Recurrence Rate of Small Melanoma In Situ on Low-Risk Sites Excised With 5-mm Excisional Margin.

Importance: The incidence of melanoma in situ (MIS) has increased significantly over the past decades, and traditional guidelines for treatment of MIS have been excision with a 5-mm clinical margin; however, current Australian and other guidelines now recommend 5- to 10-mm margins. This changed recommendation was largely driven by the outcomes of studies using Mohs micrographic surgery, and recent studies using Mohs micrographic surgery are advocating for even wider excisions up to 18 mm for clearance. Objective: To assess the rate of recurrence of MIS excised with a 5-mm margin. Design, Setting, and Participants: This case series studied all MIS lesions from a single private dermatology clinic between January 1, 2011, and November 30, 2018. The criteria for inclusion were a documented 5-mm excisional margin on operation report and more than 5 years of site-specific follow-up after wide local excision. Lesions were excluded if the excisional margin was more than 5 mm or undocumented, there was less than 5 years of follow-up, or they required more than 1 wide local excision. Data analysis was performed January 30 to February 25, 2024. Intervention: Wide local excision with 5-mm margin. Results: A total of 351 MISs were identified from 292 patients (mean [SD] age, 60.3 [11.8] years; 162 females [55.5%]). Superficial spreading melanoma was the most common subtype diagnosed (177 lesions [50.4%]), followed by lentigo maligna (107 lesions [30.5%]) and lentiginous MIS (67 lesions [19.1%]). The trunk was the most common location of lesions (168 lesions [47.9%]), followed by upper limb (96 lesions [27.4%]) and lower limb (59 lesions [16.8%]). Scalp was the least common location (2 lesions [0.6%]). Most of the lesions were small, with 274 lesions (78.1%) having a length less than 10 mm and 312 lesions (88.9%) having a width less than 10 mm. A total of 348 lesions (99.1%) did not have clinical recurrence after excision with a 5-mm clinical margin following then current guidelines. A total of 3 lesions (0.9%) experienced local recurrence with no metastatic spread. Conclusions and Relevance: This case series found that excision with a 5-mm margin for MIS of smaller size (<10 mm) on low-risk body sites had a low rate of recurrence. Conservative 5-mm excisional margin is likely to be suitable for small MIS on lower-risk body sites.

Essential Oils in Nellore Beef Cattle: In Vivo Impact on Rumen Emissions.

Essential oils (EOs), as rumen additives, decreased CH4 emissions in in vitro trials but results from in vivo studies are still limited. We investigated the effects of Origanum vulgare (OEO) and Thymus vulgaris (TEO) EOs on in vivo methane emissions from Nellore beef cattle. Six adult rumen-cannulated Nellore cattle were used in a double 3 × 3 Latin square design. Treatments consisted of three diets containing either 3 mL OEO per kg of concentrate, 3 mL TEO/kg of concentrate, or no EO addition. The experimental period consisted of three 21 d feeding periods and methane production was measured using the sulfur hexafluoride (SF6) technique from Day 16 to Day 21 of each feeding period. Intake, total apparent digestibility (dry matter as well as neutral and acid detergent fiber), and rumen parameters (pH, ammoniacal nitrogen concentration, and short-chain fatty acids) were also evaluated. The EOs did not decrease CH4 emissions and had no effect on rumen parameters.

Dairy Effluent-Saturated Biochar's Short-Term Effects on Vigna unguiculata and Cynodon dactylon Performance and Soil Properties.

