1996
"FROM HOMEOSTASIS TO CHRONOME"
The transition from a single sample medicine (that needed the
rationalization of homeostasis) to each variable's time structure
(chronome) is slow to come about. If it does enter the mainstream of
health care, this eventual achievement will represent the fruits of
work and fun by all of those listed in the following bibliography
and many more. It is the more promising that the motto of this
greeting quoted above is the title chosen by Life Science Publishing
of Tokyo for a publication in Japanese summarizing a recent
interview with us. It is available on request from us in English by
e-mail only.
The chronome story began with the long-known biological day,
exhibited by plants whose "sleep" movements were described by
Androsthenes in the fourth century B.C. The path over the biological
week now leads to the half-week, which can represent not only a non-
sinusoidal week, but also a component in its own right.
For the week, we turn back to Hippocrates. That the week is built
into us was known to him and to others in antiquity. There was an
about 7-day interval between the appearance of symptoms and turning
points such as death or cure, i.e., crisis or lysis, known even to
one of us, who saw patients before sulfonamides and antibiotics
truly miraculously changed the outcome of many infectious diseases.
Evidence for a 7-day periodicity comes from the fact that the
pattern repeats itself in the ensuing 3-4 weeks, albeit with a
somewhat dampened amplitude. In our lifetime the biological week
(circaseptan) was repeatedly rediscovered. Often, it was as a
feature of pathology or at least as a response to unusual stimuli,
in health or disease. Some of these stimuli were as drastic as an
organ transplant or the removal of a kidney; another stimulus was a
massive dose of testosterone that may have led to a free-run of the
week assessed longitudinally over a 3-year span. Still other stimuli
were as mild as a visit to a spa; the week appeared to be a response
to them (1). The time-macroscopic effects of a stay in a
recreational setting, i.e., obvious weekly patterns, were described
by Gunther Hildebrandt with Ingrid Bandt-Reges, in a highly
recommended scholarly review of circaseptans (1; cf. 2, 3). It must
be remembered in this context that a single stimulus carries no 7-
day information.
The "reason" for circaseptans as an adaptation to the environment
was not clear to us. In the want of known regular about-7-day
environmental cycles, the biological week appeared to be
integrative, as a feature of a then-postulated internal evolution.
One of us interpreted a 6.9-day period as free-running when he first
had a chance to see this periodicity prevail for the last several
years of a series covering 15 years of 24-hour collections of urine
for the determination of 17-ketosteroid excretion (as well as urine
volume, which remained 7-day synchronized) by a friend, the late
Christian Hamburger (4).
While leading geophysicists kindly dissuaded us from "wasting time"
on spectral analyses of geomagnetic disturbance, the past few years
brought not only the demonstration by us (5) of a circaseptan in the
planetary geomagnetic disturbance index, Kp, which constitutes the
summary of reports from a total of 13 different stations around the
earth, on both the Northern (11) and the Southern (2) hemispheres.
In our analyses (published in 1991) of the data from 1932-1990,
overall we found a 6.74-day periodicity for Kp. Juan Roederer (6)
deserves the credit for the confirmation and extension of our
finding by showing different (unpublished) spectra during the
ascending and descending stages of the solar cycle, "isolating" a
6.9-day periodicity in Kp during the descending stage. Hamburger's
free-running period in 17-ketosteroids was close to 6.9 days. It
then took us a chronobiologic serial section to find that at least
there was no consistent phase relation between the wobbly
circaseptans of Kp and the concomitantly studied more stable
circaseptans in 17-ketosteroid excretion (5).
We have not (yet) examined whether 17-ketosteroids and Kp during the
span of the former's free-running showed overall the same frequency.
In a recent 267-day isolation study in Italy, however, a nearly
half-weekly (circasemiseptan) periodicity in heart rate stood out
clearly (7). It was "free-running" from the social half-week, but in
this case there was a very close (nearly identical) period of 81.5
hours in Kp.
Speculation. Could it be that we still resonate with planetary
magnetic disturbance by sharing its frequency even if we do not
phase-lock into it, and over short spans are not synchronized in
phase with Kp? We saw that phenomenon of frequency synchronization
without phase-lock in circaseptan studies carried out first with
Dora K. Hayes at Beltsville with face flies (8). The circaseptan
phase was very irregular. There was, however, a 7-day pattern of
responses to shifts of the environmental lighting regimen at
different intervals.
