1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA Timing Life Processes Dana Baran Abstract — Natural clocks such as planet movements and biological timekeeping gears inspired artificial timers including water clocks, sandglasses, mechanical, electric and finally electronic systems. Contemporary medicine and biology reconsiders temporal morphogenetic and functional patterns interpreting life processes as highly sophisticated clockworks, liable to mathematical modelling and quantification. Chronobiology and chronomedicine opened a vast theoretical and applicative field of interest. Keywords: chronobiology, temporal monitoring devices, biological clock, mathematical modelling. exogenous synchronizers periodically adjust to the cosmic time. [2] At the very beginning, breathing and heart rate, pulse frequency, menstrual cycles and vital forces were perceived as led by rhythmic vibrations of the stars, the sun and the moon. Nature exhibited both clocks and calendars! Now living beings are usually forced to disrupt their innate biorhythms and adapt to man-made temporal cues imposed by shift work, jet travel, abundance of vegetables and animal products, irrespective of time of day or season, in vitro fertilization, cloning and genetic manipulation which equally play with biological time and social destinies. 1. INTRODUCTION Throughout the centuries the perspective on biological phenomena temporal dimension, i.e. on their dynamic structure and function, followed several synchronic and diachronic patterns, possibly defined as astromy thological, cosmobiological, mechanistic, physicochemical, statistico-mathematical, physiological, psy chological or philosophical insights. [1] After 1950, scientists started to elaborate a coherently integrated multidisciplinary and even transdisciplinary approach to biological rhythms. Largely known as chronobiology, it lately generated a medical subdivision: chronomedicine. [2, 3] Cyclic behavior estimation of living things tightly relies now on modern theories, technical progress and accurate data processing: so chronomedicine is no exception from evidence-based disciplines! 3. ASTROMYTHOLOGY Primeval medicine interpreted life course in terms of astrology and astronomy, intermingled with mythological symbols. The sun, the moon and other planets were gods and goddesses, turning around in interdependent rings, causing and predicting differentiated bioreactivity, robustness and illness, birth and death, flourishing and degeneration. Rhythms began to correlate with numbers and ratios, as in ancient Egypt, Mesopotamia, Greece, but in pre-Columbian Mexico, too. [5, 6] By their lives, divinities regularly controlled recurrent cosmic processes. 2. ENVIRONMENTAL CLOCKWORKS 2.1. The Cosmic Clock Paradigm The whole universe resembles a clock-like device, imagined – as Voltaire put it in the XVIII-th century - by a genial clockmaker god. The star clocks, the sundial, the moon, the planets, the plants and animals observe interfering quasiconstant periods and mark their completion by specific events. Such phenomena undoubtedly led to the invention of imitative time-machines with wheels, teeth and striking trains, evolving from the shadow pole stuck in the ground, to the atomic clock telling the hour with one second error in 3000 years. Maybe surprisingly, today, chronobiologists still debate on chronoastrobiology, a chronobiological branch dealing with chronomics, i.e. time structures, in its relation to cosmos and biosphere. [4] Meteoropathology is included, along with the recurrent health impact of geo- or/and helio- magnetic field disturbances, in a more encompassing and traditional view. 4. COSMOBIOLOGY Biological reality was plotted against a cosmic background. Its evolution or timed becoming, referred to as vital energy dynamics, manifested in keeping with both day-night cycles and seasonal rhythms. Ancient China considered that interchangeable yin-yang energetic balance periodically oscillated according to macrocosmicmicrocosmic interpenetration rules. [5, 6] Consequently, human pulse frequency based diagnosis and prognosis of disease expressed a complex philosophy of cosmoenergetic medicine and so did the twelve meridians crossing the body and bearing 365 acupunctural points along them. Even when anthropomorphic deities were lacking, golden numbers, proportions and ratios played key-roles. 