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Preventing academic medical center from becoming an oxymoron.

Many academic medical institutions are facing serious threats to their survival today as changes in the organization and financing of health care delivery and reductions in federal support create damaging pressures. In order for Americans to continue to have the best health care in the world, academic medicine and its crucial contributions of medical education, training, and research must receive adequate support. The author maintains that it is up to the Association of American Medical Colleges and associated organizations to ensure that this message is heard and recognized and to seek an all-payer approach that would support the costs associated with medical education and training and would allow teaching hospitals to compete on a level playing field with non-teaching hospitals. Academic medical institutions must face painful transformations while maintaining their academic missions; the author discusses the nature of these transformations and missions, particularly research, and outlines useful strategies to maintain these missions, such as establishing a centralized approach to curriculum and having clinical and basic science faculty form alliances to address common research problems and secure more research funding. He concludes that many of the structural and other changes that academic medicine's institutions must make may result in true improvements and help maintain the validity of the term academic medical center in the future.

Academic Medical Centers↗

Toward a plant genomics initiative: thoughts on the value of cross-species and cross-genera comparisons in the grasses.

Comparative genomics offers unparalleled opportunities to integrate historically distinct disciplines, to link disparate biological kingdoms, and to bridge basic and applied science. Cross-species, cross-genera, and cross-kingdom comparisons are proving key to understanding how genes are structured, how gene structure relates to gene function, and how changes in DNA have given rise to the biological diversity on the planet. The application of genomics to the study of crop species offers special opportunities for innovative approaches for combining sequence information with the vast reservoirs of historical information associated with crops and their evolution. The grasses provide a particularly well developed system for the development of tools to facilitate comparative genetic interpretation among members of a diverse and evolutionarily successful family. Rice provides advantages for genomic sequencing because of its small genome and its diploid nature, whereas each of the other grasses provides complementary genetic information that will help extract meaning from the sequence data. Because of the importance of the cereals to the human food chain, developments in this area can lead directly to opportunities for improving the health and productivity of our food systems and for promoting the sustainable use of natural resources.

Journal Article↗

Ambient formaldehyde detection with a laser spectrometer based on difference-frequency generation in PPLN.

A laser spectrometer based on difference-frequency generation in periodically poled LiNbO3 (PPLN) has been used to quantify atmospheric formaldehyde with a detection limit of 0.32 parts per billion in a given volume (ppbV) using specifically developed data-processing techniques. With state-of-the-art fiber-coupled diode-laser pump sources at 1083 nm and 1561 nm, difference-frequency radiation has been generated in the 3.53-micrometers (2832-cm-1) spectral region. Formaldehyde in ambient air in the 1- to 10-ppb V range has been detected continuously for nine and five days at two separate field sites in the Greater Houston area operated by the Texas Natural Resource Conservation Commission (TNRCC) and the Houston Regional Monitoring Corporation (HRM). The acquired spectroscopic data are compared with results obtained by a well-established wet-chemical o-(2,3,4,5,6-pentafluorobenzyl) hydroxylamine (PFBHA) technique.

Atmosphere↗

Space biology class as part of science education programs for high schools in Japan.

Declining incentives and scholastic abilities in science class has been concerned in Japan. The Ministry of Education, Culture, Sports, Science and Technology encourages schools to cooperate with research institutions to raise student's interest in natural sciences. The Science Partnership Program (SPP) and the Super Science High-School (SSH) are among such efforts. Our short SPP course consists of an introductory lecture on space biology in general and a brief laboratory practice on plant gravitropism. Space biology class is popular to students, despite of the absence of flight experiments. We suppose that students are delighted when they find that their own knowledge is not a mere theory, but has very practical applications. Space biology is suitable in science class, since it synthesizes mathematics, physics, chemistry and many other subjects that students might think uninteresting.

Biological Science Disciplines↗

The origin of modern plant virology.

