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Quality use of medicines: where does pharmacology 'end'? Invited ASCEPT Lecture. Australasian Society of Clinic and Experimental Pharmacologists and Toxicologists.

1. Pharmacology can be defined very narrowly (e.g. as solely a laboratory based specialty) or more broadly to include issues surrounding rational drug use in the community. 2. While the hypothetio-deductive approach is more clearly in evidence in laboratory and clinical pharmacological experimentation, it is no less important in the comparatively less-well charted area of drug use in the community. 3. Just as laboratory pharmacology has built new partnerships with molecular biology and genetics, the exploration of community drug use brings pharmacologists into partnership with other disciplines (epidemiology, economics, behavioural science) and other sectors (consumers, government, health professionals and industry). 4. Implementing Australia's Quality Use of Medicines Policy (1992) has led to vigorous exploration of issues and problems in medicinal drug use in the community and much scientific study of causes and potential interventions to improve the situation. 5. The Australian National Prescribing Service (1998) is attempting to bring an evidence-based approach to the many facets of prescribing and drug use, by prescribers and consumers alike. 6. Innovation commonly occurs at the interface between the boundaries of traditional disciplines.

Australia↗

Dermatological research in the 21st century: our fantastic future.

During the second half of the twentieth century, dermatology came of age. Just as clinical dermatology, through new diagnostic and therapeutic modalities, matured to a point where the dermatologist could affect peoples' lives profoundly, so too did dermatological research enhance our understanding of skin diseases enormously. Dermatology should not be viewed as a scientific discipline-advances come from fundamental scientific areas such as cell and molecular biology, biochemistry, immunology, microbiology, technology, the clinical sciences and others. Thus, dermatology and skin biology live within a universe of science, only a small part of which is dermatology and skin biology, and our patients and our science are dependent on integration and interdigitation with the universe of science for future success. In this lecture I will elaborate on where I think the next 10-20 years will take us in this universe.

Dermatology↗

Ethics in infertility management: Asian aspects.

Rapid strides have been made in the management of infertility with newer and advanced techniques. The acceptability of the procedure, the immediate and remote outcome are linked with different aspects in different countries and nations. The new discipline of bio-ethics deals with the ethical implications of biological phenomenon as manipulated or encountered by the science of medicine. Ethical problems encountered in management of infertility in Asian region are discussed.

Advisory Committees↗

A simple hindlimb suspension apparatus.

This paper describes the assembly of a simple, inexpensive apparatus for application of the hindlimb suspension model to studies of the effects of unloading on mammalian physiology. Construction of a cage and suspension assembly is described using materials that can be obtained from most hardware stores. The design is kept simple for easy assembly and disassembly to facilitate cleaning and storage. The suspension assembly allows the animals full access to all portions of the floor area and provides an effective environment to study the effects of unloading.

Animals↗

Restricting restriction.

Systems biology is a new, fashionable and well-funded discipline, which to quote from a recent review aims to 'examine the structure and dynamics of cellular and organismal function, rather than the characteristics of isolated parts of a cell or organism em leader ' (Kitano, H. (2002) Science 295:1662-1664). Systems biology will do this by profiting from the vast amounts of biological information that are available in the genomics era and make extensive use of computer modelling. But: 'many breakthroughs in experimental devices, advanced software and analytical methods are required before the achievements of system biology can live up to their much-touted potential'. This edition of Molecular Microbiology contains a paper that is the product of traditional experimental biology but which could serve as a test case for systems biology. The paper shows how bacteria integrate such disparate subsystems as DNA restriction, homologous recombination and regulated proteolysis to protect their chromosomes from degradation. When systems biology can predict this level of choreography, it will be a mature discipline.

Binding Sites↗

[Biology and surgery: a team of disciplines or merely two disciplines? (1)].

The present work questions itself about the "ideal" relation between biology and surgery, the necessarily bloody arm of medicine, namely, of that science man has been preparing, parallel with his culture, to enrich the wideness of the defensive slope of his biologic curriculum. Does the instructiveness, we were accustomed to by the university route, give a satisfactory answer? Does not the preparation of a biologic basis seem nearly the arrangement of a compulsory stage, from which to subsequently deviate also in name of technology and by means of same? Surgery can draw advantages or disadvantages from such a way? In the oncologic field it represented the introduction to the anatomical and mechanistic principles which inspired Halsted's thought about radical intervention. At the same time, a sort of dam against the biologic questions was built. Yet, to-day the first leaks occurred, and through them biology prepares itself to flood into surgery, more and more massively.