We compared the effects of wood-, manure-, and blend-derived biochar (BC) saturated/unsaturated with dairy effluents on Vigna unguiculata and Cynodon dactylon performance and soil characteristics in a greenhouse pot study. Plant samples were assayed for herbage and root dry weight and N and C percentages. Soil samples were assayed for nutrients, pH, and conductivity. Variance analysis, Tukey's tests, Pearson's correlations, and multiple regression analysis were performed. The performance of C. dactylon was not affected. V. unguiculata's herbage and root production responded negatively to manure BC and 2% of any BC, respectively, which is mainly explained by the conductivity and soil P increase, respectively. When V. unguiculata was grown, BC inclusion decreased NO3-N and increased the soil P content. When C. dactylon was grown, only P was altered (increased) when manure or the blend BC were applied. The soil total C increased as the BC loading rate increased. The application of high BC rates was detrimental for V. unguiculata, but showed a neutral effect for C. dactylon. To improve dairy waste recycling, saturated 1% blend BC and saturated 2% blend or manure BC could be applied to V. unguiculata and C. dactylon, respectively, with no short-term negative impacts. Only wood BC avoided soil P build-up. BC application increased the soil total C, showing potential for C sequestration.

Biochar and Dairy Manure Amendment Effects on Cynodon dactylon Performance and Soil Properties.

Studies have determined the separate effects of biochar (BC) and manure application on forage species and soil, but few examined the effects of BCs made from different feedstock applied along with dairy manure. We compared the effect of wood- and manure-derived feedstock BC as well as dairy manure amendment application on Cynodon dactylon performance and soil properties in sandy loam and clay loam soils in a greenhouse pot study. Plant samples were assayed for herbage and root dry weight as well as herbage and root N and C percent and yield. Soil samples were assayed for macronutrients, micronutrients, metals, pH and conductivity. Data analyses involved variance analysis and Tukey's tests using R in RStudio (the IDE). In general, C. dactylon yields or mineral content were not affected by either manure or BC. However, an increase in the total herbage dry weight (30%) and in herbage N% (55%) was observed for clay loam and sandy loam soil, respectively, due to manure amendment application. There were no alterations in clay loam NO3-N and P due to any treatment; however, in sandy loam, these nutrients were not altered only when wood BC was applied. In sandy loam soil, NO3-N and P increased when manure BC along with dairy manure and when manure BC alone were applied, respectively. Thus, wood BC application should be considered to avoid these nutrient buildups when dairy manure is used as a soil amendment. This research shows a neutral (BC) or positive (dairy manure amendment) impact on C. dactylon performance. BC incorporation increases soil total C, showing potential for C sequestration. Long-term field trials could corroborate plant performance and soil parameters.

Melanoma diagnosis at a specialist dermatology practice without the use of photographic surveillance.

BACKGROUND/OBJECTIVE: Photographic aides are increasingly used in melanoma surveillance. We report melanoma characteristics detected using traditional surveillance without photographic technologies. METHODS: Retrospective study of melanomas diagnosed by three dermatologists at a private dermatology practice over 7 years. Patients underwent full skin examinations with dermoscopy and suspect lesions were excised or biopsied. Total body photography (TBP) and serial digital dermoscopic imaging (SDDI) were not used. Patient demographics, melanoma subtype and thickness, location, biopsy technique and keratinocyte cancers diagnosed at the same visit were recorded. Ratio of in situ to invasive melanomas was calculated. Melanoma risk factors were recorded for 69 randomly-selected patients. RESULTS: 492 patients were diagnosed with 615 melanomas during 579 visits. 505 (82%) were in situ (in situ to invasive ratio of 4.6:1). Of the invasive melanomas, 85.5% had a Breslow thickness <0.8 mm, 10 (9.1%) 0.8-1 mm and 6 (5.5%) >1 mm. 43.3% of in situ melanomas were lentiginous or lentigo maligna and 41.6% were superficial spreading melanomas (SSM). Of invasive melanomas, 24.3% were lentigo maligna melanoma and 59.5% were SSM. 48.4% of melanomas were diagnosed by shave procedures. Where risk factors were known, 25% were very-high-risk and 43% had a history of melanoma. Keratinocyte carcinoma was diagnosed by biopsy at 26.1% of visits. Studies using TBP and/or SDDI report in situ to invasive ratios of 0.59:1 to 2.17:1. CONCLUSION: Tradiational melanoma surveillance with immediate biopsy of suspect lesions results in high in situ to invasive ratios. Studies using photographic surveillance show lower ratios of in situ to invasive disease.

