Sites In Delaware Research Articles

A catchment and location-allocation analysis of mammography access in Delaware, US: implications for disparities in geographic access to breast cancer screening

BackgroundDespite a 40% reduction in breast cancer mortality over the last 30 years, not all groups have benefited equally from these gains. A consistent link between later stage of diagnosis and disparities in breast cancer mortality has been observed by race, socioeconomic status, and rurality. Therefore, ensuring equitable geographic access to screening mammography represents an important priority for reducing breast cancer disparities. Access to breast cancer screening was evaluated in Delaware, a state that experiences an elevated burden from breast cancer but is otherwise representative of the US in terms of race and urban–rural characteristics. We first conducted a catchment analysis of mammography facilities. Finding evidence of disparities by race and rurality, we next conducted a location-allocation analysis to identify candidate locations for the establishment of new mammography facilities to optimize equitable access.MethodsA catchment analysis using the ArcGIS Pro Service Area analytic tool characterized the geographic distribution of mammography sites and Breast Imaging Centers of Excellence (BICOEs). Poisson regression analyses identified census tract-level correlates of access. Next, the ArcGIS Pro Location-Allocation analytic tool identified candidate locations for the placement of additional mammography sites in Delaware according to several sets of breast cancer screening guidelines.ResultsThe catchment analysis showed that for each standard deviation increase in the number of Black women in a census tract, there were 68% (95% CI 38–85%) fewer mammography units and 89% (95% CI 60–98%) fewer BICOEs. The more rural counties in the state accounted for 41% of the population but only 22% of the BICOEs. The results of the location-allocation analysis depended on which set of screening guidelines were adopted, which included increasing mammography sites in communities with a greater proportion of younger Black women and in rural areas.ConclusionsThe results of this study illustrate how catchment and location-allocation analytic tools can be leveraged to guide the equitable selection of new mammography facility locations as part of a larger strategy to close breast cancer disparities.

Factors controlling the photochemical degradation of methylmercury in coastal and oceanic waters.

Many studies have recognized abiotic photochemical degradation as an important sink of methylmercury (CH3Hg) in sunlit surface waters, but the rate-controlling factors remain poorly understood. The overall objective of this study was to improve our understanding of the relative importance of photochemical reactions in the degradation of CH3Hg in surface waters across a variety of marine ecosystems by extending the range of water types studied. Experiments were conducted using surface water collected from coastal sites in Delaware, New Jersey, Connecticut, and Maine, as well as offshore sites on the New England continental shelf break, the equatorial Pacific, and the Arctic Ocean. Filtered water amended with additional CH3Hg at environmentally relevant concentrations was allowed to equilibrate with natural ligands before being exposed to natural sunlight. Water quality parameters - salinity, dissolved organic carbon, and nitrate - were measured, and specific UV absorbance was calculated as a proxy for dissolved aromatic carbon content. Degradation rate constants (0.87-1.67 day-1) varied by a factor of two across all water types tested despite varying characteristics, and did not correlate with initial CH3Hg concentrations or other environmental parameters. The rate constants in terms of cumulative photon flux values were comparable to, but at the high end of, the range of values reported in other studies. Further experiments investigating the controlling parameters of the reaction observed little effect of nitrate and chloride, and potential for bromide involvement. The HydroLight radiative transfer model was used to compute solar irradiance with depth in three representative water bodies - coastal wetland, estuary, and open ocean - allowing for the determination of water column integrated rates. Methylmercury loss per year due to photodegradation was also modeled across a range of latitudes from the Arctic to the Equator in the three model water types, resulting in an estimated global demethylation rate of 25.3 Mmol yr-1. The loss of CH3Hg was greatest in the open ocean due to increased penetration of all wavelengths, especially the UV portion of the spectrum which has a greater ability to degrade CH3Hg. Overall, this study provides additional insights and information to better constrain the importance of photochemical degradation in the cycling of CH3Hg in marine surface waters and its transport from coastal waters to the open ocean.

Carbon in Natural, Cultivated, and Restored Depressional Wetlands in the Mid-Atlantic Coastal Plain.