Adaptation, Physiological↗

Chronobiology: a frontier in biology and medicine.

On the occasion of Franz Halberg's 70th birthday, some of his many achievements are reviewed. We provide a historical background to the development of chronobiology; offer insight into the current state of this new science; and sketch the promise of this discipline for health care and cure. As a tribute to Franz Halberg, in an era of fast-growing technology, an attempt is made to describe his perspective of tomorrow's medicine and biology. The many students he trained throughout his productive career face the challenge of deserving the trust he placed in them and of further implementing his vision. A leader in social pediatrics put it aptly: it will take several generations of researchers to study and master his life's work.

Animals↗

Interrelated and interdependent.

The possibilities for building and nourishing connections among the social, cultural, neuroscientific, biological, and cognitive sciences in the service of understanding children and their development are tremendously exciting. Crossing, and integrating across, disciplinary boundaries, especially those disciplines relating to biology/neuroscience, society/culture, cognition, emotion, perception, and motor function has greatly increased over the last decade and hopefully will increase exponentially in the future. All of these aspects of being human are multiply-interrelated and we need to make far more progress in understanding those interrelations.

Child↗

[An approach to the cardiovascular technology through the interdisciplinarity: a Latin American necessity].

The progresses obtained in the cardiovascular medicine during the last years come to transform the content and the practice of the profession. These advances are consequence of the contribution of basic disciplines like the physics, the chemistry and sciences of the information. Thanks to those disciplines, which establish narrow bonds to each other, appear in the language the transdisciplinary sciences like the biophysics and the biochemistry, an approach between biological and the inorganic thing; as well as the interdisciplinary techniques of the biomedical engineering, whose work move in the medical surroundings using tools of engineering, like the bioinstrumentation, the biomechanics, the bioelectronic and the biomaterials. With these set of tools, it has been possible to extend the diagnoses methods as well as the therapeutic ones in the cardiovascular area, improving substantially the quality of life of the patients. As a result of it, the doctor-engineer encounter becomes transcendent, increasing the dialogue between both disciplines; in what must take part professionals of wide diversity of areas: cardiologists, cardiovascular surgeons, mechanical engineers, electronics engineers, industrial systems engineers, physicists, designers, among others; contributing each one in its field of the knowledge, but coming together towards a same axis of action.

Biochemical Phenomena↗

Endless minds most beautiful.

The marriage of evolution and development to produce the new discipline 'evo-devo' in biology is situated in the general history of evolutionary biology, and its significance for developmental cognitive science is discussed. The discovery and description of the highly conserved, robust and 'evolvable' mechanisms that organize the vertebrate body plan and fundamental physiology have direct implications for what we should investigate in the evolution of behavior and cognition.

Behavior↗

[Neuroheuristics, a new paradigm in neuroscience].

The recent advances of Molecular Biology and Computer Sciences in Neurosciences open unprecedented perspectives for biomedical investigation. Neuroheuristics offers as a new paradigm where these disciplines are no longer restricted to their technical expertise, but rather subserve a dynamical approach to the clinical and fundamental research for the neurological sciences.

Animals↗

A new journal - "Theoretical Biology and Medical Modelling".

Biology has a conceptual basis that allows one to build models and theorize across many life sciences, including medicine and medically-related disciplines. A dearth of good venues for publication has been perceived during a period when bioinformatics, systems analysis and biomathematics are burgeoning. Steps have been taken to provide the sort of journal with a quick turnaround time for manuscripts which is online and freely accessible to all readers, whatever their persuasion or discipline. We have now been running for some time a journal which has had many good papers presented pre-launch, and a steady stream of papers thereafter. The value of this journal as a new venue has already been vindicated. Within a short space of time, we have founded a state-of-the-art electronic journal freely accessible to all in a much sort-after interdisciplinary field that will be of benefit to the thinking life scientist, which must include medically qualified doctors as well as scientists who prefer to build their new hypotheses on basic principles and sound concepts underpinning biology. At the same time, these principles are not sacrosanct and require critical analysis. The journal http://www.tbiomed.com promises to deliver many exciting ideas in the future.

