When Things Are Tough, It Is Time To Refect, Refocus, and Redirect

Writing qualitative article: It is time to quality improvement

Précis: This debate article highlights some questions from critics of qualitative research. Planning for proper design, philosophical background, researcher as a research instrument in the study, trustworthiness and application of findings are main debates in this field. One of the issues that have been received little attention is report of qualitative inquiry. A qualified report can an...

I-4: Is It Time Now to Cancel Fresh EmbryoTransfer

The implantation of embryo depends on the quality of the embryo and the receptivity of the endometrium. While the factors affecting embryo quality were optimized, the implantation rates did not reach the desirable levels. This directs the blaming for endometrial receptivity which already has been affected by supra-physiological levels of hormone, namely estradiol, in controlled ovarian hypersti...

Is it better to be injured when you are pregnant?

THERE HAS BEEN MUCH INVESTIGATION into the differential effects of sex hormones on the response to injury and hemorrhage. The preponderance of experimental reports have demonstrated that the hormonal milieu, in particular, increased levels of 17b-estradiol and decreased testosterone, affects cell-mediated immunity and organ system tolerance of shock through complex receptor-mediated and cell-sp...

Getting it right when things go wrong.

It Is Tough to Make Predictions, Especially about the Future

Three lessons can be learned from this: first, there is a need for a less invasive and preferably reversible technique for lung volume reduction. Secondly, there is a need for prospective, randomized and (preferably sham) control of these techniques, and thirdly, there is a need for an a priori selection of patients, to predict the future. So, are there less invasive techniques out there? Inter...