2.2. Living Beings as Adaptive Biological Clocks Living creatures, – chronogenetically determined biological clocks, - represent time-keeping self-controlled or anti-entropic feed-back looped entities, which 5. NUMBERS GOVERN THE WORLD For Pythagoras and Plato, arithmetic, geometry and music belonged together, the supreme divinity was the number itself able to “rule over the Universe”. Health derived from ideal mathematical laws, governing the incessant fight Dana Baran is with the Faculty of Medical Bioengineering, ”Gr. T. Popa” University of Medicine and Pharmacy, Iaşi, Romania, phone: +40-232-213-573; fax: +40-232-213-573; e-mail: [email protected] 465 1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA Giovanni da Dondi (1318-1389), professor of astronomy, logic and medicine at Padua and of medicine at Florence Universities, technically featured an astronomical clock containing an escapement composed of a band-saw crown wheel and a verge. [8] By and by, scientists detached from the occult magical background of the Renaissance, humanists turned to encyclopedists, and mechanistic philosophers substituted both wizards and alchemists.[9] opposing good and evil. [5, 6] According to Philolaos of Crotona (V-th century BC), health resulted from the cosmic harmony he called “eurhythmics”. Hippocrates himself, in the same golden age of the V-th century BC, believed in the significance of critical days for anticipating the disease course and applying more efficient timed therapies. He also recognised chronopathological aspects: diurnal or nocturnal incidence of acute episodes, seasonal occurrence of certain diseases. Galen (II-nd century AD) instead had often recourse to astrological medicine. [5, 6] Geto-Dacians equally set up a solar calendar as illustrated by their circular temples, indicating propitious and unpropitious moments. [1, 6] No wonder Zalmoxis was considered Pythagoras` apprentice and Dacian priests the beneficiaries of ancient Egyptian wisdom. [6] 7.2. The Turning Point The magical mechanistic genius of the Renaissance anticipated robotics, prepared bionics and seeded the germs of prosthetics, performing public miracles and thaumaturgical exploits. [1]This marked the turning point of iatrophysics and iatromechanics, whereas iatrochemistry redimensionated alchemy, phytotherapy, mineralogy and animal organ extracts for more efficient therapeutic blends, often administered according to “chrono-optimized” treatment schedules. Nevertheless, as yet, physicians did not abandon their zodiac books since astrological medicine maintained its high profile. Paracelsus (1493-1541), the symbol of iatrochemistry, was such an emblematic personality. Besides, he kept on being a successful alchemist. [5, 6, 9] Throughout the XVI-th century, mechanical clocks became quite common and in the XVIIth century the pendulum was invented. Subsequently, a more adequate quantification of time-related bioreactivity and interrelationships with the surrounding Universe was enabled. Heart rate and wrist pulse constituted reference oscillators Galilei (1564-1642) used to consult in Pisa cathedral for evaluating the candelabrum-pendulum periodic oscillations. Santorio (1561-1636), professor of physiology at Padua, measured the radial pulse with his famous “pulsilogium”, -a pendulum-based instrument-, that preceded the sphygmometer. [5, 6] The pulsilogium could adapt to heart rate movements by the adjustment of its strings. The same was true with Lodovico Zacconi (1533-1627), an Augustinian friar and musician in Venice and Munich, who controlled the tempo of his concerts by the cadence of his gate (“andante” in Italian language means “walking’) he believed to be induced by the heart rate: “the heart, he ascertains, reveals what is rapid and what is slow by its own movement”. [10, 11] Deafness must have made Beethoven feel the same.[11] So, initially, it was the heart to indicate “the clock mean time (CMT)”! 6. MEDIEVAL TIMING PATTERNS 6.1. Christian Salvation Time In medieval Europe, learning mainly emanated from religious institutions which were particularly concerned with strict timekeeping. Saint Augustin, Dionysius Exiguus, - a Danubian Scythian by birth-, venerable Beda or Alcuin were among the early most famous contributors. [7] Not only were new calendars conceived, but canonical hours, prayers, lauds and vespers ordered monastic life that directly conveyed sacred rhythms to profane destinies, - “in season and out of season”, reflecting and emphasizing God`s messages. The church clock struck the cosmic hour on Earth. Real and false clocks were present, for instance in Malta, in every place, aimed at getting rid of devil`s sinister impact upon humans. Christ and the Holy Virgin metaphorically personified the sun and the moon, respectively. 