Severe acute malnutrition (SAM) is associated with a complex pattern of various clinical conditions. We investigated how risk factors cluster in children with SAM, the relationship between clusters of risk factors and mortality as well as length of stay in children with SAM. A prospective observational study design was used. Data were extracted from medical records of 601 infants and children aged 0–59 months admitted and treated for SAM in three Ghanaian referral hospital between June 2013 and June 2018. Among the 601 medical records extracted, ninety-nine died. Three clusters of medical features clearly emerged from data analyses. Firstly, an association was defined by eye signs, pallor, diarrhoea and vomiting with gastrointestinal infections and malaria. In this cluster, pallor and eye signs were related to 2- to 5-fold increased mortality risk. Secondly, HIV, oedema, fast pulse, respiratory infections and tuberculosis; among those features, HIV increased child mortality risk by 2-fold. Thirdly, shock, convulsions, dermatitis, cold hands and feet, weak pulse, urinary tract infections and irritability were clustered. Among those features, cold hands and feet, dermatitis, convulsions and shock increased child mortality risk in a range of 2- to 9-fold. Medical conditions and clinical signs in children diagnosed with SAM associate in patterns and are related to clinical outcomes.

The coastal waters of east Lewis from the Butt of Lewis to Loch Erisort are a proposed Marine Protected Area (MPA) for Risso's dolphins (Grampus griseus). A total of 100.4 h (2006.4 km) of active search effort (Beaufort sea states ≤3) was collected during 72 dedicated boat surveys between 2010 and 2017 (primarily in August and September) in the southern part of the MPA and south to the Shiant Isles. Forty Risso's dolphin sightings and 24.1 h of encounter effort were recorded, predominantly along the southern and eastern Eye Peninsula in 20–40 m water depths and at distances <1 km from shore. Group size ranged from one to 50 animals (mean = 11.8 dolphins) and calves occurred in 37.5% of sightings. A total of 2404 shore-based scans (Beaufort sea states ≤3) carried out from Tiumpan Head between September 2011 and December 2017 resulted in 271 (11.3%) ‘dolphin-present’ scans. Dolphins were present year-round, with a seasonal increase between May and October. ‘Calf-present’ scans only occurred between April and October. Photo-identification images from 28 boat surveys produced a minimum population size of 117 animals. There was evidence of high inter- and intra-annual site fidelity, with individual dolphins photographically captured in up to six of the eight survey years, and between two and seven capture dates being recorded for over 45% of individuals within most years. The combined datasets support the importance of east Lewis for Risso's dolphins, and recommendations are made for ongoing monitoring of dolphin occurrence throughout the wider MPA.

OBJECTIVES/SPECIFIC AIMS: As part of a larger effort to create a longitudinal record of care for patients with chronic kidney disease (CKD) in Delaware, we assessed transitions of care from pediatric to adult care. This study examined the length of time between last pediatric contact and first contact in the adult system in order to determine characteristics associated with delayed transition to adult care. METHODS/STUDY POPULATION: Patients who receive pediatric care at the Nemours/Alfred I. duPont Hospital for Children (Nemours) are transitioned to adult care between the ages of 18 and 21. Our study population consists of all patients seen in the Nephrology unit at Nemours for CKD, hypertension (HTN), or diabetes who turned 21 years old between 2007 and 2013. Records of office visits from Nemours, Christiana Care Health System (CCHS), and Nephrology Associates, P.A. (NAPA) were transformed into the OMOP common data model and merged. Patients who had at least 1 record in the Nemours EHR of pediatric care before age 21 and had at least 1 record in the CCHS or NAPA adult EHRs were considered transitioned. To identify characteristics associated with delayed transition to adult care, we compared gender, race, ethnicity, age, comorbidities, and level of kidney function at the last pediatric visit between patients whose transition gap was less than 1 year and patients whose gap was 1 year or more. Kidney function was estimated by calculating glomerular filtration rate (GFR). Nemours estimates GFR in children using the revised Schwartz equation, which is based on serum creatinine and height. To calculate adult GFR, we used the CKD-Epi equation, which is based on serum creatinine, age, sex, and race and is widely used to derive adult GFR. As kidney function declines, GFR decreases. We used Fisher exact test to compare categorical variables and t-test to compare age and GFR. RESULTS/ANTICIPATED RESULTS: We found only 109 (25%) patients who had records in our adult offices out of the 440 Nemours patients in our data set. Of the 109 transitioned patients, 54 had office visits at CCHS, 37 at NAPA, and 18 at both locations. Examining the office visits of the 109 transitioned patients, 34 (31%) had an overlap in visits defined as an office visit at CCHS or NAPA before the last office visit at Nemours, and 75 (69%) did not have an overlap. The median gap between last pediatric and first adult office visit for the 75 patients without an overlap was 615 days (range 8–3495 d). Only 6 (6%) of the 109 transitioned patients had overlapping GFR measurements from pediatric to adult care, and all of the adult GFR calculations (CKD-Epi) were greater than the pediatric GFR calculations (Schwartz). The difference between child and adult GFR ranged from 8.2 to 87.1 mL/minute per 1.72 m2. DISCUSSION/SIGNIFICANCE OF IMPACT: During the transition from pediatric care to adult care, many young adults with CKD experience declines in health outcomes and comorbidities such as diabetes and HTN complicate self-management. Lack of overlap between pediatric and adult care office visits indicates a delay in executing this transition. In our population of 109 transitioned patients, 69% did not have an overlap in care, and 50% of those without overlap had a gap of more than 615 days (1 y, 8 mo). Our analysis suggests that young adults who are younger at last pediatric office visit are more likely to delay transitioning to adult care. Transitioning from the nurturing environment of pediatric care to adult care is a complex process and could be challenging for young adults with CKD. Transition clinics may be necessary to improve the coordination of care and help these young adults keep their physician appointments.

