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Accumulation patterns of polychlorinated biphenyl congeners and organochlorine pesticides in Steller's sea eagles and white-tailed sea eagles, threatened species, in Hokkaido, Japan.

Polychlorinated biphenyls (PCBs), including coplanar congeners, hexachlorocyclohexane isomers, chlordane-related compounds, and hexachlorobenzene, were found in the breast muscle of Steller's sea eagles (SSE) and white-tailed sea eagles (WSE) threatened species, collected in Hokkaido, Japan, during the two years from 1998 to 1999. Both PCBs and DDTs were the most notable compounds, with concentrations one to two orders of magnitude higher than the other compounds, that is, from 120 to 39,000 and from 68 to 15,000 ng/g wet weight, respectively. Non-ortho (International Union of Pure and Applied Chemistry [IUPAC] 77, 126, and 169) and mono-ortho (IUPAC 105, 118, and 156)-substituted coplanar PCB congeners amounted to 9.2 to 740 pg/g of 2,3,7,8-tetrachlorodibenzo-p-dioxin toxic equivalents derived from the World Health Organization, Paris, France (WHO), toxic equivalent factors. The atmospheric PCBs and DDTs in eastern Siberian cities, such as Khabarovsk and Magadan, have been reported to be much higher than Hokkaido and the North Pacific. Thus, we speculated that the eagles might have been contaminated in these areas, where they spend most of the year except winter, which they spend in eastern Siberia. Adult eagles accumulated more PCBs and DDTs than younger ones. The patterns of PCB congeners were also found to change, depending on the age of the eagle examined; adult eagles showed relatively higher proportions of highly chlorinated PCBs thanjuvenile eagles did. This difference would be related to the efficiency of the excretion and the metabolism of each PCB congener in the eagles.

Age Factors↗

Herring gulls and great black-backed gulls as indicators of contaminants in bald eagles in Lake Ontario, Canada.

In 2000, a pair of bald eagles (Haliaeetus leucocephalus) nested successfully along the shorelines of Lake Ontario in North America for the first time since 1957. However, it is a continuing question whether bald eagles will be able to reproduce successfully as they return to nest on Lake Ontario. Great black-backed gulls (Larus marinus) and herring gulls (L. argentatus) were selected as surrogate species to predict contaminant levels in eggs of bald eagles nesting on Lake Ontario. Because of the suspected overlap in the diets of great black-backed gulls and bald eagles (i.e., fish, gull chicks, and waterfowl), the two species probably occupy a similar trophic level in the Lake Ontario food web and, thus, may have similar contaminant levels. Fresh great black-backed gull and herring gull eggs were collected from three study sites in eastern Lake Ontario in 1993 and 1994 and analyzed for contaminants. Average contaminant levels of dichlorodiphenyldichloroethane (p,p'-DDE), total polychlorinated biphenyls (PCBs), and dieldrin in great black-backed gull eggs were 12.85, 26.27, and 0.27 microg/g, respectively. The mean ratio of contaminant levels in great black-backed gull eggs to contaminant levels in herring gull eggs for these three contaminants was 2.09 (range of means, 1.73-2.38). Predicted levels of contaminants in bald eagle eggs in Lake Ontario would be expected to be similar to the mean levels reported for great black-backed gull eggs. As a comparison, contaminant levels in bald eagle eggs collected from other Great Lakes nesting sites were compared to mean levels reported for herring gull eggs collected from nearby sites in 1986 to 1995. The mean ratio of contaminant levels in bald eagle eggs to contaminant levels in herring gull eggs from these sites for DDE, total PCBs, and dieldrin was 2.40 (range of means, 1.73-3.28). These ratios are very similar to those reported using great black-backed gull eggs, illustrating the apparent similarity in trophic status shared by the two top predator species at these Great Lakes sites. Predicted levels of contaminants in bald eagle eggs at Lake Ontario are similar to levels reported for bald eagles breeding at other Great Lakes sites, suggesting that bald eagles may be able to breed on the shores of Lake Ontario. However, it is unclear at this time what level of breeding success should be expected, given that productivity at other similarly contaminated Great Lakes sites may be below that required to sustain a successful breeding population. The absence of an inland bald eagle population from which bald eagles may begin to colonize the shorelines of Lake Ontario may be delaying initiation of nesting site selection; other factors such as habitat and prey availability would likely not limit reproductive success.

