Acceptability of a companion patient guide to support expert consensus guidelines on surveillance mammography in older breast cancer survivors.

PURPOSE: To support shared decision-making, patient-facing resources are needed to complement recently published guidelines on approaches for surveillance mammography in breast cancer survivors aged ≥ 75 or with < 10-year life expectancy. We created a patient guide to facilitate discussions about surveillance mammography in older breast cancer survivors. METHODS: The "Are Mammograms Still Right for Me?" guide estimates future ipsilateral and contralateral breast (in-breast) cancer risks, general health, and the potential benefits/harms of mammography, with prompts for discussion. We conducted in-clinic acceptability testing of the guide by survivors and their clinicians at a National Cancer Institute-designated comprehensive cancer center, including two community practices. Patients and clinicians received the guide ahead of a clinic visit and surveyed patients (pre-/post-visit) and clinicians (post-visit). Acceptability was defined as ≥ 75% of patients and clinicians reporting that the guide (a) should be recommended to others, (b) is clear, (c) is helpful, and (d) contains a suitable amount of information. We also elicited feedback on usability and mammography intentions. RESULTS: We enrolled 45 patients and their 21 clinicians. Among those responding in post-visit surveys, 33/37 (89%) patients and 15/16 (94%) clinicians would recommend the guide to others; 33/37 (89%) patients and 15/16 (94%) clinicians felt everything/most things were clear. All other pre-specified acceptability criteria were met. Most patients reported strong intentions for mammography (100% pre-visit, 98% post-visit). CONCLUSION: Oncology clinicians and older breast cancer survivors found a guide to inform mammography decision-making acceptable and clear. A multisite clinical trial is needed to assess the guide's impact mammography utilization. TRIAL REGISTRATION: ClinicalTrials.gov-NCT03865654, posted March 7, 2019.

PSEUDORABIES (AUJESZKY'S DISEASE) IS AN UNDERDIAGNOSED CAUSE OF DEATH IN THE FLORIDA PANTHER (PUMA CONCOLOR CORYI).

Feral swine (Sus scrofa), an important prey species for the endangered Florida panther (Puma concolor coryi), is the natural host for pseudorabies virus (PRV). Prior to this study, PRV had been detected in just three panthers. To determine the effect of PRV on the panther population, we prospectively necropsied 199 panthers and retrospectively reviewed necropsy and laboratory findings, reexamined histology, and tested archived tissues using real-time PCR from 46 undiagnosed panther mortalities. Seven additional infections (two prospective, five retrospective) were detected for a total of 10 confirmed panther mortalities due to PRV. To further evaluate the effect of PRV, we categorized radio-collared (n=168) and uncollared panther mortalities (n=367) sampled from 1981 to 2018 based on the likelihood of PRV infection as confirmed, probable, suspected, possible, or unlikely/negative. Of 168 radio-collared panthers necropsied, PRV was the cause of death for between eight (confirmed; 4.8%) and 32 (combined confirmed, probable, suspected, and possible categories; 19.0%) panthers. The number of radio-collared panther mortalities due to PRV was estimated to be 15 (95% empirical limits: 12-19), representing 8.9% (confidence interval: 4.6-13.2%) of mortalities. Gross necropsy findings in 10 confirmed cases were nonspecific. Microscopic changes included slight to mild perivascular cuffing and gliosis (primarily in the brain stem), lymphoplasmacytic meningoencephalitis (cerebral cortex), and intranuclear inclusion bodies (adrenal medulla). The PRV glycoprotein C gene sequences from three positive panthers grouped with the sequence from a Florida feral swine. Our findings indicate that PRV may be an important and underdiagnosed cause of death in Florida panthers.

Redescription of Philometra margolisi Moravec, Vidal-Martínez et Aguirre-Macedo, 1995 (Nematoda: Philometridae), a gonad-infecting parasite of the red grouper Epinephelus morio (Serranidae) in the Gulf of Mexico.

The insufficiently known nematode species Philometra margolisi Moravec, Vidal-Martínez et Aguirre-Macedo, 1995 (Philometridae) is redescribed based on light and scanning electron microscopical (SEM) examinations of specimens collected from the gonad of the type host, the red grouper Epinephelus morio (Valenciennes) (Serranidae, Perciformes), in the northern Gulf of Mexico off Florida, USA. Also, new prevalence data for females of P. margolisi were derived from 188 fish, and a subset of these (n = 38) were used to determine prevalence and intensity of male nematodes. The male of this species was studied with SEM for the first time, which revealed some new, taxonomically important morphological features. The male posterior end had a V-shaped caudal mound, four pairs of minute adanal papillae, a pair of large papillae located posterior to the cloacal aperture and a pair of very small phasmids. The distal end of the gubernaculum is unique among all gonad-infecting species of Philometra parasitizing serranids in that its ventral surface is flat, smooth, without the usual two longitudinal grooves; the dorsal lamellate structures on the gubernaculum are also different in this species. In contrast to data in the original species description, the body length of gravid females of P. margolisi was 132-280 mm. Overall prevalence for male nematodes (76.3%) was much higher than for females (15.4%), and female nematode prevalence was higher in samples collected during host spawing season than out of season (27.1% and 3.3%, respectively).

Temperature correlates with annual changes in Hematodinium perezi prevalence in blue crab Callinectes sapidus in Florida, USA.

