Naturopathy: a critical appraisal

"Naturopathic medicine" is a recent manifestation of the field of naturopathy, a 19th-century health movement espousing "the healing power of nature." "Naturopathic physicians" now claim to be primary care physicians proficient in the practice of both "conventional" and "natural" medicine. Their training, however, amounts to a small fraction of that of medical doctors who practice primary care. An examination of their literature, moreover, reveals that it is replete with pseudoscientific, ineffective, unethical, and potentially dangerous practices. Despite this, naturopaths have achieved legal and political recognition, including licensure in 13 states and appointments to the US Medicare Coverage Advisory Committee. This dichotomy can be explained in part by erroneous representations of naturopathy offered by academic medical centers and popular medical Web sites.     

Effectiveness of instruction in critical appraisal (evidence-based medicine) skills: a critical appraisal

OBJECTIVE: To examine the evidence that the teaching of critical appraisal (evidence-based medicine) skills to undergraduate medical students or residents will result in significant gains in knowledge and increased use of the literature in clinical decision-making. DATA SOURCES: Articles published from 1966 to 1995, retrieved through a MEDLINE search supplemented by manual searches; review of bibliographies maintained by individuals involved in teaching critical appraisal skills; and a previous methodological review. STUDY SELECTION: Articles were selected if the study involved some form of control group, although strict randomization was not required, and a measure of performance followed the intervention. Articles were excluded if they simply reported the process of teaching critical appraisal skills or used some form of "happiness index." DATA SYNTHESIS: There were 10 studies of the impact of teaching critical appraisal skills, 6 involving medical students and 4 involving residents. Results from 3 of the studies were nearly uninterpretable and thus were excluded; the remaining 7 were methodologically acceptable. Analysis showed that interventions implemented in undergraduate programs resulted in significant gains in knowledge, as assessed by a written test (mean gain 17.0%; standard deviation [SD] 4.0%). Conversely, studies at the residency level consistently showed a small change in knowledge (mean gain 1.3%; SD 1.7%). Two studies that examined residents'' use of the literature were unable to demonstrate any positive changes. CONCLUSIONS: Studies of the effect of teaching critical appraisal skills on gains in knowledge at the undergraduate level showed consistent improvement. By contrast, changes in knowledge at the residency level were small. Several suggestions from the educational literature are offered to increase effectiveness of critical appraisal interventions.     

Taxonomy and fossils: a critical appraisal

Many compendia at the species, genus and family levels document the fossil record, but these are not standardized, nor usually critical in content, and few are available on the World Wide Web. The sampling of the available record is good for organisms with fossilizable parts, but preservational constraints on the entire morphology, life history and geographical distribution lead to difficulties in recognizing and naming species. We recommend abandoning some of the palaeontological species concepts such as chronospecies and stratospecies, and we advocate species recognition based on unique combinations of characters. The compilation of species lists is extremely time consuming, and given the inherent problems we suggest that compilation of generic lists is a more achievable goal because genera are recognized by definitive morphological characters. In calculating taxon duration, care must be taken to distinguish between mono-, para- and polyphyletic groups, the first being the only reliable unit for use in calculating diversity curves. We support the inclusion of fossils into classifications based on Recent organisms, but we recognize some of the problems this may pose for standard Linnaean classifications. Web-based taxonomy is the way forward, having the advantages of speed and currency of information dissemination, universal access with links to primary literature and increasingly sophisticated imagery. These advantages over conventional outlets will only be realized with careful Web design and a commitment to maintenance.     

The presence of actin in nuclei: a critical appraisal.