Animals↗

eagle, a member of the steroid receptor gene superfamily, is expressed in a subset of neuroblasts and regulates the fate of their putative progeny in the Drosophila CNS.

We isolated and characterized the eagle gene, encoding a member of the steroid receptor superfamily in Drosophila. In the central nervous system eagle RNA was expressed in a limited number of cells. During stages 10 and 11, eagle RNA expression was observed in four neuroblasts, NB2-4, NB3-3, NB6-4 and NB7-3. Except for NB6-4, eagle RNA expression reached a maximum at the very beginning of expression or in the period of neuroblast delamination. Weak eagle RNA expression was also observed in a few putative progeny of NB7-3 during stages, late 11 and 12. All eagle RNA in abdominal segments disappeared at stage 13. Using an eagle-kinesin-lacZ fusion gene as a reporter, the division, migration, and axonogenesis in eagle-positive cells and their derivatives were examined. At stage 14, several types of neural or glial cells were detected which include EG and EW interneurons joining to the anterior and posterior commissures, respectively. Lack of eagle expression caused altered axonogenesis in an appreciable fraction of eagle-Kinesin-LacZ-positive neurons. Some EG cells failed to acquire the neural fate or underwent an extremely delayed differentiation, while EW neurons produced neurites in abnormal directions, suggesting that eagle may play a critical role in development of the progeny of eagle-positive neuroblasts.

Amino Acid Sequence↗

Epidemiology of Great Lakes bald eagles.

Historical data are provided to support the hypothesis that organochlorine chemicals introduced into the Great Lakes ecosystem following World War II are the cause of reproductive loss among bald eagles (Haliaeetus leucocephalus) in the basin. This is supported with data on concurrent population fluxes of extrabasin North American bald eagle populations and the European white-tailed sea eagle (Haliaeetus albicillus) where the same chemicals were produced and released. Organochlorine chemicals appear as a unique stress on Great Lakes bald eagle populations when compared with stresses on successful populations of bald eagles continentwide. Shoreline birds bear significantly higher concentrations of these persistent toxics than inland birds. Association between contaminated prey and elevated concentrations of PCBs, DDT, and DDE in Great Lakes bald eagles are presented. A fledging ratio is used to support the hypothesis that maternal prezygotic exposure affects the viability of embryos and chicks. The ratio of the mean number of fledglings per successful territory to the mean number of fledglings per active territory, when the numerator is greater than 1.4, provides an index of exposure to contaminants by parental animals and affected offspring. When the ratio is greater than 2, parental exposure to organochlorine chemicals should be considered. The adverse effects of prezygotic exposure to the same contaminants in other animal species dependent upon Great Lakes fish, and extrabasin bald eagle populations dependent upon contaminated fish, provide consistency to the argument. The mechanism of action of the organochlorine chemicals further strengthens the causal argument indicting DDT, DDE, and PCBs. A strong association between DDT/DDE and bald eagle reproductive success is provided. However, the role of PCBs is not ruled out. Only data for total PCB concentrations in bald eagle tissue are available, and until specific PCB congeners are quantified there will be uncertainty concerning PCB's role in the Great Lakes bald eagle's lack of success.

Animals↗

Mercury residues in livers of bald eagles (Haliaeetus leucocephalus) found dead or dying in British Columbia, Canada (1987-1994).