Computational Biology↗

Text-mining and information-retrieval services for molecular biology.

Text-mining in molecular biology -- defined as the automatic extraction of information about genes, proteins and their functional relationships from text documents -- has emerged as a hybrid discipline on the edges of the fields of information science, bioinformatics and computational linguistics. A range of text-mining applications have been developed recently that will improve access to knowledge for biologists and database annotators.

Computational Biology↗

Mind-brain reduction: new light from the philosophy of science.

The discussion of the reduction of mental states to brain states is placed in the broader context of reduction in other scientific disciplines such as chemistry, physics and biology. This is important in achieving a perspective on what sort of business reduction is and in seeing that reductions are primarily transitions between theories and only derivatively relations between phenomena. It also reveals that though reducing theories sometimes absorb the old theory as largely correct, more often the old theory is substantially modified and revised and sometimes it is replaced outright. How much of the old theory survives in the reducing theory depends on its empirical integrity and whether its basic categories are empirically sound. The reduction of psychology to neuroscience is considered in this light and it is suggested that psychology may be substantially revised or even replaced by a reduction to neuroscience.

Brain↗

Complexities in ETS-domain transcription factor function and regulation: lessons from the TCF (ternary complex factor) subfamily. The Colworth Medal Lecture.

The ETS-domain transcription factor family can be divided into a series of subfamilies. Elk-1 represents the founding member of the ternary complex factor (TCF) subfamily. By focusing on the TCF subfamily, we can demonstrate the complexities that exist in the function and regulation of ETS-domain transcription factors. This article focuses on Elk-1 in detail and summarizes the functions of other TCFs. The key themes covered include the domain structure of the TCFs, the mechanisms of complex formation with serum response factor, regulation of TCFs by mitogen-activated protein kinase cascades, and transcriptional regulatory properties of the TCFs. Finally, the emerging role of the TCFs in vivo is discussed. A picture is developing indicating that, while these proteins exhibit significant sequence and functional conservation, key differences in their structure and regulation are being identified which may relate to unique functions of these proteins in vivo.

Amino Acid Sequence↗

Teleology then and now: the question of Kant's relevance for contemporary controversies over function in biology.

'Naturalism' is the aspiration of contemporary philosophy of biology, and Kant simply cannot be refashioned into a naturalist. Instead, epistemological 'deflation' was the decisive feature of Kant's treatment of the 'biomedical' science in his day, so it is not surprising that this might attract some philosophers of science to him today. A certain sense of impasse in the contemporary 'function talk' seems to motivate renewed interest in Kant. Kant--drawing on his eighteenth-century predecessors-provided a discerning and powerful characterization of what biologists had to explain in organic form. His difference from the rest is that he opined that it was impossible to explain it. Its 'inscrutability' was intrinsic. The third Critique essentially proposed the reduction of biology to a kind of pre-scientific descriptivism, doomed never to attain authentic scientificity, to have its 'Newton of the blade of grass'. By contrast, for Locke, and a fortiori for Buffon and his followers, 'intrinsic purposiveness' was a fact of the matter about concrete biological phenomena; the features of internal self-regulation were hypotheses arising out of actual research practice. The difference comes most vividly to light once we recognize Kant's distinction of the concept of organism from the concept of life. If biology must conceptualize self-organization as actual in the world, Kant's regulative/constitutive distinction is pointless in practice and the (naturalist) philosophy of biology has urgent work to undertake for which Kant turns out not to be very helpful.

Biology↗

Gene therapy progress and prospects: in tissue engineering.

Tissue engineering (TE) has existed for several years as an area spanning many disciplines, including medicine and engineering. The use of stem cells as a biological basis for TE coupled with advances in materials science has opened up an entirely new chapter in medicine and holds the promise of major contributions to the repair, replacement and regeneration of damaged tissues and organs. In this article, we review the spectrum of stem cells and scaffolds being investigated for their potential applications in medicine.

Animals↗