Aerial extent of wetland ecosystems has decreased dramatically since precolonial times due to the conversion of these areas for human use. Wetlands provide various ecosystem services, and conservation efforts are being made to restore wetlands and their functions, including soil carbon storage. This Mid-Atlantic Regional USDA Wetland Conservation Effects Assessment Project study was conducted to evaluate the effects and effectiveness of wetland conservation practices along the Mid-Atlantic Coastal Plain. This study examined 48 wetland sites in Delaware, Maryland, Virginia, and North Carolina under natural, prior converted cropland, and 5- to 10-yr post wetland restoration states. The North Carolina sites mainly contained soils dominated by organic soil materials and therefore were analyzed separately from the rest of the sites, which primarily contained mineral soils. Soil samples were collected using the bulk density core method by horizon to a depth of 1 m and were analyzed for percent carbon. The natural wetlands were found to have significantly greater carbon stocks (21.5 ± 5.2 kg C m) than prior converted croplands (7.95 ± 1.93 kg C m; < 0.01) and restored wetlands (4.82 ± 1.13 kg C m; < 0.001). The restored and prior converted sites did not differ significantly, possibly the result of the methods used to restore the wetlands, and the relatively young age of the restored sites. Wetlands were either restored by plugging drainage structures, with minimal surface disturbance, or by scraping the surface (i.e., excavation) to increase hydroperiod. Sites restored with the scraping technique had significantly lower carbon stocks (2.70 ± 0.38 kg C m) than those restored by passive techniques (6.06 ± 1.50 kg C m; = 0.09). Therefore, techniques that involve excavation and scraping to restore hydrology appear to negatively affect C storage.

Person-centered care planning and service engagement: a study protocol for a randomized controlled trial.

BackgroundService disengagement is a pervasive challenge the mental health care system faces. Mental health services are of little value should persons with mental illnesses continue to opt out of receiving them. Consumers attribute disengagement from care to an absence of choice in their treatment. In response, the mental health system is adopting a person-centered model, based upon recovery principles, to engage consumers more actively in their care. Person-centered care planning is a promising practice involving collaboration to develop and implement an actionable plan to assist the person in achieving personal recovery goals.Methods/designThis study design combines a parallel-group randomized controlled trial of community mental health organizations with qualitative methods to assess the effectiveness of person-centered care planning. Participants at 14 sites in Delaware and Connecticut will be randomized to treatment as usual or the person-centered care planning intervention. Participants will be in leadership (n = 70) or supervisory or direct care (n = 210) roles. The person-centered care planning intervention involves intensive staff training and 12 months of ongoing technical assistance. Quantitative survey data will be collected at baseline, 6 months and 12 months measuringperson-centered care planning competency and organizational factors. Consumer outcomes (engagement, medication adherence, functioning and consumer satisfaction) will be assessed by Medicaid and state-level data. Qualitative data focused on process factors will include staff and consumer interviews and focus groups. In this intent-to-treat analysis, we will use mixed-effects multivariate regression models to evaluate the differential impact of the person-centered care planning intervention on each consumer and implementation outcome as well as the extent to which clinician assessments of organizational factors are associated with the implementation outcome. Mixed methods will triangulate and strengthen the interpretation of outcomes.DiscussionThe aim of this study is to generate valuable guidance for state systems engaged in scale-up and transformation efforts. Targeted staff selection for training to support sustainability will serve to provide further insight into important intervention implementation strategies. Person-centered care planning has the potential to enhance the impact of all evidence-based and recovery-oriented practices and bring practice into line with the emerging national guidelines in health care reform.Trial registrationThis trial was registered with ClinicalTrials.gov (Identifier: NCT02299492) on 21 November 2014 as New York University Protocol Record PCCP-13-9762, Person-Centered Care Planning and Service Engagement.