Postmortem examinations were conducted on 82 bald eagles (Haliaeetus leucocephalus) found dead or dying in British Columbia, Canada, from 1987 to 1994. As part of the examination, livers were analyzed for total mercury (Hg) content, as well as methylmercury (meHg) and selenium (Se) in selected individuals. In total, 67 eagles were classed as having low Hg exposure [total Hg liver residues ranging from 0.5 to 17.2 mg/kg dry weight (dw)]. Fourteen eagles were moderately exposed (liver residues ranging from 19.2 to 36.8 mg/kg Hg dw). One eagle was judged to have died of Hg poisoning, with a total liver Hg content of 130.3 mg/kg dw, of which approximately 77% was meHg. The poisoned eagle and most of the exposed eagles were found in locations where effluent from pulp and paper processing plants is discharged along the British Columbia coast. In total, 6% of eagles examined died as a result of acute metal toxicosis (one from Hg poisoning, four from lead poisoning), in comparison to 72% dying from trauma (electrocution, vehicle/power line collision, eagle attack, trap, gunshot, drowning, and asphyxiation) and 11% from disease. The cause of death was undetermined in the remaining 11% of eagles.

Animals↗

Species variation in osmotic, cryoprotectant, and cooling rate tolerance in poultry, eagle, and peregrine falcon spermatozoa.

Potential factors influencing spermatozoa survival to cryopreservation and thawing were analyzed across a range of the following avian species: domestic chicken (Gallus domesticus), domestic turkey (Meleagris gallopavo), golden eagle (Aquila chrysaetos), Bonelli's eagle (Hieraaetus fasciatus), imperial eagle (Aquila adalberti), and peregrine falcon (Falco peregrinus). Studies focused on spermatozoa tolerance to the following: 1) osmotic stress, 2) different extracellular concentrations of the cryoprotectant dimethylacetamide (DMA), 3) equilibration times of 1 versus 4 h, 4) equilibration temperature of 4 versus 21 degrees C, and 5) rapid versus slow cooling before cryopreservation and standard thawing. Sperm viability was assessed with the live/dead stain (SYBR-14/propidium iodine). Sperm viability at osmolalities >/=800 mOsm was higher (P: < 0.05) in raptor than poultry semen. Return to isotonicity after exposure to hypertonicity (3000 mOsm) decreased (P: < 0.05) number of viable spermatozoa in chicken, turkey, and golden and Bonelli's eagle spermatozoa but not in imperial eagle or peregrine falcon spermatozoa. Differences were found in spermatozoa resistance to hypotonic conditions, with eagle species demonstrating the most tolerance. Semen, equilibrated for 1 h (4 degrees C) in diluent containing DMA (> or =2.06 M), experienced decreased (P: < 0. 05) spermatozoa survival in all species, except the golden eagle and peregrine falcon. Number of surviving spermatozoa diminished progressively with increasing DMA concentrations in all species. Increased equilibration temperature (from 4 to 21 degrees C) markedly reduced (P: < 0.05) spermatozoa survival in all species except the Bonelli's eagle and turkey. Rapid cooling was detrimental (P: < 0.05) to spermatozoa from all species except the imperial eagle and the chicken. These results demonstrate that avian spermatozoa differ remarkably in response to osmotic changes, DMA concentrations, equilibration time, temperature, and survival after fast or slow freezing. These differences emphasize the need for species-specific studies in the development and enhancement of assisted breeding for poultry and endangered species.

Animals↗

Concentrations of lead in liver, kidney, and bone of bald and golden eagles.

