Balancing Act (balancing + act)

Distribution by Scientific Domains


Selected Abstracts


Steroids in Pediatric Kidney Transplantation: A Balancing Act in Progress

AMERICAN JOURNAL OF TRANSPLANTATION, Issue 1 2010
John C. Magee
The issue of steroid withdrawal in pediatric kidney transplantation involves risks as well as benefits, and poses analytical challenges in interpreting studies halted and unblinded prior to enrollment. See article by Benfield et al on page 81. [source]


The Editor's Job , A Balancing Act

AUSTRALIAN DENTAL JOURNAL, Issue 3 2010
P Mark Bartold Editor
No abstract is available for this article. [source]


Balancing Acts: Dynamics of a Union Coalition in a Labor Management Partnership

INDUSTRIAL RELATIONS, Issue 1 2008
ADRIENNE E. EATON
This paper analyzes the experience of a set of unions that formed a coalition to engage in coordinated bargaining and to build and sustain a labor management partnership with Kaiser Permanente, a large healthcare provider and insurer. We use qualitative and quantitative data, including member and leader surveys, to explore the experience of the coalition in confronting five key challenges identified through theory and prior research on such partnerships. We find that the coalition has been remarkably successful, under difficult circumstances, in achieving institutional growth for its member unions and in balancing traditional and new union roles and communicating with members. The unions have been less successful in increasing member involvement. [source]


A fine balancing act: Freedom and accountability

ECONOMIC AFFAIRS, Issue 3 2001
Baroness Warwick of Undercliffe
The recent Funding Options Review identified a minimum additional funding requirement of £900 million per annum for higher education by 2004/05 and also considered more specific needs, such as correcting for past under-investment in infrastructure. At the same time, it contributed to the debate about the ,key choice' of funding by government or by the ,beneficiaries of higher education.' Government will need to match its aspirations for higher education with adequate funding and the universities will have to be ,even more sensitive and responsive to the needs of students.' [source]


Patients' experience of involuntary psychiatric care: good opportunities and great losses

JOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 6 2002
I. M. JOHANSSON RN
Patients who are involuntary admitted to psychiatric care are extremely vulnerable as a consequence of the control from others, and of the personal limitations due to a psychiatric disease that can influence their own control of their lives. This group of patients are seldom asked about their experiences of being cared for. In this study five involuntary hospitalized psychiatric patients narrated their experience of being subjected to involuntary psychiatric care. The aim of the study was to obtain a deeper understanding of this experience. The interview text was analysed by means of a phenomenological hermeneutic method. The result of the analysis gave a complex picture of both support and violation. On the one hand experiences of not being seen or heard, of loss of liberty and of violation of integrity were found. On the other hand, there were experiences of respect and caring and opportunities to take responsibility for oneself were offered. Being treated involuntarily in psychiatric care was interpreted as a balancing act between good opportunities and great losses. [source]


Latitudinal and longitudinal process diversity

JOURNAL OF SOFTWARE MAINTENANCE AND EVOLUTION: RESEARCH AND PRACTICE, Issue 1 2003
Nils T Siebel
Abstract Software processes vary across organizations and over time. Managing this process diversity is a delicate balancing act between creative, healthy diversity and chaos. In this paper, we examine a particular aspect of this issue, namely some relationships between diversity in software processes, software evolution and the quality of software products and processes. Our main contribution is to distinguish between two broad kinds of process diversity, which we call latitudinal and longitudinal process diversity. To illustrate the differences between these two, we examine the case of a medium-sized system (50,000 lines of C++ code) which has undergone major changes during its lifetime of 10 years. The software was originally developed by an individual academic using a research-oriented process to develop a standalone proof-of-concept system. In a current multi-team project, involving three industrial and three academic partners, the software has been adapted for integration as a subsystem of a near-market product. We suggest ways in which the observed process diversity seems to be linked to a change in the software's propensity for evolution, and we discuss the impact of this on both product and process quality. Copyright © 2003 John Wiley & Sons, Ltd. [source]


Plant genomes do a balancing act

MOLECULAR ECOLOGY, Issue 13 2009
MATTHEW E. HUDSON
Balancing selection is one mechanism that may explain why diversity is maintained in wild populations. However, relatively few examples of genes showing evidence of balancing selection have been identified, particularly in plants. In this issue, Reininga et al. (2009) present three Arabidopsis loci that show strong evidence of balancing selection. The loci, discovered using a genome-scanning approach, encode proteins with diverse predicted functions: starch synthesis and control of gene expression. These three genes were identified by scanning only a small fraction of the Arabidopsis genome, suggesting that balancing selection may be more prevalent than previously known. [source]


Pharmacokinetic monitoring of intravenous cyclosporine A in pediatric stem-cell transplant recipients.

