Clinical Studies with Dexfenfluramine: From Past to Future

d Fenfluramine (dF) (15 mg twice daily) has been studied in controlled trials in human obesity. It has been shown to increase adherence to weight lowering programs, to double the number of patients losing 10 kg or more when compared with a fairly efficient placebo plus dietary counselling, and to prevent weight regain when continued over a 1 year period. Weight loss after 1 month and 4 months is likely to predict subsequent outcome. Also, significant improvement in metabolic risk factors and blood pressure were clearly demonstrated, even more markedly in some obesity-associated diseases, when body weight is maintained at a lower level. Even moderate but sustained weight loss of some 10 % of starting weight or less has been confirmed to be of medical value. Tolerance and safety of dF can be considered acceptable, even if longer term follow-up is clearly needed. These studies support the concept that long-term pharmacotherapy with this serotoninergic drug might help achieve better outcome in the management of many obese patients, particularly in preventing relapse. The long-term managerial strategies to be developed for each patient might thus include dF together with dietary advice, behavioral modification and physical exercise, either simultaneously or sequentially.     

Rice Research： Past, Present and Future

Rice （Oryza sativa L.） is a major crop in the world and provides the staple food for over half of the world＇s population. From thousands of years of cultivation and breeding to recent genomics, rice has been the focus of agriculture and plant research.     

Behavioural Biology: The Past and a Future

Behavioural biologists have typically combined interests in the control, function, development and evolution of behaviour. They have used observational and experimental methods, and their findings have been both attractive and scientifically invigorating. A future to be hoped for is that they will continue to combine an understanding of behaviour with studies carried out at other levels but that they will not become too locked into a purely analytical framework. Methodologies are needed that enable scientists to deal with all the principal factors that influence behaviour. In so doing, behavioural biologists should be able to retain a grasp of what is to be an intact, freely moving animal. I believe that the late Günther Tembrock, to whom this paper is dedicated, would have approved of such a systems approach to behaviour.     

Bone Allografts: Past, Present and Future

Bone allograft transplantation has been performed in humans for more than one hundred and twenty years. During the first one hundred years (1880–1980), the major problem in bone allograft transplantation was availability. Most of the bone grafts used during this time were autografts. Allografts were not available due to a lack of legislation protecting procurers and processers. In addition, surgical procedures requiring allografts were not being performed. During the next twenty years (1980–2000), as allografis began to be used, the major issue was safety. Diseases transmitted during this period included AIDS and hepatitis. Avoidance of disease transmission became paramount. Sensitive blood tests and extensive efforts by bone banks to develop ways to clean. bone and clear it of infectious agents helped provide safe transplants. With concerns of availability and safety receding, the major issue in the future (2000–? ) will be the efficacy of the transplant. How allograft bone remodels in the host, how it incorporates and heals to host bone and how it integrates with the host skeleton will be the most important concerns of bone bankers and tissue transplant surgeons. Future research efforts will be applied to bone allograft transplantation to ensure that bone transplants heal quickly and sufficiently to be able to function as part of the weight-bearing skeletal system.     

Drug Abuse in China: Past,Present and Future

Following British importation of opium to China in 1760s, the use and production of the drug in China increased dramatically. This situation was aggravated after the failure of Opium Wars that occurred between the United Kingdom and the Qing Empire in China with the aim of forcing China to import British Opium; this war made China open the door to a free flowing opium trade, with disastrous social and public health consequences. The subsequent rise of the new China created drug-free atmosphere by strict legislation and punishment, in which drug use greatly decreased. However, in the context of governmental reform and the open-door policies of the 1980s, drug abuse has re-emerged as a major public health problem. Today, drug abuse is highly linked to the spread of HIV/AIDS and to drug-related crimes in China. To combat the severe drug problem facing the nation, the Chinese government has adopted the Methadone Maintenance Treatment program, a multi-faceted therapeutic approach that aims to reduce the health and social problem induced by drug epidemics. In addition, traditional Chinese medicine, including herbal therapy and acupuncture, both found to be effective in the prevention of relapse and causes few side effects, making them useful for the treatment of opiate addiction. With continuous application of these therapies and managements that have been proved to be effective in harm reduction in the western countries, we believe that drug abuse and its related problems in China will be brought under control.     

From Sound to Music: An Evolutionary Approach to Musical Semantics

This paper holds an evolutionary approach to musical semantics. Revolving around the nature/nurture dichotomy, it considers the role of the dispositional machinery to respond to sounding stimuli. Conceiving of music as organized sound, it stresses the dynamic tension between music as a collection of vibrational events and their potential of being structured. This structuring, however, is not gratuitous. It depends on levels of processing that rely on evolutionary older levels of reacting to the sounds as well as higher-level functions of the brain, which allow listeners to emancipate themselves from mere acoustic processing of sounds to the level of epistemic interactions with the sounding music. These interactions are partly autonomous and partly constrained, but they all stress the realization of systemic cognition in the context of a living system‘s interactions with the environment. As such, listeners can be conceived as adaptive devices, which can build up new semiotic linkages with the sounding world.     

Human Adaptability: Past, Present, and Future

Human Adaptability: Past, Present, and Future. Stanley J. Ulijaszek and Rebecca A. Huss-Ashmore. eds. New York: Oxford University Press, 1997.326 pp.