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Rapid population decline in red knots: fitness consequences of decreased refuelling rates and late arrival in Delaware Bay.

Most populations of migrant shorebirds around the world are in serious decline, suggesting that vital condition-dependent rates such as fecundity and annual survival are being affected globally. A striking example is the red knot (Calidris canutus rufa) population wintering in Tierra del Fuego, which undertakes marathon 30,000 km hemispheric migrations annually. In spring, migrant birds forage voraciously on horseshoe crab eggs in Delaware Bay in the eastern USA before departing to breed in Arctic polar deserts. From 1997 to 2002 an increasing proportion of knots failed to reach threshold departure masses of 180-200 g, possibly because of later arrival in the Bay and food shortage from concurrent over-harvesting of crabs. Reduced nutrient storage, especially in late-arriving birds, possibly combined with reduced sizes of intestine and liver during refuelling, had severe fitness consequences for adult survival and recruitment of young in 2000-2002. From 1997 to 2002 known survivors in Delaware Bay were heavier at initial capture than birds never seen again, annual survival of adults decreased by 37% between May 2000 and May 2001, and the number of second-year birds in wintering flocks declined by 47%. Population size in Tierra del Fuego declined alarmingly from 51,000 to 27,000 in 2000-2002, seriously threatening the viability of this subspecies. Demographic modelling predicts imminent endangerment and an increased risk of extinction of the subspecies without urgent risk-averse management.

Age Factors↗

Bacterial diversity of metagenomic and PCR libraries from the Delaware River.

To determine whether metagenomic libraries sample adequately the dominant bacteria in aquatic environments, we examined the phylogenetic make-up of a large insert metagenomic library constructed with bacterial DNA from the Delaware River, a polymerase chain reaction (PCR) library of 16S rRNA genes, and community structure determined by fluorescence in situ hybridization (FISH). The composition of the libraries and community structure determined by FISH differed for the major bacterial groups in the river, which included Actinobacteria, beta-proteobacteria and Cytophaga-like bacteria. Beta-proteobacteria were underrepresented in the metagenomic library compared with the PCR library and FISH, while Cytophaga-like bacteria were more abundant in the metagenomic library than in the PCR library and in the actual community according to FISH. The Delaware River libraries contained bacteria belonging to several widespread freshwater clusters, including clusters of Polynucleobacter necessarius, Rhodoferax sp. Bal47 and LD28 beta-proteobacteria, the ACK-m1 and STA2-30 clusters of Actinobacteria, and the PRD01a001B Cytophaga-like bacteria cluster. Coverage of bacteria with > 97% sequence identity was 65% and 50% for the metagenomic and PCR libraries respectively. Rarefaction analysis of replicate PCR libraries and of a library constructed with re-conditioned amplicons indicated that heteroduplex formation did not substantially impact the composition of the PCR library. This study suggests that although it may miss some bacterial groups, the metagenomic approach can sample other groups (e.g. Cytophaga-like bacteria) that are potentially underrepresented by other culture-independent approaches.

Actinobacteria↗

Aerobic anoxygenic photosynthesis genes and operons in uncultured bacteria in the Delaware River.

Photosynthesis genes and operons of aerobic anoxygenic photosynthetic (AAP) bacteria have been examined in a variety of marine habitats, but genomic information about freshwater AAP bacteria is lacking. The goal of this study was to examine photosynthesis genes of AAP bacteria in the Delaware River. In a fosmid library, we found two clones bearing photosynthesis gene clusters with unique gene content and organization. Both clones contained 37 open reading frames, with most of those genes encoding known AAP bacterial proteins. The genes in one fosmid were most closely related to those of AAP bacteria in the Rhodobacter genus. The genes of the other clone were related to those of freshwater beta-proteobacteria. Both clones contained the acsF gene, which is required for aerobic bacteriochlorophyll synthesis, suggesting that these bacteria are not anaerobes. The beta-proteobacterial fosmid has the puf operon B-A-L-M-C and is the first example of an uncultured bacterium with this operon structure. The alpha-3-proteobacterial fosmid has a rare gene order (Q-B-A-L-M-X), previously observed only in the Rhodobacter genus. Phylogenetic analyses of photosynthesis genes revealed a possible freshwater cluster of AAP beta-proteobacteria. The data from both Delaware River clones suggest there are groups of freshwater or estuarine AAP bacteria distinct from those found in marine environments.

Aerobiosis↗

The Delaware School Health Advisory Committee.