Plant virology, born with Mayer's work, saw a first (embryonic) phase of development during two decades (1900-1920) with outstanding contributions from Dimitri Ivanovski, Martinus Beijerinck, Erwin Baur and Harry Allard. Between 1920 and 1930 a second phase saw the elaboration of surprising hypotheses concerning the enigmatic nature of viruses and experimental evidence of great stress was obtained. Revolutionary renewal began from the mid-1930s on the basis of a body of knowledge which was organically assembled into the first textbook of plant virology published by Kenneth Smith in 1933. In 1922, the geneticist Hermann Muller put forward the hypothesis that considered viruses as possible genes. The theory was resumed in an apparently independent way by Benjamin Duggar and Joanne Karrer Armstrong in 1923, who considered TMV a biocolloidal self-reproducing protein, like genes appeared to be. This hypothesis, even if neglected by virologists, anticipated by some decades the functional nature of viruses and represented the first conceptual response to virus enigma. Considerable experimental results were obtained by James Johnson, who showed that plants could be infected by different viruses and who introduced a first rational system of plant virus classification. Harold McKinney showed that TMV could mutate. Harold Storey, Kenneth Smith and Harry Severin demonstrated that several viruses could be transmitted by insects and supplied the first interpretation of the relationship between virus and insect. Mayme Dvorak and Helen Purdy obtained the first experimental evidence of the antigenic power of plant viruses. Virus purification, first tentatively accomplished with physical methods, was brilliantly performed by chemical means. Finally, Francis Holmes elaborated the first suitable test to estimate virus infectivity. The evolution of plant virology from an empirical discipline to a biological science took place thanks to the work of one group of American and English scientists who must be regarded as the fathers of modern plant virology.

History, 20th Century↗

Goethe's science: an approach to research in American Indian Studies.

In The Wholeness of Nature (1996), Henri Bortoft shows how a Goethean science of qualitative wholeness complements the analytic and causal- explanatory framework that underlies most research in the natural and social sciences. Goethe's insights and methods suggest that a better understanding of Indian tribes may occur when a tribe is regarded as its own abstraction and its own explanation. In Goethe's approach to science, the human mind is an "organ of perception" and researchers are active participants in the way they see the world. Consider an Indian tribe and the goal of Goethean science is to intuitively "see" patterns of interpenetrating relationships in a dynamic process of self-organization that is the tribe. While analytic science and Goethe's science of wholeness are incommensurable, both are true, and neither is comprehensive.

Biological Science Disciplines↗

Monitoring of bacteria growth using a wireless, remote query resonant-circuit sensor: application to environmental sensing.

A new technique is presented for in-vivo remote query measurement of the complex permittivity spectra of a biological culture solution. A sensor comprised of a printed inductor-capacitor resonant-circuit is placed within the culture solution of interest, with the impedance spectrum of the sensor measured using a remotely located loop antenna; the complex permittivity spectra of the culture is calculated from the measured impedance spectrum. The remote query nature of the sensor platform enables, for example, the in-vivo real-time monitoring of bacteria or yeast growth from within sealed opaque containers. The wireless monitoring technique does not require a specific alignment between sensor and antenna. Results are presented for studies conducted on laboratory strains of Bacillus subtilis, Escherichia coli JM109, Pseudomonas putida and Saccharomyces cerevisiae.

Bacteria↗

Schwarz meets Schwann: design and fabrication of biomorphic and durataxic tissue engineering scaffolds.

Tissue engineering is a discipline at the leading edge of the field of computer assisted intervention. This multidisciplinary engineering science attempts to meet the reparative and regenerative needs of tissues and organs based on the notion of design and fabrication of scaffolds- porous, three-dimensional "trellis-like" biomimetic structures that, on implantation, provide a viable environment to recuperate and regenerate damaged cells. Existing scaffold fabrication strategies produce sub-optimal porous labyrinths with contra-naturam straight edges. The biomorphic geometry that mimics the secundam-naturam substrate would be one that is continuous through all space, partitioned into two not-necessarily-equal sub-spaces by a non-intersecting, two-sided surface. Minimal surface geometry is not only ideal to describe such a space but is also the preferentially assumed geometry in natural and pathological or manipulated cells. We present results on the premier attempt in computer-controlled fabrication, modulation, and mechanical characterization of tissue engineering scaffolds based on triply periodic minimal surfaces (TPMS). We also present novel strategies to realize coterminous seeding-feeding networks thereby guaranteeing blood/nutrient supply to the proliferating cells at close proximity. This initiative of linking Schwann's 1838 cell theory with Schwarz's 1865 discovery of TPMS is a significant step to fabricate the previously elusive optimal biomorphic tissue analogs.

Animals↗

200 years of amphibian water economy: from Robert Townson to the present.

