Apollo, sudden death, and Homer's "Odyssey": a warning from the past that we may be unable to eradicate coronary artery disease.

abstract：:There is a growing national awareness that the extraordinary extension of life expectancy in our society poses an impending crisis for our health-care system. This is due in large part to the scarcity of primary-care providers, especially geriatricians. To address these concerns, the Obama administration has considere...

journal_title：Perspectives in biology and medicine

authors： Hamerman D

更新日期：2009-07-01 00:00:00

abstract：:In retrospect, mortality from coronary heart disease (CHD) in the 20th century followed an epidemic pattern: mortality rates increased dramatically from 1920 until about 1960, remained roughly constant for almost a decade, and have been decreasing since the late 1960s. CHD has traditionally been conceived of as a sing...

journal_title：Perspectives in biology and medicine

authors： Azambuja MI,Levins R

更新日期：2007-04-01 00:00:00

abstract：:The term innovation is frequently used as a justification for allowing clinicians to offer unproven autologous stem cell-based interventions (SCBIs) to their patients. Proponents of this kind of innovation (which we refer to as "clinical innovation") argue that physicians should be free to administer whatever interven...

journal_title：Perspectives in biology and medicine

authors： Lipworth W,Stewart C,Kerridge I

更新日期：2018-01-01 00:00:00

abstract：:In the period of "classical genetics" (roughly 1915-950), the common view of the gene was mechanistic--hat is, genes were seen as individual, atomistic units, as material components of the chromosomes. Although it was recognized early on that genes could interact and influence each other's expression, they were still ...

journal_title：Perspectives in biology and medicine

authors： Allen GE

更新日期：2014-01-01 00:00:00

abstract：:Ensuring experimental outcomes are of the highest clinical caliber is crucial prior to the introduction of germline genome editing. However, if we are to police scientific progress using probability or the potential to go wrong, then we must account for the specious standards of human reproduction. With 15% of clinica...

journal_title：Perspectives in biology and medicine

authors： O'Neill HC

更新日期：2020-01-01 00:00:00

abstract：:How will developments in genetic knowledge affect the classification of disease? Leaders in genetics have suggested that knowledge of the role of genes in disease can determine nosology. Diseases might be defined by genotype, thus avoiding the limitations of more empirical approaches to categorization. Other commentat...

journal_title：Perspectives in biology and medicine

authors： Miller FA,Begbie ME,Giacomini M,Ahern C,Harvey EA

更新日期：2006-01-01 00:00:00

abstract：:The rise of big data and artificial intelligence (AI) in health care has engendered considerable excitement, claiming to improve approaches to diagnosis, prognosis, and treatment. Amidst the enthusiasm, the philosophical assumptions that underlie the big data and AI movement in medicine are rarely examined. This essay...

journal_title：Perspectives in biology and medicine

authors： Chin-Yee B,Upshur R

更新日期：2019-01-01 00:00:00

abstract：:The concept of placebo has evolved over time. Generally believed to be the basis of the premodern pharmacopoeia, the placebo has been adopted in practice as a harmless but unscientific approach towards alleviating symptoms. Currently, many medical scientists view placebos pejoratively as confounding elements in the an...

journal_title：Perspectives in biology and medicine

authors： Kradin RL

更新日期：2004-07-01 00:00:00

abstract：:The concept and determination of death by neurological or cardio-circulatory criteria play a crucial role for medical practice, society, and the law. Academic debates on death determination have regained momentum, and recent cases involving the neurological determination of death ("brain death") in the United States h...

journal_title：Perspectives in biology and medicine

authors： Racine E,Jox RJ,Bernat JL,Dabrock P,Gardiner D,Marckmann G,Rid A,Rodriguez-Arias D,Schmitten RI,Schöne-Seifert B

更新日期：2015-01-01 00:00:00

abstract：:The health aspects and benefits of conception control as a justification for U.S. government support of family planning are reviewed. The Family Planning Services Act of 1970 set a goal of serving 5 million indigent women by 1975. It is predicted that the program will far surpass that goal. 340 million dollars were...