Seasonal Levels of theVibrioPredatorBacteriovoraxin Atlantic, Pacific, and Gulf Coast Seawater

Bacteriovorax were quantified in US Atlantic, Gulf, and Pacific seawater to determine baseline levels of these predatory bacteria and possible seasonal fluctuations in levels. Surface seawater was analyzed monthly for 1 year from Kailua-Kona, Hawaii; the Gulf Coast of Alabama; and four sites along the Delaware Bay. Screening for Bacteriovorax was performed on lawns of V. parahaemolyticus host cells. Direct testing of 7.5 mL portions of seawater from the Atlantic, Pacific, and Gulf coasts gave mean annual counts ≤12.2 PFU. Spikes in counts were observed at 3 out of 4 sites along the Delaware Bay 1 week after Hurricane Sandy. A comparison of summer versus winter counts showed significantly more Bacteriovorax (P ≤ 0.0001) in the Delaware Bay during the summer and significantly more (P ≤ 0.0001) in the Gulf during the winter, but no significant seasonal differences (P > 0.05) for Hawaiian seawater. Bacteriovorax counts only correlated with seawater salinity and temperature at one Delaware site (r = 0.79 and r = 0.65, resp.). There was a relatively strong negative correlation between temperature and Bacteriovorax levels (r = −0.585) for Gulf seawater. Selected isolates were sequenced and identified by phylogenetic analysis as Bacteriovorax clusters IX, X, XI, and XII.

SEASONALITY OF SELECTED NUTRITIONAL CONSTITUENTS OF EDIBLE DELMARVA SEAWEEDS.

Edible seaweeds have not been thoroughly explored for food, medicinal, or industrial purposes in the United States. This study compared selected proximate constituents of three edible seaweed species (Ulva lactuca L., Fucus vesiculosus L., and Gracilaria tikvahiae McLachan) at two sites for possible future development as a food crop on the Delmarva Peninsula. Sampling was conducted bimonthly at Chincoteague Memorial Park, Virginia, and Indian River Inlet, Delaware, from 2005 to 2008. Proximate constituents of moisture, ash, dietary fiber, proteins, and fat were measured seasonally and calorific values were calculated. Data were analyzed using correlation, paired samples t-tests and one- and two-way ANOVA. Significant variations in the proximate constituents were found among seasons, species, and between sites. The brown seaweed (Fucus) at both sites had higher fiber, fat, and ash (mineral) content than the green (Ulva) or the red (Gracilaria). Ulva and Gracilaria had higher protein content than Fucus. Seaweeds from Delaware had more fat, ash, and protein than from Virginia, potentially because of the more polluted, nutrient rich environment at the Delaware site. Positive correlations between seaweed fat and protein content may indicate an increase in the synthesis of both components under optimal growth conditions. Species' physiology differences and the water quality at the two sites likely impacted proximate constituent values. This study contributed new information to the existing body of knowledge in the areas of nutrition and ecology of seaweeds and their potential as a cash crop.

Effects of broadcasting calls during surveys to estimate density and occupancy of northern bobwhite

AbstractWe assessed the effects of using a broadcast caller during surveys and increasing survey duration to estimate northern bobwhite (Colinus virginianus) density and occupancy. From 15 May 2009 to 15 August 2009, we conducted repeat‐visit breeding bobwhite surveys at 180 sites in Delaware, USA. Increasing survey duration from 3 min to 7 min, or using a broadcast caller, improved detection probability for a single visit by 52% and 42%, respectively. However, density estimates when using a broadcast caller were biased high—≥3 times greater compared to passive‐listening surveys. Density estimates for 3‐min and 7‐min passive surveys were not different. Additionally, bobwhite occupancy was similar among all 3 survey treatments. Use of a broadcast caller to survey for bobwhites appears to violate the assumption of distance sampling that an individual is detected prior to movement. Use of a broadcast caller is inappropriate for determining density estimates through distance sampling, but may be appropriate for determining site occupancy. © 2011 The Wildlife Society.

Temporal study of Helicobacter pylori presence in coastal freshwater, estuary and marine waters