The diagnosis of lead poisoning in eagles relies on autopsy information and residue analysis of lead in certain tissues, usually liver or blood. Similarly, the assessment of elevated lead exposure in eagles depends on the determination of lead concentrations in these tissues. Renal and bone lead concentrations have rarely been examined in eagles. We examined relationships among hepatic, renal, and bone lead concentrations in bald and golden eagles from the Canadian prairie provinces. Hepatic and renal lead concentrations were strongly related (R2 = 0.87) while those in liver and bone were significantly but poorly related (R2 = 0.22). Renal lead concentrations of 5 and 18 microg x g-1 (dry weight) corresponded to hepatic lead concentrations of 6 and 30 microg x g-1, the hepatic concentrations that we used as criterion levels associated with elevated lead exposure and death from lead poisoning, respectively. Lead was elevated in 19 of 119 and 21 of 109 liver and kidney samples, respectively. Of these 19 and 21 liver and kidney samples, 14 and 11, respectively, had lead concentrations compatible with death from lead poisoning. Taken together, lead concentrations were elevated in liver or kidney samples from 25 eagles and were compatible with death from lead poisoning in 15. Mean bone lead was higher in eagles with elevated hepatic lead than in those exhibiting background hepatic lead concentrations. However, even in the former group, bone lead concentrations were lower than those in lead-exposed individuals of other species of birds. Bone is probably not a useful tissue for identifying elevated lead exposure in eagles. Three of eleven birds that had been shot had anomalous renal lead concentrations, suggestive of contamination by residue from lead ammunition. It is important to exclude such birds when assessing lead exposure.http://link.springer-ny. com/link/service/journals/00244/bibs/37n2p267.html

Animals↗

The consequences of crowned eagle central-place foraging on predation risk in monkeys.

The African crowned eagle (Stepahnoaetus coronatus) is the primary predator for arboreal primates throughout sub-Saharan forests. Monkeys typically respond with alarm calls when they are aware of the presence of crowned eagles and such calls can be considered a corollary of predation risk within primate groups. Alarm calls from six species of monkeys were recorded across the home range of an eagle pair in Taï National Park, Côte d'Ivoire. Spatial and temporal variation in primate alarm calling was found to be related to eagle ranging behaviour according to the predictions of central-place foraging models. Radio-tracking data indicate that eagle activity is higher in the centre of their home range and monkey alarm-calling rates are correspondingly elevated near eagle nests as opposed to farther away. Alarm-calling rates are also temporally coupled with measures of eagle activity. There were considerable differences between the species in both rates and spatial patterns of alarm calling. The variation we measure in predation risk is expected to have consequences at the behavioural and population level.

Animals↗

Epizootic vacuolar myelinopathy of the central nervous system of bald eagles (Haliaeetus leucocephalus) and American coots (Fulica americana).

Unprecedented mortality occurred in bald eagles (Haliaeetus leucocephalus) at DeGray Lake, Arkansas, during the winters of 1994-1995 and 1996-1997. The first eagles were found dead during November, soon after arrival from fall migration, and deaths continued into January during both episodes. In total, 29 eagles died at or near DeGray Lake in the winter of 1994-1995 and 26 died in the winter of 1996-1997; no eagle mortality was noted during the same months of the intervening winter or in the earlier history of the lake. During the mortality events, sick eagles were observed overflying perches or colliding with rock walls. Signs of incoordination and limb paresis were also observed in American coots (Fulica americana) during the episodes of eagle mortality, but mortality in coots was minimal. No consistent abnormalities were seen on gross necropsy of either species. No microscopic findings in organs other than the central nervous system (CNS) could explain the cause of death. By light microscopy, all 26 eagles examined and 62/77 (81%) coots had striking, diffuse, spongy degeneration of the white matter of the CNS. Vacuolation occurred in all myelinated CNS tissue, including the cerebellar folia and medulla oblongata, but was most prominent in the optic tectum. In the spinal cord, vacuoles were concentrated near the gray matter, and occasional swollen axons were seen. Vacuoles were uniformly present in optic nerves but were not evident in the retina or peripheral or autonomic nerves. Cellular inflammatory response to the lesion was distinctly lacking. Vacuoles were 8-50 microns in diameter and occurred individually, in clusters, or in rows. In sections stained by luxol fast blue/periodic acid-Schiff stain, the vacuoles were delimited and transected by myelin strands. Transmission electron microscopy revealed intramyelinic vacuoles formed in the myelin sheaths by splitting of one or more myelin lamellae at the intraperiodic line. This lesion is characteristic of toxicity from hexachlorophene, triethyltin, bromethalin, isonicotinic acid hydrazide, and certain exotic plant toxins; however, despite exhaustive testing, no etiology was determined for the DeGray Lake mortality events. This is the first report of vacuolar myelinopathy associated with spontaneous mortality in wild birds.

