Coronary heart disease (CHD)--one or several diseases? Changes in the prevalence and features of CHD.

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 single disease with multifactorial causality. We suggest instead that CHD cases may comprise at least two distinct populations: those associated with hypercholesterolemia, and those associated with insulin resistance. The epidemic of CHD was due primarily to changes in the incidence of the hypercholesterolemia subgroup. We propose that young adults who survived the 1918 influenza pandemic were rendered vulnerable to lipid-associated CHD and coronary thrombosis upon reinfection with influenza later in life. This vulnerability may be due to autoimmune disruption of low-density lipoprotein-receptor interactions. Historical events may affect the health of populations by affecting the susceptibility of populations to chronic diseases such as CHD. The life experiences of individuals are known to influence their susceptibility to infectious diseases; we suggest that life experiences may also influence individual susceptibility to chronic diseases.

journal_name

Perspect Biol Med

authors

Azambuja MI,Levins R

doi

10.1353/pbm.2007.0013

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

228-42

issue

2

eissn

0031-5982

issn

1529-8795

pii

S1529879507202285

journal_volume

50

pub_type

历史文章,杂志文章
  • The Etiological Stance: Explaining Illness Occurrence.

    abstract::Kelly, Kelly, and Russo (2014) recently proposed to integrate biological, behavioral, and social mechanisms into "mixed mechanisms" situated in the individual's "lifeworld" when considering illness causation. This article suggests considering terminological discrepancies, replacing the pathogenetic with an etiological...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2017.0025

    authors: Dammann O

    更新日期:2017-01-01 00:00:00

  • Reflections on basic science.

    abstract::After almost 50 years in science, I believe that there is an acceptable, often advantageous chasm between open-ended basic research-free exploration without a practical destination and in which the original ideas may fade into new concepts-and translational research or clinical research. My basic research on crystalli...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2010.0000

    authors: Piatigorsky J

    更新日期:2010-10-01 00:00:00

  • Genomics, "Discovery Science," Systems Biology, and Causal Explanation: What Really Works?

    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

    pub_type: 杂志文章

    doi:10.1353/pbm.2015.0025

    authors: Davidson EH

    更新日期:2015-04-01 00:00:00

  • Exemplary and surrogate models: two modes of representation in biology.

    abstract::Biologists use models in two distinct ways that have not been clearly articulated. A model may be used either as an exemplar of a larger group, or as a surrogate for a specific target. Zebrafish serve as an exemplary model of vertebrates in developmental biology; rodents are both exemplary vertebrates and specific sur...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0125

    authors: Bolker JA

    更新日期:2009-10-01 00:00:00

  • The Role of Physicians During Hunger Strikes of Undocumented Migrant Workers in a Non-Custodial Setting.

    abstract::Since the beginning of the 21st century, the living conditions of undocumented migrant workers in Belgium have deteriorated drastically. In Brussels, after various social actions, undocumented people began squatting and occupying public buildings to make their struggle visible to society. Desperate, some seized the po...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2019.0006

    authors: Vanobberghen R,Louckx F,Depoorter AM,Devroey D,Vandevoorde J

    更新日期:2019-01-01 00:00:00

  • Dean Milton C. Winternitz at Yale.

    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

    pub_type: 传,历史文章,杂志文章

    doi:10.1353/pbm.2003.0046

    authors: Spiro H,Norton PW

    更新日期:2003-07-01 00:00:00

  • High-tech brains: a history of technology-based analogies and models of nerve and brain function.

    abstract::This article reviews some of the technological devices and ideas which have been used over the years to answer the question, how does the brain work? It describes some of the early technology-based analogies and models of nerve fibers, and then discusses other analogies and models of the brain based on mechanical and ...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:10.1353/pbm.2002.0033

    authors: Kirkland KL

    更新日期:2002-04-01 00:00:00

  • Synthetic biology: programming cells for biomedical applications.

    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

    pub_type: 杂志文章,评审

    doi:10.1353/pbm.2012.0042

    authors: Hörner M,Reischmann N,Weber W

    更新日期:2012-01-01 00:00:00

  • "Meaning-making" in language and biology.

    abstract::The linguistic metaphor in biology adheres to a representational theory that seeks similarities between pre-given domains. The point of departure of this paper is the generative and nonrepresentational conception of metaphor. This paper argues that by adopting the nonrepresentational conception of metaphor, meaning-ma...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:10.1353/pbm.2005.0076

    authors: Neuman Y

    更新日期:2005-07-01 00:00:00

  • Redefining disease? The nosologic implications of molecular genetic knowledge.

    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

    pub_type: 杂志文章

    doi:10.1353/pbm.2006.0012

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

    更新日期:2006-01-01 00:00:00

  • The Research Optimist's Defense.

    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

    pub_type: 杂志文章

    doi:10.1353/pbm.2016.0043

    authors: Benjamin D,Kimmelman J

    更新日期:2016-01-01 00:00:00

  • From the Great Barrier Reef to a "cure" for the flu: tall tales, but true.

    abstract::How we discovered that sea birds on the Great Barrier Reef are riddled with influenza viruses, and how one of these led to a new drug now being used in the battle against the flu. ...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2004.0066

    authors: Laver WG

    更新日期:2004-10-01 00:00:00

  • Is the Pace of Biomedical Innovation Slowing?

    abstract::The pace of biomedical innovation is important because it determines the rate of progress in medicine and allied disciplines. A review of the history of medical advances reveals that the three decades from 1950 to 1980 were a particularly innovative time. Subsequent decades have seen fewer seminal advances, despite co...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2018.0067

    authors: Casadevall A

    更新日期:2018-01-01 00:00:00

  • The living dead: fiction, horror, and bioethics.

