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   <ui>1740-3391-1-2</ui>
   <ji>1740-3391</ji>
   <fm>
      <dochead>Review</dochead>
      <bibl>
         <title>
            <p>Transdisciplinary unifying implications of circadian findings in the 1950s</p>
         </title>
         <aug>
            <au id="A1" ca="yes">
               <snm>Halberg</snm>
               <fnm>Franz</fnm>
               <insr iid="I1"/>
               <email>halbe001@umn.edu</email>
            </au>
            <au id="A2">
               <snm>Corn&#233;lissen</snm>
               <fnm>Germaine</fnm>
               <insr iid="I1"/>
               <email>corne001@umn.edu</email>
            </au>
            <au id="A3">
               <snm>Katinas</snm>
               <fnm>George</fnm>
               <insr iid="I1"/>
               <email>katin001@umn.edu</email>
            </au>
            <au id="A4">
               <snm>Syutkina</snm>
               <mi>V</mi>
               <fnm>Elena</fnm>
               <insr iid="I2"/>
               <email>masalov@sci.lebedev.ru</email>
            </au>
            <au id="A5">
               <snm>Sothern</snm>
               <mi>B</mi>
               <fnm>Robert</fnm>
               <insr iid="I1"/>
               <email>sothe001@umn.edu</email>
            </au>
            <au id="A6">
               <snm>Zaslavskaya</snm>
               <fnm>Rina</fnm>
               <insr iid="I3"/>
               <email>rinazas1@yandex.ru</email>
            </au>
            <au id="A7">
               <snm>Halberg</snm>
               <fnm>Francine</fnm>
               <insr iid="I1"/>
               <email>fehalberg@yahoo.com</email>
            </au>
            <au id="A8">
               <snm>Watanabe</snm>
               <fnm>Yoshihiko</fnm>
               <insr iid="I4"/>
               <email>yoshi-w@jd5.so-net.ne.jp</email>
            </au>
            <au id="A9">
               <snm>Schwartzkopff</snm>
               <fnm>Othild</fnm>
               <insr iid="I1"/>
               <email>schwa115@umn.edu</email>
            </au>
            <au id="A10">
               <snm>Otsuka</snm>
               <fnm>Kuniaki</fnm>
               <insr iid="I5"/>
               <email>frtotk99@baz.so_net.ne.jp</email>
            </au>
            <au id="A11">
               <snm>Tarquini</snm>
               <fnm>Roberto</fnm>
               <insr iid="I6"/>
               <email>rtarquini@cestit1.unifi.it</email>
            </au>
            <au id="A12">
               <snm>Frederico</snm>
               <fnm>Perfetto</fnm>
               <insr iid="I6"/>
               <email>perfetto@unifi.it</email>
            </au>
            <au id="A13">
               <snm>Siggelova</snm>
               <fnm>Jarmila</fnm>
               <insr iid="I7"/>
               <email>Jarmila.siegelova@fnusa.cz</email>
            </au>
         </aug>
         <insg>
            <ins id="I1">
               <p>Halberg Chronobiology Center, University of Minnesota, Minneapolis, MN, USA</p>
            </ins>
            <ins id="I2">
               <p>Institute of Pediatrics, Scientific Center for Children's Health, Academy of Medical Sciences, Moscow, Russia</p>
            </ins>
            <ins id="I3">
               <p>Department of Cardiology, Hospital #60, Moscow, Russia</p>
            </ins>
            <ins id="I4">
               <p>Tokyo Women's Medical University, Daini Hospital, Tokyo, Japan</p>
            </ins>
            <ins id="I5">
               <p>Tokyo Women Medical University, School of Medicine, Daini Hospital, Division of Neurocardiology and Chronoecology, Nishiogu 2-1-10, Arakawa-ku, Tokyo 116-856, Japan</p>
            </ins>
            <ins id="I6">
               <p>Department of Internal Medicine, University of Florence, Italy</p>
            </ins>
            <ins id="I7">
               <p>Clinic of Functional Diagnostics and Rehabilitation, St. Anna Faculty Hospital and Masaryk University of Brno, Pekask&#225; 53, 656 91, Brno, Czech Republic</p>
            </ins>
         </insg>
         <source>Journal of Circadian Rhythms</source>
         <issn>1740-3391</issn>
         <pubdate>2003</pubdate>
         <volume>1</volume>
         <issue>1</issue>
         <fpage>2</fpage>
         <url>http://www.JCircadianRhythms.com/content/1/1/2</url>
         <xrefbib>
            <pubidlist>
               <pubid idtype="doi">10.1186/1740-3391-1-2</pubid>
               <pubid idtype="pmpid">14728726</pubid>
            </pubidlist>
         </xrefbib>
      </bibl>
      <history>
         <rec>
            <date>
               <day>24</day>
               <month>9</month>
               <year>2003</year>
            </date>
         </rec>
         <acc>
            <date>
               <day>29</day>
               <month>10</month>
               <year>2003</year>
            </date>
         </acc>
         <pub>
            <date>
               <day>29</day>
               <month>10</month>
               <year>2003</year>
            </date>
         </pub>
      </history>
      <cpyrt>
         <year>2003</year>
         <collab>Halberg et al; licensee BioMed Central Ltd. This is an Open Access article: verbatim copying and redistribution of this article are permitted in all media for any purpose, provided this notice is preserved along with the article's original URL.</collab>
      </cpyrt>
      <abs>
         <sec>
            <st>
               <p>Abstract</p>
            </st>
            <p>A few puzzles relating to a small fraction of my endeavors in the 1950s are summarized herein, with answers to a few questions of the Editor-in-Chief, to suggest that the rules of variability in time complement the rules of genetics as a biological variability in space. I advocate to replace truisms such as a relative constancy or homeostasis, that have served bioscience very well for very long. They were never intended, however, to lower a curtain of ignorance over everyday physiology. In raising these curtains, we unveil a range of dynamics, resolvable in the data collection and as-one-goes analysis by computers built into smaller and smaller devices, for a continued self-surveillance of the normal and for an individualized detection of the abnormal. The current medical art based on spotchecks interpreted by reference to a time-unqualified normal range can become a science of time series with tests relating to the individual in inferential statistical terms. This is already doable for the case of blood pressure, but eventually should become possible for many other variables interpreted today only based on the quicksand of clinical trials on groups. These ignore individual differences and hence the individual's needs. Chronomics (mapping time structures) with the major aim of quantifying normalcy by dynamic reference values for detecting earliest risk elevation, also yields the dividend of allowing molecular biology to focus on the normal as well as on the grossly abnormal.</p>
         </sec>
      </abs>
   </fm>
   <bdy>
      <sec>
         <st>
            <p>Introduction</p>
         </st>
         <p>This is a response to an invitation by Dr. Roberto Refinetti, professor of psychology and author of a book on <it>Circadian Physiology </it><abbrgrp><abbr bid="B1">1</abbr></abbrgrp>, to contribute to the first issue of his new open-access journal, also focusing on circadian rhythms. This invitation is very greatly appreciated, since Roberto's genealogy is that of a clock-watcher (<it>honi soit qui mal y pense</it>), yet he also offers in his book some inferential statistical routines that can serve for resolving features of time series that are not immediately apparent to the naked eye. I learned much from Roberto, who reorganized the paper so that I offered him co-authorship, which, to my regret, he declined. In our discussions thus far, we agreed, above all, on the need for unity and a start with a discussion based on data.</p>
         <p>To introduce material that can no longer be readily retrieved electronically, I have listed here a few puzzles from experience in the 1950s. It is hard, however, to single out any field to which circadians are not relevant, whether to scientists and other professionals, or even the proverbial person on the street. As a minimum, everyone should know about when to eat <abbrgrp><abbr bid="B2">2</abbr><abbr bid="B3">3</abbr></abbrgrp> and, if need be, when to treat <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr></abbrgrp>, or rather one should try to prevent the need to treat. Prof. Refinetti's journal is welcome first of all because circadian rhythms are a most prominent and useful aspect of our everyday physiology and thus deserve a medium that can be retrieved free of charge by everybody interested worldwide. The challenge of this invitation also stems from the circumstance that like many fields coming of age, chronobiology (the topic of the mechanisms underlying biological diversity in time) is practiced by many investigators in different ways, by some, like the editor, with main focus on circadian physiology, and by still others with exclusive focus on timekeeping along the 24-hour and calendar-year scales.</p>
         <p>Prof. Refinetti asked me to prepare this article in response to six questions, each of which I address below. When possible, I provide illustrations and references, with the foregoing and following comments given in the first person, with scrutiny by co-authors again only insofar as possible. Of necessity, too often I rely only upon my 84-year-old (age-qualified) memory. When I am uncertain of exact or even approximate calendar dates, I describe circumstances that provide at least a bracket in time, such as first meetings with colleagues, for the first consideration of "circadian" or for the interpretation of free-running by others, also using a free-running oscillator as an analogy and then as a model for exploring the endogenous aspects of rhythms in the biosphere.</p>
         <sec>
            <st>
               <p>What was your initial interest in the biomedical field?</p>
            </st>
            <p>As a child I had none. In my earliest adolescence I wanted to become a poet (and recently indulged again in this pastime <abbrgrp><abbr bid="B7">7</abbr></abbrgrp>). My father, to whom I owe more than I can express in words &#8211; an international attorney who would have preferred to be a physician himself &#8211; kindly urged me to take up medicine, which I did. I in turn urged my daughters to do the same, not by words but by example and deeds as a family affair <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B11">11</abbr><abbr bid="B12">12</abbr><abbr bid="B13">13</abbr><abbr bid="B14">14</abbr></abbrgrp>.</p>
            <p>I started in high school accompanying physician friends of my parents in their practice and helping out in hospitals during vacation, when not travelling. Thus, as an interested student, I was just in time, before I went to medical school, to learn first-hand that cases of pneumonia for which there was then no treatment as yet, lasted about a week, before recovery or death, or as it was put in antiquity, before the occurrence of the lysis or crisis. This was my first encounter with timing in disease, namely with the biological week, which was known to Hippocrates in Greece, to Galen who had settled in Rome, and to the Islamic physician Ibn Sina (Avicenna) in Persia. They all knew that many diseases lasted about 7 days, the very lesson that I would have missed about single stimulus-"induced", or rather -"manifested", circaseptan periodicity, had I not observed patients before the advent of sulfonamides and penicillin <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B16">16</abbr><abbr bid="B17">17</abbr><abbr bid="B18">18</abbr><abbr bid="B19">19</abbr></abbrgrp>.</p>
            <p>During medical school, I dabbled in endocrinology and infectious disease research, including a study in a Rockefeller Institute in Budapest and at an institute on Lake Balaton. While trying to help in the improvement of a vaccine for typhoid, I managed to catch a severe case of it myself, perhaps by not washing my hands thoroughly before playing tennis over the noon hour. Subsequently, with an interest in the adrenal cortex in post-World War II Innsbruck, I was a university assistant, who, i.a., lectured to students in physical education who skied or otherwise exercised during the daytime and came fatigued to evening classes (I was popular with them since after a sentence or two I turned out the lights, showed slides and allowed those so inclined to sleep). At meetings, I also learned, only in theory, about the importance of probability in close contacts with the physicist Arthur March, a friend of Erwin Schr&#246;dinger, and wrote briefly about "rather than" vs. "yes/no" <abbrgrp><abbr bid="B20">20</abbr></abbrgrp>. But the major findings of that time in health care seemed to be fully deterministic. The discoveries first of sulfonamides and thereafter of penicillin attracted the attention of many, including myself <abbrgrp><abbr bid="B21">21</abbr></abbrgrp>. My concern earned me a much appreciated invitation to work with Sir Alexander Fleming, the discoverer of penicillin, in the bacteriology department of St. Mary's Hospital in London. I did not accept this invitation since I preferred a fellowship at Harvard in endocrinology (my love in classical medicine), but gratefully kept the few packages of cigarettes Sir Alexander kindly offered when he visited Innsbruck.</p>
            <p>The successes of both sulfonamides and penicillin were splendid and changed the practice of health care insofar as certain infectious diseases were concerned. Seemingly no statistics were needed. We dealt with true wonder drugs, we believed then, if not now. (Concern arising from findings of bacterial resistance came later.) By the 1940s, patients who received these antibiotics recovered, say from pneumonia, or so it appears, irrespective of treatment time. The ~7-day interval between the onset of a certain disease and its end, one way or another, was soon forgotten. To keep abreast clinically while it also helped to augment my income, I further took care of a dermatology and venereal disease ward in a French-occupation army hospital, where two cases stimulated my interest in timing to the point of producing a publication <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>.</p>
            <p>Arthur March had taught me caution, so I did not generalize when, on the same day, I diagnosed gonorrhea, again without statistics, in two young soldiers and started their treatment with penicillin concurrently <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>. In talking to the soldiers, I learned that they had had sexual intercourse with the same prostitute a day apart. As the treatment continued, the one who had been exposed later was first to show a negative smear for the infectious agent. The result suggested that the time elapsed between the infection and start of treatment could be important. With only two cases to compare, there was no way to attach any probability to the interpretation that timing was important, as stated in print <abbrgrp><abbr bid="B22">22</abbr></abbrgrp>.</p>
            <p>In Innsbruck, I also regularly took vaginal smears from prostitutes, stained by Erhard Haus, to follow changes in mucus described in a book by George Papanicolaou, another excursion into a cycle, but for whatever reason we could not find the reported changes. Mapping of changes with an about-monthly period had to wait <abbrgrp><abbr bid="B16">16</abbr></abbrgrp>.</p>
