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Towards a post-modern medicine.

Although there is general agreement that our current approach to health and healing is undergoing substantial change, there has been a lack of critical discussion regarding the extent, character and direction of change. It is important for us to articulate the values that we would like expressed in a reconfigured approach to health and healing, and to ensure that our efforts to initiate change are aligned with these values. An overview of Western history suggests that the post-modern world-view is characterized by four essential values: multidimensional realism, intentionality, holism and personal authenticity. Our current efforts to change the direction of health care have failed to produce fundamental change. This has resulted from the compelling influence of existing perspectives and the promotion of parochial, professional and institutional interests. To assure fundamental change, articulated values that are consistent with a post-modern world must be articulated, fostered and embedded into innovative programmes.

Complementary Therapies↗

Application of modern biotechnology to food and agriculture: food systems perspective.

The purpose of this article is to provide nutrition educators with an introduction to a range of considerations and forces that are driving the application of modern biotechnology in the food and fiber sector based on a food systems perspective. In doing so, the following issues are critically assessed: (1) the global debate on how to regulate genetically engineered (GE) foods and crops, (2) cultural differences in public perceptions of GE foods, and (3) evaluation of selected GE traits against the principles of social, economic, and ecological sustainability, including the potential of modern agricultural biotechnology to enhance global food security. Where appropriate, we also review other agricultural technologies and the broader political, social, and economic contexts in which these technologies have been introduced. Finally, we offer recommendations for how multiple stakeholder groups, including policy makers, biotechnology advocates, and nutrition educators, can move toward a more informed dialogue and debate on this issue.

Biotechnology↗

Influence of family head's reproductive behaviour on the use of modern contraceptive methods by other members of the family in rural Bangladesh.

A study in Bangladesh showed that the probability of use of modern contraception by eligible family members of a household increases significantly if the household head himself is a user. Multinomial logistic regression showed that contraceptive use was also significantly related with maternal age, parity, education, socioeconomic status and experience of child mortality. Inclusion of ever use of modern contraceptives by the family head or his wife, showed family head's religiosity to be a significant predictor of use, apart from his age and parity, and after controlling for socioeconomic correlates.

Adolescent↗

Area variations in use of modern contraception in rural Bangladesh: a multilevel analysis.

This study in Bangladesh found that inter-cluster variation in the use of modern reversible methods of contraception was significantly attributable to the educational levels of the female family planning workers working in the clusters. Women belonging to clusters served by educated workers had a higher probability of being contraceptive users than those whose workers had only completed primary education. At the household level, important determinants of use were socioeconomic status and religion. At the individual level, the woman being the wife of the household head and having some education were positively related to her being a user. The model also found that inter-household variation was significantly greater than inter-cluster variation. Finally, the study concludes that after controlling for various covariates at all three levels, the clusters do not have significantly different levels of use of modern reversible methods of contraception. There are, however, some special areas where contraceptive use is dramatically low, and these contribute significantly to the observed inter-cluster variation.

Adolescent↗

Identifying latent enzyme activities: substrate ambiguity within modern bacterial sugar kinases.

The ability of enzymes to catalyze the transformation of multiple, structurally related substrates could empower the natural evolution of new catalytic functions. The prevalence of such substrate ambiguity in modern catalysts, however, is largely unknown. To search for ambiguous sugar kinases, we generated a bacterium incapable of performing the first step of the glycolytic pathway, the phosphorylation of glucose. This organism cannot survive with glucose as its sole source of carbon. Within its genome, we find three DNA sequences that, when transcribed from a powerful extrachromosomal promoter, can complement the auxotrophy of the organism. These sequences contain the nanK, yajF, and ycfX genes. In vitro, the NanK, YajF, and YcfX proteins function as rudimentary glucokinases with ambiguous substrate specificites, displaying k(cat)/K(m) values for the phosphorylation of glucose that are 10(4)-fold lower than the k(cat)/K(m) value of endogenous bacterial glucokinase. Our findings suggest that modern genomes harbor a wealth of latent enzyme activities and that extant metabolic pathways are equivocal, in contrast to their usual depiction.

Amino Acid Sequence↗

A modern look at folkloric use of anti-infective agents.

