Ethics and Embryo/Foetus Research

Research with embryos and foetuses raise moral problems. In this article the origins of these moral intuitions are analyzed and discussed at four levels: moral problems regarding the treatment of the foetus and the mother animal; ethical problems experienced by the moral actor (researcher); ethical problems related to a justification based upon a balance between means and goals; and ethical problems raised by society.     

Ethics and Embryo/Foetus Research

Research with embryos and foetuses raise moral problems. In this article the origins of these moral intuitions are analyzed and discussed at four levels: moral problems regarding the treatment of the foetus and the mother animal; ethical problems experienced by the moral actor (researcher); ethical problems related to a justification based upon a balance between means and goals; and ethical problems raised by society.     

Management of sleeping problems in Wolf-Hirschhorn syndrome: a case study

Sleeping problems are common among children with Wolf-Hirschhorn syndrome. Extinction may be effective if sleeping problems have been shaped and are positively reinforced by parental attention. The present study shows that extinction was effective in the treatment of severe sleeping problems in a six-year old girl with Wolf-Hirschhorn syndrome. Effects were maintained during follow-up.     

Governing the global commons with local institutions

Most problems faced by modern human society have two characteristics in common--they are tragedy-of-the-commons type of problems, and they are global problems. Tragedy-of-the-commons type of problems are those where a commonly shared resource is overexploited by free riders at the expense of everyone sharing the resource. The exploitation of global resources such as clean air and water, political stability and peace, etc. underlies many of the most pressing human problems. Punishment of free riding behavior is one of the most frequently used strategies to combat the problem, but the spatial reach of sanctioning institutions is often more limited than the spatial effects of overexploitation. Here, we analyze a general game theoretical model to assess under what circumstances sanctioning institutions with limited reach can maintain the larger commons. We find that the effect of the spatial reach has a strong effect on whether and how the commons can be maintained, and that the transitions between those outcomes are characterized by phase transitions. The latter indicates that a small change in the reach of sanctioning systems can profoundly change the way the global commons can be managed.     

Some Medical Problems of Chronic Hemodialysis

Chronic intermittent hemodialysis may relieve some medical problems of terminal uremia (for example, azotemia, acidosis, hypertension, neuro-muscular disorders, bleeding, pericarditis) to such a degree that many patients are able to resume their normal activity. There remain, however, problems which are not readily changed by hemodialysis (anemia, peripheral neuropathy, pruritus, sexual impotence, renal osteodystrophy). These, together with medical problems possibly caused by hemodialysis (for example, osmotic disequilibrium, errors in dialysate composition, hepatitis, hemosiderosis, isoimmunization from blood transfusions, shunt problems and psychological problems of dependency upon the artificial kidney) represent a limitation of the present type of hemodialysis therapy.     

The Unknown Role of Mental Health in Global Development

In this paper, the author contrasts the substantial impact of mental health problems on global disability with the limited attention and resources these problems receive. The author discusses possible reasons for the disparity: Compared to physical disorders, mental health problems are considered less important, perhaps due to lower priority of disorders that primarily cause dysfunction rather than mortality, and skepticism that mental disorders are treatable in low-resource countries. He argues that achieving improved global health and development requires addressing problems causing disability, particularly mental health problems among populations in which the common mental disorders are frequent due to deprivation, war, and disasters. The author contends that services addressing the common mental disorders could be made widely and relatively cheaply accessible if provided by non-professional workers at the community level.     

Pattern recognition in several sequences: Consensus and alignment

The comparison of several sequences is central to many problems of molecular biology. Finding consensus patterns that define genetic control regions or that determine structural or functional themes are examples of these problems. Previously proposed methods, such as dynamic programming, are not adequate for solving problems of realistic size. This paper gives a new and practical solution for finding unknown patterns that occur imperfectly above a preset frequency. Algorithms for finding the patterns are given as well as estimates of statistical significance. This author supported by a grant from the System Development Foundation. This author supported by NSF grant MCS-8301960 and by a grant from the System Development Foundation. This author supported by NIH grant GM19036.     

