The field of solid organ transplantation has developed
enormously in the last three decades andwhat was pioneering
surgery has now become routine. Outcomes
are no longer considered in terms of 1-year survival,
but clinicians and patients are looking to 20 years
and beyond. The current success of transplantation is
based on many different factors: developments in surgical
technique, better immunosuppression, improved
anesthetic and intensive care, improved microbiology,
and close collaboration between – all those involved in
the transplant pathway have contributed....
Although there have been clear improvements in the delivery of specific health
services, many of the systemic problems facing the U.S. child health system seem
intractable and resistant to incremental reform strategies. Both the 1981 report of
the Select Panel for the Promotion of Child Health and the 1991 report of the Na-
tional Commission on Children highlighted numerous system-level problems re-
lated to fragmented programs, disjointed and inadequate funding streams, inade-
quate performance monitoring, and the lack of a coherent planning framework.
Since the 1930s, the USDA (U.S. Department of Agriculture) Forest
Service’s International Institute of Tropical Forestry (the Institute) has
studied mahogany and its management. In the 1960s, F.B. Lamb, the author
of the classic book on mahogany (1966), was an Institute collaborator.
Before gene flow and genetic erosion became popular terms, my predecessor
Frank Wadsworth established a gene bank at the Luquillo Experimental