Acute liver injury (ALI) and acute liver failure (ALF) are clinical syndromes that are frequently life threatening, characterized by a rapid loss of hepatocyte function in a patient without pre-existing liver disease.1 Numerous definitions for ALF have been proposed in the published literature, most of which involve a combination of an acute onset of clinical signs, the presence of coagulopathy…
The authors, a consultant and a psychologist, set out to help leaders (within and outside organizations) understand the meaning and purpose of work. We learn that as employees find meaning in their efforts, they contribute to creating value for customers, investors, and communities; hence, finding meaning is good for business. The Ulrichs offer seven disciplines, each with a unique perspective,…
After completing my fellowship training in the early 1990s, I joined a tertiary care center in Chicago. I was surprised to see a plethora of pediatric cardiology programs, all in one city. The pediatric cardiology center where I trained was in a small town in the southeastern region of the USA
The transition from residency to subspecialty fellowship in a procedurally driven field such as pediatric cardiology is challenging for trainees. We describe and assess the educational value of a pediatric cardiology ‘‘boot camp’’ educational tool designed to help prepare trainees for cardiology fellowship.
In the words of Albert Einstein, ‘‘The only source of knowledge is experience’’. In this article, we will attempt to examine how we in the medical world attempt to apply our own knowledge and experience to clinical decision making and how the filter of one’s own perspective can lead to flawed decision making.
More than 4 million women give birth annually in the United States, making child birth one of the most common reasons for hospital care1 and amplifying the significance of changes in complications. Although there is almost universal agreement on the need for improved safety, care delivery models to achieve this goal of safer care are evolving.
The enormous proliferation of managed care over the past 3 decades has resulted in the need for judicious use of health care resources and cost reduction. This has led to several changes in practice patterns to maintain efficiency and patient safety. Under these circumstances and because most resources are spent in acute hospital settings, it is not surprising that physicians dedicated to hospi…
In this issue, we continue our reviews of recent advances and novel approaches in paediatric cardiology, focusing on the amazing advances in understanding the genetics of childhood cardiovascular disease. It has now been 27 years since the initiation of the Human Genome Project, and 14 years since its completion.