Helicobacter pylori, a gastric pathogen, is believed to be transmitted via the fecal-oral route as well as the oral-oral route. Its presence and viability in environmental waters is not well characterized. The goals of this study were to test H. pylori presence via molecular methods in freshwater, estuarine and beach sites in Delaware over both short and long time scales and to establish whether fecal indicator bacteria, including total Enterococcus and human-specific Bacteroidetes species, are predictive of the pathogen in these waters. The presence of Helicobacter pylori was initially tested by PCR with newly designed 23S rRNA gene primers against Helicobacter spp. and confirmed by sequencing. Two coastal beach sites were repeatedly positive in 2007. Clone library analysis indicated the persistence of one operational taxonomic unit (OTU) over time at one site. Detection of H. pylori was also determined by PCR assays from DNA and RNA for the 16S rRNA gene, as well as DNA for the ureA and cagA genes. Approximately 21% of the samples were positive for H. pylori 16S rRNA gene and 80% of those were also positive for H. pylori 16S rRNA, indicating that this potential pathogen is not only present in natural waters, but also probably viable. There was no correlation between the occurrence of H. pylori and fecal indicator bacteria, suggesting that standard water quality tests are ineffective in predicting the presence of this pathogen in natural waters. These results demonstrate the widespread presence of potentially viable H. pylori in coastal marine and estuarine waters. Additionally, the repeatedly positive samples indicate either a continual contamination source or persistence of H. pylori in marine waters.

Poly and Perfluorinated Carboxylates in North American Precipitation

Although perfluorocarboxylates (PFCAs) have been detected in a number of environmental matrices, there are very few reports on concentrations in precipitation. In this study PFCAs, fluorotelomercarboxylates (FTCAs), and fluorotelomer-unsaturated carboxylates (FTUCAs), were determined in wet only precipitation samples from nine sites in North America. The analytical method involved derivatization of the carboxylates and measurement of the 2,4-difluoroanilide by GC-MS. Samples from three remote sites in Canada had low concentrations of perfluorooctanoate (PFOA) (<0.1-6.1 ng/L). Significantly higher concentrations of PFOA were found at 4 northeastern United States and 2 southern urban Canadian sites, with Delaware having the highest levels (85 ng/L PFOA, with a range of 0.6-89 ng/L) and a maximum flux of 13 000 ng/m2. 8:2- and 10:2 FTCAs and FTUCAs were detected at all 4 U.S. sites and 2 urban Canadian sites (<0.07-8.6 ng/L), most frequently at the Delaware site. Longer chained PFCAs (deca-, undeca-, and dodeca-perfluorocarboxylates) were detected (<0.07-5.2 ng/L) at 2 urban Ontario sites but not determined in other samples. Air mass back trajectory results for 3 U.S. sites indicate highly populated urban areas in the New York to Washington corridor as the main sources of PFOA, although low PFOA levels associated with air masses coming off the Atlantic Ocean imply multiple sources.

Vocalizations and Reproductive Behavior of Male Pickerel Frogs, Rana palustris

I performed playback trials with and recorded vocalizations of male Pickerel Frogs, Rana palustris, in 1992–1993 and 1998–2000 at sites in Delaware and Pennsylvania. I also conducted a mark-recapture study of one population throughout its 1998 breeding season at the Ashland Nature Center, Delaware. Rana palustris had a prolonged breeding season with chorusing occurring over more than one month on nights that the air temperature was at least 8°C. Individual males during the breeding season participated in most choruses, were faithful to specific calling sites, and lost body mass. In the playback trials, I recorded male vocalizations during control conditions and after the playback of one conspecific advertisement call. Males had a complex vocal repertoire consisting of at least three call types: an advertisement call and two additional calls (“snicker” and “growl”) that were elicited by the playback stimulus or exchanged during natural male-male interactions. The three call types had distinct combinations of duration and pulse rate, and the snicker and growl had similar dominant frequencies that were significantly lower than those of the advertisement call. All males in the playback trials eventually returned to advertisement calling; however, these calls differed from the calls emitted during the control period in that they had shorter durations, longer rise times, and a shift of energy toward lower frequencies. Several males responded to the stimulus by emitting a series of underwater calls before returning to the water's surface and calling into the air. Overall, R. palustris has a complex communication system in terms of number of call types, the ability to alter call properties, and the ability to vocalize in both air and underwater.