In the 1790s, Robert Townson established the main features of the water economy of terrestrial amphibians: rapid evaporative water loss in dry surroundings, 'drinking' by absorption of water through the abdominal skin pressed against moist substrates, and use of the urinary bladder as a reservoir from which water is reabsorbed on land. This knowledge was of little interest to the establishment in the first half of the nineteenth century of experimental physiology as a basic medical discipline, when frogs became models in the elucidation of general physiological processes. Townson's pioneer contributions to amphibian physiology were forgotten for 200 years (Jørgensen 1994b). During (1901) and particularly Overton (1904) restored knowledge about amphibian water economy to the level reached by Townson, but the papers had little impact on the young science of animal physiology because they primarily aimed at elucidating the transport of fluids across membranes. Frog skin remained a model preparation in such studies throughout the century. With the establishment of terrestrial ecology early in the century, the relations of animals, including amphibians, to water became a central theme. Concurrently with comparative studies of amphibian water economy in an ecological setting, the subject proceeded as an aspect of animal osmoregulation. Adolph (1920-1930) and Rey (1937a) established the highly dynamic nature of water balance in amphibians in water and on land. Their observations indicated functional links between environment, skin and kidneys, the nature of which remained to be explored. Thorson & Svihla (1943) reopened the ecological approach in a comparative study of the relations between amphibian habitat and tolerance of dehydration. By mid-century, the central themes of amphibian adaptations to terrestrial modes of life were re-established, except for the function of the bladder as a water-depot. During the following decades, a rich literature appeared, particularly focusing on adaptations of amphibians to arid environments. Thus, in the 1970s, it was found that 'waterproofing' of the highly permeable skins by means of skin secretions had evolved independently in several families of tropical arboreal frogs, and that a number of amphibians that aestivate whilst burrowed in dry soil could reduce evaporation by forming cocoons from shed strata cornea. In 1950-1970 the role of bladder urine as a water depot in terrestrial amphibians was recognized: this did not change the established view of water balance in terrestrial amphibians as alternating between dehydration on land and rehydration in response to the deficit in body water. Amphibians may, however, maintain normal water balance whether the ambient medium is water or air by means of little understood integrated mechanisms in control of cutaneous drinking behaviour, water permeability of the skin and bladder wall, and urine production.

Amphibians↗

[The extent of imposture].

This paper comments on Sokal and Bricmont's stance towards interdisciplinary approaches between the human and natural sciences, as stated in their controversial book Impostures Intellectuelles (Fashionable Nonsense) (1999). It happens that interdisciplinary is a subject of major importance to "new paradigms" in Public Health. First, the paper identifies different types of interaction between these "two cultures", such as transdisciplinary trends and the "Science Wars", and emphasizes their unproductive aspects. Second, it proposes a re-evaluation of pragmatism as a suitable way of including philosophical considerations in interdisciplinary Public Health research, exemplified by a correlation between the ideas of Henri Atlan (1991) and notions of risk theory (or model).

Biological Science Disciplines↗

[Psychotherapy in the life sciences].

In the 150 years since psychotherapies were theoretically founded and first practised, changes have occurred in the understanding of humans from concepts based on physical sciences to concepts rooted in biologic life sciences. Biopsychosocial knowledge of the way human nature links with environmental factors has resulted in new views on the causes of psychological disorders and the tasks of psychotherapy. The main selective processes of adjustment to the environment take place with genetic variations between the 6th and 20th years of life and in further developments until death. Psychotherapy has to overcome pathologically distorted impressions of the environment. Latent abilities and neglected options need to manifest themselves for patients to find a new outlook on life.

Biological Science Disciplines↗

Seeing patients and life contexts: the visual arts in medical education.

In many ways, the practice of medicine has been a visual science from the time of the early Renaissance anatomists to the high-speed scanners of today. But images of patients and their anatomical parts do not necessarily lead to an understanding of their problems. Meaning must follow the sensory experience and be coupled with reflection. The visual arts, therefore, can be used to help physicians in training increase their observational and interpretive skills. Works by classic and contemporary artists can be used to increase awareness of the complex nature of human beings and their conditions, which lie beneath the appearances. In addition to painting, television, motion pictures, and printed media may also be used in classroom settings to educate. Medical schools that do not have accessible fine arts or humanities programs may form allegiances with local artists to increase communication and understanding between these disciplines.

Art↗

Ethics of psychological research: new policies; continuing issues; new concerns.