Could it also be that for most if not for each of our physiological
rhythms (2), there is and/or was an environmental cycle with a near-
match in frequency, to which one or the other function in one or the
other organism locked-in (9)? Environmental cycles that are shared
by many forms of life may be those that have been around for the
longest span? We do not know the answer, but it seems to be
worthwhile to seek it, while keeping in mind the other side of the
coin, namely that functional coordination requires integration
within the organism as well as adaptation to cycles in the
environment, another broader aspect of integration or coordination.
Some of the body's rhythms may be primarily integrative, even if
they reveal adaptive features. One does not exclude the other.
Adaptation is merely integration at a broader-than-organismic level.
Our further demonstration during the past year of not only added 7-
but also of added 3.5-day components, not only in Kp, but also in
other biological time series, is pertinent for the postulation
(mainly by Hildebrandt; cf. 1) of such an adaptive aspect to the
biological week.
Newly developed methodology on the one hand made allowance for a
wobbly period by using as the characteristic frequency that
associated with the highest amplitude in a given frequency region
(e.g., in the about 1 cycle/week region) during a given data span
analyzed (e.g., of a year). On the other hand, a complementary
analysis examined the power or the normalized power contained in a
broad band (e.g., around 1 cycle/week). Thus, we looked for both
frequency and amplitude modulations of the week and half-week by the
about-11-yearly cycle of solar activity. Whereas the about-weekly
component shows a modulation by the solar cycle somewhat similar to
that of the about-monthly and half-monthly Kp components related to
the solar rotation, the about 11-year modulation of the half-weekly
component differs while also differing from the behavior of noise,
suggesting that the signal-to-noise ratio may be too low around 84
hours to reliably estimate the solar cycle modulation of a
circasemiseptan feature of Kp, documented to be statistically
significant by population-mean cosinor during the descending phase
of the solar cycle. The results on circaseptans and circasemiseptans
in Kp were shown in a number of abstracts published this past summer
(10-13).
The reasons for the search at first are purely physical; next,
biologically they exceed by far the look at the health effects of
magnetic storms, even if an increase in myocardial infarctions (MIs)
in Moscow after an interplanetary event (a southward turn of the
vertical component of the magnetic induction vector, Bz) was
documented in 1991 in inferential statistical terms (5). It was
confirmed for MIs and extended to strokes by a different approach
(14) and in the case of MIs confirmed for a different, albeit
nearby, geographical area by Villoresi et al. (15), as reviewed in
part, and in a broader context, by Roederer (6). The data accumulate
that should prompt a test of any merits to including stormy weather
in space in the earthly routine weather report, notably since a
decrease in heart rate variability (which has been associated with
the risk of coronary artery disease) has been documented even in
very fit individuals (cosmonauts) during a magnetic storm (16).
A remove-and-replace approach was applied to examine physiological
effects that may at least complement and perhaps underlie, as
triggers, the pathology related to magnetic storms. An about-weekly
resonance was found at this scientific frontier (12). Sooner or
later, a coordinated denser physiologic and physical monitoring by
ambulatory devices will be indicated and discussed, perhaps in the
context of the next meeting in St. Petersburg, June 30-July 7, 1997,
of the International Union of Physiological Sciences, which will
feature a symposium on "Adaptation to the Environment". Please
contact us if an invitation can help you secure local or national
funds for your participation in the planning of international
monitoring.
An implanted beat-to-beat monitor has been built and implanted and
is being tested on ambulatory patients with heart failure. In a 15-
month record, a chronome (time structure) analysis carried out
blindly (17) revealed rhythm alterations that could be related to
changes in the patient's treatment, as was a sharp decrease in
overall heart rate variability gauged by the standard deviation, the
current focus of interest. Without implying causal relations (post
hoc ergo propter hoc reasoning), as a minimum the complementarity of
the chronobiologic methods that had two alterations in the normal
range can be documented.
The immediate clinical frontier this year, as in the last few years,
revolves around the behavior of the amplitudes in the spectra of
blood pressure and heart rate. In transverse measurement series that
cover at least 7 days, the chronome of blood pressure has been
studied for the entire human lifespan (18). Denis Gubin of Tyumen,
Siberia, found early and late in human life that circaseptans and
circasemiseptans are much more prominent than in adults. Whether the
focus is on aging or on stroke prevention, those dealing primarily
or exclusively with the period and phase of circadians, as a feature
of biological time measurement, lose out in extremely important
clinical and basic dimensions. The 7-day profiles also served to
document the limitations of a 24-hour record (19).