Animals↗

Cardiac morbidity and operative mortality following lower-extremity amputation: the significance of multiple Eagle criteria.

The ability of the Eagle criteria (age >70 years, angina, diabetes, Q wave on EKG, history of congestive heart failure) to predict adverse cardiac events following major vascular surgery has previously been demonstrated. However, the utility of these criteria for lower-extremity amputation is not well established. To determine the value of the Eagle criteria for predicting cardiac morbidity and operative mortality following major lower-extremity amputation, we reviewed 214 consecutive procedures performed at two institutions over a 3-year period. Mean age was 62.7 years and 85% of the patients were male. Diabetes was the most frequent Eagle criterion (74%). The mean number of Eagle criteria was 1.6. Fifty-six percent of the amputations were below the knee, 24% were above the knee, and 20% were guillotine. On multivariate regression analysis, the presence of two or more Eagle criteria (16% vs. 4%, p = 0.04) and decompensated heart failure (39% vs. 7%, p = 0.003) were predictive of adverse cardiac events. The only predictor of postoperative mortality was the presence of two or more Eagle criteria (15% vs. 4%, p = 0.004). Our evaluation of the results of this study led us to conclude that patients requiring major lower-extremity amputation for major vascular disease who have multiple Eagle criteria or decompensated congestive heart failure are at high risk for adverse cardiac events and postoperative death. These findings should be used to guide perioperative cardiac evaluation and therapy.

Aged↗

Distribution and elimination of polychlorinated dibenzo-p-dioxins, dibenzofurans, biphenyls, and p,p'-DDE in tissues of bald eagles from the Upper Peninsula of Michigan.

Liver, muscle, fat, kidney, and gall bladder of eight bald eagles (Haliaeetus leucocephalus) found dead in the Upper Peninsula of Michigan during 2000 were analyzed for the presence of polychlorinated dibenzo-p-dioxins (PCDDs), dibenzofurans (PCDFs), and biphenyls (including coplanar PCBs), p,p'-DDE, and hexachlorobenzene (HCB). Necropsy results showed that the birds suffered from peritonitis, bacterial infection, or trauma. Concentrations of PCDD/DFs in livers ranged from 23 to 4500 pg/g on a wet weight basis (wet wt), whereas the least concentrations were found in blood plasma of bald eagle nestlings (2.3-49 pg/g, wet wt). A maximum total PCB concentration of 280,000 ng/g, wet wt, was found in the liver of a dead bald eagle affected by peritonitis. The greatest concentrations of p,p'-DDE and HCB in eagle livers were 17,000 and 120 ng/g, wet wt, respectively. Eagles with elevated 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) or total PCB concentrations tended to have great TCDD/TCDF or PCB126/PCB77 ratios, hypothesized to be due to induction of cytochrome P450 enzymes and subsequent metabolism of TCDF and PCB77. Concentrations of TCDD toxic equivalents (TEQs) in the tissues of bald eagles exceeded the thresholds for toxicity in a few avian species. Non-ortho coplanar PCBs accounted for 68-88% of the total TEQs in bald eagle tissues. PCDDs and PCDFs collectively accounted for, on average, 17% of the total TEQs. On the basis of the analysis of a single gall bladder with bile, biliary excretion rates of PCDDs, PCDFs, and PCBs were estimated as 0.015-0.02% per day.

Animals↗

Eagle-type methicillin resistance: new phenotype of high methicillin resistance under mec regulator gene control.