Infectious diseases are of ancient origin, and mankind has a venerable history of use of higher plant extracts for the therapy of such infections. Some such agents survive in use from earlier times--quinine, emetine, and sanguinarine, for example--but the modern use of fermentation-based antibiotics has greatly overshadowed work on agents from other sources. After a brief review of the present status of the field of antibiotics, this review focuses upon the present status of antimicrobial agents from higher plants with particular reference to agents from plants with a folkloric reputation for treatment of infections. In particular, recent work on the tropical genus Erythrina is emphasized. The use of modern microbiological techniques demonstrates that higher plants frequently exhibit significant potency against human bacterial and fungal pathogens, that many genera are involved, that many folkloric uses can be rationalized on this basis, that the active constituents are readily isolated by bioassay-directed techniques, that their chemical structures are types uncommon amongst fermentation-based agents but are familiar to natural product chemists, that their antimicrobial spectra are comparatively narrow but that their potency is often reasonable, that they are comparatively easy to synthesize and the unnatural analogues so produced can possess enhanced therapeutic potential and, thus, it is concluded that such work generates a gratifying number of novel lead structures and that the possibility of finding additional agents for human or agricultural use based upon higher plant agents is realistic.

Anti-Bacterial Agents↗

Health risk assessment of a modern municipal waste incinerator.

During the modernization of the municipal waste incinerator (MWI, maximum capacity of 180,000 tons per year) of Metropolitan Grenoble (405,000 inhabitants), in France, a risk assessment was conducted, based on four tracer pollutants: two volatile organic compounds (benzene and 1, 1, 1 trichloroethane) and two heavy metals (nickel and cadmium, measured in particles). A Gaussian plume dispersion model, applied to maximum emissions measured at the MWI stacks, was used to estimate the distribution of these pollutants in the atmosphere throughout the metropolitan area. A random sample telephone survey (570 subjects) gathered data on time-activity patterns, according to demographic characteristics of the population. Life-long exposure was assessed as a time-weighted average of ambient air concentrations. Inhalation alone was considered because, in the Grenoble urban setting, other routes of exposure are not likely. A Monte Carlo simulation was used to describe probability distributions of exposures and risks. The median of the life-long personal exposures distribution to MWI benzene was 3.2 x 10(-5) micrograms/m3 (20th and 80th percentiles = 1.5 x 10(-5) and 6.5 x 10(-5) micrograms/m3), yielding a 2.6 x 10(-10) carcinogenic risk (1.2 x 10(-10)-5.4 x 10(-10)). For nickel, the corresponding life-time exposure and cancer risk were 1.8 x 10(-4) micrograms/m3 (0.9 x 10(-4)-3.6 x 10(-4) micrograms/m3) and 8.6 x 10(-8) (4.3 x 10(-8)-17.3 x 10(-8)); for cadmium they were respectively 8.3 x 10(-6) micrograms/m3 (4.0 x 10(-6)-17.6 x 10(-6)) and 1.5 x 10(-8) (7.2 x 10(-9)-3.1 x 10(-8)). Inhalation exposure to cadmium emitted by the MWI represented less than 1% of the WHO Air Quality Guideline (5 ng/m3), while there was a margin of exposure of more than 10(9) between the NOAEL (150 ppm) and exposure estimates to trichloroethane. Neither dioxins nor mercury, a volatile metal, were measured. This could lessen the attributable life-long risks estimated. The minute (VOCs and cadmium) to moderate (nickel) exposure and risk estimates are in accord with other studies on modern MWIs meeting recent emission regulations, however.

Air Pollutants↗

Genetic manipulations in aquaculture: a review of stock improvement by classical and modern technologies.

The aim of this review was to highlight the extent to which the genetic technologies are implemented by the aquaculture industry. The review shows that some of the modern genetic technologies are already extensively applied by the diverse aquaculture industries, though not to the same extent for all important aquacultured species (according to FAO 1998 figures). Some species (common carp, Atlantic salmon, rainbow trout, channel catfish, Nile tilapia, and the Pacific oyster) received concentrated breeding efforts, while other major cultured species (Chinese and Indian carps and the giant tiger shrimp) received, so far, relatively limited attention, and a few species (Yesso scallop, blue mussel, white Amur bream, and milkfish) have, apparently, not been genetically improved at all. Most of the genetically improved strains reaching the aquaculture industry were developed through traditional selective breeding (selection, crossbreeding, and hybridization). Emerging, more modern technologies for genetic manipulation seem to take 10-20 years from being established experimentally until applications affect the industry. Thus, chromosome-set and sex manipulations started to affect the industry during the 1980's and 1990's. DNA marker technology and gene manipulations have yet hardly affected the industry. The former have not matured yet, but hold much promise. The latter could have affected the industry already had it not been restricted by public concern.