Ground Water Beneath Coastal Bays of the Delmarva Peninsula: Ages and Nutrients

AbstractTo complement a large‐scale geophysical investigation of occurrence and discharge of fresh water beneath Delaware, Maryland, and Virginia (Delmarva) coastal bays, we measured (1) salinity and nutrient concentrations in ground water samples from several offshore coring sites and (2) a suite of chemical and isotopic parameters, including age tracers, in ground water samples from a Delaware site. Samples were collected in a variety of Holocene and Plio‐Pleistocene sediments in nearshore and offshore areas of the bays. Ground waters that were significantly fresher than overlying waters were found in plumes up to at least 15 m thick extending to more than 500 m offshore in some areas. Steep salinity and nutrient gradients occur within a few meters of the sediment surface in most locations studied. The zone of transition from deeper fresher waters to shallower brackish waters is generally thin near shore, but thickens and becomes more gradual offshore. Ground water ages at the Delaware site were mostly &lt; 50 yr in both fresh waters and brackish waters up to 22 m below the bay bottom. Water chemistry and age data indicate that fresh water plumes beneath the estuary are active extensions of the surficial aquifer carrying nitrate from recharge areas on land, whereas brackish ground water surrounding the fresh water plumes is recharged beneath the estuary and contains ammonium and phosphate released by diagenesis of shallow estuarine sediments. Denitrification affects some of the fresh water nitrate before it mixes with brackish ground water or discharges to surface water.

Cultural Context and Cordage Twist Direction

Data on cordage impressions of ceramic vessels from several sites in Delaware and southeast Pennsylvania show significant cordage twist direction variation in relation to individual households, decorative styles, and cordage use. Variation within these cultural contexts complicates the use of cordage twist variation data to identify distinctive social groupings within the central Middle Atlantic region.

An Evaluation of Tertiary‐Butyl Alcohol for the Development of a Drinking Water Action Level in Delaware

AbstractFor regulators to develop risk‐based screening levels (RBSLs) for a petroleum constituent, a maximum allowable concentration at an exposure point, such as a drinking water action level, must be established. Of particular interest to regulators of leaking underground storage tank (LUST) sites in Delaware is the development of RBSLs for the oxygenated compounds that are added to gasoline to increase octane rating and promote cleaner burning fuel. Whereas methyl‐tertiary butyl ether (MTBE) became the first of the oxygenated compounds to gain regulatory attention in Delaware, tertiary‐butyl alcohol (TBA) is not far behind. TBA has been detected at LUST sites throughout Delaware and in some cases has been detected in private water supplies. However, Delaware does not currently have a drinking water action level, or maximum allowable exposure concentration, on which to base regulatory decisions regarding TBA.Toxicological data is inconclusive in classifying TBA as a carcinogen. However, carcinogenic responses are reported in rat and mice studies at extremely high doses. To address TBA in Delaware's Risk‐Based Corrective Action Program, the Delaware Division of Public Health must calculate drinking water action levels based on the results of the toxicological data. However, the establishment of TBA action levels could have a tremendous impact on the costs associated with investigating and remediating a LUST site. TBA may add $2000 to $5000 per year in analytical costs alone for an average LUST site in Delaware.

Horsenettle (Solanum carolinense) Control With a Field Corn (Zea mays) Weed Management Program1

Field studies were conducted at three sites in Delaware from 1997 to 1999 to evaluate fall glyphosate applications followed by postemergence (POST) field corn herbicides on horsenettle control and shoot densities. The fall treatments were either no fall treatment or 2.2 kg ai/ha glyphosate as a preharvest treatment in soybean at least 2 wk prior to frost. POST treatments were applied the following spring in no-tillage field corn 4 wk after planting (WAP) and included glyphosate, CGA 152005 plus primisulfuron plus dicamba, halosulfuron plus dicamba, atrazine plus dicamba, nicosulfuron plus rimsulfuron plus atrazine plus dicamba, or nicosulfuron plus dicamba. The fall glyphosate application delayed horsenettle shoot emergence in the spring and resulted in > 90% control at the time of POST in-crop applications. At 11 WAP, the highest horsenettle control was observed with a fall glyphosate application followed by POST in-crop treatments of CGA 152005 plus primisulfuron plus dicamba, halosulfuron plus dicamba,...