Blue crabs Callinectes sapidus were monitored biannually throughout Florida, USA, for 2 yr using a highly sensitive, quantitative polymerase chain reaction (qPCR) to determine the spatial and temporal changes in prevalence and intensity of Hematodinium perezi infections during drought years. Despite persistent drought conditions, H. perezi infections were not universally found. Overall prevalence was 25.3% (95% CI: 22.8-28.1%) in 1066 crabs sampled from 6 locations (Jacksonville, Ormond Beach, Everglades City, Tampa Bay, Steinhatchee, and Panama City) from 2011 to 2012. Presence of H. perezi was consistently highest in winter season samples, ranging from 4.2-51.1% (3 locations) in 2011, to 32-83% (5 locations) in 2012. The highest prevalence and intensities were observed in the winter samples from Everglades City. Previous studies have found that the prevalence of H. perezi in C. sapidus in temperate regions of the US East Coast shows seasonal peaks in early winter in Maryland and South Carolina and in fall and spring in Georgia. The seasonality of infections in the subtropical waters of Florida reinforces the concept that temperature is a strong factor that may override other drivers, such as drought. Seasonal H. perezi infections in Florida appear to be triggered by the parasite responding to an optimal temperature during the annual rise from the low temperature of winter when salinity is elevated. However, salinity alone is not sufficient to trigger an increase in prevalence of H. perezi in Florida.

Taxonomic assessment of Alligator Snapping Turtles (Chelydridae: Macrochelys), with the description of two new species from the southeastern United States.

The Alligator Snapping Turtle, Macrochelys temminckii, is a large, aquatic turtle limited to river systems that drain into the Gulf of Mexico. Previous molecular analyses using both mitochondrial and nuclear DNA suggested that Macrochelys exhibits significant genetic variation across its range that includes three distinct genetic assemblages (western, central, and eastern = Suwannee). However, no taxonomic revision or morphological analyses have been conducted previously. In this study, we test previous hypotheses of distinct geographic assemblages by examining morphology, reanalyzing phylogeographic genetic structure, and estimating divergence dating among lineages in a coalescent framework using Bayesian inference. We reviewed the fossil record and discuss phylogeographic and taxonomic implications of the existence of three distinct evolutionary lineages. We measured cranial (n=145) and post-cranial (n=104) material on field-captured individuals and museum specimens. We analyzed 420 base pairs (bp) of mitochondrial DNA sequence data for 158 Macrochelys. We examined fossil Macrochelys from ca. 15-16 million years ago (Ma) to the present to better assess historical distributions and evaluate named fossil taxa. The morphological and molecular data both indicate significant geographical variation and suggest three species-level breaks among genetic lineages that correspond to previously hypothesized genetic assemblages. The holotype of Macrochelys temminckii is from the western lineage. Therefore, we describe two new species as Macrochelys apalachicolae sp. nov. from the central lineage and Macrochelys suwanniensis sp. nov. from the eastern lineage (Suwannee River drainage). Our estimates of divergence times suggest that the most recent common ancestor (MRCA) of M. temminckii (western) and M. apalachicolae (central) existed 3.2-8.9 Ma during the late Miocene to late Pliocene, whereas M. temminckii-M. apalachicolae and M. suwanniensis last shared a MRCA 5.5-13.4 Ma during the mid-Miocene to early Pliocene. Examination of fossil material revealed that the fossil taxon M. floridana is actually a large Chelydra. Our taxonomic revision of Macrochelys has conservation and management implications in Florida, Georgia, and Alabama.

Effects of moderate calorie restriction on testosterone production and semen characteristics in young rhesus macaques (Macaca mulatta).

We have previously reported a modest influence of moderate calorie restriction (CR) on testicular gene expression in young adult rhesus macaques (Macaca mulatta); however, it is unclear if these modifications correspond to subsequent changes in testicular function or sperm physiology. This study extends our earlier findings to examine potential physiological differences due to this differential gene expression. Animals were subjected to 30% CR (CR, n = 5) or were fed a standard control diet (CON, n = 5) starting during their peripubertal period. Circulating testosterone (T) levels were measured across a 24-h period after 7 yr of dietary treatment and were found to be similar in CR and CON males; however, maintenance of daily minimum T levels was significantly higher in the CR animals. Semen collection was performed on the same cohort of animals three times per male (CR, n = 4; CON, n = 4) after 8 yr of treatment, and samples were assessed by a variety of measures. Parameters, including semen quality and sperm cell viability and function, showed less variability in semen samples taken from CR males, but overall testicular function and sperm quality were comparable regardless of diet. There is mounting evidence that CR may promote health and longevity in a wide range of organisms, including nonhuman primates. Importantly, our data suggest that moderate CR has no obvious lasting detrimental effect on testicular function and sperm parameters in young adult primates and may in fact help maintain higher levels of circulating T.

Separating the impact of group size, density, and enclosure size on broiler movement and space use at a decreasing perimeter to area ratio.

The goal of this study was to determine the impact of enclosure size on space use and movement patterns of domestic fowl (Gallus gallus domesticus), independent of group size and density. Research designed to estimate the effects of group size, density, or enclosure size involves inherent confounding between factors, clouding their individual effects. This experimental design enabled us to conduct multiple contrasts in order to tease apart the specific impacts. Treatments consisted of five combinations of three square enclosures: small (S; 1.5m(2)), medium (M; 3.0m(2)), and large (L; 4.5m(2)), and three group sizes of 10, 20, and 30 birds. We made comparisons while holding group size constant, holding density constant, and the third while maintaining a constant enclosure size. Nearest neighbor distances increased with enclosure size but appeared to be constrained by density. Net displacement and minimum convex polygons increased with enclosure size regardless of group size or density. We found no evidence of social restriction on space use. Results indicate that broilers adapted their use of space and movement patterns to the size of the enclosures, spreading out and utilizing a greater amount of space when it was available.