The implementation over the past year within Canadian universities of the new Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans (TCPS) ushers in a new era in the oversight of the ethics of psychological research in Canada. Although these new policies apply to all human research, our interest in how they apply to psychology, primarily to deception, undergraduate subject pools, and other continuing concerns. Why have the granting agencies decided that government regulation of research ethics is necessary and what is the relationship between federal regulations and discipline codes? The history of CPA's involvement in protecting psychology's interests in the final revisions to the TCPS is recounted. In spite of what has been achieved, many psychologists feel that the TCPS has created new concerns for the discipline. Although there is the potential for startup problems, it is in our collective and individual best interests to make the policy work, thereby ensuring that escalation of government regulation or legislation will not be pursued.

Advisory Committees↗

[The significance of animals in biomedical research].

The mission of medicine is maintenance of health, elimination of suffering and prolongation of life. These aims can be achieved by medicine based on experimental determination, because only then it becomes a real science. The nature of human mind has led the man since the beginning of humanity on the earth to the cognition of his environment and himself. Being intellectually superior than other living creatures, the man got power over them. In his endless efforts to expand knowledge about living organisms, including his own, he started to use animals. The man has used animals for cognitive purposes for ages and is still doing it, however his motivation has changed and is still changing. Cognition of functions of living organisms on the basis of observation solely, without any interference into the living body gave a lot of important information, yet, generally, this method was of little use for the development of science. Only the use of animals could give information about this what was earlier unknown and impossible. The long-lasting evolution of experimental studies of living functions of higher organisms resulted in achieving a perfect level in biomedical studies. Vivisection, as it was understood years ago, has become history. For a chronic experiment, an animal is surgically prepared according to the researcher's intention. The surgery and the postoperative period follow the principles used in human surgery. After the convalesce period, the animal is used for further experiments. On such prepared animals, the investigations in experimental cardiology, neurophysiology, gastroenterology and other medical disciplines are performed. The animal prepared for longlasting experiments do not suffer from pain during both the experiments and intervals between them. Another important achievement in chronic experiments is considerable reduction of the number of animals used in experimental medicine. Undoubtedly, the greatest achievements in medicine in the 19th and 20th centuries were possible due to the use of animals. There is a strong relationship between a rapid progress in experiments on animals and evident progress in clinical medicine. In the second half of the 20th century the man left the globe for the first time and reached another planet. Tis unusual event in the history of humanity was possible due to space medicine based on biomedical experiments with the use of animals. Also, the man's ability to reach the depths of oceans cost the lives of many experimental animals. Despite advances that have already been made, we are still in the early stages of understanding the complex workings of the body. This makes the replacement of animal experiments a slow process. At the same time, our increasing knowledge is opening up whole new areas of medical research which in turn give rise to a need for further animal use. While it may be difficult to envisage total replacement, the proposition of work that can be done without animals is increasing all the time. Many efforts are being made to find alternatives to animal experiments, to increase the usefulness of those that already exist, and to refine animal research methods. But at present days biomedicine, with its experiments on animals, reveals the laws of nature which the clinical and his patient can use to improve the life quality, prolong the life span and eliminate suffering. We all want to lead a healthy and enjoyable life. Most of us want the benefits of modern medical research-benefits that we would not have without the contribution of animal research. Yet, the health and well being of animals is important too. Clearly, those involved in this research have a moral and legal obligation to ensure that laboratory animals are well housed and cared for, any distress is kept to a minimum and that as few animals as possible are used. In the end, the question of whether animals should be used in medicines research is one everyone must answer for themselves, but the decision is more c

Animal Welfare↗

Clarifying the nature of conceptualizations about nursing.

This discipline of nursing is at a crucial point in its development. Conceptualizations about nursing are being developed and tested without benefit of a clear conception as to their nature. Consequently, the nursing literature on the topic tends to confuse rather than clarify thought. The purpose of this philosophic treatise is to show that greater clarity could be achieved by acknowledging the fact that questions addressed in conceptions about nursing are philosophic in nature. The influential thought of Jacqueline Fawcett is critiqued with reference to how acknowledging and acting in terms of this fact would also lend parsimony to thought on the matter.

Concept Formation↗

Anatomy departments and anatomy education: reflections and myths.