            <sec>
               <st>
                  <p>The general adaptation syndrome</p>
               </st>
               <p>Already in Innsbruck, I had learned about theories concerning the adrenal glands' corticoids, secretions then and now believed to be triggered by the wear and tear of everyday life (stress). Originally corticoids were of interest in military medicine, as support for vigilance by pilots in combat. In a much broader context, a general adaptation syndrome, based on ubiquitous responses of the adrenal cortex to various stimulations, was looked upon as <b>the </b>mechanism of all chronic disease <abbrgrp><abbr bid="B23">23</abbr><abbr bid="B24">24</abbr><abbr bid="B25">25</abbr><abbr bid="B26">26</abbr><abbr bid="B27">27</abbr><abbr bid="B28">28</abbr><abbr bid="B29">29</abbr></abbrgrp>. In a general way, many stimuli to which an organism is exposed were recognized to elicit an unspecific secretion of adrenal cortical hormones in an "alarm reaction" that continued during a stage of resistance until the gland was "exhausted". At that time, timing was not considered as a dimension to be specified for a given response tested, as for instance was dosing for any stimulus tested, even though physiologists like Pavlov had recorded the clock-hour of each step in their experiments, even without the application of a stimulus <abbrgrp><abbr bid="B30">30</abbr></abbrgrp>.</p>
               <p>With Hans Selye, the proponent of stress studies, in the limelight urging an interest in the adrenal, zoologist Samuel H. Williams, a U.S. government talent scout, singled me out in Austria after World War II. With help from others, including Dr. Dr. Mr. Gustav Sauser (whose doctorates were in medicine and theology; "Mr." stands for <it>Magister </it>of Pharmacy), my department head, then dean and eventually rector in Innsbruck, I received a fellowship from the World Health Organization (WHO) and Williams got me round-trip passage on a liberty ship to New York, to join the group of endocrinologists led by Fuller Albright and Frederic C. Bartter at the Massachusetts General Hospital ("Mass General") in Boston. By the time I arrived in October 1948 in New York, however, Albright's deteriorating health would no longer permit him to accept any new fellows, and I was reassigned to the Peter Bent Brigham Hospital and Harvard Medical School, also in Boston (visiting Mass General every so often).</p>
            </sec>
            <sec>
               <st>
                  <p>New wonder drugs</p>
               </st>
               <p>Once cortisone injections, like a pharmaceutical Lourdes, restored the ability to walk to people who had been lame for years, adrenocortical hormones gained a very important clinical status and came into the limelight. It became highly desirable to identify corticoids in body fluids on the one hand and to find substances that acted like them on the other hand. For both aims, I was assigned the development of an external bioassay, a test to determine corticoids and related compounds with action similar to that of corticoid. At the time, corticoids were scarce. Hence, I implanted substances under the skin of mice and determined corticoid-like activity in blood and other body fluids collected from patients. The endpoint I was to use was the count of certain circulating white blood cells in mice, i.e., the number of cells called eosinophils because they stained with the acid dye eosin <abbrgrp><abbr bid="B31">31</abbr></abbrgrp>. Eosinophil mouse cells could not be seen and hence could not be counted with the stain used to count the corresponding cells in humans. A method had to be developed to see these cells under a microscope in blood drawn with a pipette after I made a nick in the mouse's tail. Once these cells could be counted, which was a matter of changing the dilution factor used for staining human cells, I also found, as had many before me, that the counts varied greatly, and I had to solve many puzzles <abbrgrp><abbr bid="B32">32</abbr></abbrgrp>, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>, before an external, and as it turned out to be, also an internal bioassay was to succeed; but this would occur after I moved to Minnesota.</p>
               <fig id="F1">
                  <title>
                     <p>Figure 1</p>
                  </title>
                  <caption>
                     <p>Eosinophil counts lowered by "fasting" and/or "stress"</p>
                  </caption>
                  <text>
                     <p>Eosinophil counts lowered by "fasting" and/or "stress". Effect of a 50% reduction in dietary carbohydrates and fats (with proteins, vitamins and minerals as in control group) in C<sub>3</sub>H mice with a high breast cancer incidence (not shown), which is greatly lowered by a diet reduced in calories. Is an adrenocortical activation, then assessed by eosinophil depression, an answer for treating breast cancer and for prolonging life? A large and exciting finding &#8211; a difference in eosinophil count between two groups of mice &#8211; was found, and of course it had to be replicated on a larger group of animals because of its importance to the etiology of cancer. Steroids that depress eosinophil cell counts and perhaps mitoses could be a mechanism through which caloric restriction and ovariectomy act in greatly reducing cancer incidence. This may be <b>the mechanism </b>to prevent breast cancer, or was this very reasonable and plausible hypothesis a premature extrapolation? (My chief had taken these results as a statistically significantly validated, most promising report to Paris.)</p>
                  </text>
                  <graphic file="1740-3391-1-2-1"/>
               </fig>
               <fig id="F2">
                  <title>
                     <p>Figure 2</p>
                  </title>
                  <caption>
                     <p>Confusing results one week later: follow-up with more animals starting at an earlier clock hour shows "no difference"</p>
                  </caption>
                  <text>
                     <p>Confusing results one week later: follow-up with more animals starting at an earlier clock hour shows "no difference". A phase difference between the two groups was predicted. The large inter-group difference in eosinophil count was not replicated when more animals were used with an earlier start.</p>
                  </text>
                  <graphic file="1740-3391-1-2-2"/>
               </fig>
               <fig id="F3">
                  <title>
                     <p>Figure 3</p>
                  </title>
                  <caption>
                     <p>Opposite outcome observed another week later: has "<b>stress</b>" become "<b>allergy</b>"? Erroneous conclusions from ignoring a phase difference in circadian rhythm due to competing synchronization</p>
                  </caption>
                  <text>
                     <p>Opposite outcome observed another week later: has "<b>stress</b>" become "<b>allergy</b>"? Erroneous conclusions from ignoring a phase difference in circadian rhythm due to competing synchronization. Results from another follow-up with even more animals at a yet earlier clock hour. A difference in the opposite direction as compared to the difference observed first (Fig. <figr fid="F1">1</figr>) is noted.</p>
                  </text>
                  <graphic file="1740-3391-1-2-3"/>
               </fig>
               <fig id="F4">
                  <title>
                     <p>Figure 4</p>
                  </title>
                  <caption>
                     <p>Recognition of circadian phase difference between two groups of mice prevents the drawing of false conclusions</p>
                  </caption>
                  <text>
                     <p>Recognition of circadian phase difference between two groups of mice prevents the drawing of false conclusions. Light gray: fully-fed group; dark gray: calorie-restricted group. Two groups of C<sub>3</sub>H mice (with differing breast cancer incidence) compared at single but different clock hours, first at near-weekly intervals (1, 2 and 3) and then at about 4- and again about 7-hour intervals (4 and 5) on the same day. The first 3 samplings at weekly intervals were made at earlier and earlier clock hours on two groups whose circadians were in antiphase, since one was fed a calorie-restricted diet in the morning, while the other group was fed ad libitum and fed mostly during the nightly dark span. To validate this assumption, the final two samplings at about 4- and then at about 7-hour intervals on the same day showed, as anticipated, the predicted reversal of the inter-group difference. (A progressive lowering of count associated with repeated blood letting had been demonstrated separately.) The time of day of sampling was the same for the two groups compared, but it differed from comparison to comparison in Figs. <figr fid="F1">1</figr><figr fid="F2">2</figr>,<figr fid="F3">3</figr> (circled 1, 2 and 3); this fact confounded the results, as documented by repeating sampling at different clock-hours on the same day (circled 4 and 5). This circumstance accounts for the different results in Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>: 24-h synchronized rhythms were compared on the same lighting but on different feeding regimens, as we realized and then documented the dominant synchronizing role of feeding time (overcoming the effect of lighting) on a diet restricted in carbohydrates and fat by 50% <abbrgrp><abbr bid="B86">86</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-4"/>
               </fig>
               <fig id="F5">
                  <title>
                     <p>Figure 5</p>
                  </title>
                  <caption>
                     <p>Effect of food restriction on circulating eosinophils in mice</p>
                  </caption>
                  <text>
                     <p>Effect of food restriction on circulating eosinophils in mice. *After log<sub>10</sub>-transformation of data expressed as percentage of mean. **To reveal the difficulty to resolve differences by the naked eye alone, and the even greater difficulty of quantifying the patterns of each group and any inter-group differences. There is a need to cover the 24-hour time scale to look for intergroup differences in the face of a large variability, what the active Claude Bernard rightly called the "extreme variability of the internal environment" <abbrgrp><abbr bid="B264">264</abbr></abbrgrp>. Our analysis of variance reveals statistically significant time and group effects and interaction in this time-macroscopic approach, shown elsewhere <abbrgrp><abbr bid="B303">303</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-5"/>
               </fig>
               <fig id="F6">
                  <title>
                     <p>Figure 6</p>
                  </title>
                  <caption>
                     <p>Food restriction amplifies circadian rhythm of circulating eosinophils in mice</p>
                  </caption>
                  <text>
                     <p>Food restriction amplifies circadian rhythm of circulating eosinophils in mice.*P &lt; 0.001 from test of equality of amplitudes. ** After log<sub>10</sub>-transformation of data expressed as percentage of mean. Parameter estimations and comparisons can be derived from the fit of a 24-h cosine curve (shown with original timepoint mean values &#177; 1 standard deviation). Circulating eosinophil counts of the underfed group are lower (P&lt;0.001) than those of the control group. The circadian pattern of the underfed group has a larger amplitude (P&lt;0.001) and an earlier acrophase (P=0.003) as compared to that of the control group. This microscopic approach quantifies the effect of food restriction upon the eosinophil counts, also documented by an analysis of variance as a statistically significant time-group interaction <abbrgrp><abbr bid="B303">303</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-6"/>
               </fig>
               <fig id="F7">
                  <title>
                     <p>Figure 7</p>
                  </title>
                  <caption>
                     <p>Genetic uniformity in averages? (spurious in the light of more stocks examined)</p>
                  </caption>
                  <text>
                     <p>Genetic uniformity in averages? (spurious in the light of more stocks examined). Data on eosinophil counts (Eos) in five stocks of mice (from Halberg et al. J Hematology 6: 832&#8211;837, 1951; cf. Proc Soc Exp Biol &amp; Med 75: 844&#8211;847, 1950). Mice kept in L<sub>6-18</sub>D<sub>18-6</sub>. Sampling during fixed clock hours: 06:00 &#8211; 10:00. When the time of day of sampling is fixed along with the lighting and feeding regimens, seemingly reproducible results are obtained on five stocks of mice, namely the A strain (with the mammary cancer agent [MCA]) and the A&#215; (foster-nursed without the MCA), and various first-generation hybrids of the C<sub>3</sub>H mice (Z with and Zb without the MCA) and the Dilute Brown subline 8 (D<sub>8 </sub>with the MCA) mice, again a premature extrapolation.</p>
                  </text>
                  <graphic file="1740-3391-1-2-7"/>
               </fig>
               <fig id="F8">
                  <title>
                     <p>Figure 8</p>
                  </title>
                  <caption>
                     <p>Genetic diversity in averages requiring complementary examination of further genetic diversity in variability as such and of diversities in time</p>
                  </caption>
                  <text>
                     <p>Genetic diversity in averages requiring complementary examination of further genetic diversity in variability as such and of diversities in time. Data on eosinophil counts (Eos) in five stocks of mice (from Halberg et al. J hematology 6: 832&#8211;837, 1951; cf. Proc Soc Exp Biol &amp; Med 75: 844&#8211;847, 1950). Mice kept in L<sub>6-18</sub>D<sub>18-6</sub>. Sampling during fixed clock hours: 06:00 &#8211; 10:00. Concurrent study of additional stocks at the same fixed time of day reveals differences in mean value.</p>
                  </text>
                  <graphic file="1740-3391-1-2-8"/>
               </fig>
               <fig id="F9">
                  <title>
                     <p>Figure 9</p>
                  </title>
                  <caption>
                     <p>Genetic diversity in <b>variability </b>as such, gauged by coefficient of variation (CV)</p>
                  </caption>
                  <text>
                     <p>Genetic diversity in <b>variability </b>as such, gauged by coefficient of variation (CV). Beyond genetic diversity in averages of eosinophil counts in five stocks of mice (from Halberg et al. J Hematology 6: 832&#8211;837, 1951; cf. Proc Soc Exp Biol &amp; med 75: 844&#8211;847, 1950). Mice kept in L<sub>6-18</sub>D<sub>18-6</sub>. Sampling during fixed clock hours: 06:00 &#8211; 10:00. Prediction limits, derived from first 5 stocks of mice, are exceeded when 5 additional stocks are examined (hatched). Of interest with the genetic diversity in space among different stocks of mice (Fig. <figr fid="F8">8</figr>) is a genetic diversity in the coefficient of variation.</p>
                  </text>
                  <graphic file="1740-3391-1-2-9"/>
               </fig>
               <fig id="F10">