The remaining Indochina population of the Critically Endangered Bengal florican Houbaropsis bengalensis breeds in the floodplain of Cambodia's Tonle Sap Lake. The population has declined substantially but survival rates have not been published previously. Survival could potentially be reduced by the planned construction of high-tension power transmission lines that may begin in 2016. Using data from 17 individuals monitored by satellite transmitters over 4 years we estimated the annual adult survival rate to be 89.9% (95% CI 82.2–97.6%), which is comparable to that of other bustards. Interrogation of movement paths revealed that for the 13 individuals for which we had sufficient data for non-breeding seasons, all annual migration routes between breeding and non-breeding areas crossed the proposed route of the transmission line. The route also impinged on the margins of one important and one minor breeding concentration. A review of bustard collision rates confirmed the vulnerability of bustards to power lines, and the proposed development therefore presents an additional threat to the future of this species in Indochina.

Habitat loss, the primary driver for loss of biodiversity worldwide, is of special concern for species that have a small area of occurrence, such as those restricted to islands. The Forest Thrush Turdus lherminieri is a ‘Vulnerable’ (VU) species endemic to four islands in the Caribbean, and its population has declined dramatically over the past 15 years. Because this decline is poorly understood, we studied its habitat associations on Montserrat. We conducted three repeat point count surveys and measured forest structure and habitat at each of 88 randomly placed locations in the largest forest area remaining on the island. We related Forest Thrush abundance to habitat using binomial mixture models that account for imperfect detection. Detection probability was a function of survey time, survey date, location of the survey point, and wind. Local habitat structure had the greatest influence on Forest Thrush abundance, with birds being more abundant at mid-elevations under closed canopies. We conclude that the Forest Thrush prefers mature mesic and wet forests on Montserrat. Assuming similar habitat selection in the rest of its range, the species’s long-term future depends on good protection of these natural forests on all four islands where it occurs.

Hybrid cetaceans have been documented to occur both in the wild and in captivity. Identifying wild hybrid individuals can be problematic in the absence of genetic techniques, but published accounts indicate that intermediate morphological characteristics are often present. Between 2010 and 2013, a land-based and boat-based study of the Risso's dolphin (Grampus griseus) was carried out in nearshore waters around the Eye Peninsula located on north-east Lewis, Scotland. Three atypical individuals were photographed which exhibited morphological features intermediate between Grampus and the common bottlenose dolphin (Tursiops truncatus). These individuals were typically larger in body size than Tursiops, and had a dorsal fin shape and size consistent with Grampus. Two individuals had coloration most similar to Tursiops and the third exhibited extensive white linear scarring consistent with Grampus. The intermediate morphology was most apparent in the head shape, with all three individuals exhibiting a defined (in contrast to Grampus) but very short (compared with Tursiops) rostrum and two having an unusually steep (compared with Tursiops) forehead. On one occasion, one of the atypical individuals was observed within a mixed-species school of Grampus and Tursiops. There were four further sightings of atypical dolphins associated with Tursiops-only schools. Atypical dolphins were not recorded within Grampus-only schools. These observations are consistent with hybridization between free-ranging Risso's and bottlenose dolphins, the first such occurrence to be documented for these species in UK waters. The context and significance of these hybridization events are unknown.