journal_title：Perspectives in biology and medicine

authors： Hellman LM

更新日期：1973-04-01 00:00:00

abstract：:Milton Winternitz led Yale Medical School as its Dean from 1920 to 1935. An innovative, even maverick leader, he not only kept the school from going under, but turned it into a first-class research institution. Dedicated to the new scientific medicine established in Germany, he was equally fervent about "social medici...

journal_title：Perspectives in biology and medicine

authors： Spiro H,Norton PW

更新日期：2003-07-01 00:00:00

abstract：:Several studies suggest that clinical researchers are prone to overestimating the chance that scientific protocols will succeed, say, by confirming a treatment hypothesis or reaching recruitment targets. In this essay, we address the normative question of whether such "unrealistic optimism" is harmful in clinical rese...

journal_title：Perspectives in biology and medicine

authors： Benjamin D,Kimmelman J

更新日期：2016-01-01 00:00:00

abstract：:Antibody-dependent enhancement is a general in vitro property of enveloped viruses. In certain circumstances, antibody-dependent enhancement is a bona fide pathophysiologic mechanism in vivo. There are several examples of virus disease of humans and animals in which incomplete or partial immunity can lead to enhanced ...

journal_title：Perspectives in biology and medicine

authors： Burke DS

更新日期：1992-07-01 00:00:00

abstract：:Diverse and non-coherent sets of epistemological principles currently inform research in the general area of functional genomics. Here, from the personal point of view of a scientist with over half a century of immersion in hypothesis driven scientific discovery, I compare and deconstruct the ideological bases of prom...

journal_title：Perspectives in biology and medicine

authors： Davidson EH

更新日期：2015-04-01 00:00:00

abstract：:A central pillar of the Belmont Report is that a bright line must be drawn between medical practice and biomedical research. That line may have been brighter 50 years ago. Today, the typical physician is likely to work for a corporation or health system that styles itself as a learning health system. Such systems incr...

journal_title：Perspectives in biology and medicine

authors： Lantos JD

更新日期：2020-01-01 00:00:00

abstract：:Charles Dickens's adult life parallels the period when the movement for sanitary reform took root in England. Although he was not one of its leaders, he became in time one of its most outspoken advocates. This essay describes Dickens's growing involvement in the sanitary movement and looks at one of the most important...

journal_title：Perspectives in biology and medicine

authors： Litsios S

更新日期：2003-04-01 00:00:00

abstract：:This paper constructs a brief history of the biochemical term agonist by exploring the multiple meanings of the root agôn in ancient Greek literature and describing how agonist first appeared in the scientific literature of the 20th century in the context of neurophysiologists' debates about the existence and properti...

journal_title：Perspectives in biology and medicine

authors： Russo R

更新日期：2002-07-01 00:00:00

abstract：:The reigning paradigm of rational drug discovery in translational medicine attempts to exploit biological theories and pathophysiological explanations to identify novel drug targets and therapeutic strategies. Yet because many theories in medicine are either incomplete (at best) or false (at worst), relying on theoret...

journal_title：Perspectives in biology and medicine

authors： Hey SP

更新日期：2019-01-01 00:00:00

abstract：:As health care has become of great importance to both individual citizens and to society, it has become more important to understand medicine's relationship to the society it serves in order to have a basis for meaningful dialogue. During the past decade, individuals in the medical, legal, social sciences, and health ...

journal_title：Perspectives in biology and medicine

authors： Cruess RL,Cruess SR

更新日期：2008-10-01 00:00:00

abstract：:The emerging field of synthetic biology is a novel biological discipline at the interface between traditional biology, chemistry, and engineering sciences. Synthetic biology aims at the rational design of complex synthetic biological devices and systems with desired properties by combining compatible, modular biologic...