                  <title>
                     <p>Figure 10</p>
                  </title>
                  <caption>
                     <p>Circadian physiological variation in murine eosinophil counts (Eos)</p>
                  </caption>
                  <text>
                     <p>Circadian physiological variation in murine eosinophil counts (Eos). In four inbred strains and a hybrid (F<sub>1</sub>) stock (F Halberg and M Visscher. Proc Soc Exp Biol &amp; med 75: 844&#8211;847, 1950). Note 1. Large genetic differences, gauged by one-way ANOVA across stocks at 08:00 (F=43.1; P &lt; 0.001) and 00:00 (F=21.3; P &lt; 0.001) representing differences in genome, and 2. Equally impressive diversity in time, in each stock, gauged by 08:00 vs. 00:00 difference, approximating, by only two timepoints, circadian component of chronome (t=11.3; P &lt; 0.001 from paired t-test of relative 08:00 vs. 00:00 differences, expressed as percent of mean). The ever-present within-day difference can differ among stocks of mice.</p>
                  </text>
                  <graphic file="1740-3391-1-2-10"/>
               </fig>
               <fig id="F11">
                  <title>
                     <p>Figure 11</p>
                  </title>
                  <caption>
                     <p>Sex difference in circadian rhythm of circulating eosinophil counts (Eos) of mature C<sub>57 </sub>subline mice</p>
                  </caption>
                  <text>
                     <p>Sex difference in circadian rhythm of circulating eosinophil counts (Eos) of mature C<sub>57 </sub>subline 1 mice. Data on eosinophil counts (Halberg et al. Science 125: 73, 1957). PR = percentage rhythm (proportion of variance accounted for by fitted 24-hour cosine curve). Solid lines: one-component model; dashed lines: two-component model. Sex differences in MESOR found with attention to strain and rhythm.</p>
                  </text>
                  <graphic file="1740-3391-1-2-11"/>
               </fig>
               <p>I had to move since I was urged to use my return ticket to Austria and my one-year fellowship at Harvard was not renewed: I could not confirm an epinephrine test of adrenocortical function published for clinical use in an era before direct hormone assays were developed. Theoretically, epinephrine was believed to stimulate the hypothalamus, which secreted a substance stimulating pituitary ACTH secretion, which latter hormone (in turn) resulted in corticosteroid secretion. If the adrenal cortex was absent or deficient for whatever reason, such as atrophy or tuberculosis, an epinephrine injection should fail to depress the eosinophil count, since the critical adrenocortical hormone was missing from the patient with Addison's disease as a presumably indispensable step. The test worked for a number of senior visiting fellows, but not in my adrenalectomized mice, even after removal of all visible ectopic adrenocortical tissue on both sides of the spinal cord, including further the removal of the scrotal fat of male or of the large ligaments of female mice. In my hands only (and within a year in the hands of others), epinephrine considerably depressed the blood eosinophil count even after removal of the adrenal glands and adrenal cortex-like tissue elsewhere in the body. This result, at variance with those of others on the Harvard team was the first confrontation in my research, but hardly the last. In parting, my chief told me that he admired my "sticking to my guns" (these are the precise words I remember him saying), but it seemed unlikely to him that studies by others up to that time had to be re-examined.</p>
               <p>The epinephrine test was reconsidered and eliminated within a year, thanks to work by others, but by then I was at the University of Minnesota. Maurice B. Visscher, then an opinion-leading physiologist (who had worked on a "law of the heart" with Ernest Starling, the coiner of "hormone") whom I had met while he was visiting Innsbruck, gave me an opportunity to continue work in his department there, which included a division of cancer biology headed by John J. Bittner (the discoverer of the first mammalian cancer virus). Thanks to John, plenty of inbred mice were available, which he had himself mated brother-to-sister for well over 20 successive generations. When John became George Chase Christian Professor of Cancer Biology at the University of Minnesota, he had the necessary staff and facilities to breed thousands of mice each week, shipped all over the world, and every so often I could use hundreds of mice that were left unshipped to others. The vast majority of the genes in each of these animals of a given inbred strain was assumed to be identical to those of its siblings. To my surprise, I found that when I handled the mice <it>less</it>, by using separate but comparable groups of inbred mice at different times each subjected to the "stress" of sampling but once, the cell count showed possibly even <it>more </it>variation than before.</p>
               <p>Now, however, the pattern of eosinophil variation was predictable. The average number of these particular white cells would drop from high counts in the morning to low counts in the evening, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>. The count changed in one inbred strain, the C<sub>57 </sub>Black subline 1 (B<sub>1</sub>) from ~1,500 per cubic millimeter (mm<sup>3</sup>) of blood to less than 600, Fig. <figr fid="F9">9</figr>, and in another subline (B<sub>4</sub>) from ~700 &#177; 59 to much less (369 &#177; 42), and in still other strains from a few hundred cells per mm<sup>3 </sup>to less than 60 per mm<sup>3</sup>, Fig. <figr fid="F7">7</figr>. There was also a genetic difference, not only in mean count <abbrgrp><abbr bid="B33">33</abbr></abbrgrp>, but also in extent of change <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>. As I reduced the exposure to <it>irregular </it>stimuli bringing about variations, a <it>regular </it>underlying cycle was uncovered with its genetic aspects, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>. The eosinophil cell count of mice varied in an about 24-hour (or circadian) cycle that depended upon genetic make-up <abbrgrp><abbr bid="B32">32</abbr><abbr bid="B34">34</abbr></abbrgrp>, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>, just as did the varying traits (smooth/wrinkled seeds, purple/white flowers, tall/short stalks) of Mendel's pea plants in Brno.</p>
               <p>While I was in Boston, I formed a lifelong friendship with Fred Bartter, who became chief of the Hypertension-Endocrine Section and eventually director of the Clinical Center at the U.S. National Institutes of Health (NIH). Our cooperation is documented in 36 published titles, listed in my bibliography on my website <url>http://www.msi.umn.edu/~halberg/</url>.</p>
               <p>Of course, neither the number of publications nor the fact that they include a Current Contents "Citation Classic" <abbrgrp><abbr bid="B35">35</abbr></abbrgrp> counts, but only their content. The mathematician Carl Friedrich Gauss went so far as to ask for "much" (<it>multum</it>) while explaining that he did not want "many things" (<it>multum</it><b><it> sed non </it></b><it>multa</it>). He may be right about "much", but too restrictive with "not many things". An inventory of joint publications constitutes at least a numerical approximation, albeit never an objective measure, of the intensity of motivation spent in cooperation. The reader can only be led to sources and is invited to judge whether, for a given endeavor, the Gaussian ideal of much is met. In circadian mapping as for a broader chronobiology, and certainly for the transdisciplinary chronomics, one can strive for "much", yet must also try to do so in each of many things (<it>multum </it><b><it>et</it></b><it>multa</it>), and for many people once health care as well as mathematics is involved. The condition "<b>for many</b>" may be met if Fred Bartter's suggestion that "information by cosinor should become a routine" <abbrgrp><abbr bid="B36">36</abbr></abbrgrp> comes true, if thereby early changes, e.g., in the circadian amplitude of diastolic blood pressure are picked up with objective inferential statistical methods and lead to efficient treatment for preventing strokes and other severe diseases: prehabilitation. Gauss' emphasis may then be changed to "much <b>for </b>many", the promise of chronomics.</p>
               <p>Many elevated risks in everyday physiology are silent to both the individual concerned and to current health care and hence awaiting chronomic surveillance for detection in as <b>many </b>people as possible. The prevention of a massive stroke can mean very <b>much </b>for the individual and for society that pays for the financial burden directly or by insurance premiums. The greatest promise of circadian systems is a better universal health care at less cost and, for science, much new information, Fig. <figr fid="F12">12</figr>. When a kind of time-unqualified, single-sample- "evidence"-based medicine (what a misnomer for an art) changes from spotchecks in trials for the masses to a universal continued, chronomically interpreted self-surveillance, chronomics will be the indispensable complement for genomics and vice versa, of course. In this context, the behavior of circadian systems will remain essential to detect alterations that are still reversible, a procedure for cardiovascular disease prevention as important as vaccination. Bartter <abbrgrp><abbr bid="B36">36</abbr></abbrgrp>, Levine <abbrgrp><abbr bid="B37">37</abbr></abbrgrp> and I <abbrgrp><abbr bid="B38">38</abbr></abbrgrp> might have overstated our case, but the story told with Henry Nash Smith is not new <abbrgrp><abbr bid="B39">39</abbr><abbr bid="B40">40</abbr></abbrgrp>. Without the evidence in Fig. <figr fid="F13">13</figr>,<figr fid="F14">14</figr>,<figr fid="F15">15</figr>,<figr fid="F16">16</figr>,<figr fid="F17">17</figr>, Theodore C. Janeway concluded a century ago <abbrgrp><abbr bid="B41">41</abbr></abbrgrp>:</p>
               <fig id="F12">
                  <title>
                     <p>Figure 12</p>
                  </title>
                  <caption>
                     <p>Cost and quality trade-offs (left) or instrumented self-help for health improvement (right) concerning blood pressure</p>
                  </caption>
                  <text>
                     <p>Cost and quality trade-offs (left) or instrumented self-help for health improvement (right) concerning blood pressure. Challenge to engineers, to civil servants dispensing government resources, and to each individual interested in self-help. Investment into physiological monitoring and education in chronobiology, to detect warning signs indicative of an elevated risk, rather than only of the <it>fait accompli </it>of disease, can prompt preventive intervention with the goal of avoiding the crippling of catastrophic diseases, also a major drain on financial resources. By placing added emphasis on prevention by general education in chronomic self-monitoring, health care costs could decrease while quality of care is individualized and improved <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-12"/>
               </fig>
               <fig id="F13">
                  <title>
                     <p>Figure 13</p>
                  </title>
                  <caption>
                     <p>Clinical studies with timing by peak tumor temperature show faster regression and doubling of 2-year disease-free survival of patients with cancer of the oral cavity</p>
                  </caption>
                  <text>
                     <p>Clinical studies with timing by peak tumor temperature show faster regression and doubling of 2-year disease-free survival of patients with cancer of the oral cavity.</p>
                  </text>
                  <graphic file="1740-3391-1-2-13"/>
               </fig>
               <fig id="F14">
                  <title>
                     <p>Figure 14</p>
                  </title>
                  <caption>
                     <p>Gain in chronochemotherapy cures in the experimental laboratory in two different investigations <abbrgrp><abbr bid="B239">239</abbr><abbr bid="B240">240</abbr><abbr bid="B241">241</abbr></abbrgrp></p>
                  </caption>
                  <text>
                     <p>Gain in chronochemotherapy cures in the experimental laboratory in two different investigations <abbrgrp><abbr bid="B239">239</abbr><abbr bid="B240">240</abbr><abbr bid="B241">241</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-14"/>
               </fig>
               <fig id="F15">
                  <title>
                     <p>Figure 15</p>
                  </title>
                  <caption>
                     <p>The incidence of morbidity among 121 normotensive and 176 treated hypertensive patients (so diagnosed by their time structure or chronome-adjusted mean, MESOR) with no cardiovascular disease at the outset is compared in a 6-year prospective study among patients presenting without or with 1, 2 or all 3 of 3 risks factors</p>
                  </caption>
                  <text>
                     <p>The incidence of morbidity among 121 normotensive and 176 treated hypertensive patients (so diagnosed by their time structure or chronome-adjusted mean, MESOR) with no cardiovascular disease at the outset is compared in a 6-year prospective study among patients presenting without or with 1, 2 or all 3 of 3 risks factors. The risk factors considered are:1. CHAT (brief for circadian hyper-amplitude-tension), a condition characterized by an excessive circadian amplitude of (diastolic) blood pressure (above the upper 95% prediction limit of clinically healthy peers of the same gender and a similar age);2. An elevated pulse pressure (EPP), defined as a difference between the MESORs of systolic and diastolic blood pressure above 60 mmHg; and 3. Decreased heart rate variability (DHRV), defined as a standard deviation of heart rate measurements at 15-min intervals for 48 hours in the lowest 7<sup>th </sup>percentile of the patient population. Risk was determined at the start of study, based on a 48-hour profile (acceptable for group studies only, one week's monitoring at 30-minute intervals being recommended for individuals) of automatic measurements of blood pressure and heart rate at 15-min intervals with an ambulatory monitor. Morbidity was checked about 6-monthly thereafter. Diagnoses considered were: coronary artery disease, cerebral ischemic events, nephropathy and retinopathy (related to blood pressure disorder). After 6 years, morbidity was diagnosed in 39 of the 297 patients. In the reference population of 214 patients presenting none of the 3 risk factors, morbidity was found in 8 cases (3.7%) (top left). The presence of DRHV or EPP alone raises the incidence of morbidity to 30.8% (top middle). When these two risks are both present, morbidity is doubled (66.7%) (top right). The presence of CHAT (bottom) invariably increases the incidence of morbidity, from 3.7% to 23.5% in the absence of the other two risk factors (bottom left), from 30.8% to 50% or 100% when either DHRV or EPP is also present (bottom middle), or from 66.7% to 100% when all 3 risk factors are present (bottom right). Except for a weak relation between pulse pressure and the standard deviation of heart rate, the 3 risk factors are mostly separate and additive. The results suggest the desirability to routinely assess blood pressure variability in addition to heart rate variability since even in MESOR-normotension, CHAT is associated with a statistically significant increase in cardiovascular disease risk (not shown) <abbrgrp><abbr bid="B8">8</abbr></abbrgrp>, and can be successfully treated <abbrgrp><abbr bid="B80">80</abbr></abbrgrp>. Whereas the number of morbid events and the number of patients in this study are small, the results are supported by several other prospective and retrospective chronobiological investigations <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B38">38</abbr><abbr bid="B78">78</abbr><abbr bid="B79">79</abbr><abbr bid="B80">80</abbr><abbr bid="B81">81</abbr><abbr bid="B82">82</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-15"/>