Animals↗

Proteomic technologies in modern biomedical science.

This review highlights modern technologies employed in proteomics. Methods of sample preparations are discussed with special emphasis on the requirements for preparation of biological material, which may seriously influence the results of proteomic studies. Methods of solubilization, electrophoresis, chromatographic protein separation, and visualization of protein spots in gels are described. Modern methods of mass spectrometry used in proteomic studies include combination of protein chips with mass spectrometry. The review also describes approaches of functional proteomics, i.e., interactomics, and also bioinformatic resources used in proteomics for image analysis of 2D-gel-electrophoresis and for identification of protein sequences by mass spectra.

Biomedical Research↗

In the shadows of medicine and modernity: medical integration and secular histories of religious healing in Turkey.

Building upon the World Health Organization's recent publication WHO Strategy for Traditional Medicine (WHO 2002), this paper examines the historical position of "traditional medicines" at their intersection with the development and modernization of a biomedically based health care system in Turkey. This paper considers how the historical development of Turkey's health care system, as a prominent site for the articulation of the state's broader modernization project, sustained particular formulations of subjectivity and citizenship that were defined in opposition to a set of cultural practices and modes of religious-political authority represented by "traditional medicines." Consequently, projects and policies seeking to formally integrate "complementary" or "alternative" therapies directly confront this past and the various ways in which it is reenacted in constituting the present.

Complementary Therapies↗

Windows into nothingness: terror management, meaninglessness, and negative reactions to modern art.

Why do people dislike art that they find meaningless? According to terror management theory, maintaining a basic meaningful view of reality is a key prerequisite for managing concerns about mortality. Therefore, mortality salience should decrease liking for apparently meaningless art, particularly among those predisposed to unambiguous knowledge. Accordingly, mortality salience diminished affection for modern art in Study 1, and this effect was shown in Study 2 to be specific to individuals with a high personal need for structure (PNS). In Studies 3 and 4, mortality salient high-PNS participants disliked modern art unless it was imbued with meaning, either by means of a title or a personal frame of reference induction. Discussion focused on the roles of meaninglessness, PNS, and art in terror management.

Analysis of Variance↗

Modern robust data analysis methods: measures of central tendency.

Various statistical methods, developed after 1970, offer the opportunity to substantially improve upon the power and accuracy of the conventional t test and analysis of variance methods for a wide range of commonly occurring situations. The authors briefly review some of the more fundamental problems with conventional methods based on means; provide some indication of why recent advances, based on robust measures of location (or central tendency), have practical value; and describe why modern investigations dealing with nonnormality find practical problems when comparing means, in contrast to earlier studies. Some suggestions are made about how to proceed when using modern methods.

Humans↗

Sphenoid shortening and the evolution of modern human cranial shape.

Crania of 'anatomically modern' Homo sapiens from the Holocene and Upper Pleistocene epochs differ from those of other Homo taxa, including Neanderthals, by only a few features. These include a globular braincase, a vertical forehead, a dimunitive browridge, a canine fossa and a pronounced chin. Humans are also unique among mammals in lacking facial projection: the face of the adult H. sapiens lies almost entirely beneath the anterior cranial fossa, whereas the face in all other adult mammals, including Neanderthals, projects to some extent in front of the braincase. Here I use radiographs and computed tomography to show that many of these unique human features stem partly from a single, ontogenetically early reduction in the length of the sphenoid, the central bone of the cranial base from which the face grows forward. Sphenoid reduction, through its effects on facial projection and cranial shape, may account for the apparently rapid evolution of modern human cranial form, and suggests that Neanderthals and other archaic Homo should be excluded from H. sapiens.

Adolescent↗

The role of microbes in accretion, lamination and early lithification of modern marine stromatolites.

