“…The benefits and limitations, e.g. the 'open view' and rapidity of the individual EM diagnosis on the one hand and the need for high particle concentrations resulting in relatively low sensitivity of diagnostic EM on the other hand have been discussed in many reports (Gardner, 1977;Hsiung et al, 1979;Almeida, 1979;Kjeldsberg, 1980;Field, 1982;Almeida, 1983;Flewett, 1985; and Martin, 1988b;Miller and Howell, 1997;Gelderblom et al, 1991;Mahony and Chernesky, 1991;Landry and Hsiung, 1994;Chrystie, 1996;Madeley, 1995;Biel and Gelderblom, 1997). Today, the benefits of diagnostic EM can range from null to remarkably high, depending on the diagnostic problem itself.…”