In order to bring chronobiology into the mainstream of health care,
it is important that the excessive circadian blood pressure
amplitude named by us "Circadian HyperAmplitudeTension" (briefly,
CHAT) be tested in a true chronotherapy, but only after a rigorous
chronodiagnosis (20, 21). CHAT is a newly discovered clinical entity
(22-24). For part of the day, pressures are too high; for another
part, too low. Serial measurements around the clock are thus
mandatory to get a reliable diagnosis, as is the replacement of
current fixed limits by time-specified limits (chronodesms) (25).
Treatment at the wrong time (lowering blood pressure when it is
already too low) could do more harm than good. The treatment of CHAT
will have to be optimized in terms of the best time, not only for
drug but also for non-drug treatments such as autogenic training
(26-28). This task could be of great importance to health care since
strokes not only cost $30 billion a year in the U.S. alone, but they
are the greatest crippler and cause of suffering.
Highlights this year were the finding of a circasemiseptan component
for the most potent vasoconstrictor, endothelin-1, in Brunetto
Tarquini's data from Florence, with an altered pattern in the
presence of vascular disease risk. This newest circasemiseptan
follows their demonstration in the elderly (18) as well as in early
human extrauterine life, as documented in Minneapolis, Florence
(Italy), La Coruna (Spain), Brno (Czech Republic), Moscow (Russia),
Yamanashi (Japan), and elsewhere, as well as their demonstration in
pro- and eukaryotic unicells (2).
Not yet written up are circaseptans in the temperature of pigs by
Dinand Ekkel of the Institute for Animal Science and Health in
Lelystad, The Netherlands, and circaseptans and circasemiseptans in
hourly sampled data on pancreatic variables of piglets on the days
following weaning by Mary-Jane Thaela at the University of Lund,
Sweden. As to mechanisms, hints are provided by the finding of
circasemiseptans after the enucleation of Acetabularia in the
response of its growth pattern to shifts in the lighting regimen
(29), which in the intact giant alga exhibits a circaseptan pattern.
Circasemiseptans also characterize the beating of a myocardial cell
(30) or a retina's firing in vitro (31).
The last manuscript (by FH) prepared and now completed for submittal
for publication discusses the Cornelissen-series. This is a series
of the ratios of measures that describe the relative prominence of
the biological week and half-week (the circaseptan and
circasemiseptan components of our time structure) compared with the
circadian. These are just a few components of what in the 90s we
have called the chronome (32-34). A chronome characterizes every
biological data series, if it varies nonrandomly and exceptions to
non-random variations as yet are not found. We coined the term
originally to indicate not only that there is a rule (=3D nomos) for
changes with time (=3D chronos) but also that in living things
changes, at least in part, are genetically anchored. To make this
point, we used the ending "-ome" from "chromosome".
Eventually, we encountered, after much searching, counterparts in
inorganic nature for some of the components other than the obvious
day and year: very subtle ones, as Frank Brown Jr. would have put
it, even for a 3.5-day component, as outlined above, with added
substantial evidence in the thesis by Dewayne Hillman based on
cross-spectral coherence (35). Christopher Bingham and Hans Wendt
looked out so that their chronome endeavor did not stray too far
from a rigorous analytical statistical or geo- and astrophysical
path, respectively. It became obvious that we should speak of rhythm
and chronome in analyzing the time structure of any variable,
biological or other. We are doing what the physician William Gilbert
did when writing his De Magnete (36) and the geophysicist Juan
Roederer emphasizes (37): the tearing down of interdisciplinary
barriers. The ratios of what FH has named the Cornelissen-series,
however, as yet are only biological. They are formed by the 7- or
3.5-day amplitudes, each expressed in relation to the reference
standard of the circadian amplitude. This choice of ratios was made
originally after at least the 7- or the 3.5-day rhythm was found to
be statistically significant, but statistical significance does not
enter into the computations of these ratios, obtained by fitting
cosine curves with 7-, 3.5- and 1-day periods to the data.
We re-emphasize that the chronome is a concept much broader than
that of multifrequency rhythms and their interrelations such as
those of the multiseptan (integer multiples or submultiples of
circaseptan) components of the Cornelissen-series. Any variable,
inorganic or organic, is likely to undergo, with its periodic
variations, also trends in the characteristics of each of these
multifrequency rhythms and further trends in the characteristics of
deterministic and other chaos. Chronomes are found, e.g., in
meteorological variables, and the word "chronome" then implies that
rhythmic and/or chaotic endpoints of these variables reveal some
rule (nomos) in time (chronos). In a biological context, as noted in
the foregoing, the ending "-ome", as a portmanteau formation similar
to the coinage of "genome" conveys the circumstance that the
biological cycles and the trends they undergo are in part anchored
in the genes. This is why we coined "chronome" in the first place.