A census of the Critically Endangered Bengal Florican Houbaropsis bengalensis was conducted between March and May 2012 on and surrounding the Tonle Sap floodplain in Cambodia, which supports the last extant population of the Indochinese subspecies blandini. We found a decline in the number of displaying males of 44–64% since a comparable estimate from the same sites in 2005 to 2007. The estimated population, including five individuals at one previously unsurveyed site, is now 216 (95% CI 156–275) displaying males, plus potential non-displaying males and an unknown number of females. If numbers continue to be lost at a similar rate, it is possible that blandini would become extinct within 10 years. Although the population faces multiple threats, this critical situation has primarily been caused by the recent, rapid conversion of the florican’s grassland habitat to intensive, industrial-scale, irrigated rice cultivation. To protect the Bengal Florican from extinction in South East Asia, existing Bengal Florican Conservation Areas (BFCAs) need expansion and improvements, including strengthened legal status by prime ministerial sub-decree and better demarcation, patrolling and management. As priorities, both irrigated rice and scrub encroachment within the BFCAs needs to be reversed, local communities better supported, and land outside the BFCAs monitored and strategically managed for florican conservation. Where possible, further BFCAs need to be established. Land purchase may also be an effective conservation measure; leasing land earmarked for cultivation would be cheaper, but less secure.

The waters off north-west Scotland are known to provide important habitat for the harbour porpoise (Phocoena phocoena) and the minke whale (Balaenoptera acutorostrata). Between October 2008 and April 2011, systematic land-based surveys were carried out to assess the seasonal occurrence, group size and group behaviours of both species in a study area located off Melvaig, near Gairloch. Data were collected on 47 separate days, with a total of 4543 minutes of survey effort (in sea states ≤3) recorded during the spring months and 8204 minutes of effort during the autumn. A total of 189 sightings of marine fauna were recorded, comprising 126 cetacean sightings, 50 seal sightings and 13 sightings of basking sharks (Cetorhinus maximus). Six species of cetacean were identified, with most sightings comprising harbour porpoise (N = 72) or minke whale (N = 38). Harbour porpoise abundance was higher in autumn than in spring and there was a variation between years in numbers of minke whales sighted. In porpoises, sea state and cloud cover both influenced sightings and increasing sea state influenced survey area. Foraging behaviour was exhibited in 13% of harbour porpoise sightings and 34% of minke whale sightings. Results demonstrate a regular occurrence of harbour porpoises and minke whales in nearshore waters off Gairloch. Densities are comparable to boat surveys in the region and so support the use of land-based watches as a potential longer-term monitoring method for these species in coastal waters. Given the regular use of this area by these two European Protected Species, as well as the occurrence of a range of human activities potentially affecting them in the region, it may be appropriate to consider protecting this area for their conservation.

The population size of the Critically Endangered white-shouldered ibis Pseudibis davisoni has always been poorly known. The first-ever census across Cambodia in 2009–2010 using simultaneous counts at multiple roost sites found substantially more birds than previously estimated, with a minimum of 523 individuals. The census allowed us to make a revised global population estimate of 731–856 individuals, increasing hope for the species' long-term survival. However, the largest subpopulations are imminently threatened by development and c. 75% of the birds counted in Cambodia were outside protected areas.

In the first seven months of 2008, eighteen Cuvier's beaked whales (Ziphius cavirostris), four Sowerby's beaked whales (Mesoplodon bidens), five unidentified beaked whales and twenty-nine long-finned pilot whales (Globicephala melas) were reported stranded in the UK and Ireland. Decomposition of those animals investigated puts the predicted time of death at mid-January. Concerns that an unusual mortality event had taken place prompted further investigations. Most carcasses were too decomposed for necropsy. A summary of findings is presented here. Although the initial stranding of five Cuvier's beaked whales in Scotland shared some similarities with atypical mass stranding events linked in time and space to mid-frequency naval sonars, there were two important differences with the remaining strandings during this period. First, the geographical range of the event was very wide and second, the strandings occurred over a prolonged period of several months. Both of these factors could be related to the fact that the mortalities occurred offshore and the carcasses drifted ashore. The cause(s) of this high number of strandings of mixed offshore cetacean species during this period remain undetermined.