For three billion years, before the Cambrian diversification of life, laminated carbonate build-ups called stromatolites were widespread in shallow marine seas. These ancient structures are generally thought to be microbial in origin and potentially preserve evidence of the Earth's earliest biosphere. Despite their evolutionary significance, little is known about stromatolite formation, especially the relative roles of microbial and environmental factors in stromatolite accretion. Here we show that growth of modern marine stromatolites represents a dynamic balance between sedimentation and intermittent lithification of cyanobacterial mats. Periods of rapid sediment accretion, during which stromatolite surfaces are dominated by pioneer communities of gliding filamentous cyanobacteria, alternate with hiatal intervals. These discontinuities in sedimentation are characterized by development of surface films of exopolymer and subsequent heterotrophic bacterial decomposition, forming thin crusts of microcrystalline carbonate. During prolonged hiatal periods, climax communities develop, which include endolithic coccoid cyanobacteria. These coccoids modify the sediment, forming thicker lithified laminae. Preservation of lithified layers at depth creates millimetre-scale lamination. This simple model of modern marine stromatolite growth may be applicable to ancient stromatolites.

Bahamas↗

Modern freshwater microbialite analogues for ancient dendritic reef structures.

Microbialites are organosedimentary structures that can be constructed by a variety of metabolically distinct taxa. Consequently, microbialite structures abound in the fossil record, although the exact nature of the biogeochemical processes that produced them is often unknown. One such class of ancient calcareous structures, Epiphyton and Girvanella, appear in great abundance during the Early Cambrian. Together with Archeocyathids, stromatolites and thrombolites, they formed major Cambrian reef belts. To a large extent, Middle to Late Cambrian reefs are similar to Precambrian reefs, with the exception that the latter, including terminal Proterozoic reefs, do not contain Epiphyton or Girvanella. Here we report the discovery in Pavilion Lake, British Columbia, Canada, of a distinctive assemblage of freshwater calcite microbialites, some of which display microstructures similar to the fabrics displayed by Epiphyton and Girvanella. The morphologies of the modern microbialites vary with depth, and dendritic microstructures of the deep water (> 30 m) mounds indicate that they may be modern analogues for the ancient calcareous structures. These microbialites thus provide an opportunity to study the biogeochemical interactions that produce fabrics similar to those of some enigmatic Early Cambrian reef structures.

Bacteria↗

Neanderthals and the modern human colonization of Europe.

The fate of the Neanderthal populations of Europe and western Asia has gripped the popular and scientific imaginations for the past century. Following at least 200,000 years of successful adaptation to the glacial climates of northwestern Eurasia, they disappeared abruptly between 30,000 and 40,000 years ago, to be replaced by populations all but identical to modern humans. Recent research suggests that the roots of this dramatic population replacement can be traced far back to events on another continent, with the appearance of distinctively modern human remains and artefacts in eastern and southern Africa.

Africa↗

Minisatellite diversity supports a recent African origin for modern humans.

In a study of human diversity at a highly variable locus, we have mapped the internal structures of tandem-repetitive alleles from different populations at the minisatellite MS205 (D16S309). The results give an unusually detailed view of the different allelic structures represented on modern human chromosomes, and of the ancestral relationships between them. There was a clear difference in allelic diversity between African and non-African populations. A restricted set of allele families was found in non-African populations, and formed a subset of the much greater diversity seen on African chromosomes. The data strongly support a recent African origin for modern human diversity at this locus.

Africa↗

The prevalence and natural history of periodontal disease in Britain from prehistoric to modern times.

OBJECTIVE: To investigate the prevalence of periodontitis in British populations during the past 3000 years. To discuss the relevance of these findings to modern populations denied access to modern dental treatment. DESIGN: Observation and assessment of periodontal status of skeletal material using a recently developed method of assessment. SETTING: Archaeological material from various collections throughout UK covering prehistoric, mediaeval and seventeenth to nineteenth century. SUBJECTS: 504 individuals. MAIN OUTCOME MEASURES: The periodontal status of individual septa was recorded as to whether they were healthy, had gingivitis or periodontitis. The prevalence of periodontitis among individuals and populations was assessed. RESULTS: The prevalence of periodontitis appears to have remained virtually constant during the past 3000 years in Britain, despite considerable changes in the oral environment. CONCLUSIONS: The significance of these findings in respect of untreated populations in underdeveloped countries today is considerable. It is considered essential that clinical and field studies record and report on oral environmental factors that may mimic or, by themselves, be responsible for periodontal attachment loss.

Disease Progression↗