Essential Oils as In Vitro Ruminal Fermentation Manipulators to Mitigate Methane Emission by Beef Cattle Grazing Tropical Grasses.

There is increasing pressure to identify natural feed additives to mitigate methane emissions from livestock systems. Our objective was to investigate the effects of essential oils (EO) extracts star anise (Illicium verum), citronella (Cymbopogon winterianus), clove bud (Eugenia caryophyllus), staigeriana eucalyptus (Eucalyptus staigeriana), globulus eucalyptus (Eucalyptus globulus), ginger (Zingiber officinale), ho wood (Cinnamomum camphora), melaleuca (Melaleuca alternifolia), oregano (Origanum vulgare) and white thyme (Thymus vulgaris) on in vitro methane emissions from four rumen-cannulated Nellore cattle grazing a tropical grass pasture as inoculum donors. The semi-automated gas production technique was used to assess total gas production, dry matter degradability, partitioning factor, ammoniacal nitrogen, short-chain fatty acids and methane production. All essential oils were tested in four doses (0, 50, 250 and 500 mg/L) in a randomized block design, arranged with four blocks, 10 treatments, four doses and two replicates. Within our study, oregano and white Thyme EO reduced net methane production at 250 mg/L, without affecting substrate degradation. Essential oils from oregano and white thyme have the potential to modify ruminal fermentation and suppress rumen methanogenesis without negative effects on feed digestibility, indicating promise as alternatives to ionophores for methane reduction in beef cattle.

Effect of concentrate supplement to ewes on nutritive value of ingested Caatinga native forage nutritive value as affected by season.

The objective of this study was to identify by microhistological technique the reference chemical components for use as indicators of the nutritive value of Caatinga plants forage grazed by sheep throughout the year. A flock of twenty mixed-race meat ewes, multiparous, in production, with an average 34.84 ± 1.75 kg live weight and 36 months of age was assigned to supplement treatment of 0, 200, 350, and 500 g concentrate/head/day for 3 years. The experiment was designed as a randomized complete design with repeated measures over time. Supplementation with concentrate did not influence chemical composition of selected forage. In contrast, season heavily influenced diet chemical composition. Canopy stratum, season, and plant botanical family of selected species affected forage chemical composition selected by ewes. The ewes selected forage with greater nutritive value during the rainy season. Based on principal component analysis of the nutritive value of the primary forage species selected, ewes preferentially grazed plants contained greater neutral detergent fiber, acid detergent fiber, crude protein (CP), C fraction of nitrogenous compounds, and carbohydrate fractions A + B1 and C compared to the average native Caatinga herbage. Rangeland botanical composition and ewe diet varied during the year, affecting forage nutrients on offer, with the best diet selected during the rainy season because of the presence of dicotyledonous herbaceous species rich in CP as well as soluble carbohydrates and nitrogenous compounds. Concentrate supplement strategies for ewes on rangelands, such as Caatinga, should be determined by herbaceous species nutritive value during the rainy season and deep-rooted perennial dicotyledons during the dry season. These include the need to monitor ewe selection of forage species and their nutritive value, which is effectively accomplished with fecal microhistological techniques.

Nutritive Value Variation and In Vitro Digestibility of Hempseed Meal.