To assess the significance of actin associations with nuclei, we have examined Amoeba proteus nuclei for the presence of labeled actin under a variety of circumstances without (in most instances) isolating nuclei or breaking up cytoplasms prior to the extraction of proteins.We first established that: the 42,000 dalton proteins (presumed to be actin) present in cytoplasm and non-isolated nuclei are identical electrophoretically; the putative actin of amebas has the same size and almost the same isoelectric point as rat muscle actin; and the peptide “fingerprints” of putative ameba actin and rat actin are very similar after tryptic digestion. We therefore concluded that the 42,000 dalton protein of ameba is actin.We determined that: the concentrations of actin in the cytoplasm and nucleus of amebas are the same; actin is readily lost from nuclei that are released from lysed cells; shortly after a ³⁵S-labeled nucleus is transplanted into unlabeled cytoplasm, or an unlabeled nucleus is transplanted into ³⁵S-labeled cytoplasm, the concentration of ³⁵S-actin in nucleus and cytoplasm is the same; and when cells containing ³⁵S-actin are subjected to long chase periods on unlabeled food, the concentrations of ³⁵S-actin in nucleus and cytoplasm fall in parallel. These observations taken together suggest that actin is not tightly associated with nuclei. Rather, actin may associate with nuclei for the trivial reason that the nuclear envelope is no barrier to free movement of that protein between the two compartments.We conclude that the mere presence of actin in nuclei is insufficient grounds for assuming that it has any role in nuclear functions, such as, for example, chromosome condensation.     

海龙的起源和演化

海龙是三叠纪起源不明的一类海生爬行动物,与鳍龙和鱼龙共同构成了当时海洋生态系统的三大主要捕食者类群。海龙的研究对从高级捕食者的角度理解二叠–三叠生物大绝灭之后生态系统的复苏重建具有重要意义。海龙的研究已有100余年的历史,近些年来由于分支系统学等新方法的应用而得到了新的认识。本文从海龙的起源,物种多样性,谱系发育重建,生物地理分布四个方面概述了学界的研究进展。在目前的研究基础上指出,在时代更早的地层中进行更深入的野外工作,对华南海龙属种的系统厘定,以及海龙骨组织学研究的开展,是未来海龙研究的主要方向。     

The conceptual framework of monitoring mutagens/carcinogens: a critical appraisal

The main theme of this paper is an analysis of the present knowledge and conceptual framework in the field of monitoring for carcinogenic and mutagenic agents. The conclusions of the International Symposium on "Monitoring human exposure to carcinogenic and mutagenic agents" (Helsinki, 1983) were taken as a starting point for a series of considerations; methods suitable for the quantitative treatment of the information were applied to evidence the profile of current research in this area. The analysis indicated that the major underlying paradigms were related to technical considerations, such as chemical specificity, precision, reproducibility or ease of execution, as well as to the concept of mechanism of action of genotoxic agents. On the other hand, the lack of reliable information about the operational relevance of the systems for assessing health effects was dramatically evidenced. As a conclusion, the dangers of relying on a scientific background derived only from the basic research, without a critical re-examination in terms of real, operational performances of the systems, are emphasized.     

The trainee year--a critical appraisal.

Answers to questionnaires distributed to all trainees in the Scottish south-east region in 1972 and 1973 showed a wide variation between the standard of teaching in individual practices. This was partly due to a failure of the organizing bodies to give proper guidance on the modern concepts of training to the trainers, and partly to a lack of enthusaism by some of the trainers. It is particularly important that the training practices are well equipped with equipment and books and journals relating to general practice. For the trainee vocational training programmes, attendance at day release courses, contact with fellow trainees, and appropriate "on call" duties are similarly important. If these and other recommendations were brought to the attention of the trainers by an effective, co-ordinating committee, the standards of general practice teaching would rise, as would the quality of patient care in the community.     

Permian Toxeumorphorida from Greenland: an appraisal of the molluscan class Xenoconchia

Macrotheca Waagen 1880, previously known only from the Salt Range of Pakistan and from Timor, and Toxeumorphora Shimanskiy, previously known only from the Ural Mountains, have been identified in the Permian of northern East Greenland. The new specimens are assigned to the order Toxeumorphorida which is transferred to the class Hyolitha. The class Xenoconchia tentatively proposed by Shimanskiy two decades ago to include the toxeumorphorids is abandoned. Macrotheca almgreeni n. sp. is described. Mollusca, Hyolitha, Toxeumorphorida, Xenoconchia, Permian, Greenland.     