For nearly 40 years, the Delaware School Health Advisory Committee (SHAC) has been improving school health education and school health services in the state. The SHAC has recommended policies to the Delaware Board of Education and the state legislature, conducted conferences and workshops, and published brochures, studies, resource guides, curricula, and pamphlets. The key to SHAC success has been its diverse membership and the cooperation it engendered in the state.

Adolescent↗

Assimilation of polysaccharides and glucose by major bacterial groups in the Delaware Estuary.

The contribution of major bacterial groups to the assimilation of extracellular polymeric substances (EPS) and glucose in the Delaware Estuary was assessed using microautoradiography and fluorescence in situ hybridization. Bacterial groups contributed to EPS and glucose assimilation in part according to their distribution in the estuary. Abundance of the phylogenetic groups explained 35% and 55% of the variation in EPS and glucose assimilation, respectively. Actinobacteria contributed 70% to glucose assimilation in freshwater, while Alphaproteobacteria assimilated 60% of this compound in saline water. In contrast, various bacterial groups dominated the assimilation of EPS. Actinobacteria and Betaproteobacteria contributed the most in the freshwater section, whereas Cytophaga-like bacteria and Alpha- and Gammaproteobacteria participated in EPS assimilation in the lower part of the estuary. In addition, we examined the fraction of bacteria in each group that assimilated glucose or EPS. Overall, the fraction of bacteria in all groups that assimilated glucose was higher than the fraction that assimilated EPS (15 to 30% versus 5 to 20%, respectively). We found no correlation between the relative abundance of a group in the estuary and the fraction of bacteria actively assimilating glucose or EPS; the more active groups were often less abundant. Our results imply that the bacterial community in the Delaware Estuary is not controlled solely by "bottom-up" factors such as dissolved organic matter.

Actinobacteria↗

Comparing a computer-based childhood vaccination registry with parental vaccination cards: a population-based study of Delaware children.

We conducted a population-based study in Delaware to examine the reliability of childhood vaccination data in a comprehensive computer-based record system versus parental vaccination cards. We sampled 1,005 children born between January, 1991, and September, 1993. We oversampled for children whose mothers received Medicaid or were uninsured at the time of delivery. Of the survey responders, 276 (56%) had access to written records, and 409 (83%) records were located in the Delaware immunization computer database. The kappa coefficient was 0.18. The observed agreement was 59.8%. When the two databases were combined, the up-to-date rate for 2-year-olds was 58.4%, an increase of 12.7% and 24.2% from the computer database and the parental records, respectively. The computer database was 78.1% sensitive and the parental records were 54.9% sensitive. These results indicate that a comprehensive computer-based record system, with adequate provider participation and proper data management, can be more reliable than parental vaccination cards.

Child↗

Managed geropsychiatric unit opens. Delaware Valley Medical Center repositions its services for older adults.

An analysis of the numbers showed Delaware Valley Medical Center that its existing adult psychiatric unit was no longer making a positive contribution to the hospital's long-term goals. At the same time, other statistics indicated a growing need--both nationally and locally--for geropsychiatric services fueled by the increased lifespan of Americans. Following a market analysis, the hospital set a long-term goal to increase its visibility and impact within the elder community of Lower Bucks County, Pa. It did so, in October 1994, by opening the Behavioral Health Center for Older Adults. Since its opening, the center has steadily increased inpatient admissions, operating at capacity several times during the fourth quarter of operation. By repositioning psychiatric services at Delaware Valley with the aid of a management company, the medical center is now seen as the county's premier provider of geropsychiatric services.

Aged↗

Utilization of dental services and preventive oral health behaviors among preschool-aged children from Delaware.

PURPOSE: This study evaluated factors associated with age-appropriate dental care utilization and preventive behaviors among preschool-aged children in Delaware. METHODS: In June 1994, child health questionnaires were mailed to a simple random sample of 1,005 Delaware caregivers whose children were ages 6 to 36 months. RESULTS: Only 12% of children > or = 12 months old had been to the dentist. Child's race, maternal education, maternal age, dental insurance, having a regular place for medical care, receiving information on tooth care from medical personnel, and family income were not associated with having a dental visit. CONCLUSIONS: Improving information provided to caregivers and health professionals on appropriate timing of dental services and preventive dentistry is recommended to enhance oral health for preschool-aged children.

Chi-Square Distribution↗

Delaware's first serial killer.