journal_title：Perspectives in biology and medicine

authors： Hörner M,Reischmann N,Weber W

更新日期：2012-01-01 00:00:00

abstract：:This commentary considers two informing influences on Pope Francis's support of perinatal hospice care for families facing diagnoses of serious fetal anomalies. Reflecting on the morally formative scriptural narrative of Mary's pregnancy and Jesus's birth and drawing upon an often-repeated idea of Pope Francis's papac...

journal_title：Perspectives in biology and medicine

authors： Hardt J

更新日期：2020-01-01 00:00:00

abstract：:Marino Ortolani (1904-1983), a pediatrician from Ferrara, in northeastern Italy, was an outstanding pioneer in the early diagnosis and treatment of hip dysplasia. In 1935, while examining hip abduction-adduction in a six-month-old baby, Ortolani noted that a clearly audible and palpable "click" was sufficient to revea...

journal_title：Perspectives in biology and medicine

authors： Stecco C,Porzionato A,Macchi V,Fantoni I,Ortolani L,De Caro R

更新日期：2014-10-01 00:00:00

abstract：:Autobiographical narratives of illness and disability are influential in popular and medical discourses of illness and disability, in part because these narratives represent illness and disability within a sociocultural context, intersecting with other categories of difference. Clinicians can benefit patients through ...

journal_title：Perspectives in biology and medicine

authors： Garden R

更新日期：2010-01-01 00:00:00

abstract：:The clinical trial of the AbioCor artificial heart, initiated in July 2001 and still in process, has taken place within a matrix of social and cultural patterns that are both "old" and new. The old patterns--those that have accompanied previous clinical trials of other vital artificial organs and transplantation in th...

journal_title：Perspectives in biology and medicine

authors： Fox RC,Swazey JP

更新日期：2004-01-01 00:00:00

abstract：:During the 1970s, something deeply consequential happened in the cultural, economic, and social relationships between science and technology. Paul Forman has proposed that the abrupt reversal of the culturally ascribed primacy in the science-technology relationship circa 1980 be taken as a demarcation of postmodernity...

journal_title：Perspectives in biology and medicine

authors： Schweber SS

更新日期：2009-01-01 00:00:00

abstract：:Although the practice of medicine continually changes in response to new biomedical understanding, novel technologies, and evolving cultural contexts, the ethical foundations of the clinical relationship between patient and physician paradoxically remain constant. There are fundamental characteristics with respect to ...

journal_title：Perspectives in biology and medicine

authors： Fuks A,Brawer J,Boudreau JD

更新日期：2012-01-01 00:00:00

abstract：:We argue that medical decisions on behalf of children should be made with the welfare of the child as the primary interest, that parents should generally be allowed to determine which options optimize the interests of their child, and that those decisions should be formally challenged only when the parental decision p...

journal_title：Perspectives in biology and medicine

authors： Diekema DS,Wilfond BS

更新日期：2016-01-01 00:00:00

abstract：:As a result of the growth of evidence-based practices across the world, health-care providers and policymakers in the United States, United Kingdom, and Europe have established institutes such as the United Kingdom's National Institute for Health and Clinical Excellence (NICE) to produce clinical guidelines that physi...

journal_title：Perspectives in biology and medicine

authors： McGoey L

更新日期：2009-04-01 00:00:00

abstract：:Iraqi detainees subjected to torture and mistreatment at Abu Ghraib prison may continue to suffer from significant physical and psychological consequences of their abuse. This article reports two cases of Iraqi individuals allegedly tortured at Abu Ghraib. Detailed forensic evaluations were conducted approximately one...

journal_title：Perspectives in biology and medicine

authors： Keller AS

更新日期：2006-10-01 00:00:00

abstract：:This article examines five letters from the correspondence of American zoologist Edwin Grant Conklin that highlight his theories of genetic and social inheritance, in order to suggest that Conklin's eugenic beliefs--like those of many American authorities during this time--were complex and sometimes contradictory. The...

journal_title：Perspectives in biology and medicine

authors： Reumann M,Fausto-Sterling A

更新日期：2001-07-01 00:00:00