6.2. Islamic Middle-Ages Arabs and Persians valorised and further amplified Greek, Roman and Byzantine knowledge, making time pieces and astrolabes on solid astronomical ground. The astrolabe dial consisted of a movable sky map rotated to show where stars were at every time of day and year. [7] The time of prayers was capital and religiously observed. God could influence the chronology of facts and determine health and welfare to prevail over suffering and pain. Historians state that, from China and India, mechanical ideas reached the Islamic world and then spread to Europe in the XIII-th and XIV-th centuries. 7.3. Enlightened Clockworks Enlightenment forged new interdisciplinary research domains from a rational, yet mechanistic perspective, leaning over the machine-man concept. [12] Iatrophysics, iatromechanics and iatrochemistry intensely applied physical and mechanical principles to vital processes modeling and measurement, conceiving humans as animated machines, whereas, paradoxically, iatromathematics continued to correspond to medical astrology. [5, 6] Now, it was the clock, a more and more precise and often portable device, to count the heart beats by its regular oscillations, telling its own CMT: “the cardiac mean time”. Christiaan Huygens (1629-1695) achieved a pendulum clock in 1657 and in 1670 built a spiral spring balancer for more accurate 7. CHRONOS EX MACHINA 7.1. The Renaissance Mechanistic Magic It was only by the middle of the XIII-th century that preliminary mechanical clockworks appeared. The mercury clock already included the essential components of a mechanical clock. In 1271, Robert the Englishman described in his astronomy book such an instrument endowed with a flywheel - “a disc of uniform weight in every part”. [8] Dante mentions in his “Divina Commedia-Il Paradiso”-, written between years 13171320, a clock, probably symbolizing temporal order in the Heavens. It is interesting to note that, in 1364, 466 1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA measurement of oscillatory periods. The Dutch physicist improved isochronal pendula he described in "Horologium Oscillatorium" in 1673. [7, 8] With Huygens, a scientific revolution took place and time estimation left the archaic epoch once and for ever. In the XVIII-th century, highly precise clocks had only a two second error a month. [8]. Doctor John Floyer (1699-1734) stands for the first physician to have examined the pulse a watch in his hand (1707-1710): this was the pulse watch endowed with a minute hand. Only later the second hand was added to mechanical clocks. In 1752, again, pulse frequency in the afternoon represented an ideal metronome for flute players, wrote in his Essay on music and performance Joachim Quantz (1697-1773), a renowned flutist himself, composer, flute maker and teacher at the Prussian court. [10, 11] Musical harmony expressed and restored health. In 1761, John Harrison suggested a chronometer watch working by the winding and unwinding of a spring. If Santorio is held to have put the first numerical scale for clinical use on Galilei's thermoscope, Fahrenheit (1686-1736), Celsius (1701-1744) and Réaumur (1682-1757) and Sir Thomas Clifford Allbutt (1836-1925) set up newer, more precise and smaller thermometers. Basch and Zadek (1881) and Riva-Rocci (1896) achieved pletismographs. [10] From the XVIII-th and XIX-th centuries on time related variations of biological functions and structures in health and disease could be assessed. Circadian rhythms were documented by Elsner (1778), Zimmerman (1793), Reil (1796), Falconer (1797), Hufeland (1797), Autenrieth (1891), Wilhelm (1806), Barthez (1806), Knox (1815), Testa (1815), Zadek (1881), Howell (1898), Jellender S(1900), Weiss (1900), Hensen (1900). [10, 13] At Paris University, J.J. Virey (1775-1846), a French pharmacist, naturalist and physician, wrote the first known doctoral thesis focused on biological rhythms. Furthermore, he introduced the decimal system to laboratory and anthropometry. Virey envisioned that innate biological rhythms of living clocks were entrained by periodic environmental changes, such as the day-night repetitive alternation. He reported that the effects of drugs varied according to their administration time. He collected and published quantified time series, demonstrating human circadian and annual mortality rhythms. Statistical analysis of Virey's data using modern time series methods confirmed his deduction that human mortality exhibits rhythmicity.