Everyday problems and life change events: ongoing versus acute sources of stress

Research on the relationship between life stress and illness has focused largely on stress caused by change. The present study examines a relatively neglected source of stress: everyday problems, defined as ongoing, often chronic situations, which are stressful for a substantial period of time. An inventory of everyday problems was developed, designed to minimize as much as possible potential confounds present in earlier work. It was administered to 281 undergraduate women along with a life events inventory, the Hopkins Symptom Checklist, and a social support scale, which measured family and nonfamily sources of support. Stepwise regression analyses indicated that everyday problems were more effective than life events in predicting psychological symptoms. Everyday problems were significant predictors of symptoms even after statistically controlling for life events, whereas life events had no predictive ability beyond that attributed to everyday problems. In addition, a significant interaction between everyday problems and life events was found. Multiple regression analyses also showed an interaction between everyday problems and nonfamily social support, as predicted by the buffering hypothesis. Within the methodological limitations of this study, these findings are interpreted as supporting the importance of everyday problems as a significant source of stress.     

Video-based image collection for quantitative histopathology

Obtaining histologic images for computer-based morphometric analysis is associated with a number of standardization problems, which must be solved if reproducible data collection is expected. These problems include tissue processing, sectioning and staining, standardizing and calibrating the video camera and determining the appropriate sampling rate (pixels/micron). Suggested solutions for these problems are presented for a specific image analysis system, but are applicable to other systems with similar capabilities. Biologic variability is not eliminated by computer-assisted analysis, so it is important to minimize data-collection artifacts by parallel processing of experimental and control material, as in other investigative work.     

A moving nozzle olfactometer

The main problems associated with the delivery of a square waveodour pulse to the olfactory receptors are adsorption withinthe delivery system and partition within the olfactory epithelium.The instrument described here can overcome the problems of adsorptionand thus extend the range of usable stimuli. The principle involvedis simple. A nozzle through which odorized air continually flowsis moved rapidly to within a few millimetres of the olfactoryepithelium. Since there is no instrumental surface in contactwith a changing odour concentration, the problems of adsorptionare eliminated. Artifacts caused by the movement of the nozzleand changes in air flow experienced by the preparation are minimal.     

Flexibility, efficiency, and accountability: adapting reserve selection algorithms to more complex conservation problems

Flexibility, efficiency and accountability are considered key attributes of good reserve selection methods. Flexibility, the ability to incorporate all the diversity of considerations, concerns and information that typically impinge on real conservation problems, is fundamental if the particulars of any given situation are to be addressed and land use conflicts are to be effectively resolved. High efficiency, the representation of the maximum diversity of the relevant features (e.g. species) at the minimum cost, is important because reserves will commonly be in direct competition with other forms of land use. Accountability means that the solutions are obtained in a transparent way. allowing others to understand why and how the result was arrived at. Because of the robustness of the general integer linear model, a remarkably rich variety of problems concerning the management and efficient use of scarce resources can be represented as problems of this type. This study starts by analysing a simple representation problem and then develops more general problems that can be applied to a variety of conservation planning exercises. It is illustrated how high flexibility can be attained, while simultaneously addressing efficiency and accountability, by modelling reserve selection questions as integer linear problems.     

The law and neuroscience

Some of the implications for law of recent discoveries in neuroscience are considered in a new program established by the MacArthur Foundation. A group of neuroscientists, lawyers, philosophers, and jurists are examining issues in criminal law and, in particular, problems in responsibility and prediction and problems in legal decision making.     

Membrane fusion

The process of membrane fusion in the case of lipid bilayers, as well as induced by influenza virus is reviewed shortly. The methods of studying fusion kinetics in pure lipid and lipid-protein systems are described. The main theories of molecular fusion machines are presented. Open questions and unsolved problems are discussed in details. In conclusion, possible ways to solve the remaining problems are suggested.     