We report a novel phenotype of methicillin resistance, designated "Eagle-type" resistance, which is characteristic in its resistance to high concentrations of methicillin (64 to 512 microg/ml) and susceptibility to low concentrations of methicillin (2 to 16 microg/ml). The type of resistance was expressed in mutant strains selected with high concentrations (e.g., 128 to 512 microg/ml) of methicillin from the pre-methicillin-resistant Staphylococcus aureus strain N315, whose mecA gene transcription is strongly repressed by the mecI gene-encoded repressor protein MecI. The Eagle-type mutant strains harbored no mutation in the mecI gene or in the operator region of mecA gene to which MecI repressor is supposed to bind. In the representative Eagle-type strain h4, repression of mecA gene transcription and penicillin-binding protein 2' production were found to be released by exposing the cells to a high concentration (128 microg/ml) of methicillin but not to lower concentrations (1 and 8 microg/ml) of methicillin. The strain h4 expressed paradoxical susceptibility (Eagle effect) to the cytokilling activity of methicillin. Experimental deletion of mecI gene from the chromosome of h4 by mecI-specific gene substitution converted its Eagle-type resistance to homogeneously high methicillin resistance. We cloned two novel genes, designated hmrA and hmrB, from genomic library of h4, which conferred Eagle-type resistance to N315 when introduced into the cell in multiple copies. The genes were shown to confer homogeneous methicillin resistance to the heterogeneously methicillin-resistant strain LR5 when they were introduced into on multicopy plasmids. This result strongly indicated that the genetic alteration responsible for the expression of the Eagle phenotype is identical, or equivalent in its effect, to the genetic alteration underlying heterogeneous-to-homogeneous conversion of methicillin resistance in S. aureus.

Acyl Carrier Protein↗

A review of factors affecting productivity of bald eagles in the Great Lakes region: implications for recovery.

The bald eagle (Haliaeetus leucocephalus) population in North America declined greatly after World War II due primarily to the eggshell thinning effects of p,p'-DDE, a biodegradation product of DDT. After the banning of DDT in the United States and Canada during the early 1970s, the bald eagle population started to increase. However, this population recovery has not been uniform. Eagles nesting along the shorelines of the North American Great Lakes and rivers open to spawning runs of anadromous fishes from the Great Lakes still exhibit impaired reproduction. We have explored both ecological and toxicological factors that would limit reproduction of bald eagles in the Great Lakes region. Based on our studies, the most critical factors influencing eagle populations are concentrations of environmental toxicants. While there might be some continuing effects of DDE, total PCBs and most importantly 2,3,7,8-tetrachlordibenzo-p-dioxin equivalents (TCDD-EQ) in fishes from the Great Lakes and rivers open to spawning runs of anadromous fishes from the Great Lakes currently represent a significant hazard to bald eagles living along these shorelines or near these rivers and are most likely related to the impaired reproduction in bald eagles living there.

Animals↗

Acanthocephala of the bald eagle (Haliaeetus leucocephalus) in North America.

Examination of bald eagles (Haliaeetus leucocephalus) collected from several locations in North America contributed new information concerning the acanthocephalan fauna of this host. Representatives of Arythmorhynchus brevis, representing a new host record, were collected from eagles in Florida, New Hampshire, and Wisconsin. Plagiorhynchus sp. was collected from an eagle in Florida. Corynosoma strumosum was collected from an eagle in Alaska. Andracantha phalacrocoracis, representing a new host record, was collected from an eagle in Alaska. Southwellina hispida, representing a new host record, was collected from eagles in Maine and Virginia. The occurrence of gravid or mature females of A. brevis, Plagiorhynchus sp., and S. hispida suggests that the bald eagle may serve as a competent definitive host for these species.

Acanthocephala↗

A comparison of blood lead levels in bald eagles from two regions on the great plains of North America.