[14] Due to technical progress, sleep-wake and rest-activity cycles, respiratory and heart frequency, arterial blood pressure oscillations, body temperature and weight variation along with other biochemical, biophysical, morphological and functional variables could be more accurately evaluated, quantitatively and qualitatively assessed in a time-dependent manner. [2] Consequently, clinically and experimentally documented biorhythms were ascertained. Pulsilogia, sphygmometers, manometers, thermometers, pletismographs completed patients' physical examination. [1, 5, 6, 10, 13] Dame (1503-1566), a physician astrologer, Girolamo Cardano (1501-1576), a mathematician and a physician who also illustrated medical astrology, Nicholas Copernicus (1473-1543) a notorious physician astronomer, Athanasius Kircher (1601-1680), another “polymath” monk, familiar with mathematics, physics, magnetism, astronomy and medicine, who equally fancied a pulse watch, whereas Pierre Charles Louis (1781-1872) engaged himself both as a physician and a pioneer biostatistician. [5, 6, 14] 8. THE PINEAL EYE Following the theories of Plato, Aristotle and Galen, Descartes (1596-1650) elaborated his own conception about the pineal gland, considered the seat of soul, imagination, reflected spirits and common sense, from a metaphysiological perspective on sensations, perceptions and nervous reflexes. [15] This «third eye», also holding a paramount role in Indian philosophy, is officially accepted today as a key endogenous synchronizer of biorhythms by its regular nocturnal melatonin release. [2] 9. HOMEOSTASIS AND BIORHYTHMS With Claude Bernard`s (1813-1878) definition of the internal milieu constancy (1865), that later on Cannon (1871-1945) called homeostasis (1929), almost uniform adaptive variations of biological morpho-functional characteristics were envisaged. [16] After about one hundred years, chronobiologists would, however, amend this statement in that both basic and adaptive bio-oscillations fit to a biorhythmic pattern, reaching time-related maximal (acrophases) and minimal (bathyphases) amplitudes. A biorhythmic homeostasis had to be admitted in the XX-th century, complementary to the “oscillatory life” formulated by Claude Bernard with reference to rigorous, repetitive, harmonic, ordered constant vital phenomena. [2, 17, 18] 10. TECHNOLOGY BASED CHRONOMEDICINE In the XX-th century, quantum physics and informatics approaches to biology stemmed out. Theoretical advances paralleled technical progress. To biopotential recordings and chronograms, new methods were added. X-rays, radio isotopes, positron emission tomography, ultrasounds, radio immunology, autohistoradiography, immunohistochemistry, electron microscopy, genetic engineering, mathematical modeling and computer assistance became part of everyday biomedical investigational protocol able to define living beings different “chronomes”, i.e time structure. [2, 3, 4] Sophisticated on-line and off-line (tele)monitoring devices appeared meant to better seize the temporal peculiarities of biological variables course. (Figure 1) 7.4. Doctors: Physicians and Physicists A remarkable fact emerged from this historical retrospective. Physicians were most of times their own engineers or physicists. The already mentioned da Dondi was among them, along with Jean Fernel (1497-1558), mathematician, astronomer and eventually a physician, Michel de Nostre- Figure 1. Actiwatch actigraph: two day activity record 467 1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA Subsequently, chronomics emerged, complementing other “omics”: proteomics, genomics, transcriptomics, physiomics, metabolomics. Owing to efficient up-to-date cell biology concepts and bioengineering methods, chronogenetics proved the existence of cellular clock genes, pacer and/or calendar cells, identified molecular ontogenetic programs, described immediate early genes and late genes with specific roles in timing cell signaling cascades, in achieving a properly timed noise to signal ratio, from “womb to tomb”. [2, 19, 20] Modern biomathematical models developed reflecting normal and pathological conditions, biodiversity as a whole, and the subtle properties of non-linear, dissipative, fuzzy living systems. [21] Statistics adapted to the temporal logic of life. Boltzmann machines learning algorithm testifies it. 12. CELL CLOCK MODELS 12.1. The Cellular Oscillator: An Attractor Biologically, many cellular clock models – comparable to automata” - have been suggested, but they mainly are transcriptional ones and correspond to temporal frames of reference. [2] Mathematically, cellular clocks are frequently modelled as either simple or strange attractors. (Figure 2) 11. THE GAME OF LIFE Facts that dominated the dawn of the modern era included Einstein`s (1879-2001) theories of relativity (1905, 1916). [21, 22] Spacetime scientifically proved its «metamorphic» character and clocks just failed to measure it since not designed to do so. Clocks principle had already been integrated to thinking machines in the Renaissance period, like