The violent murder of Shirley Ellis on November 29, 1987, marked the beginning of the strange and terrible tale of Steven Bryan Pennell's reign as the state of Delaware's first convicted serial killer. Three more bodies followed the first victim, and all had been brutally beaten and sadistically tortured. The body of a fifth woman has never been found. State and county police collaborated with the FBI to identify and hunt down their suspect, forming a task force of over 100 officers and spending about one million dollars. Through their knowledge and experience with other serial killers, the FBI was able to make an amazingly accurate psychological profile of Delaware's serial killer. After months of around-the-clock surveillance, Steven Pennell was arrested on November 29, 1988, one year to the day after the first victim was found. Pennell was found guilty in the deaths of the first two victims on November 29, 1989, and plead no contest to the murder of two others on October 30, 1991. Still maintaining his innocence, he asked for the death penalty so that he could spare his family further agony. Steven Pennell was executed by lethal injection on March 15, 1992.

Delaware↗

Newborn screening in Delaware.

Newborn screening for metabolic, hematologic, and endocrinologic disorders is a well-established public health function. Recent technological advances have made screening possible for more disorders. For many of these disorders, there is evidence that screening is effective; however, some of these disorders are rare, and their response to therapy and their natural history are not completely understood. A number of states have instituted "expanded" newborn screening utilizing a combination of established and new technologies. Other states, including Delaware, have studied the experiences of the states doing expanded screening and have decided to proceed with expanded screening as well. Since early 2003, Delaware has been screening newborns for about 25 disorders, including amino acidopathies, organic acidurias, fatty acid oxidation disorders, hemoglobinopathies, and endocrinopathies.

Delaware↗

Delaware Emergency Medical Services System: cardiac resuscitation.

The Delaware EMS system has been in existence for 20 years. Initially begun as one paramedic unit serving New Castle County, it now comprises 15 units in a statewide system. The goal of this report is to detail the EMS system's impact on prehospital cardiac resuscitation and airway management. Emergency Medical Services (EMS) encompass all aspects of managing a sick or injured patient prior to arrival to the hospital. From the time a patient dials 911 until they arrive in the care of a doctor in an emergency room, the EMS system provides initial medical evaluation and care as well as transportation to the hospital. The components of Delaware's EMS system include: 1. Bystanders--the public is often called upon to perform CPR until trained rescuers arrive. 2. Medical Dispatchers--they receive incoming 911 calls and determine the personnel needed. 3. First responders--ambulance crews trained in basic life support (BLS). 4. Second responders--ambulance crews trained in advanced life support (ALS), paramedics. 5. Medical Control--doctors who are in radio contact with paramedics to provide medical advice.

Adult↗

Psychosocial oncology in Delaware: advances in treating cancer-related distress.

This article introduces the field of psychosocial oncology, which is a subspecialty within the larger field of oncology. Data from randomized, controlled clinical trials are presented to support the use of behavioral therapeutic methodologies in the management of affective distress in Delaware's cancer patient population. The article is completed with a description of two innovative psychosocial programs that are new to Delaware.

Affective Symptoms↗

Cercarial dermatitis outbreak at a state park--Delaware, 1991.

On October 28, 1991, an employee of the Division of Public Health (DPH), Delaware Department of Health and Social Services, reported that her son and at least 10 other persons who had recently participated in a high school biology class field trip to Cape Henlopen State Park had contracted pruritic dermatitis. The Delaware Health Monitoring and Program Consultation Section conducted an investigation to confirm the reported presumptive diagnosis of cercarial dermatitis and to assess the extent of this outbreak.

Adolescent↗

Homicide mortality in Delaware: variations by age, race and sex.

Recently, the subject of violence and its consequences has garnered increasing media attention. Health professionals and policy makers have also expressed concern about violence in our society. There are ample scientific data that illustrate the magnitude of the problem of violent death, especially among young males, in the United States. This article presents available mortality data indicating the magnitude of the problem of violent death among Delaware residents. In specific, the discussion examines variations by age, race, and sex and reveals that Delaware mortality rates for Homicide and Legal Intervention are significantly lower than U.S. rates, especially among black males.

Adolescent↗

Fatal injury surveillance report, Delaware, 1990. Head and spinal cord injuries.

The Delaware Disabilities Prevention Program is funded through a five-year Centers for Disease Control and Prevention (CDC) grant to prevent primary and secondary disabilities associated with mental retardation and low socioeconomic status; head and spinal cord injuries; and sickle cell disease. This report focuses on fatal head and spinal cord injuries. Death certificates and autopsy reports from 1990 were the data sources used for this study. In 1990, 122 fatal head injuries and 20 fatal spinal cord injuries occurred among Delaware residents. Eight of these individuals experienced both head and spinal cord injuries. Motor vehicle crashes caused the majority of both head and spinal cord deaths. Suicides, homicides, and falls were the other major causes of fatal head injuries. Deaths are only the tip of the injury iceberg. Head and spinal cord injuries can cause lifelong disabilities affecting family, friends, and the entire community.

