[Dental education at the crossroads. General considerations on the professional environment in North America].
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BACKGROUND: The study reported here was undertaken to assess the presence of antibodies to Sarcocystis neurona in the serum of horses of North American origin that had been relocated for 1 year or more to India (ie, outside of the known endemic areas for S. neurona). HYPOTHESIS: The presence or absence of such antibodies should provide information concerning the persistence of such antibodies, or support the presence of chronic infection, or both. ANIMALS: A total of 228 Thoroughbred horses were sampled in India, of which 86 were of North American origin that had been in India between 1 and 13 years, 124 were Indian-born horses that had never been out of India, 8 were of Irish origin, 8 were of English origin, and 2 were originally from France. METHODS: Sera were tested using established western blot analysis. RESULTS: Of the Indian-born horses, 0.8% were test positive, and of the North American horses, 42% were test positive. All of the English and Irish horses were test negative, and the 2 French horses were test positive. CONCLUSIONS AND CLINICAL IMPORTANCE: These data indicate that antibodies against S. neurona can be detected for many years after horses have been removed from an endemic area and that this may be attributable to long half-life of the antibodies or to chronic infection and ongoing antibody production, or both.
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Diabrotica v. virgifera LeConte (Coleoptera: Chrysomelidae), (in short D.v.v.), with common name western corn rootworm, is endemic to the New World. Originating in the regions from South America to Mexico where it was in biological equilibrium with its natural enemies, predators and pathogens, it moved north with its food plants. Probably due to human agricultural farm practices with preference for monoculture of maize, the insect found open niches for expanding to the midwestern US where LeConte first described the species in Nebraska in 1867. Cyclodiene insecticide resistance, discovered in 1961, accelerated its spread and movement across the Great Plaines to the Atlantic Coast where it arrived around 1980. D.v.v. is a costly adversary to maize, to cucurbit, and, because of recent hostshifts, a threat to soybean production. Booming air travel and shipments of goods by air provided opportunities for D.v.v., without its natural enemies, to invade Europe where the insect was first described by F. Baca in 1993 near Belgrade airport (Baca 1993, Camprag & Baca 1995). From this focal point, D.v.v. expanded its range in all directions. Ten years later, in 2002, most of southeastern Europe has D.v.v. populations, some of them reaching economic damage levels such as those in Serbia, Croatia, and Hungary. New spot infestations in Northern Italy (Veneto, Lombardy, Piemonte) and in the Ticino region of Southern Switzerland, but also in Austria, Slovakia, Czechia, the Ukraine, even France, signal the final arrival of D.v.v. in Central Europe. The Alps, formerlyconsidered a natural barrier, might be circumvented or trespassed via air and road traffic. Model calculations by Baufeld and Enzian (2003) show that climatic and survival conditions are favorable for D.v.v. in all of Central Europe. Yet, in spite of well known annual losses of one billion dollars in the US, an effective and sustainable European strategy for keeping D.v.v. in check is still missing.
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A questionnaire survey has been made of the life effects of narcolepsy in 180 patients, 60 each from North American, Asian and European populations, with 180 similarly distributed age and sex matched controls. Life-effects were attributed by the patients to the primary symptoms of excessive daytime drowsiness, sleep attacks, cataplexy, vivid hypnagogic hallucinations and sleep paralysis, and also to other frequent symptoms such as visual problems (blurring, diplopia) and memory impairment. Occupational problems were prevalent (over 75%) and included statistically significant deleterious effects upon performance, promotion, earning capacity, fear of or actual job loss and increased disability insurance. Driving was greatly affected and patients fell asleep at the wheel more frequently (66%), had near or actual accidents from drowsiness or falling asleep at the wheel (67%), and could experience cataplexy (29%) or sleep paralysis (12%) while driving. Work or home accidents attributed to sleepiness or sleep (49%) or related to smoking (49%) were much more common in patients. There were also deleterious effects on education, recreation and personality related to disease. Narcolepsy can produce a variety of life-effects probably more serious and pervasive than, for instance, those of epilepsy, therefore emphasizing the importance of early diagnosis and treatment.
This paper contains an account of the clinical applications of the scanning electron microscope (SEM) in North American based on the available literature and personal experience. The role of SEM's contributions through comparative microscopy is stressed rather than a definitive diagnostic role. (Few tests are definitive) Therefore, situations where the application of SEM has been beneficial in day to day diagnostic problems are cited using the imaging modes of SEM as a format. The role of SEM in studying autopsy material is not discussed. Autopsy material has both strengths and weakness, as well as a special time frame, and is worthy of its own separate discussion.