    abstract::Popular fiction responds to, and may exacerbate, public anxieties in ways that more highbrow literary texts may not. Robin Cook's 1977 novel Coma exemplifies the ways in which medical thrillers participate in the public discourse about health care. Written shortly after the medical establishment promoted "irreversible...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0168

    authors: Belling C

    更新日期:2010-07-01 00:00:00

  • The hitchhiker's guide to global health blogging.

    abstract::Social media use in modern medicine is fraught with ethical dilemmas and risks of unprofessional behavior. This essay surveys the existing literature on the possibilities and pitfalls of social media use by health-care professionals and concludes that non-engagement with social media is not an option. A mindful approa...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2013.0039

    authors: Frischtak H,Sinha P

    更新日期:2013-10-01 00:00:00

  • Give me a break: Gerhard Küntscher and his nail.

    abstract::The treatment of broken bones has long adhered to principles of tight juxtaposition of fracture ends and of strict rest. Splinting and casting with plaster of Paris helped considerably. Attempts at internal splinting with pegs, bolts, or stabilizing contraptions usually failed. Foreign materials were either not biocom...

    journal_title:Perspectives in biology and medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.1353/pbm.2014.0021

    authors: Pierach CA

    更新日期:2014-07-01 00:00:00

  • The foundation of physicianship.

    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

    pub_type: 杂志文章

    doi:10.1353/pbm.2012.0002

    authors: Fuks A,Brawer J,Boudreau JD

    更新日期:2012-01-01 00:00:00

  • Marino Ortolani: "Does That Baby's Hip Go Click?".

    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

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2014.0035

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

    更新日期:2014-10-01 00:00:00

  • Alternatives to War Within Medicine: From Conscientious Objection to Nonviolent Conflict About Contested Medical Practices.

    abstract::When we figure medical practice as warfare, an individual clinician may be either a dutiful combatant or a conscientious objector. The rhetorical structure of this choice means that clinicians may exercise their consciences by loyally joining or disloyally exiting the medical ranks' battle against disease. But there a...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2019.0025

    authors: Nussbaum AM

    更新日期:2019-01-01 00:00:00

  • A natural history of "agonist".

    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

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2002.0056

    authors: Russo R

    更新日期:2002-07-01 00:00:00

  • Regarding Bioethics: A Sociology of Morality.

    abstract::C. Wright Mills said that when done well, sociology illuminates the intersection of biography and history. This essay examines how the author's vocational choices and career path were shaped by historical circumstance, leading him to a degree in sociology and to participation in the odd and interesting interdiscipline...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2017.0020

    authors: De Vries R

    更新日期:2017-01-01 00:00:00

  • Creating difficulties everywhere.

    abstract::In this essay we link the rationale for the medical humanities with radical hermeneutics, a move that infuses the medical humanities with incredulity and suspicion. This orientation is particularly important at this historical moment, when the evidence-based and competency blanket is threatening to overpower all aspec...

    journal_title:Perspectives in biology and medicine

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2007.0040

    authors: Wear D,Aultman JM

    更新日期:2007-07-01 00:00:00

  • Darwinism and the cultural evolution of sports.

    abstract::This article outlines a Darwinian approach to sports that takes into account its profoundly cultural character and thereby overcomes the traditional nature-culture dichotomies in the sociology of sport. We argue that there are good reasons to view sports as culturally evolved signaling systems that serve a function si...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.0.0063

    authors: De Block A,Dewitte S

    更新日期:2009-01-01 00:00:00

  • Diagnosis and Metaphor.

    abstract::Human beings rely on metaphor as a primary cognitive device for interpreting the world around them. Metaphors figure especially strongly in discourse around health, illness, and medicine. It is not just that patients use metaphors to describe their personal experience of being unwell, or that medical professionals emp...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2015.0010

    authors: Hanne M

    更新日期:2015-01-01 00:00:00

  • Toward a broader notion of community.

    abstract::Both leading scientific journals and the popular press now regularly report the convincing evidence of massive environmental degradation and decline. Yet despite the seriousness of the problems, despite their anthropogenic nature, and despite their profound implications for present and future population health, such t...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2007.0008

    authors: Levine BR

    更新日期:2007-01-01 00:00:00

  • Clinical Trials Without Consent?

    abstract::Fifty years after Beecher's landmark article, an old question is being debated anew: is it ethical to conduct clinical research without consent? This paper provides a systematic analysis of this question. First, it describes five clinical trials that have either been conducted (or proposed) without the subjects provid...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章

    doi:10.1353/pbm.2016.0023

    authors: Kim SY

    更新日期:2016-01-01 00:00:00

  • Let the shoemaker stick to his last: a defense of the "old" public health.

    abstract::The traditional forms of public health law were directed largely toward communicable diseases and other externalities, such as pollution, with negative health impacts. The more modern view treats any health issue that affects large numbers of individuals as one of public health, which would include such problems as ob...

    journal_title:Perspectives in biology and medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Epstein RA

    更新日期:2003-07-01 00:00:00

  • Origins of the classical gene concept, 1900-1950: genetics, mechanistic, philosophy, and the capitalization of agriculture.

    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

    pub_type: 历史文章,杂志文章

    doi:10.1353/pbm.2014.0003

    authors: Allen GE

    更新日期:2014-01-01 00:00:00

  • The Belmont Report and Innovative Clinical Research.

    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

    pub_type: 杂志文章

    doi:10.1353/pbm.2020.0026

    authors: Lantos JD

    更新日期:2020-01-01 00:00:00

  • Charles Dickens and the movement for sanitary reform.

    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

    pub_type: 传,历史文章,杂志文章

    doi:10.1353/pbm.2003.0025

    authors: Litsios S

    更新日期:2003-04-01 00:00:00