This report is based on the basic postulate that if the overall goal of anatomy departments is to function as vigorous academic and scholastic communities welcoming research and innovative thinking, there will be implications for the nature of anatomy teaching. In developing this theme, perceptions about the meaning of the term "anatomy" are explored, as are the repercussions of teaching anatomy entirely within the context of a medical curriculum. There have been a variety of responses to the perceived demise of anatomy, resulting in a discipline that is heterogeneous, both in terms of teaching and research emphases. The options open to university departments are assessed by way of the model of third-wave departments, with their characteristics of excellence, flexibility, planning, networking, and risk-taking. The consequences of this model for anatomy departments include the importance of a research emphasis, a close conceptual link between teaching and research, and a structural base for the research. In view of these consequences, three distinct forms of teaching are recognized: undergraduate teaching to medical and other health science students, undergraduate teaching to science students, and postgraduate teaching. Some of the distinctive features of the two forms of undergraduate teaching are explored. Various central contentions (myths) regarding anatomy departments and anatomy education are rejected.

Academic Medical Centers↗

Science and cycling: current knowledge and future directions for research.

In this holistic review of cycling science, the objectives are: (1) to identify the various human and environmental factors that influence cycling power output and velocity; (2) to discuss, with the aid of a schematic model, the often complex interrelationships between these factors; and (3) to suggest future directions for research to help clarify how cycling performance can be optimized, given different race disciplines, environments and riders. Most successful cyclists, irrespective of the race discipline, have a high maximal aerobic power output measured from an incremental test, and an ability to work at relatively high power outputs for long periods. The relationship between these characteristics and inherent physiological factors such as muscle capilliarization and muscle fibre type is complicated by inter-individual differences in selecting cadence for different race conditions. More research is needed on high-class professional riders, since they probably represent the pinnacle of natural selection for, and physiological adaptation to, endurance exercise. Recent advances in mathematical modelling and bicycle-mounted strain gauges, which can measure power directly in races, are starting to help unravel the interrelationships between the various resistive forces on the bicycle (e.g. air and rolling resistance, gravity). Interventions on rider position to optimize aerodynamics should also consider the impact on power output of the rider. All-terrain bicycle (ATB) racing is a neglected discipline in terms of the characterization of power outputs in race conditions and the modelling of the effects of the different design of bicycle frame and components on the magnitude of resistive forces. A direct application of mathematical models of cycling velocity has been in identifying optimal pacing strategies for different race conditions. Such data should, nevertheless, be considered alongside physiological optimization of power output in a race. An even distribution of power output is both physiologically and biophysically optimal for longer ( > 4 km) time-trials held in conditions of unvarying wind and gradient. For shorter races (e.g. a 1 km time-trial), an 'all out' effort from the start is advised to 'save' time during the initial phase that contributes most to total race time and to optimize the contribution of kinetic energy to race velocity. From a biophysical standpoint, the optimum pacing strategy for road time-trials may involve increasing power in headwinds and uphill sections and decreasing power in tailwinds and when travelling downhill. More research, using models and direct power measurement, is needed to elucidate fully how much such a pacing strategy might save time in a real race and how much a variable power output can be tolerated by a rider. The cyclist's diet is a multifactorial issue in itself and many researchers have tried to examine aspects of cycling nutrition (e.g. timing, amount, composition) in isolation. Only recently have researchers attempted to analyse interrelationships between dietary factors (e.g. the link between pre-race and in-race dietary effects on performance). The thermal environment is a mediating factor in choice of diet, since there may be competing interests of replacing lost fluid and depleted glycogen during and after a race. Given the prevalence of stage racing in professional cycling, more research into the influence of nutrition on repeated bouts of exercise performance and training is required.

Bicycling↗

[Research in nursing: an interdisciplinary field].

This paper describes the growing importance of research in the nursing field and reviews its development since Florence Nightingale's day in the last century, and its revitalization with the help of the international organizations. Research, an empirical process by nature, is the application of the scientific method, in which reliable solutions to concrete problems are found by objective procedures. One of its characteristics is the framing of concepts, that is, the development of a logical, scientific chain of reasoning by which relationships between facts are established or inferred. Nursing embraces many activities that are traditionally referred to as the nursing process which, stated simply, is no more than an application of the scientific method. That it is applied with greater rigor in the sciences themselves does not detract from the scientific dimensions of nursing practice. It is perhaps going too far to regard all professional nurses as researchers. They may, however, be expected to have the intellectual curiosity to pursue lines of inquiry in their extensive field. They should continue to do so as participants in a joint effort with other disciplines to solve problems relating to health.

England↗