The inner membrane of the air cell of hens' eggs was inoculated with Pseudomonas putida, Staphylococcus xylosus, Enterococcus faecalis, Escherichia coli and Salmonella enteitidis.The first mentioned eventually dominated the contamination of the albumen of eggs stored at 4, 15, and 20 °C. The last mentioned did so in eggs stored at 37 °C. The interval between inoculation of the membrane and gross contamination of the albumen was markedly influenced by site of contamination relative to yolk movement.

The lack of robustness of models of the maintenance of polymorphism in a heterogeneous environment which has been pointed out by Maynard Smith & Hoekstra (1980), applies also to models based on habitat selection, on temporal variation and on density-regulated selection. Only if (partial) dominance ‘switches’ between environments such that the fitness of the heterozygote is always close to the favoured homozygote, is there reasonable robustness. This is true for all models considered. It is argued that there are good reasons for supposing that the favourable allele at a locus may show dominance, although the experimental evidence is still scanty.

The Bengal Florican is a ‘Critically Endangered’ bustard (Otididae) restricted to India, Nepal and southern Indochina. Fewer than 500 birds are estimated to remain in the Indian subcontinent, whilst the Indochinese breeding population is primarily restricted to grasslands surrounding the Tonle Sap lake, Cambodia. We conducted the first comprehensive breeding season survey of Bengal Florican within the Tonle Sap region (19,500 km2). During 2005/06 and 2006/07 we systematically sampled 1-km squares for territorial males. Bengal Florican were detected within 90 1-km squares at a mean density of 0.34 males km−2 which, accounting for unequal survey effort across grassland blocks, provides a mean estimate of 0.2 males km−2. Based on 2005 habitat extent, the estimated Tonle Sap population is 416 adult males (333–502 ± 95% CI), more than half of them in Kompong Thom province. Tonle Sap grasslands are rapidly being lost due to intensification of rice cultivation and, based on satellite images, we document declines of 28% grassland cover within 10 grassland blocks between January 2005 and March 2007. Based on mean 2005 population densities the remaining grassland may support as few as 294 adult male florican, a decline of 30% since 2005. In response to these habitat declines almost 350 km2 of grassland have been designated as protected areas, set aside for biodiversity and local livelihoods. Conservation activities in these areas include participatory land-use zoning, patrols reporting new developments to government officials, awareness-raising and incentive-led nest protection schemes.

Embryo culture or manipulation can severely influence fetal development resulting in increased gestation length and unusually large offspring (Walker et al, 1996). The aim of this study was to compare the effect of transferring in vivo or in vitro produced bovine embryos on gestation length, calf sex, birth weight and calving ease.

Puberty during performance test and the effect of reproductive maturity and performance on test on superovulatory response were investigated using Simmental heifers.

Three generations of Simmental heifers (no. = 110) were performance tested for beef characteristics between 23 and 49 weeks of age over 3 years successively. Embryo recoveries were performed at 52 and 61 weeks of age following the end of the performance test. The onset of puberty was observed in 26 of 30 (87%) heifers in the 3rd year. The mean age at puberty was 284·7 (s.e. 6·63) days. Age at puberty was not significantly related to daily live-weight gain (1·5 (s.e. 0·02) kg) up to the onset of puberty. Heifers experienced zero to six oestrous cycles before initiation of the first superovulatory treatments. There was a non-significant tendency (P > 0·05) for heifers that were not cyclic to produce the highest yields of viable and grade 1 embryos at the first embryo recovery.

Performance test characteristics recorded were: total food intake (1604·0 (s.e. 13·2) kg), total energy intake (1852·0 (s.e. 169·0) MJ metabolizable energy) and live-weight gain (263·9 (s.e. 2·2) kg) during test; live weight (486·5 (s.e. 31·5) kg), backfat depth (5·6 (s.e. 15) mm) and muscle score (9·6 (s.e. 0·10) units) at the end of test and estimated breeding value for the selection index (+£7·00 (s.e. 0·76)). These were used as independent variables in general linear models to study their relationship with various measures of superovulatory response. Recovery rate of ova and embryos; and the yields of viable and grade 1 embryos were not related to any aspects of performance on test.

In conclusion, superovulation and embryo recovery were affected by reproductive maturity at the time of gonadotropin treatment and these procedures may be more effective in juvenile heifers before the establishment of cyclicity. Embryo production from 12- to 15-month-old Simmental heifers following a beef performance test was not related to their performance on test.