               </fig>
               <fig id="F16">
                  <title>
                     <p>Figure 16</p>
                  </title>
                  <caption>
                     <p>Disaster can result from literally and figuratively neglecting the range of operational environmental temperatures or in biology, the "normal range"</p>
                  </caption>
                  <text>
                     <p>Disaster can result from literally and figuratively neglecting the range of operational environmental temperatures or in biology, the "normal range". For a relatively wide range of temperatures, a piece of equipment may be safe to use, but once temperature drops below a threshold, the likelihood of problems increases. The situation that led to the Challenger disaster (middle) is compared with the non-linear elevation of cardiovascular disease risk associated with a decreased heart rate variability (gauged by the standard deviation) (right) and also with an overswinging of blood pressure (CHAT) (left), also exhibiting a nonlinear behavior. Note that the increase in morbid events follows only after a threshold is exceeded, a nonlinear behavior that may have delayed the recognition of these risks. The use of chronomics is particularly indicated in populations at a high vascular disease risk.</p>
                  </text>
                  <graphic file="1740-3391-1-2-16"/>
               </fig>
               <fig id="F17">
                  <title>
                     <p>Figure 17</p>
                  </title>
                  <caption>
                     <p>Efficacy, safety and cost-effectiveness of chronotherapy (CT) versus traditional therapy (TT) with propranolol</p>
                  </caption>
                  <text>
                     <p>Efficacy, safety and cost-effectiveness of chronotherapy (CT) versus traditional therapy (TT) with propranolol. Twenty patients per group; hypotensive effect is more pronounced on CT (dark gray) than on TT (light gray) (P &lt; 0.05); SBP: Systolic Blood Pressure; DBP: Diastolic Blood Pressure. Original studies by Rina Zaslavskaya on blood pressure chronotherapy compared with conventional treatment, eventually transferred from group studies with treatment at a fixed time in relation to the blood pressure acrophase, to individualized treatment optimized in the given patient with control by the monitored blood pressure analyzed as-one-goes by parameter tests and cumulative sums <abbrgrp><abbr bid="B80">80</abbr></abbrgrp>.</p>
                  </text>
                  <graphic file="1740-3391-1-2-17"/>
               </fig>
               <p>... <it>it is essential </it>that a record of the pressure be made at frequent intervals <it>at some time previous </it>[presumably to an examination], to establish the <it>normal level </it>and the <it>extent of the periodic variations. </it>When this is done, it may be possible to demonstrate changes of small extent, which, lacking this standard for comparison, would be considered within the limits of normal variation.</p>
               <p>Now we have the monitors with a 90% reduction in the cost of their acquisition for all comers interested in self-help who care to write to <url>http://corne001@umn.edu</url><abbrgrp><abbr bid="B42">42</abbr></abbrgrp> and to acquire chronomic literacy. Attaining the goal of Janeway, Bartter and Levine is thereby greatly facilitated. But blood pressure literacy is just a step to universal chronobiological and chronomic literacy as the "hook" <abbrgrp><abbr bid="B39">39</abbr></abbrgrp>. Right or wrong, the spirit of what we propose, is based on a parallel drawn from the history of universal "3-R" ("reading, 'riting and 'rithmetic") literacy in the USA to use education in chronomic self-help in health care <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B9">9</abbr></abbrgrp>, Fig. <figr fid="F12">12</figr>. As for science, Fig. <figr fid="F18">18</figr> tries to tell the story by focus only upon the puzzles of the 1950s, with their implications for today and the future.</p>
               <fig id="F18">
                  <title>
                     <p>Figure 18</p>
                  </title>
                  <caption>
                     <p>From homeostasis to clocks and chronomes</p>
                  </caption>
                  <text>
                     <p>From homeostasis to clocks and chronomes. &#8224;Inferential statistical methods map chronomes as molecular biology maps genomes; biologic chronomes await resolution of their interactions in us and around us, e.g., with magnetic storms in the interplanetary magnetic field (IMF). The alignment of spectra &#8211; data transpositions from the time into the frequency domain of data series recorded on us and around us &#8211; has just begun and requires lifetime monitoring for critical variables that may provide the reference values for preventive health and environmental care. Homeostasis recognizes that physiological processes remain largely within relatively narrow (but hardly negligible) ranges in health and that departure from such normal ranges is associated with overt disease and still serves that purpose. But it can be improved upon in replacing time-unqualified ranges by time-varying reference limits as prediction and tolerance intervals (chronodesms). Most important, however, is that variability within the normal range is not dealt with as if it were random. The body strives for structured variation, not for "constancy". Learning about the rules of trends and further about rhythmic and chaotic variations that take place within the "usual value ranges" is not needed for the postulation of a "biological clock" that would enable the body to keep track of time. Not surprisingly, this restriction in the scope of chronobiology is most welcome to all of those who still wish no more than their normal ranges and usually only time-unspecified "baselines". The fact that single cells and bacteria are genetically coded for a spectrum of rhythmic variation indicates, however, that the concept of "clock" needs extension beyond the year as a calendar and beyond the beating trans-year, <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B171">171</abbr></abbrgrp> and <it>today </it>beyond the recording in the experimental laboratory of lighting, temperature and feeding, among other obvious conditions. Magnetic storms must not be ignored <abbrgrp><abbr bid="B310">310</abbr><abbr bid="B311">311</abbr><abbr bid="B312">312</abbr></abbrgrp>. There is a further need to extend focus beyond circadians. When the giant alga <it>Acetabularia</it>, a prominent model for scholars interested in the mechanism of a "clock", is placed into continuous light, after some days in light and darkness alternating every 12 hours (!), the spectrum of changes in its electrical potential reveals the largest amplitude for a component of <it>about </it>(no precisely!) 1 week rather than for one of about 24 hours. An <it>Acetabularia </it>population also shows a circadecadal rhythm <abbrgrp><abbr bid="B313">313</abbr></abbrgrp>. The concept of a broad chronome takes the view that changes occurring within the usual value range resolvable as chronomes, with a predictable multifrequency rhythmic element, allow us to measure the essence of the dynamics of everyday life, and are essential to obtain warnings before the <it>fait accompli </it>of disease, Fig. <figr fid="F16">16</figr> so that prophylactic measures can be instituted in a timely way.</p>
                  </text>
                  <graphic file="1740-3391-1-2-18"/>
               </fig>
               <p>After Fred Bartter and I met again at NIH in Bethesda, Fred set an example by around-the-clock measurements of his blood pressure for the rest of his life <abbrgrp><abbr bid="B43">43</abbr></abbrgrp> and staunchly advocated a chronobiologic (now chronomic) interpretation of the record. He wrote about a patient who received different blood pressure diagnoses from two different physicians, one seen in the morning, the other in the afternoon:</p>
               <p>By conventional standards, this patient is clearly normotensive every morning. But the blood pressure determined each day at 6 in the afternoon provides especially convincing evidence that this patient is a hypertensive. ... My plea today is that information contained in [data curves compiled under differing circumstances, such as 24 hours a day/7 days a week] become a <it>routine minimal amount </it>of information accepted for the description of a patient's blood pressure. The analysis of this information by cosinor should become a routine. It is essential that enough information be collected to allow objective characterization of a periodic phenomenon, to wit, an estimate of M [MESOR, a rhythm-adjusted mean] as given for the three statuses in this patient, an estimate of A [circadian amplitude] itself, and finally an estimate of acrophase. In this way, a patient can be compared with himself at another time, or under another treatment, and the patient can be compared with a normal or with another patient. <abbrgrp><abbr bid="B36">36</abbr></abbrgrp></p>
               <p>Also taking around-the-clock measurements was another MESOR (<b>m</b>idline-<b>e</b>stimating <b>s</b>tatistic <b>o</b>f <b>r</b>hythm)-hypertensive friend, Howard Levine <abbrgrp><abbr bid="B37">37</abbr></abbrgrp>, professor of medicine at the University of Connecticut. I had met Howard in Wels, Upper Austria, when he was a captain in the medical corps of a U.S. Army field hospital and I was in charge of an improvised hospital treating mostly patients with typhus. Together, we published 41 titles. I visited him the day before he died: despite his weakness from amyotrophic lateral sclerosis, Howard still completed sets of various self-measurements, as did Fred until his stroke, from which he died within about 10 days, as I learned from Catherine Delea, his right-hand colleague and a chronobiologist herself <abbrgrp><abbr bid="B44">44</abbr></abbrgrp>.</p>
               <p>The major physician-friend who influenced my career was the late Agostino Carandente, whose only problem as head of the Hoechst Foundation in Italy was that he was too big for a national job, as Charles de Gaulle was too big a personality for postwar France. Agostino was ahead of his time in realizing the need for chairs, courses, meetings, journals, WHO contacts and a special laboratory for what was to be developed as chronopharmacology, chronotoxicology and chronotherapy <abbrgrp><abbr bid="B4">4</abbr><abbr bid="B5">5</abbr><abbr bid="B6">6</abbr><abbr bid="B45">45</abbr></abbrgrp>. My introduction to chronobiology is dedicated to him <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>; and he had the satisfaction of seeing his (and "my") daughter Franca hold the world's first chair in chronobiology, in Milan. With Franca, we published 90 titles. Our work with an antibiotic that also has immunomodulating properties still awaits use in the clinic. Agostino was responsible for the first drug to have built into its name the timing of its administration: Dutimelan 8 15, i.e., 8 am and 3 pm. I owe my acquaintance with Agostino to "carissimo" Norberto Montalbetti, with whom Germaine Corn&#233;lissen and I coined the term "chronome". Norberto represented chronobiologic laboratory medicine nationally and internationally at WHO at its best. His premature death was a great setback for chronomics, eventually carried forward with major contributions by Terukazu Kawasaki and Kuniaki Otsuka in Japan.</p>
            </sec>
         </sec>
         <sec>
            <st>
               <p>What led you to become involved in rhythms research?</p>
            </st>
            <p>Necessity, not choice. First, I encountered great variability as an assistant in medicine at the Brigham, and again across the street at Harvard, where I had been given a laboratory to develop, as already noted, a bioassay based on the depression by corticoids of counts of circulating eosinophil cells. In Minnesota, where I had a chance to continue work on the same topic thereafter, I could not confirm my own results, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>, until I solved the puzzles of opposite results that are sooner or later the inescapable finding at different clock-hours or weeks apart, whenever one unknowingly compares a group of animals with phase-shifted, Fig. <figr fid="F4">4</figr>, or one with phase-drifting (Figure <figr fid="F19">19</figr> (IA)) rhythms, on the one hand, with a group that has the usual light-dark synchronized rhythm on the other hand <abbrgrp><abbr bid="B32">32</abbr></abbrgrp>. This confusing situation applies to all rhythmic variables, whatever the period involved. Coping with variability led me to differing rhythms in inbred strains of mice <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>. The timing of rhythms and remove-and-replace approaches led me to a built-in adrenocortical cycle in humans <abbrgrp><abbr bid="B46">46</abbr></abbrgrp> as well as in mice <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>, that in turn led to free-runs <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B47">47</abbr><abbr bid="B48">48</abbr></abbrgrp> and thence to the ubiquity and critical importance of temporal organization <abbrgrp><abbr bid="B49">49</abbr><abbr bid="B50">50</abbr></abbrgrp>.</p>
            <fig id="F19">
               <title>
                  <p>Figure 19</p>
               </title>
               <caption>
                  <p>Endogenous time structure (chronome) of internally coordinated free-running rhythms (top) through feedsidewards in network of spontaneous (&#945;), reactive (&#946;) and modulatory (&#947;, &#948;) rhythms (bottom)</p>
               </caption>
               <text>
