The virtual fracture clinic: Reducing unnecessary review of clavicle fractures.

Introduction: We re-designed the outpatient management of trauma at our institution to eliminate appointments if there would be no change in management or information provision. All cases referred by the Emergency Department (ED) were reviewed at a Virtual Fracture Clinic (VFC) by an orthopaedic consultant and telephoned afterwards by a senior nurse. If face-to-face review was required, it was arranged at a specialist shoulder clinic.

The commitment of human cells to senescence.

Fifty years ago, it was demonstrated by Leonard Hayflick that human diploid fibroblasts grown in culture have a finite lifespan. Since that time, innumerable experiments have been published to discover the mechanism(s) that are responsible for this 'Hayflick limit' to continuous growth. Much new information has been gained, but there are certain features of this experimental system which have not been fully understood.

Telomeres and telomerase: the commitment theory of cellular ageing revisited.

It is not always realised that separate fibroblast populations of the same strain have very different lifespans, that is, over a million-fold range. This is best documented for human strains WI-38 and MRC-5. There is evidence that it is the molecular clock of telomere shortening which determines the growth potential of these cells.

The recombination, repair and modification of DNA.

This article is an overview of the author's involvement in theoretical and experimental research on genetic recombination and DNA repair, and also on the enzymic modification of cytosine in DNA to 5-methyl cytosine. It includes the history of the discovery of the central intermediate in genetic recombination at the DNA level, and the repair of mismatched bases. These explain the major features of genetic fine structure.

Longevity mutants do not establish any "new science" of ageing.

The biological reasons for ageing are now well known, so it is no longer an unsolved problem in biology. Furthermore, there is only one science of ageing, which is continually advancing. The significance and importance of the mutations that lengthen the lifespan of invertebrates can be assessed only in relationship to previous well-established studies of ageing.

The extreme arrogance of anti-aging medicine.

The anti-aging medicine movement proposes to alter the human body in order to achieve extreme longevity. To do this it has to reverse or by-pass the multiple causes of human aging. These include a large number of age-associated pathologies, each of which is being studied in great detail in research laboratories around the world.

John Robert Stanley Fincham: 11 August 1926 - 9 February 2005.

Professor John Fincham was one of the UK's leading geneticists, with a remarkably broad knowledge of the subject across the biological kingdoms. He became an international leader through being at the forefront of microbial genetics as some of the founding principles of the relationships between gene structure, activity and enzyme functions were being uncovered. He spearheaded discoveries from the one gene-one enzyme concept, through genetic complementation, protein structure and recombination.

The homologous recombination system of Ustilago maydis.

Homologous recombination is a high fidelity, template-dependent process that is used in repair of damaged DNA, recovery of broken replication forks, and disjunction of homologous chromosomes in meiosis. Much of what is known about recombination genes and mechanisms comes from studies on baker's yeast. Ustilago maydis, a basidiomycete fungus, is distant evolutionarily from baker's yeast and so offers the possibility of gaining insight into recombination from an alternative perspective.

Epigenetics: a historical overview.

In the first half of the twentieth century, developmental biology and genetics were separate disciplines. The word epigenetics was coined by Waddington to link the two fields. Epigenetics could be broadly defined as the sum of all those mechanisms necessary for the unfolding of the genetic programme for development.

Towards understanding the extreme radiation resistance of Ustilago maydis.

Ustilago maydis is a phytopathogenic fungus exhibiting extreme resistance to UV and ionizing radiation. The molecular mechanisms underlying this resistance are as yet unknown. The recently determined genome sequence was examined for clues to the radiation resistance, focusing on proteins in homologous recombination, but there was little that was unusual about them.

Physics and the origins of molecular biology.

Bohr, Delbrück and Schrödinger were physicists who had important influences on biology in the second half of the twentieth century. They thought that future studies of the gene might reveal new principles or paradoxes, analogous to the wave/particle paradox of light propagation, or even new physical laws. This stimulated several physicists to enter the field of biology.

Meiosis and sex: potent weapons in the competition between early eukaryotes and prokaryotes.

The earliest eukaryote species almost certainly evolved in an environment dominated by numerous prokaryotic species. If the first eukaryotic cells were larger and grew more slowly than their prokaryotic neighbours, they might well have been at a competitive disadvantage. It is proposed here that the early evolution of meiosis, with its capacity for generating new favourable gene combinations, might have served to offset any such competitive disadvantages.

Aging is no longer an unsolved problem in biology.

For much of the 20th century, the accumulation of a considerable amount of information about the processes of aging did not reveal the underlying mechanisms. Toward the end of that century, the biological basis for aging became very much clearer. It became apparent that the best strategy for animals' survival was to develop to an adult, but not to invest resources in maintaining the body, or soma, indefinitely.

Food, fertility and longevity.

Some animals live in environments in which the food supply fluctuates. When it is scarce these animals do not breed, but invest resources into survival until food is again available, and they can reproduce. Under these circumstances the lifespan can be increased, just as it is after calorie restriction.

Evolution of human longevity, population pressure and the origins of warfare.

In a protected environment, humans have the longest lifespan of all primates. However, during the emergence of Homo sapiens from pre-hominids, the expectation of life at birth would have been quite low. On the basis of reasonable assumptions, an average expectation of life of less than 20 years is sufficient to maintain a population of hunter-gatherers.

Ageing and the extinction of large animals.

In the modulation of longevity by natural selection there is a trade-off between the investment of resources in the maintenance of the body, or soma, and the investment in reproduction. There is accumulating evidence that long-lived mammalian species have much more efficient maintenance than short-lived ones. It is also clear that short-lived ground-living mammalian species reproduce very much more quickly than larger long-lived species, and in all mammals there is an inverse relationship between maximum reproductive potential and maximum longevity.

The multiple and irreversible causes of aging.

At the end of the 20th century, scientists have revealed the biological causes of aging, and why it is so widespread among animals. It has also become apparent why different mammalian species have very different longevities. Aging is accompanied by changes in a wide range of cells, tissues, and organs.

The close relationship between biological aging and age-associated pathologies in humans.

In the last 100 years, there has accumulated a vast amount of information about the changes that accompany aging in a wide range of animal species. At the same time, there has been extensive documentation of the onset and characteristics of age-associated pathologies of humans and other mammals. It is argued that the totality of all this information is interrelated and provides a very extensive description of the deleterious changes in molecules, cells, tissues, and organs, which accompany both aging and many age-associated diseases.