The possibility of evidence-based psychiatry: depression as a case

Considering psychiatry as a medical discipline, a diagnosis identifying a disorder should lead to an effective therapy. Such presumed causality is the basis of evidence-based psychiatry. We examined the strengths and weaknesses of research onto the causality of relationship between diagnosis and therapy of major depressive disorder and suggest what could be done to strengthen eventual claims on causality. Four obstacles for a rational evidence-based psychiatry were recognised. First, current classification systems are scientifically nonfalsifiable. Second, cerebral processes are-at least to some extent-nondeterministic, i.e. they are random, stochastic and/or chaotic. Third, the vague or lack of relationship between therapeutic regimens and suspected pathogenesis. Fourth, the inadequacy of tools to diagnose and delineate a functional disorder. We suggest a strategy to identify diagnostic prototypes that are characterised by a limited number of parameters (symptoms, markers and other characteristics). A prototypical diagnosis that may either support or reject particular elements of current diagnostic systems. Nevertheless, one faces the possibility that psychiatry will remain a relatively weak evidence-based medical discipline.     

Interferon therapy of infectious diseases: the state of the problem and prospects

The data contained in literature and obtained in our own investigations, aimed at the evaluation of the significance of interferon preparations for the correction of immunological disturbances are presented. A special place is given to the role of mild medicinal forms of interferon, the necessity of their use is grounded and good prospects for their inclusion into the complex therapy of infectious diseases are shown.     

Genotype peculiarities of crossability of cultivated sunflower with wild species and the use of embryo culture in interspecific hybridization

Peculiarities of the genotype effect of cultivated and wild sunflower species on crossability indices and in vitro hybrid embryonic development have been investigated. It was shown that selection of initial material can considerably influence seed-setting and in vitro embryonic development in the cross group of cultivated sunflower with annual and perennial wild species. The range of plant hybrids obtained through somatic embryogenesis and induction of adventitious shoots was higher in comparison with direct growth of embryos in in vitro culture.     

Strain relief at the active site of phosphoserine aminotransferase induced by radiation damage

The X-ray susceptibility of the lysine-pyridoxal-5'-phosphate Schiff base in Bacillus alcalophilus phosphoserine aminotransferase has been investigated using crystallographic data collected at 100 K to 1.3 A resolution, complemented by on-line spectroscopic studies. X-rays induce deprotonation of the internal aldimine, changes in the Schiff base conformation, displacement of the cofactor molecule, and disruption of the Schiff base linkage between pyridoxal-5'-phosphate and the Lys residue. Analysis of the "undamaged" structure reveals a significant chemical strain on the internal aldimine bond that leads to a pronounced geometrical distortion of the cofactor. However, upon crystal exposure to the X-rays, the strain and distortion are relaxed and eventually diminished when the total absorbed dose has exceeded 4.7 x 10(6) Ggamma. Our data provide new insights into the enzymatic activation of pyridoxal-5'-phosphate and suggest that special care should be taken while using macromolecular crystallography to study details in strained active sites.     

Genetically programmed cell death (apoptosis)

Extensively and successfully studied problems of programmed cell death are considered. Recent evidence on apoptosis genes is presented, including the bcl-2 family and other genes with similar functions. A scheme of pathways of the main apoptosis mechanism is constructed. Examples of associations of apoptosis and diseases are presented in a special section.     

Characteristic properties of fluctuating particle fluxes near the last closed flux surface in the course of lower hybrid heating and during a transition into the improved confinement mode in the FT-2 tokamak

Results are presented from experimental studies of the time behavior of the transport processes in the edge plasma of the FT-2 tokamak during auxiliary lower hybrid heating when an internal transport barrier and then an external transport barrier form in the plasma. An analysis of the data on turbulent particle transport in the edge plasma shows that the radial electric field generated inside the plasma column during auxiliary heating plays an important role in both the formation of a transport barrier and the suppression of anomalous transport at the plasma periphery in the postheating phase of the discharge. The mechanism for the formation of a negative radial electric field E _r near the last closed flux surface after the end of the lower hybrid heating pulse is considered. Fluctuation spectra of the particle density and poloidal electric field are presented that characterize the process of suppression of microturbulence at the plasma periphery. The experimental data were obtained with the use of movable multielectrode Langmuir probes.