A major limitation to the success of genetic improvement programmes using multiple ovulation and embryo transfer is the failure to generate sufficient viable embryos per donor ewe to maintain selection intensities and sustain a low generation interval. Seasonal anoestrus imposes a biological constraint on embryo production in many breeds of sheep. The objective of this study was to investigate the response to superovulation during seasonal anoestrus (April - May) in Scottish Blackface ewes.

An experiment zoas conducted to assess differing methods of twin pregnancy establishment in Hereford × British Friesian beef cows and heifers. The experiment was 2 × 2 × 2 × 2 factorial design in which the factors were (i) source of embryos (in vivo or in vitro produced); (ii) pregnancy status of recipient (inseminated or non-inseminated); (Hi) method of embryo transfer (surgical or cervical); and (iv) uterine location of a native and transferred embryo, or two transferred embryos (both located in the ipsilateral, or one in each of the ipsi and contralateral uterine horns). Pregnancy and twinning rates for 285 animals used for embryo transfer were initially diagnosed at day 56 after induced oestrus by transrectal ultrasonography. Subsequently, calving rate and birth weiglit at calving were recorded.

Pregnancy rates at day 56 after induced oestrus were similar for both surgical and cervical transfers (58·6% v. 55·2%), as was the case for twinning rate (36·2% v. 30·0%). Similarly, there were no differences between these two methods of transfer (50·0% v. 46·9%) and (26·1% v. 17·7%) for calving and twin calving rates respectively. Recipients which had two embryos located in the ipsilateral uterine horn had higher (P < 0·001) pregnancy rates (66·6% v. 47·3%) but similar twinning rates (32·6% v. 33·4%) at day 56 after induced oestrus to recipients which had one embryo located in each horn. A greater (P < 0·05) percentage of recipients with two embryos originally located in the ipsilateral horn calved (56·0% v. 41·0%) but fewer (P > 0·05) produced twins (17·8% v. 25·7%) than was the case for recipients which originally had one embryo located in each horn. In vivo produced embryos resulted in higher (P < 0·001) pregnancy rates (74·4% v. 39·7%) and twinning rates (48·3% v. 18·0%) at day 56, and higher (P < 0·001) calving rates (64·5% v. 32·7%) and twin calving rates (36·3% v. 7·6%) than did in vitro produced embryos. Inseminated (Al + ET) recipients had slightly greater (P>0·05) pregnancy rates (61·6% v. 51·6%) and twinning rates (36·9% v. 28·7%) than non-pregnant recipients which received two embryos. A greater (P<0·05) percentage of inseminated recipients (Al + ET) calved (54·3% v. 42·0%) than was the case for non-pregnant recipients which received two embryos. The percentage producing twins at calving were similar for these two methods of twin pregnancy establishment.

Embryo survival to day 56 after induced oestrus averaged 45·0% and was found to be non-independent of its co-twin. From day 56 to parturition foetal loss averaged 21·0% and foetal survival was found to be independent of the fate of its co-foetus. Twin foetuses located in the same uterine horn were lighter at birth than twin foetuses located in separate uterine horns (33·0 v. 35·2 kg; P < 0·05).

Current variability in superovulatory response prevents the economical production of large numbers of high quality embryos and limits the use of embryo transfer. Pulsatile administration of GnRH (gonadotrophin releasing hormone) elicits pulsatile secretion of LH (luteinising hormone) while chronic treatment with a potent GnRH agonist reduces LH secretion. Using the latter, gonadotrophin-dependent preovulatory antral follicle development may be suppressed, resulting in a uniform cohort of small antral follicles in the absence of a dominant follicle which could then be superstimulated by exogenous gonadotrophin.

The isolation of bovine pregnancy-associated glycoprotein (bPAG) from foetal cotyledons (Zoli, Beckers, Closset, Wouters-Ballman, Falmagne and Ectors, 1991) and the subsequent development of a radioimmunoassay for the detection of bPAG in the peripheral circulation of cows (Zoli, Guilbault, Delahaut, Ortiz and Beckers, 1992) could provide a simple and rapid means of accurately diagnosing pregnancy early in gestation. This study reports on the efficacy of using plasma bPAG concentrations as a means of pregnancy diagnosis in purebred beef heifers mated at a first or second synchronised oestrus compared to failure to return to oestrus and transrectal ultrasonography.