The tumor microenvironment: a critical determinant of neoplastic evolution

Evolution of neoplastic cells has generally been regarded as a cumulative intrinsic process resulting in altered cell characteristics enabling enhanced growth properties, evasion of apoptotic signals, unlimited replicative potential and gain of properties enabling the ability to thrive in ectopic tissues and in some cases, ability to metastasize. Recently however, the role of the neoplastic microenvironment has become appreciated largely due to the realization that tumors are not merely masses of neoplastic cells, but instead, are complex tissues composed of both a non-cellular (matrix proteins) and a cellular 'diploid' component (tumor-associated fibroblasts, capillary-associated cells and inflammatory cells), in addition to the ever-evolving neoplastic cells. With these realizations, it has become evident that early and persistent inflammatory responses observed in or around many solid tumors, play important roles in establishing an environment suitable for neoplastic progression by providing diverse factors that alter tissue homeostasis. Using cutaneous melanoma and squamous cell carcinoma as tumor models, we review the current literature focussing on inflammatory and tumor-associated fibroblast responses as critical mediators of neoplastic progression for these malignancies.     

The Taguchi methodology as a statistical tool for biotechnological applications: a critical appraisal

Success in experiments and/or technology mainly depends on a properly designed process or product. The traditional method of process optimization involves the study of one variable at a time, which requires a number of combinations of experiments that are time, cost and labor intensive. The Taguchi method of design of experiments is a simple statistical tool involving a system of tabulated designs (arrays) that allows a maximum number of main effects to be estimated in an unbiased (orthogonal) fashion with a minimum number of experimental runs. It has been applied to predict the significant contribution of the design variable(s) and the optimum combination of each variable by conducting experiments on a real-time basis. The modeling that is performed essentially relates signal-to-noise ratio to the control variables in a 'main effect only' approach. This approach enables both multiple response and dynamic problems to be studied by handling noise factors. Taguchi principles and concepts have made extensive contributions to industry by bringing focused awareness to robustness, noise and quality. This methodology has been widely applied in many industrial sectors; however, its application in biological sciences has been limited. In the present review, the application and comparison of the Taguchi methodology has been emphasized with specific case studies in the field of biotechnology, particularly in diverse areas like fermentation, food processing, molecular biology, wastewater treatment and bioremediation.     

Microbial biosynthesis and applications of gentamicin: a critical appraisal

Gentamicin is an aminoglycoside antibiotic produced by various species of the genus Micromonospora and has received much attention in the recent years as a broad-spectrum antibiotic for treatment of various infections. It exists as a complex of closely related aminoglycoside structures and the clinically significant one is the gentamicin C complex. This review article focuses attention on the present status of knowledge and the main advancements achieved in the last few decades on the subject of gentamicin with regard to its production, biosynthetic pathway, mode of action, and uses. The various nutritional and environmental parameters affecting gentamicin production and the factors affecting the release of bound gentamicin are discussed. Further, strain improvement using UV and/or chemical mutagenesis can be applied to augment the efficiency of the producer strain and a number of case studies are presented. Different detection and quantitative methods for gentamicin estimation and the mode of action of gentamicin are discussed in detail. This antibiotic finds extensive use in combination chemotherapy and as a drug for different delivery agents for treatment of osteomyelitis and other recent applications in gene therapy.     

The magnesium inhibition and arrested phagosome hypotheses: new perspectives on the evolution and ecology of Symbiodinium symbioses

Zooxanthella symbioses are arguably the most important ecological interaction on coral reefs because they energetically subsidize the entire community, and enhance the calcification process that provides structure for all other organisms. While we have developed a detailed understanding of the diversity among and within the Symbiodinium clades, we currently lack a mechanistic explanation for which factors favoured zooxanthella invasion of the intracellular habitat in heterotrophic hosts, and for what molecular mechanisms permit residence within the cell. We propose two hypotheses that explain important evolutionary and ecological features of zooxanthella symbioses. The magnesium inhibition hypothesis (MIH) states that increases in the Mg/Ca ratio in sea water that occurred over the last 100 million years created a situation where Mg(2+) inhibited Ca(2+) transport to zooxanthellae. The MIH predicts, among other things, that the intracellular niche was invaded as a response to this abiotic stressor. The arrested phagosome hypothesis (APH) states that Symbiodinium spp. mimic host cell endosomal digestive machinery via the symbiosome to appear like digesting prey through perpetual release of zooxanthella-derived compounds. The APH represents a subtle but important distinction from previous hypotheses regarding interactions between symbiont and host at the cellular level. The APH predicts that symbionts tune rates of material release to match expectations of host cellular machinery. An outcome of the APH is that intra-host residence time becomes a vital parameter to consider. Both hypotheses shift control of the symbiosis away from the host, and instead focus attention on the niche requirements of Symbiodinium spp.     

