Yesterday's future: the gap between where we are now and where we were supposed to be.
نویسنده
چکیده
Had my dear mentor and friend, the Canadian surgeon Pierre Grondin, been alive today he would have been surprised—or even shocked—to realize that, 45 years after he placed the tricuspid valve in the surgical arena, we heart surgeons are still debating which is the best repair technique [1]. In spite of all the known limitations of a retrospective analysis, the paper by Thomas Guenther et al. exemplifies one more good effort to clarify this issue [2]. In any case it is remarkable to see how the suture technique has withstood the pressure from the mighty medical industry in trying to sell prosthetic rings (more than 20 types are currently on the market). Now, more than ever, we have to be conscious of the interface between authorship, industry and science in order to avoid what has been defined as ‘business adopting the appearance of science’. Although our practice has clearly evolved during this long period of time, from leaving the tricuspid valve untouched to the point of repairing any grade of tricuspid regurgitation (TR) we have unfortunately failed to find a clear answer to four important questions:
منابع مشابه
Reflection for the undergraduate on writing in the portfolio: where are we now and where are we going?
Introduction: The portfolio can be seen as a tool for assessmentof a variety of learning activities that differ in content, usage, andassessment. The portfolio not only meets the learner’s educationalneeds but also the political and public reassurance demand thatthe health professional has achieved the required competency ofthe curriculum that allows him or her to practice safely with orwithout...
متن کاملI-36: Preimplantation Genetic Diagnosis - Where Have We Been and Where Are We Going
Preimplantation genetic diagnosis (PGD) is now considered routine in IVF laboratories with micromanipulation capability and access to genetic diagnostic services. The past two decades have witnessed a dramatic increase in the use of PGD, the number of cycles performed, and the indications for which PGD has been used. This increase has been mirrored by a slow, but steady, increase in the range o...
متن کاملAccelerating the Worldwide Adoption of Sugar-Sweetened Beverage Taxes: Strengthening Commitment and Capacity; Comment on “The Untapped Power of Soda Taxes: Incentivizing Consumers, Generating Revenue, and Altering Corporate Behavior”
In their recent article Roache and Gostin outline why governments and public health advocates should embrace soda taxes. The evidence is strong and continues to grow: such taxes can change consumer behavior, generate significant revenue and incentivize product reformulation. In essence, such taxes are an important and now well-established instrument of fiscal and public health policy. In this c...
متن کاملباید و نبایدهای منطق روستابودگی در ایران: کنکاشی بر گفتمان های روستاپژوهی در محافل علمی و دانشگاهی
Abstract: Introduction More titles rural central topic of research in the areas of academic focus on the issue of displacement and movement of population and the need to organize the distribution of population and preserve the current pattern of rural settlements for at least the past 40 years: In other words, how can we prevent rural-urban migration? The same population stabilization and...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
دوره 43 1 شماره
صفحات -
تاریخ انتشار 2013