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To many, the contents of this conference may not seem appropriate
at a time when the minds are preoccupied with a "population
explosion." To the participants and guests of this conference,
however, this was a week of fascinating discussions. While
quantitative aspects of reproduc tion were touched upon, it was
mostly a search for an understanding of the qualitative aspects of
reproduction and its failure. Only when we understand these more
completely will it be possible to render optimum care and have the
foundations for meaningful population control. The conference was
conceived in discussions at the Committee on Pathology of the
National Academy of Sciences, W"ashington, in 1965. It was felt
that investigators in medicine and the veterinary fields would
profit greatly from a closer liaison. All too frequently, we work
relatively isolated in our respective fields and, with the
burgeoning information filling our journals, we have not enough
time and leisure to stand back and attempt a comparative look at
the subject of study. Often we are not familiar with the techniques
other disciplines use, and which we could well employ to great
advantage., yhile this applies to many aspects of medicine, a
comparative approach to the study of reproductive failure seemed
most advantageous at this time."
The last decade has seen remarkable advances in human ge netics.
Once the correct chromosome number of the human genome was
ascertained, a wide variety of diseases was rec ognized as due to
numerical chromosome anomalies. There followed the discovery that
spontaneous abortions are the result of chromosome errors, and
specific band patterns of chromosomes allowed identification of
minute lesions. The techniques of cell hybridization now allow
specific gene assign ment to chromosomes and even to distinct loci
on their arms. All this was possible because of the ease with which
metaphase chromosomes can be obtained and manipulated. The much
older technique of analysis of meiotic chromosomes has taken a back
seat in this exciting era. Being much less readily accessi ble,
spermatogonial analysis is much less frequently under taken and is
less successful. Even more difficult for study is the female
meiotic process. Not only is meiosis extraordinar ily long,
spanning from before birth to ovulation, the tech niques for its
study and the patience required for detailed inquiry have been
significant obstacles. At the same time, the suspicion that female
meiotic analysis should not only be rewarding but that it may be
mandatory has been with us ever since it was recognized that a
positive correlation exists between chromosomal nondisjunction and
maternal age. Before the intricacies of chromosomal behavior that
are re sponsible for nondisjunction are understood, however, it is
necessary that we comprehend the normalcy of the process."
The patriarch of experimental pancreas research is REIGNIER DE
GRAAF (1641-1673). He carried out the first experiments with dogs
in order to ob tain fistular secretion (1664). But only few years
later, the just arisen interest in the physiology of the pancreas
was severely set back by remarks of CONRAD BRUNNER. In 1682,
BRUNNER expressed his belief that on the basis of experi ments he
had carried out the pancreas was a vitally unimportant organ. He
overlooked that after ligation of the main duct (discovered in the
turkey by HOFMAN in 1641 and in a human cadaver by WIRSUNG in
1642), in the dog an accessory duct (described by SANTORINI in
1724) usually maintains an adequate flow of secretion. EBERLE in
his monograph (1834) confirmed the emulsifying capacity of the
pancreatic juice which had already been suggested by SYLVIUS (FRAN
CISCUS DE LE BOE, 1614-1672) and he dealt with the essential
enzymatic functions of the pancreatic juice such as amylolysis,
lipolysis and proteolysis. Since HEIDENHAIN (1875), we know that
for example trypsin (largely isolated by KUHNE in 1867) is situated
in the acinar epithelial cells as zymogen in inactive form; it is
thought that the action of "acid" on the glandular tissue is needed
for inducing the "enzymatic activity." According to what we know
now about the central role of acidosis in the activation of zymogen
this topic is, of course, of topical interest."
Toxoplasmosis is a ubiquitous infection, contracted by at least a
third of the population in most areas of the globe. Clinical
disease arises rarely, usually unexpectedly, but sometimes with
disastrous effects on the patient. Humans, pets, farm and zoo
animals may contract toxoplasmosis, possibly involving any clinical
laboratory in its diagnosis. Pathologists must ponder the clinical
significance of a hyperplastic l. ymph node, a cyst found at
autopsy, or a serologic titer. Serving as scientific physicians,
pathologists are asked: How is toxoplasmosis diagnosed? 'What is
the treatment for ocular toxoplasmosis, for congenital infection,
or for toxoplasmosis in the immunologically compromised host? vVhy
does disease develop in as diverse areas as the eye, lymph nodes
and placenta? How is Toxoplasma transmitted? This review proposes
to survey recent advances, providing a scientific background to
diagnose and manage the clinical problems of toxoplasmosis. Reviews
are available which emphasize other aspects, such as serologic pro
cedures, resistance and immunity (REMINGTON, 1970), the clinical
syndromes (DESMONTS, '1969; FELDMAN, 1968) and comprehensive
presentations (JACOBS, 1967; FRENI{EL, '1970). Transmission and
Prevalence The recent discovery of the coccidian stages of
Toxoplasma in the cat intestine and the Toxoplasma oocyst excreted
in cat feces, considerably broadens our understanding of Toxoplasma
and its transmission (FRENKEL, DUBEY and MILLER, 1970)."
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