Comparative biochemistry and physiology in Brazil: a critical appraisal

Brazil stood out as the country with the highest number of submissions to the editorial project dedicated to Latin America by the journal Comparative Biochemistry and Physiology. Therefore, we felt that it was important to critically discuss the state of comparative biochemistry and physiology in this country. Our study is based on data collected from the ISI Web-of-Science. We analyzed publication trends through time, availability of novel approaches and techniques, patterns of collaboration among different geographical regions, patterns of collaboration with researchers abroad, and relative efforts dedicated to the study of biochemical and physiological adaptation of native fauna representing different terrestrial Brazilian biomes. Overall, our data shows that comparative biochemistry and physiology is a lively and productive discipline, but that some biases limit the scope of the field in Brazil. Some important limitations are the very heterogeneous distribution of research nuclei throughout the country and the absence of some important approaches, such as remote sensing and the use of molecular biology techniques in a comparative or evolutionary context. We also noticed that international collaboration far surpasses interregional collaboration, and discuss the possible causes and consequences of this situation. Finally, we found that Brazilian comparative biochemistry and physiology is biome-biased, as the Amazonian fauna has received far more attention than the whole pool of fauna representing other terrestrial biomes. We discuss the possible causes of these biases, and propose some directions that may contribute to invigorate the field in the country.     

Using marine macroalgae for carbon sequestration: a critical appraisal

There has been a good deal of interest in the potential of marine vegetation as a sink for anthropogenic C emissions (“Blue Carbon”). Marine primary producers contribute at least 50% of the world’s carbon fixation and may account for as much as 71% of all carbon storage. In this paper, we analyse the current rate of harvesting of both commercially grown and wild-grown macroalgae, as well as their capacity for photosynthetically driven CO₂ assimilation and growth. We suggest that CO₂ acquisition by marine macroalgae can represent a considerable sink for anthropogenic CO₂ emissions and that harvesting and appropriate use of macroalgal primary production could play a significant role in C sequestration and amelioration of greenhouse gas emissions.     

The permeability transition pore as a mitochondrial calcium release channel: A critical appraisal

Mitochondria from a variety of sources possess an inner membrane channel, the permeability transition pore. The pore is a voltage-dependent channel, activated by matrix Ca²⁺ and inhibited by matrix H⁺, which can be blocked by cyclosporin A, presumably after binding to mitochondrial cyclophilin. The physiological function of the permeability transition pore remains unknown. Here we evaluate its potential role as a fast Ca²⁺ release channel involved in mitochondrial and cellular Ca²⁺ homeostasis. We (i) discuss the theoretical and experimental reasons why mitochondria need a fast, inducible Ca²⁺ release channel; (ii) analyze the striking analogies between the mitochondrial permeability transition pore and the sarcoplasmic reticulum ryanodine receptor-Ca²⁺ release channel; (iii) argue that the permeability transition pore can act as a selective release channel for Ca²⁺ despite its apparent lack of selectivity for the transported speciesin vitro; and (iv) discuss the importance of mitochondria in cellular Ca²⁺ homeostasis, and how disruption of this function could impinge upon cell viability, particularly under conditions of oxidative stress.     

The structure of the outer shell layer in radiolitid rudists, a morphoconstructional approach

Radiolitids (Bivalvia, Radiolitidae) built the calcite outer layer of their shell with compact structure as many other bivalves, or with repetitively layered non-compact structure following different patterns: continuous radial ridges, discontinuous radial ridges, normal cellular, cellular with radially elongate cells, discontinuous cellular, and discontinuous cellular with elongate cells. Some special structures may develop in localized parts: radial structures and inner-marginal or radial grooves. All these structures are currently used in the diagnosis of the family and for the characterization of subfamilies. Constructional morphology analyses and re-evaluation of all these structures reveal that they were misunderstood in some important aspects in the bivalve Treatise and that, consequently, the diagnosis of the family has to be emended and their subfamilies reconsidered. All outer shell layer structure related characters are described, illustrated, and interpreted under a constructional approach, some characters are proposed to emend the diagnosis of the family, and two possible clades are preliminarily distinguished.