                  <p>Endogenous time structure (chronome) of internally coordinated free-running rhythms (top) through feedsidewards in network of spontaneous (&#945;), reactive (&#946;) and modulatory (&#947;, &#948;) rhythms (bottom). Circadian desynchronization after blinding, seen time-macroscopically in IA, is also shown time-microscopically as a chronobiologic serial section in IB, as a summary of individual periodograms in IC, and as time relations among three variables at 24-h synchronized (top) or free-running (bottom) frequencies in mice (left) and a human (right) in ID. Section II shows a spontaneous rhythm in corticosterone (&#945;), in antiphase with a reactive rhythm (&#946;). The components of the chronome are internally coordinated through feedsidewards in a network of spontaneous (&#945;), reactive (&#946;) and modulatory (&#947;, &#948;) rhythms. For the case of circadians in experimental animal models (section I), some degree of endogenicity of a desynchronized rhythm was demonstrated, statistically validated and quantified by objective numerical characteristics given with their uncertainty. The role of the eyes as a transducer of the effect of the lighting regimen on the circadian variation emerged from studies in the blinded C mouse and the ZRD mouse born anophthalmic <abbrgrp><abbr bid="B48">48</abbr></abbrgrp>. The slight but statistically significant deviation of the period from precisely 24 hours led to the concept of free-running, as an indirect test of some degree of endogenicity. The work started on eosinophil counts, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>, was complemented by measurements of rectal temperature which was more readily measured longitudinally for the lifespan of several generations of mice. Rhythms being a fundamental feature of life, found at all levels of organization, their coordinating role was also studied. Apart from the spontaneous rhythms characterizing variables such as serum corticosterone or melatonin (IIB), reactive rhythms are found in response to a given stimulus applied under standardized controlled conditions of a laboratory in vivo (&#945; in IIA) or in vitro (&#946; in IIA and IIC-E). A third entity such as melatonin may modulate, in a predictable insofar as rhythmic fashion, the effect of one entity upon the second, such as that of the pituitary upon the adrenal or may act directly upon the adrenal. Reproducible sequences of attenuation, no-effect, and amplification, the time-qualified feedsidewards, replacing time-unqualified feedbacks and feedforwards, can then be found (IIC to E).</p>
               </text>
               <graphic file="1740-3391-1-2-19"/>
            </fig>
         </sec>
         <sec>
            <st>
               <p>When and why did you create the term "circadian"?</p>
            </st>
            <p>The first time I probably considered the term must have been when a dear friend (best man at my wedding), Henry Nash Smith, brought it up. In his time, Henry was rated by others as the foremost scholar in the field of American Studies; it must have been before 1951 when he left Minnesota for the English department at the University of California-Berkeley, where he eventually became head and editor of the Mark Twain Papers and literary executor of Twain's estate, and in 1969 served as national president of the Modern Language Association. Before he left, Henry polished the English on many of my early papers and would in fact have been a first, or at least a co-author on them had he allowed it. McKeen Cattell, the head of pharmacology at Cornell Medical School, was then editor of the <it>Journal of Pharmacology and Experimental Therapeutics</it>, where I submitted a paper with Henry's help <abbrgrp><abbr bid="B51">51</abbr></abbrgrp>. Cattell knew me from when he had been a guest lecturer in Innsbruck, where I was an assistant to the dean, and had hosted me personally in New York after my arrival in the U.S. He accepted the paper on receipt, but it must have amused Henry greatly when Cattell added that I should consult someone conversant in English!</p>
            <p>By the 1950s <abbrgrp><abbr bid="B34">34</abbr></abbrgrp>, I had found several kinds of differences among inbred mouse strains in counts of circulating blood eosinophils, namely in daily averages, and in extent of change within a day (Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>). I had thus also learned about several already-noted puzzles <abbrgrp><abbr bid="B32">32</abbr></abbrgrp> by the use of rectal temperature as a marker rhythm and the finding of periods that were one of the major reasons prompting the "circa" in "circadian": after blinding, rectal temperature showed an about (circa) 24-hour periodicity in each mouse, all happening to differ from precisely 24 hours, all happening in my hands (in the mouse, not in the rat) to be shorter than 24 hours and with the periods varying further among some of the mice themselves, Fig. <figr fid="F19">19</figr>. Another friend, Earl E. Bakken <abbrgrp><abbr bid="B52">52</abbr></abbrgrp>, the developer of the first implantable pacemaker for long-term use (and founder of the Medtronic company) <abbrgrp><abbr bid="B53">53</abbr></abbrgrp>, brought up the analogy of a free-running vs. 24-h synchronized oscillator, a master engineer's view of "circadian" vs. "dian" (Figs. <figr fid="F20">20</figr> and <figr fid="F21">21</figr>).</p>
            <fig id="F20">
               <title>
                  <p>Figure 20</p>
               </title>
               <caption>
                  <p>Terminology</p>
               </caption>
               <text>
                  <p>Terminology. "Circa" in "Circadian"."Diurnal" and "circadian" need not be used by us as synonyms. In our case, "diurnal" relates to the photofraction, and "circadian" means a cycle with a period of about 24 hours. Reasons for the use of "circa" in "circa-rhythms" include among several other considerations, inferential statistical uncertainties that qualify the estimate of period (top left), apart from a desynchronization (top right).</p>
               </text>
               <graphic file="1740-3391-1-2-20"/>
            </fig>
            <fig id="F21">
               <title>
                  <p>Figure 21</p>
               </title>
               <caption>
                  <p>Terminology follows usage in physics</p>
               </caption>
               <text>
                  <p>Terminology follows usage in physics. The broader division of biosphere spectra into 3 domains uses the circadian range of 1 cycle in 20&#8211;28 hours as a reference for frequencies (not periods!) higher (ultra) or lower (infra) than circadian, in keeping with precedents of nomenclature in physics.</p>
               </text>
               <graphic file="1740-3391-1-2-21"/>
            </fig>
            <p>Relatively early, I had become a member and later, for several decades, chairman of the nomenclature committees of the International Society for the Study of Biological Rhythms (now the International Society for Chronobiology), as well as being for decades the society's president <abbrgrp><abbr bid="B54">54</abbr></abbrgrp>, even though I resisted that invitation, urged by Arthur Jores, for many years. While batting for the society, nomenclature, designs, methods of sampling and analysis and popularization, notably in schools <abbrgrp><abbr bid="B9">9</abbr><abbr bid="B10">10</abbr><abbr bid="B55">55</abbr></abbrgrp> then became my long-term concerns, as was and remains the development of standardized units to arrive at the equivalent of a metric system for spatio-temporal diversity, for what could turn out to be the ensemble of chronomics complementing genomics and vice versa <abbrgrp><abbr bid="B56">56</abbr></abbrgrp>. I also served on a glossary committee of the International Union of Physiological Sciences (presumably nominated by Nathaniel Kleitman).</p>
            <p>In Stockholm in 1955, I proposed "diel" and "dieloid" as terms intended to replace the ambiguous "diurnal", which was then confusingly used in health care to describe both the daylight hours (e.g., diurnal vs. nocturnal epilepsy or asthma) and the full 24-hour day. "Diel" was rejected with the argument, I believe it was from Frank A. Brown Jr, that its coiner from Harvard had not done meritorious work (I had only added "dieloid" to separate 24-hour synchronized from desynchronized rhythms). Eventually I reverted, for the same reason, to "circadian" and "dian" again <abbrgrp><abbr bid="B57">57</abbr></abbrgrp>, again with the intent to separate environmentally synchronized from free-running rhythms. At the time other committee members rightly objected to the use of two terms, which would create confusion since one would have had to document free-running by lengthy circadian studies before using the term, and not everybody could be persuaded to free-run in caves or in the laboratory before the proper term could be applied to one's rhythm, an overwhelming argument. References to the nomenclature of the time are discussed in reviews <abbrgrp><abbr bid="B35">35</abbr><abbr bid="B57">57</abbr></abbrgrp> and nomenclature used by us is defined in a glossary <abbrgrp><abbr bid="B58">58</abbr></abbrgrp>, and in encyclopedias of time <abbrgrp><abbr bid="B59">59</abbr></abbrgrp>, statistics <abbrgrp><abbr bid="B60">60</abbr></abbrgrp>, aging <abbrgrp><abbr bid="B61">61</abbr></abbrgrp> and shift-work <abbrgrp><abbr bid="B62">62</abbr></abbrgrp>.</p>
         </sec>
         <sec>
            <st>
               <p>What were your major contributions to the study of circadian rhythms?</p>
            </st>
            <p>Whatever I tried to do rests on the discovery of hormones and many other contributions to the current invaluable body of physiological information. Otherwise, there would be no circadians and no chronobiology. We should all be particularly indebted to those who founded the study of life and health, whether by endocrinology and metabolism, the brain or a micro-organism <abbrgrp><abbr bid="B63">63</abbr><abbr bid="B64">64</abbr></abbrgrp>. These and earlier pioneers, up to and including me, as the endocrinologist with the "cosinor beast", as J&#252;rgen Aschoff put it, are listed in a pictorial background to the field by Aschoff himself <abbrgrp><abbr bid="B65">65</abbr></abbrgrp>. I am indebted to him for this genealogy, leading up to my contribution in the also-pictorial Capri <abbrgrp><abbr bid="B66">66</abbr><abbr bid="B67">67</abbr><abbr bid="B68">68</abbr></abbrgrp> and elsewhere <abbrgrp><abbr bid="B69">69</abbr><abbr bid="B70">70</abbr></abbrgrp>, and to Agostino Carandente for the settings he provided for courses that invariably led to many discussions Aschoff, Pittendrigh and Reinberg were invariably on top of my list of lecturers, even if Colin declined so of ten that eventually we had our meetings in Italy, bar one, without him.</p>
            <p>Another bit of history is written in the context of a gallery of chronobiologists, which I began with Earl E. Bakken, the developer of the chronotherapeutic device par excellence, the cardiac pacemaker <abbrgrp><abbr bid="B52">52</abbr><abbr bid="B53">53</abbr></abbrgrp>. When asked to write such a gallery, which I plan to do should I live long enough to continue it, I wish to submit it to those concerned, a task which is no longer possible with the scholars selected by the editor, to my very sincere regret. The gallery started with Earl Bakken, also apart from the cardiac pacemaker, since for well over 50 years Earl has kept tabs on what we are doing and reviewed the evidence underlying an approach to diseases of civilization, my most urgent task <abbrgrp><abbr bid="B52">52</abbr></abbrgrp>. I appreciate his help and that of others who kindly wrote succinctly <abbrgrp><abbr bid="B71">71</abbr></abbrgrp>, giving me a new forum to report on what we are doing. Some of the past is recorded by my wife Erna <abbrgrp><abbr bid="B72">72</abbr></abbrgrp> and, in more detail, by my most appreciated co-worker and teacher Germaine Corn&#233;lissen <abbrgrp><abbr bid="B73">73</abbr></abbrgrp> who has become the leader in what has developed into chronomics. Germaine's is perhaps the most extensive spelling out of what I tried to contribute, matched by biographical detail and comments by John Pauly and Lawrence Scheving <abbrgrp><abbr bid="B54">54</abbr></abbrgrp>. What they all fail to mention is that others very often carried the lion's share, as did the innumerable past co-authors and current participants in the large-scale studies, replicated in the 1950s on the cell cycle and now in BIOCOS <abbrgrp><abbr bid="B56">56</abbr></abbrgrp>, with focus on the cosmos. With my first wife Erna, I shared 333 publications, and so far I have 95 titles with my second wife Othild.</p>
            <p>I probably did more venipunctures on myself around the clock than most others; carried, with Erna, more rectal probes than others for years at a time (except for unavoidable removals) and had cuffs on my arm for years, second only to Erna and now to cardiologist Yoshihiko Watanabe. I also did more eosinophil counts on humans, mice, rats, monkeys, dogs and other species than most others in the past or present. Erna and others filled the counting chambers, e.g., during a full week when I bent sleeplessly over a microscope. (I had forgotten this until Dr. Dennis Lofstrom, while visiting, kindly reminded several of us, adding that I played tennis in between. Figuratively as well as literally, I tried to return every ball, and was University of Minnesota faculty champion in singles while playing figurative doubles with Erna and very many others who came to work with us.) During that sleepless week, Erna noticed, fortunately early, that we had counting chambers with two different depths, a non-periodic (purely artifactual) reason for a large variability; of course the more one focused on biological variability in its own right, the more the control of technical variability becomes essential, and vice versa. As on many other occasions, Erna's perspicacity saved the product of that week. In another case in Japan, her charm and down-to-earth personality mediated the successful implementation of an ambitious mapping of over two dozen clinical chemical variables on two continents.</p>
            <p>My daughters Francine and Julia pulled their oar in 120 or 56 published titles, respectively. Both Francine and Julia had experience with several daily temperature and other psychophysiological self-measurements, Francine over 6 pertinent years, Julia over 4 years; they demonstrated among many other findings, very different individualized changes in relation to menarche <abbrgrp><abbr bid="B74">74</abbr><abbr bid="B75">75</abbr></abbrgrp>. As a family we traveled a great deal, always with research as our aim: often to Italy where Erna planned and then cared for a laboratory in L'Aquila; repeatedly all over India for the Smithsonian Institution; and repeatedly to Japan. In Chandigarh, India, Francine (then a high school student, now a radiation oncologist), Erna and I had an opportunity to plan a study with B.D. Gupta, implemented by Akhil Deka, using the peak in serial temperatures of accessible oral tumors as a marker for timing treatment. Thus, a first marker rhythm-guided tumor chronoradiotherapy doubled the 2-year disease-free survival rate of patients with advanced perioral cancers, Fig. <figr fid="F13">13</figr><abbrgrp><abbr bid="B11">11</abbr><abbr bid="B14">14</abbr></abbrgrp>. The promise of chronochemotherapy is shown in Fig. <figr fid="F14">14</figr><abbrgrp><abbr bid="B6">6</abbr></abbrgrp>.</p>
            <p>My daughter Julia, now a physician specializing in occupational medicine with an MS in public health, also worked on a master's thesis in biology <abbrgrp><abbr bid="B12">12</abbr></abbrgrp> with Phil Regal, the ecological chronobiologist at the University of Minnesota, another dear friend. Joined by her mother Erna, Julia measured the blood pressure of groups of ~40 spontaneously hypertensive stroke-prone Okamoto rats in 24-hour profiles repeated at intervals of months over the lifetimes of these animals. Since it took about 4 hours by tail sphygmomanometry after immobilization and heating under a gooseneck lamp to complete a measurement series on 40 rats, they were sleepless for 24 hours. They detected circadian hyper-amplitude-tension occurring transiently before an increase in the MESOR (chronome-adjusted mean), i.e., before MESOR-hypertension in the laboratory, as subsequently shown in humans by Yuji Kumagai <abbrgrp><abbr bid="B76">76</abbr></abbrgrp>, who also taught self-measurements to his two daughters Eureka and (no longer so "little") Erna, the latter the namesake of my late first wife (see <supplr sid="S1">Additional file: 1</supplr>, <supplr sid="S2">Additional file: 2</supplr>), <supplr sid="S3">Additional file: 3</supplr>).</p>
