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Approaches to reducing mercury in North America.

This article provides a summary of the Environmental Protection Agency's role in reducing anthropogenic sources of mercury. These efforts are expected to substantially reduce both mercury releases and exposure. EPA is aware that mercury in the environment is complex and that it must work with programs in other federal agencies, state and local governments that address the mercury problem as well as partner with nongovernmental organizations and industry to reach these goals.

Environment↗

Epidemiology of depression (Europe and North-America).

The published prevalence rates of depressive disorders have steadily increased during the last 20 years. Despite many methodological and social cultural influences, the increase seems to be real and reasons for this trend are given. Among them, the increase of life expectancy, the urbanization, and the possibility for effective treatment are the most important. Among the interfering variables, symptom changes like actually from depression to anxiety should further be investigated.

Depressive Disorder↗

Peopling of northern North America: clues from genetic studies.

The paper reviews the archaeological evidence for the length of human occupation in N. America and raises the question whether single or multiple movements of people out of Asia into America occurred, pointing out that considerable genetic variation can occur in small isolated populations in relatively short periods of time. The entire subarctic culture area is populated by speakers of either Athapascan or Algonkian language families. The archaeologic record for tracing the origin of these linguistic groups depends on items of material culture and these have been used to trace the origin of the modern peoples back for a few thousand years. Comparison between groups based on genetic data suffers from unevenness of the data for various Athapascan-and Algonkian-speaking groups. The problem is made more difficult by the smallness of populations and inadequate sample size. The gene diversity measure H of Nei has been used on data for the Athapaskan Dogrib. It suggests that there was probably significant gene diversity present in sub-arctic groups in pre-contact times. Probably this is true also for the Algonkians as typified by the Ojibwa. Examination of the apportioned gene diversity shows that the bulk of the diversity exists within groups rather than between groups. Genetic clues to the peopling of the Americas derive from specific marker genes and from genetic distance statistics. The distribution of the Dia and the GmZa; b03st alleles suggest that Athapaskan genetic links are towards the Bering Sea area while Algonkian connections are towards the south. Nei's genetic distance statistic was calculated for 13 populations using 14 blood group and enzyme loci. The dendrogram derived from the D matrix shows that Eskimos and Chukchi cluster together, and the Athapaskans are closer to the Eskimos than are the Algonkians. These relationships could be valid if the origin of Eskimos goes back to a population of Asiatic Beringia and that populations north of the late Wisconsin ice sheets included a group that led to the Athapaskans whilst populations south of the Wisconsin ice sheet led to the Algonkians.

Anthropology, Physical↗

Ascaris infections in humans from North America: molecular evidence for cross-infection.

Cases of human Ascaris infection occur sporadically in areas such as N. America and Western Europe, where this parasite is thought to be non-endemic. Clinical case histories suggest that many of these cases may be cross-infections from pigs. I describe patterns of variation in the ribosomal DNA of Ascaris from 9 such cases. For comparative purposes, I also describe patterns of variation in parasites obtained from pigs and humans from worldwide locations. A Hae III restriction site distinguishes two classes of rDNA repeats; repeats bearing this restriction site were found in > 96% of parasites from pig populations worldwide and in all 9 worms from humans in N. America. In contrast, repeats bearing this restriction site were detected in < 2% of parasites from humans in endemic areas. The molecular data clearly incriminate pigs as the source of infection in the N. American cases. I discuss evolutionary and public health implications of incomplete host fidelity in Ascaris.

Adult↗

Analysis of the labial gland secretions of the male bumble bee Bombus perplexus Cresson (Hymenoptera: Apidae) from North America.

The labial gland secretions from males of the bumble bee Bombus (Pyrobombus) perplexus Cresson were analysed by gas chromatography/mass spectrometry (GC/MS) in the electron impact and positive ion chemical ionization mode. The major compound of the complex mixture of alkenols, alkenals, fatty acids, hydrocarbons, wax type esters and steroids is 3,7,11,15-tetramethyl-2,6,10-hexadecatrien-1-ol (geranylcitronellol), considerable amounts of hexadecan-1-ol and Z-9-hexadecen-1-ol were also found. All alcohols were present as esters of the detected acids. In older samples both the acids and the alcohols sometimes could not be detected in the GC; therefore, the possibility to check the detected acid-alcohol pattern by interpreting the wax type ester peaks is very instructive. Moreover, the labial gland contains a rich mixture of mono- and di-unsaturated straight chain hydrocarbons. The similarity in composition of the labial glands of the North American B. (Pyrobombus) perplexus with the Eurasian species B. (Pyrobombus) hypnorum corroborates the assumption that the two species are conspecific. The likely supposition that the hydrocarbons could play an essential role in the chemical communication in bumble bees is discussed.

Alcohols↗

Mini-review: history of organized teratology information services in North America.