We now find that some components of the chronome can have at least
numerical counterparts in nature, suggesting a phenomenon of
resonance, even in the relatively high-frequency regions of the EEG
and ECG, which may show associations with Pc-pulsations. We could
document resonance by a remove-and-replace approach for the
circaseptan amplitude of heart rate, in association with
circaseptans in the velocity changes of the solar wind (2, 12). At
this point it seemed logical to extend the chronome concept to
inanimate nature.
On the practical side, we re-emphasize the importance of testing for
both physiological and pathological effects of stormy weather in
space. We conclude by adding to the clinical emphasis on CHAT (blood
pressure overswinging) the documentation that this condition needs a
chronodiagnosis and that once validated it can be treated (22-28).
On the basis of this and other evidence presented to him, Donald
Marquardt, who was at the helm of statistics of both Du Pont and the
American Statistical Association, and still does an international
job for the U.S. government, suggested that the time to bring
chronobiology into the mainstream of health care is now. We may have
applied opportunities to do it, but for the moment we are all having
fun in basic science, until the tools and systems become available
to bridge the gap into everyday self-help by the chronobiologically
literate person. Bringing such literacy about is a task for all of
us in the chronome endeavor and beyond.
There remains work to do and these are the best thoughts for
holidays and for New Year resolutions. While we thank so many for
steadfast cooperation in the past, a more complete report on where
cooperation in a modest yet productive international chronome
endeavor is leading us at this moment consists of the titles of
publications that represent this year's endeavors (and of course
build on many of the previous decades' learning and fun). A recent
bibliography, along with a list of meetings to which the chronome
endeavor contributed, follows at the end of this report. More is
available on our home page (http://revilla.mac.cie.uva.es/chrono).
Chronobiology is indeed complex. Chronomes, like chemicals, must be
isolated. The only alternative is biology and medicine in a stage
equivalent to alchemy.
Chronobiology is like a beautiful puzzle with the different pieces
constituted by the different components of the chronome on both
physical and physiological variables, slowly coming together and
providing new glimpses of the "whole picture". As important as it
may be to find and place the last piece, there is no need to
postpone any longer the implementation of a true chronomedicine
since any single piece of the puzzle is sufficiently informative of
the very large limitations of homeostatic thinking and constitutes
the bridge from after-the-fact cure to prevention. Chronobiology
offers not only many findings daily, but there is also much debt in
each new fact.
With thanks for reading thus far and even more gratitude should you
act on the foregoing, and with best wishes,
Franz Halberg & Germaine Cornelissen
TEXT REFERENCES
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Hildebrandt G., Bandt-Reges I. Chronobiologie in der
Naturheilkunde: Grundlagen der Circaseptanperiodik. Haug,
Heidelberg, 1992, 102 pp.
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Cornelissen G., Halberg F. Introduction to Chronobiology.
Medtronic Chronobiology Seminar #7, April 1994, 52 pp.
-
Halberg F. The week in phylogeny and ontogeny: opportunities for
oncology. In vivo 9: 269-278, 1995.
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Halberg F., Engeli M., Hamburger C., Hillman D. Spectral
resolution of low-frequency, small-amplitude rhythms in excreted 17-
ketosteroid; probable androgen induced circaseptan desychronization.
Acta endocrinol. (Kbh.) Suppl. 103, 5-54, 1965.
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Halberg F., Breus T.K., Cornelissen G., Bingham C., Hillman D.C.,
Rigatuso J., Delmore P., Bakken E., International Womb-to-Tomb
Chronome Initiative Group: Chronobiology in space. University of
Minnesota/Medtronic Chronobiology Seminar Series, #1, December 1991,
21 pp. of text, 70 figures.
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Roederer J.G. Are magnetic storms hazardous to your health? Eos,
Transactions, American Geophysical Union 76: 441, 444-445, 1995.
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Halberg F., Cornelissen G., Montalbini M., Lanzoni C., Galvagno
A., Pimenov K., Breus T., Kawabata Y., Shinoda M., Johnson D. The
biologic half-week (circasemiseptan) and Kp: evolutionary and
practical implications of magnetic field disturbances. Abstract
#113, 2nd World Congress of Cellular and Molecular Biology, Ottawa,
Canada, September 3-7, 1996. Cell. Molec. Biol. 42 (Suppl.): S81-
S82, 1996.