            <p>From there several steps led toward using the circadian amplitude of blood pressure as a risk marker in cooperation with Paolo Scarpelli, who introduced chronobiologically interpreted self-measurements into his routine clinical endeavors in Florence, Italy, with Max Halhuber in Germany and Japanese friends Teruo Omae, Terukazu Kawasaki and Keiko Uezono; Kohji Tamura and Yoshihiko Watanabe (see <supplr sid="S1">Additional file: 1</supplr>, <supplr sid="S2">Additional file: 2</supplr>, <supplr sid="S3">Additional file: 3</supplr>). Kuniaki Otsuka, more than most, contributed critical data demonstrating a disease risk syndrome of an over-threshold blood pressure variability, an under-threshold heart rate variability, and an excessive pulse pressure as a group phenomenon, Figs. <figr fid="F15">15</figr> and <figr fid="F16">16</figr>. Kuniaki extended his original research on a city-wide basis to individuals each monitored for a week up front (see <supplr sid="S1">Additional file: 2</supplr>). From a clinical viewpoint, he started to meet the greatest challenge today: stroke prevention by 24-h/7-day blood pressure and heart rate monitoring for detection of changes in variability <abbrgrp><abbr bid="B8">8</abbr><abbr bid="B38">38</abbr><abbr bid="B77">77</abbr><abbr bid="B78">78</abbr><abbr bid="B79">79</abbr><abbr bid="B80">80</abbr></abbrgrp> and their treatment, Fig. <figr fid="F17">17</figr><abbrgrp><abbr bid="B38">38</abbr><abbr bid="B80">80</abbr><abbr bid="B81">81</abbr><abbr bid="B82">82</abbr></abbrgrp>. He has now also started a similar city-wide project in a second location.</p>
            <p>Concomitantly, another 24-h/7-day monitoring endeavor at St. Anna Hospital in Brno, Czech Republic (Mendel's home city), is being carried out by Pavel Homolka under the initiative of Jarmila Siegelova, Professor and Head of the Department of Functional Diagnostics and Rehabilitation at Masaryk University in Brno, and Bohumil Fiser, Head of the Institute of Physiology at Masaryk University and former Czech minister of health, now associated with WHO. Far beyond my personal family, I have been fortunate to have a broad international academic family. In this family, many members became independent, which is natural; others cooperated lifelong, and of course have my special recognition in a personal context <abbrgrp><abbr bid="B15">15</abbr><abbr bid="B52">52</abbr><abbr bid="B83">83</abbr><abbr bid="B85">85</abbr><abbr bid="B136">136</abbr></abbrgrp>. A major lesson I learned is the merit of the inseparable activities in science and self-help in health care that can be an academic family affair today and perhaps a civic duty tomorrow <abbrgrp><abbr bid="B8">8</abbr></abbrgrp>.</p>
            <p>Along with many other investigators, I started cartography in the mouse, Fig. <figr fid="F22">22</figr>; humans, Fig. <figr fid="F23">23</figr><abbrgrp><abbr bid="B84">84</abbr><abbr bid="B85">85</abbr></abbrgrp>; and other species; we documented the amenability of circadians to phase-shifting at various levels of organization by manipulating lighting <abbrgrp><abbr bid="B86">86</abbr><abbr bid="B87">87</abbr></abbrgrp> and/or feeding in humans as in rodents <abbrgrp><abbr bid="B2">2</abbr><abbr bid="B88">88</abbr></abbrgrp>. In systematic studies, we learned about differences between advances of a circadian rhythm (which are usually slower than delays) and about polarity in such a way that in the same organism, some rhythms advanced while others delayed. In the laboratory, we were able to phase-shift a circadian rhythm in mitoses by studying the rodents for a sufficiently long time span and thus debunked the earlier view by others that mitotic rhythms cannot be phase-shifted <abbrgrp><abbr bid="B89">89</abbr></abbrgrp>. Again at the cellular level, we phase-shifted circadians in RNA and DNA formation, in serum corticosterone and in susceptibility to audiogenic seizures. Different rates of phase-shifting <abbrgrp><abbr bid="B90">90</abbr></abbrgrp> were found for liver glycogen in the first vs. the next 4 days following an abrupt change in lighting regimen and the rules of phase-shifting were mapped for circadians and only explored thus far for the much more slowly adjusting circaseptans that may be phase-shifted by 180&#176; (after a transmeridian round-trip flight over 7 or more time zones). A transequatorial phase-shift of a circannual rhythm in the pre-trans-year era studied with the Marques family <abbrgrp><abbr bid="B314">314</abbr></abbrgrp> awaits extension by a consideration of an even broader spectrum of intermodulating multifrequency rhythms.</p>
            <fig id="F22">
               <title>
                  <p>Figure 22</p>
               </title>
               <caption>
                  <p>Partial acrophase chart of the circadian system in the mouse illustrates a sequence of physiological tasks among more than 50 variables mapped herein</p>
               </caption>
               <text>
                  <p>Partial acrophase chart of the circadian system in the mouse illustrates a sequence of physiological tasks among more than 50 variables mapped herein.</p>
               </text>
               <graphic file="1740-3391-1-2-22"/>
            </fig>
            <fig id="F23">
               <title>
                  <p>Figure 23</p>
               </title>
               <caption>
                  <p>Partial acrophase chart reveals a relative synchronization of several aspects of human physiological and psychological performance</p>
               </caption>
               <text>
                  <p>Partial acrophase chart reveals a relative synchronization of several aspects of human physiological and psychological performance.</p>
               </text>
               <graphic file="1740-3391-1-2-23"/>
            </fig>
            <p>A number of lifetime studies simulated shift-work on laboratory animals and a few studies of nearly yearly intercontinental flights complement circaseptan aspects of schedule shifts on insects with Dora K. Hayes and on <it>Acetabularia </it>with Hans-Georg Schweiger. These establish circaseptan aspects of circadian phase-shifting beyond a reasonable doubt, as does follow-up investigation by Mirian Marques, albeit the underlying mechanisms remain an unsolved, important puzzle. As many others did, we also studied circadians on mice kept in continuous darkness or continuous light, resulting, among others, in the persistence of a cell cycle, including rhythms in RNA and DNA formation <abbrgrp><abbr bid="B91">91</abbr></abbrgrp>. The most impressive finding was that as a function superficially of clock-hour, the same physical stimulus, such as noise or whole-body irradiation or a drug, such as ouabain or many anticancer agents, or another chemical, or a bacteriological agent, such as alcohol or an endotoxin, respectively, would all have predictably (insofar as they are rhythmically) changing effects, as drastically different as survival vs. death, albeit only on a statistically (but not individually) highly significant basis. An individual dies just once, of course, but the point I am making is that we were dealing with differences in percent survival as a function of timing rather than with all or none responses. The context of these findings is described in puzzles, if not as paranoias, which is exactly what some were called at the time.
</p>
            <suppl id="S1">
               <title>
                  <p>Additional file 1</p>
               </title>
               <caption>
                  <p>Table 1 - Summary of studies of Circaclian Hyper-Amplitude-Tension (CHAT) and Decreased Heart Rate Variability (DHRV)</p>
               </caption>
               <text>
                  <p>Table 1 - Summary of studies of Circaclian Hyper-Amplitude-Tension (CHAT) and Decreased Heart Rate Variability (DHRV)</p>
               </text>
               <file name="1740-3391-1-2-S1.doc">
                  <p>Click here for file</p>
               </file>
            </suppl>
            <suppl id="S2">
               <title>
                  <p>Additional file 2</p>
               </title>
               <caption>
                  <p>Table 2 - Outcomes of Chronological screens of blood pressure and heart rate</p>
               </caption>
               <text>
                  <p>Table 2 - Outcomes of Chronological screens of blood pressure and heart rate</p>
               </text>
               <file name="1740-3391-1-2-S2.doc">
                  <p>Click here for file</p>
               </file>
            </suppl>
            <suppl id="S3">
               <title>
                  <p>Additional file 3</p>
               </title>
               <caption>
                  <p>Table 3 - Examples of self-surveillance chronobiological efforts</p>
               </caption>
               <text>
                  <p>Table 3 - Examples of self-surveillance chronobiological efforts</p>
               </text>
               <file name="1740-3391-1-2-S3.doc">
                  <p>Click here for file</p>
               </file>
            </suppl>
         </sec>
         <sec>
            <st>
               <p>How does your work relate to that of other pioneers in the field?</p>
            </st>
            <p>My clinical work followed in the footsteps of Arthur Jores, who was for long the president of the International Society for the Study of Biological Rhythms as well as of the German Society for Internal Medicine and that for Endocrinology. I grew up with his textbook <abbrgrp><abbr bid="B92">92</abbr></abbrgrp> and one by Henri Simonnet, who hosted me in Paris as a young man and led me to the pineal and, indirectly, to pineal feedsidewards, demonstrated by the indefatigable experimenter Salvador Sanchez de la Pe&#241;a (Fig. <figr fid="F19">19</figr>). Jores fought what he called the "idiocy [<it>Stumpfsinn</it>] of 'three times a day'" <abbrgrp><abbr bid="B93">93</abbr></abbrgrp>, and wrote a critical review of the field in the 1930s <abbrgrp><abbr bid="B94">94</abbr></abbrgrp> and hardly left a problem in chronomedicine untouched <abbrgrp><abbr bid="B93">93</abbr><abbr bid="B94">94</abbr><abbr bid="B95">95</abbr><abbr bid="B96">96</abbr><abbr bid="B97">97</abbr><abbr bid="B98">98</abbr><abbr bid="B99">99</abbr><abbr bid="B100">100</abbr><abbr bid="B101">101</abbr><abbr bid="B102">102</abbr><abbr bid="B103">103</abbr><abbr bid="B104">104</abbr><abbr bid="B105">105</abbr><abbr bid="B106">106</abbr><abbr bid="B107">107</abbr><abbr bid="B108">108</abbr><abbr bid="B109">109</abbr><abbr bid="B110">110</abbr><abbr bid="B111">111</abbr><abbr bid="B112">112</abbr><abbr bid="B113">113</abbr><abbr bid="B114">114</abbr></abbrgrp>. Werner Menzel, Jores' associate in chronomedicine, both in Hamburg, initiated curve-fitting, albeit without inferential statistical considerations, introduced a pump for clinical drug administration according to a preset schedule, and wrote a book on rhythms and shift-work, a source to the early literature <abbrgrp><abbr bid="B115">115</abbr></abbrgrp>, along with a book by Arne Sollberger <abbrgrp><abbr bid="B116">116</abbr></abbrgrp>. These sources complement other books and the proceedings of other meetings <abbrgrp><abbr bid="B117">117</abbr><abbr bid="B118">118</abbr><abbr bid="B119">119</abbr><abbr bid="B120">120</abbr><abbr bid="B121">121</abbr><abbr bid="B122">122</abbr><abbr bid="B123">123</abbr><abbr bid="B124">124</abbr><abbr bid="B125">125</abbr><abbr bid="B126">126</abbr><abbr bid="B127">127</abbr></abbrgrp>.</p>
            <p>In the perspective of the past half-century, I owe a great deal to Alexander Chizhevsky <abbrgrp><abbr bid="B128">128</abbr><abbr bid="B129">129</abbr><abbr bid="B130">130</abbr><abbr bid="B131">131</abbr><abbr bid="B132">132</abbr></abbrgrp>, whom I never met, whose hard data on a circadecadal rhythm in the incidence of cholera documented what he and Frank A. Brown Jr. independently called pervasive effects <abbrgrp><abbr bid="B133">133</abbr></abbrgrp>, albeit without inferential statistical time series analyses. In relation to sleep and other problems, Nathaniel Kleitman <abbrgrp><abbr bid="B134">134</abbr></abbrgrp> was always supportive. He had monitored the physiology of his family, but unfortunately many of these records were lost. His daughter Esther Kleitman, however, provided us with self-measurements for many years, in which, among others, the new trans-year of human heart rate would be demonstrated. When Nathaniel turned 100 years of age, he offered to have his blood pressure and heart rate monitored for 24 hours. I felt that it was more important for his health to monitor for 7 days. He refused, and I lost out. I had re-used Kleitman's term "synchronizer", which was defined in the same way as Aschoff's subsequently defined <it>Zeitgeber</it>. Since both Aschoff and Pittendrigh had really spread, not only the word but also the concept of a self-sustaining oscillator much more than I would have done alone, it would have been only fair on my side to reciprocate. But all three of us redefined our terms, they a <it>zeitgeber </it>and I a synchronizer (as primary or secondary), respectively, as an external agent, usually a cycle that does not "give" time and merely synchronizes existing body time with its own (e.g., 12-hourly alternating light and darkness) schedule <abbrgrp><abbr bid="B48">48</abbr></abbrgrp>. In discussing this view, I indeed referred to Aschoff's original demonstration and interpretation that "changes in length of cycle have been observed for the rhythm in bodily activities of rodents, kept in continuous darkness", i.e., that body time was rhythmic ("given") in the absence of a <it>zeitgeber </it><abbrgrp><abbr bid="B48">48</abbr></abbrgrp>. But he, like I, defined what could be called a <it>Uhrzeit </it>(clock-time) or <it>Kalendarzeit </it>(calendar-time) giver, whereas the internal time structure was given in the absence of the synchronizer. The use in chronobiology of "synchronizer" preceded that of the less ambiguous "entraining agent", a good synonym for "synchronizer". But why should we use two words instead of one, and in using "synchronizer", why not honor Nathaniel Kleitman? Brevity and ringing bells are the main criteria in coining terms.</p>
            <p>Investigators coming to our laboratory included both medical and graduate students and accomplished scientists who became collaborators and are highly valued co-authors, including Kenneth Berge, Anand P. Chaudhry, Halvor Vermund and Ed Flink in the early 1950s, and thereafter Bernhard Arbogast, Brian Brockway, Franca Carandente, Yoshihiko Chiba, Gabriel Fernandes, Leopoldo Garcia Alonso, Mauricio Garcia Sainz, Denis Gubin, Erhard Haus, Ramon Hermida, Yuji Kumagai, Helmut K&#252;nkel, Francis Levi, Cristina Maggioni, Mirian and Nelson Marques, Norberto Montalbetti, Ana Portela, Alain Reinberg, Salvador Sanchez de la Pe&#241;a, Kalva Shankaraiah, Michael Smolensky, Brunetto Tarquini, Zhengrong Wang, Yoshihiko Watanabe, Wu Jinyi and Rina Zaslavskaya, to mention just a few. I regard them all as my teachers, among many others who cooperated, sometimes with teams of their own, such as Teruo Omae with Terukazu Kawasaki and Keiko Uezono; Kohji Tamura, and in particular Kuniaki Otsuka, who co-initiated BIOCOS and a series of meetings with original focus on chronoastrobiology. Institutionally, Italy's Hoechst Foundation in Milan and the University of Florence, under the leadership of Mario Cagnoni, were homes away from home. We have a long-term relation with Theodor Hellbr&#252;gge, who singlehandedly built social pediatrics in Munich, and who sent us a long series of advanced medical students who wrote their MD theses in Minnesota <abbrgrp><abbr bid="B135">135</abbr><abbr bid="B136">136</abbr></abbrgrp>. A lifelong personal friendship with Theo culminated in a recent symposium on chronomics in child development <abbrgrp><abbr bid="B137">137</abbr></abbrgrp>.</p>