A history of the Organization of Teratology Information Services (OTIS) is presented in context of the history of teratology information services. During the late 1970s, teratology information services grew out of the need for current and accurate information about fetal effects of environmental exposures in pregnancy. Over the next decade, teratology information services networked and collaborated, developing their own professional organization. A description of the activities of OTIS is described.

Female↗

Phylogenetic relationships among the Notharctinae of North America.

Study of over 1,000 specimens representing all notharctine genera and species leads to the conclusion that current concepts about the relationships of genera within the Notharctinae are incorrect. The following describes the more probable relationships among these genera. 1) Smilodectes and Notharctus are more closely related to each other than either is to any known early Eocene notharctine. Synapomorphies linking these genera include relatively narrow upper and lower molars, a relatively low-crowned P4, and paraconid size reduction on M1-3. 2) Among known Wasatchian notharctines, a clade consisting of Copelemur tutus and Cop. praetutus shares several lower molar synapomorphies with the Notharctus-Smilodectes clade, and therefore appears to form the Wasatchian sister group of Bridgerian notharctines. Synapomorphies documenting this relationship include well-developed entoconid notches on P4-M2, an anteriorly placed paraconid on M2, and a long premetacristid on M2. 3) Copelemur and Pelycodus are independently derived from early North American Cantius. Recent suggestions that the European adapine taxa Leptadapis priscus and Microadapis sciureus share special phylogenetic relationships with Smilodectes are rejected. The reduced (or lack of a) paraconid and morphology of the paracristid and other features identified as synapomorphies linking these adapines with Smilodectes are also characteristic of most other adapines as well (e.g., other species of Leptadapis, Adapis, Europolemur, and Anchomomys). Such traits developed independently in Smilodectes, which is clearly a notharctine on the basis of many synapomorphies and thus are not evidence of a close phylogenetic relationship between Smilodectes and L. priscus or M. sciureus.

Animals↗

Geographic distribution of rheumatoid arthritis in ancient North America: implications for pathogenesis.

The fifth centennial of Columbus stimulates renewed interest in New World origins of disease. The earliest documentation of rheumatoid arthritis was in the New World. Subsequent study of its distribution in the New World in antiquity defines localization to a very specific geographic region. The absence of rheumatoid arthritis in 63 archaeological sites surrounding the original "catchment area" and in five Old World sites, with documented spread over time, suggests that it is a vector (microorganism or allergen)-transmitted disease.

Arthritis, Rheumatoid↗

Clinical trials in North America.

Majority of patients with Hodgkin lymphoma are cured with current therapy. The short and long-term toxicity of therapy is a current issue, most especially the radiation-induced second tumors and cardiac abnormalities. Optimal therapy of advanced disease is being compared to ABVD (doxorubicin, bleomycin, vinblastine, dacarbazine). More intensive chemotherapy may result in higher response but greater toxicity. Regimens requiring radiotherapy are also at risk of long-term toxicity. New targeted biologic therapy is under current investigation.

Antineoplastic Combined Chemotherapy Protocols↗

Diffuse panbronchiolitis in North America. Report of three cases and review of the literature.

Diffuse panbronchiolitis is a disease largely restricted geographically to Japan. It is manifested clinically by an insidious onset of dyspnea, cough, and production of mucopurulent sputum. Histologically it is characterized by a suppurative bronchiolitis involving primarily the respiratory and terminal bronchioles with subsequent progression to bronchiolectasis. Pulmonary function tests show a mixed obstructive-restrictive pattern. This report presents two cases occurring in white patients and one in an Oriental immigrant to Canada.

Adult↗

The West Nile virus: its recent emergence in North America.

West Nile fever emerged in New York in the summer of 1999 when seven people, several horses and thousands of wild birds died. It was soon established that the human disease and the mortality of birds were related. Continued surveillance detected West Nile virus in mosquitoes, birds, horses, small mammals, bats and humans, and has shown its spread to several northeastern states. These events confirm the establishment of West Nile virus endemically in the United States.

Aged↗

Hemoglobin E: another cause of microcytic anemia in North America.

The influx of Southeast Asians has expanded the differential diagnosis of microcytic, hypochromic anemia in this country. We describe four patients with hemoglobin E, all of whom had microcytic, hypochromic anemia. Hemoglobin E is benign in both the heterozygous and homozygous states. On routine hemoglobin electrophoresis at pH 8.4, hemoglobin E will migrate near the hemoglobin C and hemoglobin A2 regions. If hemoglobin E is suspected, the laboratory should be advised to do electrophoresis on citrate agar at pH 6.3.

Anemia↗

Advancing injury prevention and trauma care in North America and globally.

Injury is a major global health problem. This article reviews ways in which the toll from injury can be lowered through the spectrum of injury control, including surveillance, prevention, and trauma care. There is room for improvement in the application of scientifically based, proved interventions at all points in the spectrum in all countries. The greatest attention is needed in low- and middle-income countries, however, where most of the world's people live, where injury rates are higher, and where few injury control activities have yet been undertaken.

