12 weeks of life. The optimal management for infants with delayed presentation of biliary atresia remains controversial. The purpose of this study was to determine the success rate and outcome for patients who underwent a "late" ...

Hygiene of the skin: when is clean too clean?

Skin hygiene, particularly of the hands, is a primary mechanism for reducing contact and fecal-oral transmission of infectious agents. Widespread use of antimicrobial products has prompted concern about emergence of resistance to antiseptics and damage to the skin barrier associated with frequent washing. This article reviews evidence for the relationship between skin hygiene and infection, the...