            <p>With respect to the editor's specific questions concerning Curt Richter, J&#252;rgen Aschoff and Colin Pittendrigh, I emphasize that we were complementary, although Colin, according to Cambrosio and Keating <abbrgrp><abbr bid="B138">138</abbr></abbrgrp>, fought the idea of chronobiology as a science in its own right. For these influential opinion leaders, and for Frank A. Brown Jr, Erwin B&#252;nning, Arthur Jores, Nathaniel Kleitman and Gregory Pincus among other distinguished scholars, rhythms then and now were mainly phenomena to be displayed in the time domain, preferably by typical examples (time-macroscopically), a very convincing yet selective approach, missing, more often than not, even one, or usually all inferential statistical estimates of characteristics of the period, amplitude, acrophase and waveform involved. For me in turn, the t-test sufficed in 1950 <abbrgrp><abbr bid="B34">34</abbr></abbrgrp> and the analysis of variance until 1953 <abbrgrp><abbr bid="B139">139</abbr></abbrgrp>, yet by 1954, in the case of longitudinal series, the periodogram became desirable <abbrgrp><abbr bid="B47">47</abbr><abbr bid="B140">140</abbr><abbr bid="B141">141</abbr></abbrgrp>, temporarily replaced by some too-conservative power spectra <abbrgrp><abbr bid="B142">142</abbr><abbr bid="B143">143</abbr></abbrgrp>, soon replaced by cosinors, as prior information accumulated concerning the reproducibility of rhythmic change in a given aspect of a circadian system <abbrgrp><abbr bid="B144">144</abbr><abbr bid="B145">145</abbr></abbrgrp>. Resolution in the frequency (or period) and phase domains became indispensable as an essential, albeit most of the time complementary time-microscopy, even when the computation of a periodogram in the desk-calculator era of the 1950s took a week to complete and another week to check.</p>
            <p>I had a lengthy conversation with Curt Richter only once, at a Cold Spring Harbor symposium in 1960, where he did not contribute a paper and did not accept as yet the proposition by most of us that there was a feature of endogenicity to circadians. I presented him with evidence about the extent of maintenance of an internal, albeit free-running structure, e.g., in time relations among rhythms in serum corticosterone and liver glycogen rhythms after blinding in mice and rest/activity, rectal temperature and urinary 17-hydroxycorticosteroid of humans in isolation from society, when the period synchronized is equated to 360&#176;, Fig. <figr fid="F19">19</figr> (ID) <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>.</p>
            <p>At that time, Richter had not yet discovered free-running in his rats. The rats I studied in continuous darkness had periods very close to 24 hours, in my hands usually 24.1&#8211;24.3 hours, lengthening with increased light intensity <abbrgrp><abbr bid="B146">146</abbr></abbrgrp>, in keeping with "Aschoff's rule" concerning rodents which Aschoff had earlier postulated and documented. After 1960, however, Curt Richter found free-running, as Colin Pittendrigh had earlier, and Aschoff before that <abbrgrp><abbr bid="B147">147</abbr></abbrgrp>. It was my pleasure and privilege to fully support Richter's application for studies in chronobiology that I had to referee; he had made great scholarly contributions, already apart from chronobiology, again in our field, and he was a chronobiologist.</p>
            <p>Incidentally, I supported all applications by scholars in the field of rhythms, whether or not their views differed from mine. Once when I chaired a site visit to a chronobiologist in New York, the late Dorothy Krieger, who also served on this visit, was astonished that I very strongly supported an applicant (who indeed received his support) who emphasized the merit of expressing time series as a percentage of the series mean <abbrgrp><abbr bid="B139">139</abbr></abbrgrp>. Not only was the project not particularly novel or meritorious in her view or mine, but Krieger said that the applicant had nothing good to say about me. I thanked her and reminded her that the applicant <it>was </it>a chronobiologist after all, and in the land of the blind those with tunnel vision deserve support if they are to serve others.</p>
            <p>I do not recall whether J&#252;rgen Aschoff and I met before 1953, but we had several very friendly conversations that year at meetings of the International Society for the Study of Biological Rhythms in Basel <abbrgrp><abbr bid="B148">148</abbr></abbrgrp> and thereafter of the German Physiological Society in Homburg/Saar <abbrgrp><abbr bid="B47">47</abbr></abbrgrp>. We immediately "sent in the same frequency", but with different methods. At the latter meeting, I reported on free-running after blinding with periodograms. In the proceedings' discussion (<it>Aussprache</it>), Aschoff, as he invariably did in our relation when we met, wrote positively:</p>
            <p>Halberg's investigations are so important because they are some of the very few experiments available at this time on the endocrine control of 24-hour periodicity ... that consider to a sufficient extent the possible effects of disturbance and have led for the first time to clear results.</p>
            <p>(Halbergs Untersuchungen sind deswegen so wichtig, weil sie unter den wenigen bisher vorliegenden Experimenten zur endokrinen Steuerung der 24 Std-Periodik (siehe Lewis-Wright) die m&#246;glichen St&#246;reinfl&#252;sse gen&#252;gend ber&#252;cksichtigen und zum ersten Mal zu klaren Ergebnissen f&#252;hrten.) <abbrgrp><abbr bid="B47">47</abbr></abbrgrp></p>
            <p>As Aschoff and I conversed afterward, Albrecht Bethe, then the grand old man of German physiology, who had worked on the cardiac cycle, walked past. He said a few polite words to me, then turned to Aschoff and pointed out that his (Aschoff's) name had not been on the program. With his ready wit, Aschoff riposted that he had not been aware that cycles with a frequency lower than that of the pulse and respiration (Bethe's concerns) had become acceptable (<it>salonf&#228;hig</it>) in German physiology. Subsequently, Aschoff did as much as, if not more than anybody else to achieve this goal.</p>
            <p>My wife Erna and I were delighted to have Aschoff and his wife as our house guests in Minnesota, I presume in the early 1950s. Later, my daughter Julia and I were pleased when J&#252;rgen picked us up at the Munich airport in his nightshirt. We enjoyed his subsequent hospitality, I repeatedly on other occasions as well. It was a pleasure to have him regularly at our meetings in L'Aquila, Italy, as a guest of the Hoechst Foundation, which gave me a laboratory in L'Aquila and the journal Chronobiologia for two decades. J&#252;rgen and I had both separately reinterpreted Johnson's data <abbrgrp><abbr bid="B149">149</abbr></abbrgrp> as free-running, albeit J&#252;rgen viewed them time-macroscopically while I preferred time-microscopy and laid primary emphasis on the genetic differences among inbred strains of mice, Figs. <figr fid="F1">1</figr>,<figr fid="F2">2</figr>,<figr fid="F3">3</figr>,<figr fid="F4">4</figr>,<figr fid="F5">5</figr>,<figr fid="F6">6</figr>,<figr fid="F7">7</figr>,<figr fid="F8">8</figr>,<figr fid="F9">9</figr>,<figr fid="F10">10</figr>,<figr fid="F11">11</figr>. We both interpreted documented free-running as an important tool, just as Colin Pittendrigh and Erwin B&#252;nning did subsequently, albeit with a lag of some years. When Erwin B&#252;nning visited Minnesota, we showed him Fig. <figr fid="F24">24</figr>, and he was also surprised to see the great difference in phase. We hosted each other in T&#252;bingen and Minneapolis. When I was B&#252;nning's guest and he gave a party for me, I requested that he show me his laboratory. He insisted that we wait until all the guests had departed; we then went to his lab, unannounced in the early morning hours, and found someone active in each room. B&#252;nning certainly knew how to motivate his students!</p>
            <fig id="F24">
               <title>
                  <p>Figure 24</p>
               </title>
               <caption>
                  <p>Cyclic adrenocortical activation in humans</p>
               </caption>
               <text>
                  <p>Cyclic adrenocortical activation in humans. The cyclic adrenocortical activation in humans, shown by a decrease in counts of circulating blood eosinophil cells occurring before awakening (endogenous eosinopenia), leads in phase the increase along the 24-hour scale in the excretion of breakdown products of steroidal hormones (17-ketosteroids) following awakening. The adrenal activation as an event in the sleep stage of a circadian system may be compared as a critical event to ovulation in the ovarian cycle. Ovulation prepares for the start of an entire new life; adrenal activation teleonomically prepares for a new day in life <abbrgrp><abbr bid="B46">46</abbr><abbr bid="B88">88</abbr></abbrgrp>.</p>
               </text>
               <graphic file="1740-3391-1-2-24"/>
            </fig>
            <p>At a meeting in Pittendrigh's home to which Colin had invited J&#252;rgen and me in Princeton, they advocated the importance of clocks as a way to interest the public in what we did. I favored a ubiquitous, critically important time structure that could be the subject of a new science. Of course, I had enthusiastically cited Johnson's "exceptionally substantial and durable self-winding and self-regulating physiological clock" in 1953 <abbrgrp><abbr bid="B46">46</abbr><abbr bid="B149">149</abbr></abbrgrp>, for the case of the adrenal cortex, my first clock, still critical albeit no master clock. The adrenocortical cycle naturally led to the pituitary and the hypothalamus by studies in vivo and in vitro <abbrgrp><abbr bid="B85">85</abbr><abbr bid="B150">150</abbr><abbr bid="B151">151</abbr><abbr bid="B152">152</abbr></abbrgrp>, not as a dictator &#8211; the sole head of an up-down hierarchical axis &#8211; but as a link in a democratic collateral hierarchy, which included, with the pineal-hypothalamic-pituitary-adrenal and broader neuroendocrine and paracrine network, an "oscillator" in each cell (49). Feedsidewards qualified in time were postulated for this network first in relation to a 3-way pineal/pituitary/adrenal interaction along the circadian scale <abbrgrp><abbr bid="B85">85</abbr><abbr bid="B152">152</abbr></abbrgrp> and were extended to the circaseptan scale <abbrgrp><abbr bid="B15">15</abbr></abbrgrp>, Fig. <figr fid="F19">19</figr> (IIE) to replace time-unqualified feedbacks and feedforwards that acted as gods from a machine, without consideration of external and/or internal cycles. There was a sequence of time-varying effects ranging from stimulation, over no-effect, to the inhibition of corticosterone production by melatonin, as a function of timing, Fig. <figr fid="F19">19</figr> (IIC). Feedsidewards also characterized the effect of ACTH upon DNA labelling, Fig. <figr fid="F19">19</figr> (IID). Eventually, I encountered the ubiquity of circadian mechanisms beyond an adrenal clock and the importance of the circadians in tipping the scale between life and death for the body as a whole. To me, circadian systems, for which I subsequently organized a Ross Pediatric Conference <abbrgrp><abbr bid="B153">153</abbr></abbrgrp>, were much broader in scope than timekeeping. Mechanisms underlying diversity in time complement genetic diversity in space. A spatio-temporal view of the BIOsphere and the COSmos is the inescapable conclusion of the accumulating chronobiological evidence <abbrgrp><abbr bid="B56">56</abbr></abbrgrp>.</p>
            <p>Aschoff was aware of the ever broadening scope of time structures and had the term in the title of a broad and scholarly review of rhythms with different frequencies in different physiological systems <abbrgrp><abbr bid="B154">154</abbr></abbrgrp>. Again, we were complementary since I endeavored to tease out many frequencies in one and the same variable, notably in 17-KS to start <abbrgrp><abbr bid="B16">16</abbr><abbr bid="B155">155</abbr></abbrgrp> and thereafter in many other variables <abbrgrp><abbr bid="B56">56</abbr></abbrgrp> (see Figs. <figr fid="F25">25</figr>,<figr fid="F26">26</figr>,<figr fid="F27">27</figr>,<figr fid="F28">28</figr>,<figr fid="F29">29</figr>,<figr fid="F30">30</figr>,<figr fid="F31">31</figr>,<figr fid="F32">32</figr>,<figr fid="F33">33</figr> for the prominence of the biological week over circadians in the human newborn but not in adulthood for the case of blood pressure and heart rate). Aschoff was much more than a clock-watcher (again <it>honi soit qui mal y pense), </it>but he did not use the inferential statistical tools that are needed to map some of the less prominent structures time-microscopically. May the following summarize my attitude toward him: Many of the participants at a meeting on "Circadian Clocks" <abbrgrp><abbr bid="B156">156</abbr></abbrgrp> went to the Andechs brewery near Aschoff's institute in Erling-Andechs for a drink and a meal. The late Josef Rutenfranz (a collaborator of the active Theodor Hellbr&#252;gge) was sitting next to me. We and many others saw Aschoff accosted by two rowdies. I asked Rutenfranz whether the incident was to be taken seriously. Rutenfranz said it could indeed be serious and was a common occurrence in breweries. Although Aschoff was great in wit and had an imposing voice, he was physically small, and I believe I was the only person there who went to help him. The incident proved to be a joke after all, with the "troublemakers" (unknown to me and Rutenfranz for sure) being two of Aschoff's non-professional employees in his institute.</p>
            <fig id="F25">
               <title>
                  <p>Figure 25</p>
               </title>
               <caption>
                  <p>Circadian and circaseptan variation in preterm baby's blood pH</p>
               </caption>
               <text>