Alcohol Drinking↗

An overview of occupational benzene exposures and occupational exposure limits in Europe and North America.

Benzene has become one of the most intensely regulated substances in the world. Its ubiquitous use as a solvent has led to many working populations being exposed; in the early days often in uncontrolled conditions, leading to high exposures. Current occupational exposures are tightly controlled and are largely confined to workers in the petrochemical industry, vehicle mechanics, firefighters, workers exposed to automobile emissions, and some other occupational groups. Typically, occupational exposure levels are currently at or below 3.25 mg/m3 (1 ppm), and environmental exposures are typically below 50 microg/m3 (15 ppb). Smoking remains a significant source of exposure in both occupationally and non-occupationally exposed individuals. The early experiences of high occupational exposures led to the identification of haematopoietic effects of benzene and the need for improved control and regulation. As with most occupational standards, there has been a reduction in exposure limits as effects have been identified at ever-lower levels, accompanied by a societal concern for improved standards of occupational health. In 1946, the United States occupational exposure limit for benzene, promulgated by the American Conference of Governmental Industrial Hygienists, was 325 mg/m3 (100 ppm), but nowadays most European and North American countries have harmonised at 1.63-3.25mg/m3 (0.5-1 ppm). This latter figure was agreed within the European Union in 1997 and was adopted within national legislation by all Member States. The data on which this limit is set are essentially the same as those used by other standard-setting committees; this is an excellent example of how standards are set using science, pragmatism and societal values in the absence of complete information.

Air Pollutants, Occupational↗

Brains of mole rats from Africa and North America.

The total brain size and quantitative brain composition have been analyzed in four bathyergids and two geomyids in comparison with those in two spalacids. These mole rats show encephalic features corresponding to their phyletic descent from the cricetids. Their diversity in brain organization suggests that, in spite of the seeming uniformity of their habitat the world over, they are narrowly adapted, a quantitative-to-qualitative relationship which only detailed eco-ethological information will be able to explain. The special case of the naked mole rat raises once again the problem of distinguishing evolution from specialization and relating brain development to social life.

Africa↗

Molecular phylogeny of Larrea and its allies (Zygophyllaceae): reticulate evolution and the probable time of creosote bush arrival to North America.

Nucleotide sequences of Rubisco Large Subunit (rbcL) and the internal transcribed spacers (ITS) of nrDNA were obtained for the five species of Larrea and one species each of Bulnesia (ITS only) and Plectrocarpa (rbcL only). Parsimony analyses were conducted, including sequences from seven genera of Zygophyllaceae reported by other authors-Kallstroemia, Zygophyllum, Augea, Fagonia, Pintoa, Guaiacum, and Porlieria. The main conclusions of the present study are (1) the Argentine endemic Plectrocarpa tetracantha belongs to the subfamily Larreoideae (New World Clade); (2) all three phylogenies obtained from rbcL, ITS, and combined data sets show a close relationship between the tetraploid L. cuneifolia (sect. Bifolium) and the diploid multifoliolate pair L. nitida-L. ameghinoi (sect. Larrea), which could result from a possible intersectional hybrid origin of the tetraploid; (3) L. divaricata (sect. Bifolium) and L. tridentata (sect. Bifolium) form a highly supported monophyletic group, which agrees with previous cytogenetic and molecular evidence; and (4) the rate of nucleotide substitution of rbcL was estimated based on geological and fossil records. Under the molecular clock hypothesis, nucleotide sequence divergence between L. divaricata and L. tridentata suggests a Late Neogene (8.4 to 4.2 mybp) time of arrival of the diploid ancestors of L. tridentata to North American deserts.

Cell Nucleus↗

[Evaluation of current mammography screening studies in Europe and North America].

The ancient randomized-controlled trials of breast cancer screening have offered clear evidence that invitation to participate in mammography screening with/without clinical examination is effective in breast cancer mortality reduction und underline the detection sensitivity of mammography. Recently published criticism of both the effect and fundamental data handling could be shown to be untenable. Randomized studies underestimate the effect while well-designed observational studies do not systematically overestimate the magnitude of the effect. To transform high-quality study results in all-day's practice is a hugh challenge, but affordable as has been demonstrated in Great-britain, the Netherlands and Sweden.

Cross-Cultural Comparison↗

New drugs of abuse in North America.

The term "drugs of abuse" usually brings to mind traditional street drugs, such as cocaine, heroin, marijuana, and methamphetamine. The drug scene, however, is constantly evolving. As various law enforcement agencies pursue and dismantle distribution and pro-duction organizations of the usual drugs of abuse, dealers and users are turning to less known, more accessible, and often currently licit substances. The widespread growth of the Internet with its vast distribution of information has increased the accessibility ofa host of substances and facilitated synthesis and production of various substances by individuals. This article discusses several new and emerging abused substances, including new synthetic variations, plants, and pharmaceuticals diverted for abuse.

Humans↗