Delaware archaeology and the revolutionary eighteenth century

Many theorists see the 18th century as a time of profound change in European America. This paper tests some of these theories with data from 21 different 18th-century archaeological sites in Delaware that have been extensively excavated. The sites date to all parts of the 1680–1830 period, and their occupants span the social range from poor tenants to well-to-do planters. Eighteen of the excavations were sponsored by the Delaware Department of Transportation, and the techniques employed in the excavation and analysis of these sites were quite similar. Comparing the house remains, farm layouts, ceramics, glass, tablewares, clothing-related artifacts, and faunal remains from these sites reveals a complex pattern of developments. Certain parts of the material culture of rural Delaware did experience profound and relatively rapid change, especially ceramics and tablewares. Other aspects of life, however, including housing and meat consumption, changed very little, if at all. The archaeological record does not support the view that the 18th-century saw changes in outlook and thinking that influenced every part of American life.

The Spatial Variation of the Weekday/Weekend Differences in the Baltimore Area

ABSTRACT This study examined the spatial distribution of the weekday/weekend difference in Baltimore, MD, and vicinity. The difference in Baltimore was characterized by having ~39% more NOx , ~59% more CO, and ~27% more volatile organic compounds (VOCs) on the average weekday, but there was ~13% more O3 on the weekend day. Spatially, the difference was elongated in the northeast-southwest direction. It decreased from 13% more O3 in Baltimore to 6% at ~20 km west of Baltimore and to 4% at ~40 km south of Baltimore. It also appeared to decrease to the east, but the magnitude of the decrease could not be determined because of the lack of data east of the Chesapeake Bay. However, the difference increased to the north, reaching a value of almost 18% at a northern Delaware site.

Trematode Accumulation by the Estuarine Gastropod Ilyanassa obsoleta

The accumulation of larval trematodes by Ilyanassa obsoleta (Gastropoda) at 2 estuarine sites in Delaware was studied. Initial infection status of snails was assayed by looking for shed cercariae. Native snails (most already infected) were deployed at sites A and B, and sentinel snails (putatively uninfected) were deployed at site B. All were individually marked and, if found, reassessed for infection after being free 1-3 summers. Himasthla quissetensis, Lepocreadium setiferoides, Zoogonus rubellus, Austrobilharzia variglandis, and Gynaecotyla adunca infections were observed in recovered snails. At site A, in 1993, 62 natives were recovered. Among the 26 initially testing uninfected, 15 had infections at recovery. Of 36 that released cercariae, 26 had the infection initially indicated. Of sentinels released at site B in 1996, 3 of 16 had infections when recollected. One probably was infected before transplant; at least 2 were infected at site B during 1996-1997. Among site B natives, 26 were later examined by dissection in 1996; 22 had the infection status initially revealed. Some site B natives (n = 35) escaped recapture in 1996 but were found in 1997, or 1998, or both, and were reexamined, most by cercarial release. The same cercariae were produced by 30. Among natives (both sites, n = 123), 27.6% exhibited some difference in infection status compared to the initial assay. This probably overestimates changes. Some differences were real but most can be discounted as cases where initial infection status was misrepresented.

Utilizing Nutrition Education Modules in the Wic Setting

LEARNING OUTCOME: To explore alternative methods for teaching nutrition education to the WIC population.Nutrition Education is one of the benefits of participating in the WIC Program. Developing innovative and fun education methods continues to be a challenge. A survey was conducted by the Delaware WIC Program in 1992 to obtain input on Nutrition Education topics of most interest to WIC clients. The top six topics are being developed into Nutrition Education Modules. Each module is being developed to run over a three-month period at all 15 WIC clinic sites in Delaware. The following modules have been developed and include topics such as: Dental Health, Child Safety, and the USDA Food Guide Pyramid. The fourth and most recent module is called, “Shop Smart and Save With WIC”. For this module, three new concept cards were created that focused on saving food dollars .and shopping for low-cost healthy snacks. In addition to the concept cards, WIC clients also had the opportunity to complete a Supermarket I.Q. quiz to win gift certificates donated by Delaware WIC participating Supermarkets. Children who participate in WIC also had a chance to enter a fruit and vegetable coloring contest to win a Food Groupie stuffed toy. A special display was designed called “BAG IT.” The children could place their picture in a grocery bag attached to the display. All WIC participants also received a coupon holder during the module. This module was received positively by both WIC staff and clients. The modules are an alternative method that can be utilized to teach Nutrition Education to WIC clients.