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Hayes D.K., Halberg F., Cornelissen G., Shankaraiah K. Frequency
response of the face fly, Musca autumnalis, to lighting schedule
shifts at varied intervals. Ann. Entomol. Soc. Am. 79: 317-323,
1986.
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Roederer J.G. Effects of natural magnetic field disturbances on
biota. Space Medicine & Medical Engineering (Jpn.) 9: 7-16, 1996.
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Cornelissen G., Schwartzkopff O., Halberg F. Changing horses in
midstream: uncertainties and noosphere lessons from change in
definition of K. 1st International Congress, Problems of the
Noosphere and Sustainable Development, St. Petersburg, Russia,
September 9-15, 1996, pp. 4-5.
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Halberg F., Cornelissen G., Gubin D., Belisheva N.,
Schwartzkopff O., Montalbini M., Lanzoni C., Galvagno A., Kawabata
Y., Shinoda M. Cardiovascular-geomagnetic associations reflecting
partial noosphere-into-biosphere regression during isolation from
society. 1st International Congress, Problems of the Noosphere and
Sustainable Development, St. Petersburg, Russia, September 9-15,
1996, pp. 1-3.
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Cornelissen G., Halberg F., Watanabe Y., Sothern R.B., Haus E.,
Kleitman E., Kleitman N., Wendt H.W., Breus T.K., Bingham C. Human
heart rate chronome response to changes in solar activity. Abstract
I-17, 4th International Pushchino Symposium: Relations of Biological
and Physico-Chemical Processes with Space and Helio-Geophysical
Factors, September 23-28, 1996, Pushchino, Moscow Region, Russia,
pp. 26-28.
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Syutkina E.V., Pimenov K.Yi., Breus T.K., Halberg F.,
Cornelissen G. The role of geomagnetic activity in the formation of
human rhythmic structure assessed from the data on prematurely born
babies monitoring. Abstract I-37, 4th International Pushchino
Symposium: Relations of Biological and Physico-Chemical Processes
with Space and Helio-Geophysical Factors, September 23-28, 1996,
Pushchino, Moscow Region, Russia, pp. 43-44.
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Villoresi G., Breus T.K., Iucci N., Dorman L.I., Rapoport S.I.
The influence of geophysical and social effects on the incidences of
clinically important pathologies (Moscow 1979-1981). Physica Medica
10: 79-91, 1994.
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Villoresi G., Kopytenko Y.A., Ptitsyna N.G., Tyasto M.I.,
Kopytenko E.A., Iucci N., Voronov P.M. The influence of geomagnetic
storms and man-made magnetic field disturbances on the incidence of
myocardial infarction in St. Petersburg (Russia). Physica Medica 10:
107-117, 1994.
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Baevsky R.M., Petrov V.M., Cornelissen G., Halberg F., Orth-
Gomer K., Akerstedt T., Otsuka K., Breus T., Siegelova J., Dusek J.,
Fiser B. Meta-analyzed heart rate variability, exposure to
geomagnetic storms, and the risk of ischemic heart disease. MEFA
International Fair of Medical Technology and Pharmacy, Brno, Czech
Republic, November 6-9, 1996, in press.
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Cornelissen G., Halberg F., Bennett T. et al. Chronobiologic
analysis of right ventricular pressure measured ambulatorily by
implanted hemodynamic analyzer: case report. In preparation.
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Gubin D., Cornelissen G., Halberg F., Gubin G.D., Turti T.,
Syutkina E.V., Grigoriev A.E., Mitish M.D., Yatsyk G.V., Ikonomov
O., Stoynev A., Madjirova N., Siegelova J., Fiser B., Dusek J. Half-
weekly and weekly blood pressure patterns in late human ontogeny.
Scripta medica, submitted for publication.
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Cornelissen G., Siegelova J., Fiser B., Dusek J., Halberg F.
Current limitations and promise of ambulatory blood pressure
monitoring. In: Proceedings, Cardiovascular Coordination in Health
and Blood Pressure Disorders, Medical Faculty, Masaryk University,
Brno, Czech Republic, May 24, 1996, Halberg F., Kenner T., Fiser B.,
Siegelova J. eds., 1996, pp. 11-13.
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Halberg F., Cornelissen G., Halpin C., Burchell H., Watanabe Y.,
Kumagai Y., Otsuka K., Zaslavskaya R. Fleeting "monitor-",
"conflict-" or "grief-associated" blood pressure disorders: MESOR-
hypertension and circadian hyperamplitudetension (CHAT). EuroRehab
6: 225-240, 1996.