PEDIATRIC TRANSPLANTATION, Issue 4 2009
The trough level is not enough
Abstract:, In order to monitor CsA serum levels after SCT, trough levels (C0) are widely used. The aim of this study was to estimate the population and individual PK parameters for patients receiving intravenous CsA after SCT. In 27 pediatric patients after SCT receiving CsA (3 mg/kg/day) every 12 h, a total of 289 CsA concentrations was obtained. To describe the PK parameters of CsA, a two-compartment model with first order elimination was used. Covariate analysis identified body weight, age, and the co-administration with itraconazole and tobramycine as factors influencing the Cl. The statistical comparison of AUC, trough level, and C2 indicates a correlation between AUC and C2, but no correlation between the AUC and C0, r = 0.24 (p = 0.146) vs. r = 0.526 (p = 0.000692), respectively. Our results underscore the fact that CsA trough levels do not reflect the drug exposure in patients receiving intravenous CsA after SCT. By contrast, CsA blood levels measured 2,6 h after CsA infusion showed a better correlation with the AUC. Our data provide new information to optimize the balancing act between GvHD-prophylaxis, graft vs. leukemia effect, and CsA side-effects after SCT. [source]


The involvement of the motor cortex in postural control: a delicate balancing act

THE JOURNAL OF PHYSIOLOGY, Issue 15 2009
Patrick J. Whelan
No abstract is available for this article. [source]


Between a Rock and a Hard Place: the Case of Papuan Asylum-Seekers

AUSTRALIAN JOURNAL OF POLITICS AND HISTORY, Issue 4 2006
David Palmer
It is perilous to look to history to provide guidance for the present. Nonetheless the political controversy surrounding the granting of temporary protection to forty-two asylum-seekers from West Papua in March 2006 needs to be understood in its wider, historical context. Papua has been a pebble in the region's political shoe since 1949. And national considerations are not new in shaping Australian policy toward asylum-seekers. Certainly in the 1960s and 1970s Australia played a tactical, often tough game with Papuan asylum-seekers in order to contain tensions with Indonesia. This article analyses the history of Australia's foreign and immigration policies towards Papuan asylum-seekers and describes the delicate balancing act that successive Australian governments have needed to perform in handling this issue. [source]


Wrestling off RAD51: a novel role for RecQ helicases

BIOESSAYS, Issue 4 2008
Leonard Wu
Homologous recombination (HR) is essential for the accurate repair of DNA double-strand breaks and damaged replication forks. However, inappropriate or aberrant HR can also result in genome rearrangements. The maintenance of cell viability is, therefore, a careful balancing act between the benefits of HR (the error-free repair of DNA strand breaks) and the potential detrimental outcomes of HR (chromosomal rearrangements). Two papers have recently provided a mechanistic insight into how HR may be tempered by RecQ helicases to prevent genome instability and diseases that are a consequence of this, such as cancer.1,2 BioEssays 30:291,295, 2008. © 2008 Wiley Periodicals, Inc. [source]


Continuous and Discontinuous Innovation: Overcoming the Innovator Dilemma

CREATIVITY AND INNOVATION MANAGEMENT, Issue 4 2007
Mariano Corso
Challenged by competition pressures and unprecedented pace of change, firms can no longer choose whether to concentrate on the needs of today's customers or on the anticipation of those of tomorrow: they must be excellent in both. This requires managing two related balancing acts: on the one side, being excellent in both exploitation and exploration of their capabilities and, on the other side, being excellent in managing both incremental and radical innovation. These balances are critical since exploitation and exploration, on the one side, and incremental and radical innovation, on the other, require different approaches that have traditionally been considered difficult to combine within the same organization. Working on evidence and discussion from the 7th CINet Conference held in Lucca (Italy) in 2006, this Special Section is aimed at contributing to theory and practice on these two complex balancing acts that today represent a hot issue in innovation management. [source]