Wilhelm Schickard's (15921635) calculating clock (1623) which included a set of Napier's bones, and the mechanical calculator – the Pascaline-, devised in 1642 by Blaise Pascal (16231662). [23, 24] In the XVII-th century, Gottfried Wilhelm Leibnitz (1646-1716) constructed another calculator, - the stepped reckoner-, employing the stepped gear principle and in the XIX-th century, Charles Xavier Thomas de Colmar (1785-1870) made a more successful calculator, the Arithmometer (1820), working on the same stepped gear principle. Even most of today`s computers, based on von Neumann architecture, possess a clock component, establishing the rate at which data are transferred in the working cycle. [24] Computers enormously enlarged cooperation between mathematics, informatics, and biology as a whole. Norbert Wiener (1894-1964), but to some extent also Stefan Odobleja (1902-1978) contributed to the appearance of neurocybernetics, the science of control and communication in the nervous system. [25] Much indebted to Claude Shannon (19162001), information theory played a fundamental part in this respect. Cybernetics enabled robotics, artificial intelligence and automation progress, in parallel to artificial neural networks, well-known non-linear statistical data modeling tools. This field originated at the crossroads of mathematics, statistics, computer science, physics, neurobiology and electrical engineering. Digital electronics soon emerged. With pencil and graph paper alone, Von Neumann had also created the first selfreplicating cellular automata taking advantage of their exponential growth, and in his book “Theory of Self Reproducing Automata” he had fleshed out the concept of a universal constructor. [24] Devised in 1970 by the British mathematician John Conway (1937- ), the game of life theory used cellular automata to create generations in keeping with symmetry-dissymmetry, order-disorder, harmony-chaos, transition or fluctuation states. [26] Figure 2. Evolution of a simple attractor (lef) to a chaotic attractor (right) (after Heudin, 1998) [28] A controlled chaotic attractor could provide multifrequency outputs that determine rhythmic behaviour on different time scales (e.g. ultradian and circadian) with the facility for rapid state changes from one periodicity to another. [27, 28, 29] Periodic attractors’ transition to chaos may equally occur. [18, 27, 28, 29] In chronobiology, too, chaos theory and fractal geometry coexist and complement each other in rendering the complexity of non-linear dissipative yet cycling living systems. Information entropy partly explains the thermodynamic hierarchical behaviour of the cell clock ultrastructural “wheels”, and Boltzmann`s mechanical statistics could probably help predict their “choices”, too. 12.2. A Neurokinetic Clock: The Interval Clock Apart the master mammalian clock illustrated by the hypothalamic suprachiasmatic nucleus, tightly connected to the retina and the pineal gland, an interval and a miliseconds timer were identified. The mood controlled interval timing of the brain suggested by Buhusi and Meck (2005) derived from artificial intelligence and neural network paradigms. It was supposed to explain high frequency neuronal firing rates (second to minute range) of ultradian (τ<20 hours) biorhythms. [30] The interval timekeeper shares many properties with the pacemaker– accumulator timing models and would act by coincidence detection at corticostriatal and striatal levels. Interval timing is central to broader coordination of tasks such as walking, manipulating objects, carrying on a conversation and tracking objects in the environment, to understanding temporal order of events. Millisecond timing acts at cerebellar level and probably originates in the intrinsic properties of the neurons. It ensures motor control, speech generation and recognition, playing music and dancing. Both emotional states and memories impinge upon brain`s internal clock, resulting in a highly differentiated subjective perception of both real and virtual time. 468 1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA 13. RHYTHMOMETRIC STATISTICS 14. PSYCHOLOGICAL, HISTORICAL AND SOCIAL RHYTHMS Biorhythm quantification and mathematical expression relied on the advancement of statistics itself. John Graunt (1620-1674), Christiaan Huygens (1629-1695) and Edmond Halley (1656-1742) established statistical analysis principles in the XVII-th century and limitedly applied them to medicine. [5, 6] Even though Cl. Bernard claimed that the “average man” of statistics rather hides than reveals the truth, doctor Pierre Charles Alexandre Louis (1787-1872), his contemporary, implemented statistical