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Cornelissen G., Halberg F., Wall D., Siegelova J., Zaslavskaya
R.M. How long to screen: ice hockey game and transient circadian
hyperamplitudetension, CHAT. Scripta medica, submitted for
publication.
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Otsuka K., Cornelissen G., Halberg F. Predictive value of blood
pressure dipping and swinging with regard to vascular disease risk.
Clinical Drug Investigation 11: 20-31, 1996.
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Otsuka K., Cornelissen G., Halberg F., Oehlert G. Excessive
circadian amplitude of blood pressure increases risk of ischemic
stroke and nephropathy. J. Medical Engineering & Technology, in
press.
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Halberg F., Cornelissen G., International Womb-to-Tomb Chronome
Initiative Group: Resolution from a meeting of the International
Society for Research on Civilization Diseases and the Environment
(New SIRMCE Confederation), Brussels, Belgium, March 17-18, 1995:
Fairy tale or reality=A0? Medtronic Chronobiology Seminar #8, April
1995, 12 pp. text, 18 figures. Accessible on the Internet site of
the Chronobiology Laboratories, http://revilla.mac.cie.uva.es/chrono
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Cornelissen G., Halberg F. Impeachment of casual blood pressure
measurements and the fixed limits for their interpretation and
chronobiologic recommendations. Time-dependent Structure and Control
of Arterial Blood Pressure, Portaluppi F., Smolensky M.H. (eds.).
Ann. N.Y. Acad. Sci. 783: 24-46, 1996.
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Watanabe Y., Cornelissen G., Halberg F., Saito Yoshiaki, Fukuda
K., Revilla M., Rodriguez C., Hawkins D., Otsuka K., Kikuchi T.
Method and need for continued assessment of autogenic training
effect upon blood pressure: case report. New Trends in Experimental
and Clinical Psychiatry 12: 45-50, 1996.
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Watanabe Y., Cornelissen G., Halberg F., Saito Yoshiaki, Fukuda
K., Otsuka K., Kikuchi T. Chronobiometric assessment of autogenic
training effects upon blood pressure and heart rate. Perceptual and
Motor Skills 83: 1395-1410, 1996.
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Watanabe Y., Halberg F., Cornelissen G., Kikuchi T., Saito Y.,
Fukuda K., Revilla M. Sr, Revilla M. Jr, Rodriguez C., Wark D.M.,
Otsuka K. Self-hypnosis lowers blood pressure swinging and
overswinging in circadian hyperamplitudetension (CHAT). EuroRehab 2:
83-94, 1996.
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Schweiger H-G., Berger S., Kretschmer H., M=F6rler H., Halberg E.,
Sothern R.B., Halberg F. Evidence for a circaseptan and a
circasemiseptan growth response to light/dark cycle shifts in
nucleated and enucleated Acetabularia cells, respectively. Proc.
Natl. Acad. Sci. USA 83: 8619-8623, 1986.
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Cornelissen G., Broda H., Halberg F. Does Gonyaulax polyedra
measure a week? Cell Biophysics 8: 69-85, 1986.
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Halberg F., Cornelissen G., Marques N., Menna Barreto L.,
Marques M.D. From circadians of the fifties to chronomes in vitro as
in vivo. Archives of Medical Research 25: 287-296, 1994.
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Halberg F., Cornelissen G., Carandente F. Chronobiology leads
toward preventive health care for all: cost reduction with quality
improvement. A challenge to education and technology via
chronobiology. Chronobiologia 18: 187-193, 1991.
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Cornelissen G., Halberg F. Broadly pertinent chronobiology
methods quantify phosphate dynamics (chronome) in blood and urine.
Clin. Chem. 38: 329-333, 1992.
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Macey S.L. (ed.). Encyclopedia of Time. Garland Publishing, New
York, 1994.
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Hillman D.C.: Physiologic 7- and 3.5-day patterns in health and
disease revealed by free-run and single-stimulus induction. Ph.D
Thesis, University of Minnesota, May 1993, 279 pp.
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Gilbert W. De magnete, magneticisque corporibus, et de magno
magnete tellure; physiologia noua, plurimis et argumentis, et
experimentis demonstrata [On magnetism, magnetic bodies, and the
great magnet Earth]. London, Short, 1600, 204 pp.
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Roederer J.G. Tearing down disciplinary barriers. Eos,
Transactions, American Geophysical Union 66: 681, 684-685, 1985.