Accidents, Traffic↗

Observations about cancer and implications for cancer control in Delaware.

Cancer is a provocative disease, made more so in Delaware because of our high cancer mortality rates. Information made available to the public is often insufficient to form a balanced perspective about the causes of cancer and appropriate interventions. Four observations are offered to guide communication and to consider in the development of cancer-related public health programs. These are: (1) focusing on our cancer mortality rank obscures important information; (2) four sites are responsible for most of the cancer in Delaware; (3) cancer intervention are based on common sense; and (4) there are limitations to what can be done to control cancer.

Delaware↗

An epidemiologic and entomologic investigation of a cluster of Rocky Mountain spotted fever cases in Delaware.

BACKGROUND: Rocky Mountain spotted fever (RMSF) continues to be the most common fatal tick-borne illness in the United States. In August of 1996, four children attending a summer camp in Delaware were diagnosed with RMSF. This report summarizes the results of the epidemiologic and entomologic investigation conducted by the Delaware Division of Public Health and the Centers for Disease Control and Prevention regarding this cluster of RMSF cases. Epidemiologic and clinical aspects of RMSF, as well as previously reported clusters of the disease, are also reviewed. METHODS: A questionnaire regarding symptoms and activities was administered via telephone to 163 (73 percent) of the 223 attendees. A suspected case was defined as an illness in a person attending the camp between August 11 and 17 that occurred during the two-week period following the session, characterized by either 1) fever with one or more symptoms (i.e., headache, rash, myalgia, or fatigue) or 2) no fever with two or more symptoms. Cases of RMSF were confirmed by serologic evaluation. RESULTS: Seven of 13 patients with suspected RMSF submitted sera for testing. Four patients had confirmed RMSF; three were males, and the median age was 12.5 years compared with 12 years for all attendees. All confirmed patients reported fever, headache, fatigue, and rash. An increased risk of becoming ill was associated with overnight camping at site A (Odds Ratio (OR) undefined, p = 0.02), visiting or overnight camping at site B (OR undefined, p = 0.003 and 0.002), and leaving the trails when hiking (OR undefined, p = 0.02). CONCLUSIONS: These data suggest that development of RMSF was associated with visiting or camping at specific sites and behavior likely to increase contact with ticks. Camp supervisors were advised to educate campers regarding tick bite prevention measures, reduce underbrush around campsites, and encourage campers to remain on the trails. Health care providers should remain aware of the increased risk for RMSF during the spring, summer, and fall months.

Animals↗

Evaluation of the duration of sperm fertilizing ability in five lines of commercial broiler breeder and Delaware cross males.

The ability to characterize the reproductive potential of male fowl can be affected by a number of factors, including age, type, insemination scheme, and number of sperm inseminated. Fertility is a complex interaction of traits involving two individuals of differing genetic composition: In modern broiler breeders, selected predominantly for growth and carcass characteristics, fertility problems may be exacerbated. In order to evaluate the male components of fertility, an experiment investigating the effects of male line on both average fertility and the duration of fertility was completed. Male chicks from five commercial broiler breeder male lines or sired by subfertile Delaware cross roosters were reared to adulthood. Between 30 and 60 wk of age, semen was collected from five males per line, extended and used to inseminate each of 10 to 12 hens from four broiler breeder female lines or Single Comb White Leghorn hens with 80 x 10(6) live sperm. Following a single insemination eggs were collected for 21 d and fertility determined by visual inspection following 4 d incubation. The percentages of live sperm and overall fertility data for the replicate trials were analyzed, following transformation, with a linear model and daily fertility data were analyzed by iterative least squares regression. Whereas there were large differences in fertility among individual males (durations from 3.4 to 14.5 d) within a line, there were no significant male line or replicate effects on overall fertility or the duration of fertility. However, there was a significant (P < 0.05) line-dependent reduction in the percentage of live sperm in broiler breeder males, with the subfertile Delaware cross males being intermediate. There were no significant female line or replicate effects on the duration of fertility; however, there were significant female line effects on overall fertility at both 7 and 21 d. These data suggest that although individual males varied widely, there were no male line effects on the duration of fertility in the lines of broiler breeders evaluated when analyzed by iterative least squares. Furthermore, these data suggest that although females may have significant affects on overall fertility, the duration of fertility appears to be a predominantly male characteristic. Therefore, iterative least squares regression may be a useful tool for identifying males with superior sperm fertilizing ability.

Animals↗