Hempseed meal (HSM) is left after oil extraction of hemp and may act as a protein source in livestock. The first phase of this research evaluated variation in nutritive value and in vitro dry matter digestibility (IVDMD) of HSM from various sources in North America; the second phase utilized IVDMD to evaluate the efficacy of hempseed meal as an ingredient in ruminant feed. In phase one, the source had no contribution to variance for neutral detergent fiber (NDF), acid detergent fiber (ADF), acid detergent lignin (ADL), or crude protein (CP) (p ≥ 0.20). However, batch within source contributed to variation for NDF (50%), ADF (37%), ADL (13%), and CP (31%; p ≤ 0.01). Irrespective of differences in nutritive value, there was no contribution to variation (p = 0.23) of any measured response on in vitro true digestibility (53.0%). In phase two, two experiments evaluated HSM IVDMD as (1) a concentrate replacement or (2) a protein replacement in rations at varying rates. In the first experiment, IVDMD decreased (p < 0.05) with increasing levels of HSM. In the second experiment, IVDMD decreased (p < 0.01) as HSM inclusion increased. Although IVDMD decreased as HSM inclusion increased, values still met the digestibility threshold for ruminant rations, indicating that HSM has potential as an alternative protein ingredient.

Nutritive Value Variation of Paunch Manure as an Alternative Feed Ingredient.

Ruminants, which have multi-compartmented stomachs, are adapted to digest cellulosic materials, which constitute the primary expense on ranches and dairies. Industrial byproducts can be repurposed for livestock diets to decrease these costs. Therefore, finding alternative feedstuffs may benefit the economics of livestock production. The goal of this project was to evaluate the variation in nutritive value of ruminal waste as a potential feedstuff. Twelve paunch samples were collected from individual cattle across multiple harvest dates at the Tarleton State University Meat Laboratory, Stephenville, TX. Samples were dried and assayed for dry matter (DM), crude protein (CP), sequential neutral detergent fiber (NDF), acid detergent fiber (ADF), and acid detergent lignin (ADL), and physically-effective fiber (peNDF). Samples were subjected to batch-culture in vitro digestibility assays for the determination of digestibility coefficients. Mean NDF, ADF, ADL, CP and peNDF concentrations were 681, 399, 109, 150, and 387 g kg-1 DM, respectively. Contribution to variance from sample for NDF, ADF, ADL, CP, and peNDF were 75.3, 41.9, 33.0, 51.2, and 71.3%, respectively. In vitro true digestibility (IVTD) and in vitro NDF digestibility (IVNDFD) were recorded as 462 and 216 g kg-1 DM, respectively. Contribution to variation of sample for IVTD and IVNDFD were 31.0 and 30.7%, respectively. Results indicate that rumen waste harvested from abattoirs may be useful for sustainable livestock production, while reducing environmental threats posed by disposal, but the viability of the product is highly dependent on the source animal. For full viability of application in a sustainable system, a centralized receiving and compositing system may be useful for developing a consistent product.

Dwarf and Tall Elephantgrass Genotypes under Irrigation as Forage Sources for Ruminants: Herbage Accumulation and Nutritive Value.

This two-year study evaluated the effect of Pennisetum purpureum genotypes under rainfed or irrigated conditions, during the dry and rainy seasons, on herbage, leaf, and stem dry matter (DM) accumulation rates, nutritive value, and carbohydrate and protein fractionation. Treatments were tall (Iri 381 and Elefante B) or dwarf (Mott and Taiwan A-146 2.37) genotypes under rainfed or irrigated conditions. Taiwan A-146 2.37 (146 kg DM ha per day) showed similar herbage accumulation rate (HAR) to tall genotypes during the rainy season (124 and 150 kg DM/ha per day, respectively). Dwarf genotypes showed differences in leaf accumulation rate (LAR) (66 and 49 kg DM/ha per day). Mott leaf had less neutral detergent fiber (NDF) (589 g/kg DM) than Taiwan A-146 2.37 (598 g/kg DM), and tall genotypes had generally greater NDF (668 g/kg DM) than the dwarf genotypes. Irrigation increased fiber deposition in the leaf. Stems of all genotypes had lower in vitro digestible dry matter (IVDDM) (378 g/kg DM) under rainfed conditions in the rainy season. Leaf from irrigated plots had 23% more carbohydrate C fraction (160 g/kg CHO) than those from rainfed plots (122 g/kg CHO). Dwarf genotypes had generally greater nutritive value than tall genotypes. These genotypes show promise under irrigation to fill forage gaps during dry periods.