                  <p>Circadian and circaseptan variation in preterm baby's blood pH. As compared to babies at term, prematures routinely monitored longitudinally have provided conclusive data; infradian, notably ~7-day (circaseptan) components in the circulation have an amplitude often larger than the circadians, as illustrated in this figure for blood pH of a very premature boy, JK, born in the 27<sup>th </sup>gestational week (who was monitored in the hospital for the first 26 months of his extrauterine life) <abbrgrp><abbr bid="B175">175</abbr></abbrgrp>. Values for blood pH during the first five weeks are shown as quadrangles. Two curves are fitted to these data. The lighter curve, representing a model including a 28- and a 178-hour component, fits the data numerically better than the continuous curve corresponding to a model consisting of a precise 1-day and a 7-day component, a finding in keeping with the assumption of built-in free-running circadian and circaseptan rhythms. In this graph, the circadian is represented by the smaller ripples superimposed on the (nearly five) near-weekly cycles of much larger amplitude recurring with a period slightly longer than 7 days. But with either curve-fit, the greater prominence of the circaseptan vs. the circadian amplitude is readily seen. The circaseptan can predominate over the circadian, in humans for the first few weeks of extrauterine life, in a boy born at term, as shown in Figs. <figr fid="F26">26</figr>,<figr fid="F27">27</figr>,<figr fid="F28">28</figr>,<figr fid="F29">29</figr>,<figr fid="F30">30</figr>,<figr fid="F31">31</figr>, with gliding spectral windows, each presented in two views, to introduce a new fact for circadian scholars and a method applicable further with emphasis also primarily on the circadian and ultradian spectral domains in Fig. <figr fid="F33">33</figr>. Also shown elsewhere <abbrgrp><abbr bid="B175">175</abbr></abbrgrp> are least-squares spectra of 5 consecutive spans, each of about 4 months, showing changes in the development of a spectrum of rhythms. In the first 120 days of very preterm extrauterine life, the peaks corresponding to frequencies lower than 1 cycle/28 hours (infradians) predominate over any circadians, i.e., components with 1 cycle in 20&#8211;28 hours also shown elsewhere <abbrgrp><abbr bid="B175">175</abbr></abbrgrp>. The circadian and circasemidian components are expressed by the time of birth, but are free-running and unstable, with a very low amplitude, as compared to circaseptan, circatrigintan (about 30-day) and other infradian components <abbrgrp><abbr bid="B175">175</abbr></abbrgrp>.</p>
               </text>
               <graphic file="1740-3391-1-2-25"/>
            </fig>
            <fig id="F26">
               <title>
                  <p>Figure 26</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human systolic blood pressure chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human systolic blood pressure chronome. Data from a healthy boy, born 19.10.1992, whose blood pressure was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a moving spectrum in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians (see ~1 week c, left), shown by height and darker shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. Side view of a gliding spectral window of amplitudes of systolic blood pressure, focusing on infradians and circadians in the first 40 days of life of a boy born at term (FW). The prominence of the infradian spectral components immediately after birth is apparent from shading, height and arrows. In this side view, better than in a view from the top (Figs. <figr fid="F27">27</figr>, <figr fid="F29">29</figr> and <figr fid="F31">31</figr>), a general impression is best gained of the time course of a gradual resurgence of a circadian component. The circadian is demonstrable on the day of birth as a group phenomenon (not shown herein). The circadian seems to be lost in this graph and the following graphs in Figs. <figr fid="F27">27</figr>,<figr fid="F28">28</figr>,<figr fid="F29">29</figr>,<figr fid="F30">30</figr>,<figr fid="F31">31</figr>,<figr fid="F32">32</figr> with the interval of one week used for analysis. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-26"/>
            </fig>
            <fig id="F27">
               <title>
                  <p>Figure 27</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human systolic blood pressure chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human systolic blood pressure chronome. Data from a healthy boy, born 19.10.1992, whose blood pressure was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a moving spectrum in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians, shown by darker shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. View from the top, surface chart (or contour map) of a gliding spectral window of amplitudes of systolic blood pressure, focusing on infradians and circadians in the first 40 days of life of a boy born at term (FW). The prominence of the infradian spectral components immediately after birth is apparent from shading <abbrgrp><abbr bid="B165">165</abbr><abbr bid="B166">166</abbr></abbrgrp>. The change in shading observed around November 5 is an artefact related to a gap in the data collection. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-27"/>
            </fig>
            <fig id="F28">
               <title>
                  <p>Figure 28</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human diastolic blood pressure chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human diastolic blood pressure chronome. Data from a healthy boy, born 19.10.1992, whose blood pressure was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a moving spectrum in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians (see ~1 week c, left), shown by height and shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. Gliding spectral window of amplitudes of diastolic blood pressure, focusing on infradians and circadians (side view) in the first 40 days of life of a boy born at term (FW). The prominence of the infradian spectral components immediately after birth is apparent from shading, height and arrows <abbrgrp><abbr bid="B165">165</abbr><abbr bid="B166">166</abbr></abbrgrp>. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-28"/>
            </fig>
            <fig id="F29">
               <title>
                  <p>Figure 29</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human diastolic blood pressure chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human diastolic blood pressure chronome. Data from a healthy boy, born 19.10.1992, whose blood pressure was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a moving spectrum in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians, shown by darker shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. Gliding spectral window of amplitudes of diastolic blood pressure, focusing on infradians and circadians (view from the top; surface chart) in the first 40 days of life of a boy born at term (FW). Prominence of the infradian spectral components immediately after birth is apparent from shading <abbrgrp><abbr bid="B165">165</abbr><abbr bid="B166">166</abbr></abbrgrp>. The change in shading observed around November 5 is an artefact related to a gap in the data collection. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-29"/>
            </fig>
            <fig id="F30">
               <title>
                  <p>Figure 30</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human heart rate chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human heart rate chronome. Data from a healthy boy, born 19.10.1992, whose heart rate was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a moving spectrum in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians (see ~1 week c, left), shown by height and shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. Gliding spectral window of amplitudes of heart rate, focusing on infradians and circadians (side view) in the first 40 days of life of a boy born at term (FW). Prominence of infradian spectral components immediately after birth is apparent from shading, height and arrows <abbrgrp><abbr bid="B165">165</abbr><abbr bid="B166">166</abbr></abbrgrp>. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-30"/>
            </fig>
            <fig id="F31">
               <title>
                  <p>Figure 31</p>
               </title>
               <caption>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human heart rate chronome</p>
               </caption>
               <text>
                  <p>Changing amplitude of some components in a partial spectral element of the postnatal human heart rate chronome. Data from a healthy boy, born 19.10.1992, whose heart rate was measured at mostly 30-minute intervals from 20.10 for the ensuing 40 days, and analyzed as a gliding special window in separate weekly intervals, displaced in 12-hour increments through the data set. An initially greater prominence of infradians, shown by darker shading, corresponding to a larger amplitude, contrasts with the prominence of circadians and circasemidians in later weeks of life, while any ultradians with still higher frequencies and any trends and chaos, two other chronome elements, are here unassessed. Gliding spectral window of amplitudes of heart rate, focusing on infradians and circadians (view from the top; surface chart) in the first 40 days of life of a boy born at term (FW). The prominence of the infradian spectral components immediately after birth is apparent from shading <abbrgrp><abbr bid="B165">165</abbr><abbr bid="B166">166</abbr></abbrgrp>. The change in shading observed around November 5 is an artefact related to a gap in the data collection. Original data of Yoshihiko Watanabe.</p>
               </text>
               <graphic file="1740-3391-1-2-31"/>
            </fig>
            <fig id="F32">
               <title>
                  <p>Figure 32</p>
               </title>
               <caption>
                  <p>Infradian over circadian prominence of blood pressure and heart rate in early extrauterine life</p>
               </caption>
               <text>
                  <p>Infradian over circadian prominence of blood pressure and heart rate in early extrauterine life. Comparison of amplitudes of circadian (left), circasemiseptan (middle) and circaseptan (right) components of systolic blood pressure (top), diastolic blood pressure (middle) and heart rate (bottom) of groups of babies studied during the first few weeks of life in Brno, Czech Republic. Infradians are more prominent than circadians. Original data from Brno of Jarmila Siegelova <abbrgrp><abbr bid="B167">167</abbr></abbrgrp>, in keeping with data from Florence <abbrgrp><abbr bid="B164">164</abbr></abbrgrp>, Minneapolis, Moscow and elsewhere <abbrgrp><abbr bid="B168">168</abbr><abbr bid="B15">15</abbr></abbrgrp>.</p>
               </text>
               <graphic file="1740-3391-1-2-32"/>
            </fig>
            <fig id="F33">
               <title>
                  <p>Figure 33</p>
               </title>
               <caption>
                  <p>Gliding amplitude (A) in spectral window (I, II) shows relative prominence of spectral components, mostly intermittent CHAT, with occasional ultradian prominence</p>
               </caption>
               <text>
                  <p>Gliding amplitude (A) in spectral window (I, II) shows relative prominence of spectral components, mostly intermittent CHAT, with occasional ultradian prominence. I &#8211; Amplitudogram, showing 24-h and 12-h amplitudes (solid lines) and upper limit for 24-h amplitude (dotted horizontal line). II &#8211; Gliding window of the time series (interval 28 h, increment 8 h, harmonic increment 0.1); shading of A values begins at P-value &#8804; 0.05. III &#8211; Global spectral window of time series. CHAT: Circadian Hyper-Amplitude-Tension (upper 4 shadings of A from 24-h fit). **Sundays. During a 2-month section of a 5-year record of half-hourly automatically recorded blood pressures, the circadian rhythm in a human adult male is most prominent (as seen only toward the end of the first month of life in data of healthy neonates born at term or prematurely, Figs. <figr fid="F25">25</figr>,<figr fid="F26">26</figr>,<figr fid="F27">27</figr>,<figr fid="F28">28</figr>,<figr fid="F29">29</figr>,<figr fid="F30">30</figr>,<figr fid="F31">31</figr>,<figr fid="F32">32</figr><abbrgrp><abbr bid="B164">164</abbr></abbrgrp>.</p>
               </text>
               <graphic file="1740-3391-1-2-33"/>
            </fig>
            <p>I also appreciated that Aschoff advised Fred Sargent to send Michael Smolensky to me, as he sent his own medical disciple J&#252;rgen Kriebl. I regret that my letter failed to persuade Aschoff to come to Minnesota for a blood pressure and heart rate variability profile; but I tried, as I did with others, e.g., Gunther Hildebrandt, Nathaniel Kleitman and Hans-Georg Schweiger. The offer to all interested parties of a 1-week profiling of blood pressure and heart rate, now extended by Germaine Corn&#233;lissen <url>http://corne001@umn.edu</url>, still stands as long as we can afford it.</p>
            <p>Colin Pittendrigh was the clock-watcher par excellence, as he emphasized himself by the title of the summary of his life's work in the <it>Annual Reviews of Physiology </it><abbrgrp><abbr bid="B157">157</abbr></abbrgrp>. The field owes him a great deal, and hence and for other reasons, so do I, although some sociologists saw us as antagonists <abbrgrp><abbr bid="B138">138</abbr></abbrgrp>. Our positions were very different: he was a powerful dean, on a number of important committees, while I had lost my laboratory over several of my puzzles. The development of temperature and other telemetry in the service of circadian systems might have been delayed for years had he not advocated with Woody Hastings and others that I might represent chronobiology in the task of preparations for a NASA Biosatellite study of free-running rhythms in extraterrestrial space <abbrgrp><abbr bid="B146">146</abbr></abbrgrp>. While our experiment never led to a flight, that project resulted in much quantitative technical information, notably on the persistence of the temperature rhythm and other variables after the histologically validated ablation of the SCN, Figs <figr fid="F34">34</figr> and <figr fid="F35">35</figr>. I enjoyed the opportunities to contribute to Colin's and J&#252;rgen's meetings, and very greatly regretted that Colin came (with J&#252;rgen) to only one of those meetings in Italy that I was asked to organize in the 1950s. To my particular regret, both J&#252;rgen and Colin did not attend</p>
            <fig id="F34">
               <title>
                  <p>Figure 34</p>
               </title>
               <caption>
                  <p>Circadian rhythm alteration rather than obliteration after lesioning of suprachiasmatic nuclei (SCN)</p>
               </caption>
               <text>
                  <p>Circadian rhythm alteration rather than obliteration after lesioning of suprachiasmatic nuclei (SCN). By eyeballing alone of Section IIA, the circadian rhythm in telemetered core temperature, each measurement shown by a dot, is clearly seen in data from a sham-operated control on the left and seems to be lost in the rat with a SCN lesion on the right of this section, whether one examines squeezed values in the top row or stretched values in the second row (of dots). A circadian rhythm in temperature for individual animals is also displayed in Section I top, with a smaller within-day change of lesioned animals (IB) as compared to controls (IA). This finding is also seen after averaging in Section IIB (bottom). Microscopy, in section IIC, apart from quantifying the rhythm by cosinor, reveals, by a shorter arrow, a great amplitude lowering after a bilateral SCN ablation and a phase advancement seen as an earlier vector. Section IIC also validates the persisting rhythm by the non-overlap of the center (or pole) of the graph, by the error ellipse representing a 95% confidence region: the removal of the SCN is compatible with the persistence of a statistically highly significant circadian rhythm in core temperature quantified with its parameters and their uncertainties, after histologically validated bilateral SCN ablation. When the ablation unintentionally, as d