biomathematics, - i.e. “the numerical method”– and probability calculation, to the estimation of disease incidence and/or prevalence, prognosis and therapeutic outcome. [5, 6, 13, 16] Experimental, clinical or laboratory findings could from now on not only be monitored and recorded, but statistically interpreted, too. Biostatistics and biomathematics were born. Inseparable from chronobiology, rhythmometric statistics or biorhythmo metry stemmed out and adapted to time-related data processing. [2] Originally limitedly applied to psychosomatic events, as did mathematical chaos and fractal dynamics, rhythmometric analysis soon extended to examining psychological, social, historical and astrobiological rhythmic phenomena. [29, 31, 32] Chronograms together with polar plots and attractors were drawn. For the time being, equations of the estimative curve, MESOR, cosinor, and ANOVA methods represent routine tools in chronobiology. [2, 33, 34] (Figure 3) 14.1. Cognitive psychology and bioinstrumentation With Franciscus Cornelis Donder (1818-1889), mental chronometry became a tool in neuroscience, inspired neuroinstrumentation, preceded neurocybernetics. Today, brain activation temporal characteristics are investigated by functional imaging techniques: biopotential recording, positron electron tomography, magnetic resonance. [35, 36] The challenging subjective chronoperception and individual temporal manifestation still raise psychological uncertainties and philosophical questions which in turn incessantly stir up scientific imagination and creativity. 14.2. Time in modern Romanian Philosophy In modern Romanian philosophy, Vasile Conta (18451859) had the intuition of general oscillating processes, as he shaped his “universal undulation” theory. If for Conta life resembled a non-ending winding evolutionary spiral, for Herbert Spencer (1820-1903) rhythmic behaviour of living and non-living things was transient but ensured their birth, splendour and decay. [37] Vasile Parvan (1882-1927) distinguished a “spiritual rhythm” intimately synchronized to cosmic cyclic vibrations, “historical rhythms” originated from. [38] Reiterating Bousquet`s assertion (1923), Fernand Braudel (1979) also stated that social life infinitely fluctuates by periodical movements. [39] Following in Matila Ghyka's (1881-1965) footsteps, Pius Servien (Pius Serban) Coculescu (1902-1959) focused on the Pythagorean logic and expression of rhythms, thought of as a fundamental psycho-esthetical element. [40, 41] For Constantin Radulescu –Motru (1868-1957), rhythms possibly derived from the “energetic personalism” circularity, whereas Lucian Blaga (1895-1961), almost «miraculated» by the dogmatic Aeon, recognized a historical rhythm. [42, 43] Duration and eternity interchangeably play with temporal manifestations the poet philosopher classified into ascending (“artesian”), descending (“cascade “) and horizontal (“river”) time. Constantin Noica (1909-1987) individualized multiple cyclic pulsations of the being: cosmic, spiritual, organic. [44] For the hermetic poet Ion Barbu, the skilled mathematician Dan Barbilian (18951961), on the Number generating eurhythmics -“the music of the flying form”- the entire Universe would rely. In France, Marcel Proust (1871-1922) and particularly Henri Bergson (1859-1941) insisted on the relativity of time perception and evaluation from one moment to another, from one person to another. [45] “The perception of change” between “duration and simultaneity’ would mark everybody`s “creative evolution”. Wondering “in search of lost time”, regular succession of time was abolished, whereas “remembrance of things past” forged future ones and engraved the present. Neither internal virtual, nor external real time was supposed to be physically explained and mathematically measured. After opposing Einstein's ideas in 1911, Bergson accepted the concept of non-linear time. Temporal metamorphoses of human soul, body and mind usually dominate the Figure 3. Circadian variation of systolic blood pressure in clinically healthy pregnant women. Graphs show hourly means and standard errors. Nonsinusoidal shaped curves correspond to the best-fit waveform model determined by population multiple-component analysis. Arrows point to the peak time (orthophase) of the circadian rhythm of blood pressure determined by the waveform approximation. (Hermida et al, 2004)[34] 469 1st International Conference on Advancements of Medicine and Health Care through Technology, MediTech2007, 27-29th September, 2007, Cluj-Napoca, ROMANIA [15] Descartes R, [Passions of the soul], Ed. Ştiinţifică şi Enciclopedică, Bucureşti, 1984. [16] Bernard Cl., [An introduction to the study of experimental medicine], Ed Ştiinţifică, Bucureşti, 1958. [17] Perreau-Lenz S., Pévet P., Buijs R.M., Kalsbeek A., The Biological Clock: The Bodyguard of Temporal Homeostasis, Chronobiol., Int., 21; 1:1-26, 2004. [18] Goldberger AL. Is the normal heartbeat chaotic or homeostatic? News Physiol Sci, 1991, 6: 87-91. [19] Rensing L, Meyer-Grähle U, Ruoff P, Biological Timing and the Clock Metaphor. Oscillatory and Hourglass Mechanisms, Chronobiol. Int, 18; 3:329-370, 2001. [20] Amir A, Kobiler O, Rokney A, Oppenheim AB, Stavans J., Noise in timing and precision of gene activities in a genetic cascade, Mol Syst Biol, 3: 81, 2007. [21] Prigogine I, [From Being To Becoming], Ed.