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McLeman, Robert A., Juliette Dupre, Lea Berrang Ford, James Ford, Konrad Gajewski, and Gregory Marchildon (2014) What We Learned from the Dust Bowl: Lessons in Science, Policy, and Adaptation. Population and Environment 35: 417-440

Loss and degradation of migratory stopover habitat and impacts of human activity at important stopover areas such as the Lower Mississippi Valley and Texas Gulf Coast

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These are most likely also explained by differences in initiated states and different protocols and induction methods

While it is still important to make sure those cases are biopsied appropriately in the nail matrix and sent for evaluation with experienced dermatopathologists, these are not the cases that serve as a diagnostic challenge