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Primary ciliary dyskinesia and heterotaxy are rare but not mutually exclusive disorders, which result from cilia dysfunction. Heterotaxy occurs in at least 12.1% of primary ciliary dyskinesia patients, but the prevalence of primary ciliary dyskinesia within the heterotaxy population is unknown. We designed and distributed a web-based survey to members of an international heterotaxy organisation to determine the prevalence of respiratory features that are common in primary ciliary dyskinesia and that might suggest the possibility of primary ciliary dyskinesia. A total of 49 members (25%) responded, and 37% of the respondents have features suggesting the possibility of primary ciliary dyskinesia, defined as (1) the presence of at least two chronic respiratory symptoms, or (2) bronchiectasis or history of respiratory pathogens suggesting primary ciliary dyskinesia. Of the respondents, four completed comprehensive, in-person evaluations, with definitive primary ciliary dyskinesia confirmed in one individual, and probable primary ciliary dyskinesia identified in two others. The high prevalence of respiratory features compatible with primary ciliary dyskinesia in this heterotaxy population suggests that a subset of heterotaxy patients have dysfunction of respiratory, as well as embryonic nodal cilia. To better assess the possibility of primary ciliary dyskinesia, heterotaxy patients with chronic oto-sino-respiratory symptoms should be referred for a primary ciliary dyskinesia evaluation.
In the waning days of the 1924–5 school year, John Thomas Scopes, a young teacher filling in for the regular biology teacher in Dayton, Tennessee, assigned reading from Hunter's Civic biology to prepare students for their final examination. This came after Tennessee had passed a law in March 1925 outlawing the teaching of evolution. Scopes was put on trial and convicted, and subsequently became a symbol of the (perceived) ongoing warfare between science and religion. Scopes was hailed by some as a martyr to intellectual freedom, compared to the likes of Socrates and Galileo. Often linked with the phrase ‘Monkey Trial’, the name ‘Scopes’ also became a label of derision by those who saw in evolution an irreligious and immoral doctrine. It has been immortalized in folk songs, on Broadway, and on the silver screen, and there is no doubt that the Scopes trial remains one of the best-known and most significant events in the history of science and religion in the United States. Because of two men – Clarence Darrow and William Jennings Bryan, whose debate over the truth of the Bible and its relationship to science captivated the country and was reported throughout the world – the Scopes trial has frequently been described as ‘the trial of the century’. Even as the twentieth century has given way to the twenty-first, interest in the trial has shown no sign of waning.
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