Ştiinţifică, Bucureşti, 1992. [22] Gamow G., [30 years that unsettled physics], Ed Ştiinţifică, Bucureşti, 1969. [23] Flad J-P, Les trois premières machines à calculer: Schick ard (1623), Pascal (1642), Leibniz (1673), Paris, 1963. [24] Karbo M, Architecture PC: théorie et pratique, Compéten ce Micro, No. 35, Paris, 2005. [25] Chorayan O G, Neurocybernetics: contents and problems, Kybernetes, 29, 5/6: 803 – 810, 2000. [26] Berlekamp E.R., Conway J., Guy R.K., Winning Ways for Your Mathematical Plays, Academic Press, London, 2001 [27] Lloyd D, Chaos and Ultradian Rhythms, Biol Rhythm Res, 28: 134 – 143, 1997. [28] Heudin JC, L'Évolution au bord du chaos, Ed. Hermès, Paris, 1998. [29] Glass L., MacKey C.M., From Clocks to Chaos. The Rhythms of Life, Princeton University Press, U.S.A., 1988. [30] Buhusi, CV, Meck WH, What makes us tick? Functional and neural mechanisms of interval timing. Nature Rev. Neurosci, 6, 755–765, 2005. [31] King C Ch, Fractal and Chaotic Dynamics in Nervous Systems, Progress in Neurobiology, 36: 279-308, 1991. [32] Dovey J (ed), Fractal Dreams: New Media in Social Convergence: The International Journal of Media Technologies, New Media in Social Context London, Lawrence and Wishart, 1996. [33] Halberg F., Cornélissen Germaine, Introduction to Chronobiology. Variability from Foe to Friend of Mice and Men, Medtronic Chronobiology Seminar, University of Minnesota, Library of Congress, U.S.A., 1993. [34] Hermida RC, Ayala DE,Iglesias M, Circadian Blood Pres sure Variability as a Function of Parity in Normotensive Pregnant Women, J Clin Hypertens, 6, 3: 126-133, 2004. [35] Jensen R.A, Clocking the mind: Mental chronometry and individual differences, Elsevier Sci., Oxford, 2006. [36] Gazzangia MS, Cognitive Neuroscience, Blackwell, 2000. [37] Conta V,[The theory of fatalism. The theory of universal undulation], Ed. Junimea, Iaşi, 1995. [38] Pârvan V,[ About the historical rhythm], in: [The duty of our life], Ed. Univers, Bucureşti, 67-120, 1999. [39] Braudel F, [The time of the world], Ed. Meridiane, Bucureşti, 1989. [40] Ghyka M, [Philosophy and mystic of the number], Ed. Univers Enciclopedic, Bucureşti, 1998. [41] Cerchez M., [Pythagoras], Ed Acad. Rom. Bucureşti, 1986. [42] Rădulescu-Motru C., [Time and destiniy], Ed. Saeculum I.O.-Vestala, Bucureşti, 1996. [43] Blaga L., [The trilogy of culture], ELU, Bucureşti, 1969. [44] Noica C, [Becoming into being], Ed. Ştiinţifică şi Enciclopedică, Bucureşti, 1981. [45] Bergson H.,[Creative evolution],Ed. Institutului European, Iaşi, 1999. unquantifiable intuitive artistic creativity. Time, indeed, plays the friend and the foe of mankind, as Franz Halberg ascertained. [33] Turning the zodiac wheel, the old of days Chronos, master of ages, keeps on giving birth to and devouring his own children, regenerating and destroying, restraining and amplifying Nature's will and gifts. 15. CONCLUSIONS Throughout the millennia, biorhythms were defined and observed in order to preserve and restore health. A more sophisticated and precise identification and quantification of chronomes, designating the sum of such periodic life processes, was allowed by the conjoint progress of real science-based concepts and techniques applied to biology. Chronomedicine aims now at implementing time-scheduled investigations and therapies meant to improve human condition under both physiological and pathological circumstances. Living organisms display time-machine features. This whole-life gradual and/or instantaneous time travel is irreversible, constantly revealing the horizon immutable timelines, the anthropic and the entropic principles, the special spacetime geometries and the general relativity of things. The Universe multifaceted temporal dimension keeps on engendering endless controversies and solutions, revealing unexpected timing machines and clockwork behaviours. Mimicking Nature still remains the main engineering path to follow in medicine and technology. 16. 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