Product liability aspects of bioengineering

The introduction of the Consumer Protection Act 1987 brought the problems of product liability directly into hospital bioengineering and medical physics departments. This law makes great demands upon manufacturers, but also on suppliers and maintainers of medical equipment. Departments which manage medical equipment carry a responsibility for ensuring the requirements of product liability are known by all those whose actions may affect the potential of a piece of equipment to injure or damage a patient. This paper addresses these problems from a bioengineering, rather than a legal, viewpoint. The problems of design, manufacture, modification, maintenance and use are discussed and examples of potential problems are identified. The paper concludes that as long as good standards of quality control and professionalism are applied in bioengineering and medical physics departments then there is little to be feared from this piece of legislation.     

Interaction of water quantity with water quality: the Lake Chapala example

Water quality may be significantly determined by water quantity. Lake Chapala, México is a large lake beset with numerous water quality problems. The decline in water volume over the past 20 years, a serious problem itself, is associated with causing or enhancing several problems of quality. Five such problems are explored herein. These are: extensive infestations of water hyacinth (Eichhornia crassipes), a declining native fishery, light limitation of phytoplankton production at the base of the food chain, shallow-water algal blooms resulting in water supply treatment problems, and the presence of toxic metals in the harvested and sold fishes.     

“Ik kan mijn acceptgiro niet meer invullen”

Visual problems occur frequently in elderly patients and are often caused by ophthalmological problems. In this clinical lesson we show that visual problems can also be caused by posterior cortical atrophy (PCA). PCA is a clinico-radiological syndrome that is often caused by Alzheimer’s disease and other neurodegenerative diseases as Lewy body dementia and corticobasal degeneration. It is characterized by progressive decline in visual information processing. In addition, there is relative retention of memory and language in early stages. Brain imaging shows atrophy of the posterior brain areas.     

Diffraction pattern applicability in the identification of Ceratium species

At present, a subject of great interest for the scientific community is to obtain automatic systems for counting and identifying organisms responsible for red tides. Nevertheless, there are key problems that affect the results in the correct identification and quantification, such as image background (detritus, lighting variation in the microscope), variation in cell sedimentation in the observation field, natural morphological variation of the species in a sample, intra- and interspecific problems, and organism fragmentation. These problems are quantified by means of digital analysis of the phytoplankton organisms' image diffraction patterns. Quantification was accomplished by analyzing the results of the image diffraction pattern correlations and the image correlations. The results showed that the use of diffraction patterns in the identification of six Ceratium species overcomes the numerous noise problems mentioned above.      

Libido and PTSD

The most frequent PTSD treatment is group therapy. Experiences gained from this kind of work warn us of big difficulties, especially if psychotherapist is an analytically oriented person. He has to do with non-presence of insight. These groups are dominated by projection and catharsis, which is often a source of secondary traumas. However, patients are fond of these group sessions. In the dynamics of such group sessions, what can be recognized is the tendency towards repression of the actual problems a PTSD patient has in his family, at work and in social relations. One of these problems, marked for the intensity of repression and negation, is the problem of libido. Weakness of potency and other libidinous problems are often the source of family problems as well as auto-aggressive acts. Libidinous problems are a taboo topic and the task of a psychodynamically oriented psychotherapeutist is to point out at this problem. Psychotherapeutic process changes its dynamics while directing verbalization to the problem of libido. Apart from readiness for solving the problem, patients with PTSD diagnosis show an interest in the members of their family being involved into psychotherapy. A special dynamics is being developed while solving the libidinous problems of the widows whose husbands were killed in war.     

Revisiting the O complex: urinary incontinence,delirium and polypharmacy in elderly patients

Urinary incontinence, delirium and polypharmacy are common, challenging problems encountered in elderly patients. Review of the literature shows that these conditions are interrelated. For example, polypharmacy can lead to delirium, which, in turn, can lead to urinary incontinence. The drugs prescribed for urinary incontinence can precipitate delirium or contribute to polypharmacy. The underlying causes for these problems in elderly patients are frequently complex, and management in turn must often be multifactorial. The occurrence of these problems should lead to careful evaluation followed by thoughtful, responsive treatment. Brief updates are given with recommendations for management directed at primary care physicians.