The connection between bald eagles (Haliaeetus leucocephalus) and the consumption of waterfowl, lead shotshell pellet ingestion, and subsequent lead exposure is well documented in the United States and is presumed also to be widespread in Canada. We compared blood lead concentrations in samples from bald eagles ranging in age from 0.5- to 1.5-yr-old at Galloway Bay, Saskatchewan, Canada (n = 97) during October-November, 1992-95 and Hauser Lake, Montana, USA (n = 81) during October-December, 1990-94, within the Great Plains region of North America. Abundant prey are available in the form of hunter-injured waterfowl in Saskatchewan and spawning salmon in Montana; both areas attract large numbers of mid-continent bald eagles during fall migration. Blood lead concentrations suggestive of recent lead exposure (> 0.201 microgram/ml) were found in 32% and 8% of eagles at Hauser Lake and Galloway Bay, respectively, when samples from each study area were analyzed independently at two laboratories. To determine if this difference was an artifact of interlaboratory variation, we determined a correction factor by reanalyzing 14 Saskatchewan blood samples at each laboratory and predicted blood lead concentrations from Hauser Lake had the samples been analyzed at the Canadian laboratory. Adjusted blood lead concentrations of samples from Hauser Lake indicated that 21% of eagles were recently exposed to lead, a proportion not significantly different from the proportion of the same exposure category at Galloway Bay. Our data do not support the supposition that a large proportion of bald eagles feeding on waterfowl in areas of high hunting pressure will be exposed to lead via consumption of lead shotshell pellets in waterfowl.

Animals↗

Salt River Project's Participation in Arizona's Bald Eagle Conservation Efforts

/ Bald eagle ( Haliaeetus leucocephalus) conservation in Arizona, USA, is a prime example of a successful, cooperative environmental management effort. The Salt River Project (SRP) is an active participant in the statewide bald eagle management activities. This paper summarizes the major components of the statewide program and highlights SRP's participation in these efforts. The Southwestern Bald Eagle Management Committee (SWBEMC) was formed as a means of coordinating interagency projects. Chaired by the Arizona Game and Fish Department (AGFD), the SWBEMC is comprised of 15 state, federal, tribal, and private agencies. Together, these agencies sponsor the Nest Watch Program, a unique and effective program dedicated to the study, conservation, and recovery of bald eagles in the southwest. Other significant components of the bald eagle management program include nest monitoring, nest search activities, winter counts, and demography studies.KEY WORDS: Bald eagle conservation; Participatory; Cooperative effort; SRP

Journal Article↗

Detection of myocardial ischemia with a computer-assisted 12-lead 24-hour ECG monitoring system (EAGLE) in patients with suspected unstable angina.

This study was undertaken to evaluate the diagnostic value of a new device, the 'EAGLE' computer-assisted multiple-lead long-term electrocardiography (ECG) monitoring and analyzing system, in patients with suspected unstable angina, and to compare the results with the Holter monitor. A total of 101 patients with a history of suspected unstable angina underwent a simultaneous 24-h examination with the EAGLE and 2-channel Holter monitors. The diagnosis of unstable angina was established in 70 patients: 41 had significant organic stenosis, and 29 had coronary spasm. Ischemic ST deviations were detected 229 times in 44 patients (62.9%) with the EAGLE system and 101 times in 20 patients (28.6%) with the Holter monitor. The sensitivity of myocardial ischemia in unstable angina with the EAGLE system was significantly higher than that with Holter monitor (62.9 vs 28.6%, p<0.05). The difference of sensitivity was due mainly to the low detection rate of the Holter monitor for asymptomatic myocardial ischemia (EAGLE vs Holter; 187 times vs 72 times) and myocardial ischemia in the infero-posterior area in patients with organic stenosis (30 times vs none). It is concluded that the EAGLE system is a sensitive tool for the diagnosis of unstable angina in patients without significant ECG changes, and an excellent tool for evaluating silent myocardial ischemia or myocardial ischemia of the infero-posterior area.

Angina, Unstable↗