Songbird reproductive success can decline from consuming mercury-contaminated aquatic insects, but assessments of hydrologic conditions influencing songbird mercury exposure are lacking. We monitored breast feather total mercury (THg) concentrations and reproductive success in the U.S. federally listed endangered Cape Sable Seaside Sparrow (CSSS: Ammospiza maritima mirabilis) over three breeding seasons in the Florida Everglades. We used model comparison to explore the influence of annual hydrologic variation on adult CSSS THg concentrations, and tested mercury effects on individual reproductive success (individuals’ mate status, apparent nest success, and total productivity) that were scaled to estimates on population productivity using a demographic model. We identified four hydrologic models that explained annual variation in adult THg concentrations, with the top model showing a negative association between THg concentrations and drought length of the previous breeding season and a positive association between THg concentrations and dry-season water recession rate (model adjusted R2 = 0.82). Adult male mating probability declined by 63

PURPOSE:We observed that the tumor microenvironment (TME) in metastatic epithelial ovarian cancer (EOC) and in other solid tumors can reprogram normal neutrophils to acquire a complement-dependent suppressor phenotype characterized by inhibition of stimulated T cell activation. This study aims to evaluate whether serum markers of neutrophil activation and complement at diagnosis of EOC would be associated with clinical outcomes. EXPERIMENTAL DESIGN:We conducted a two-center prospective study of patients with newly diagnosed EOC (N = 188). Blood and ascites fluid were collected at diagnosis for biomarker analysis. Patients were evaluated for progression-free survival (PFS) and overall survival (OS). RESULTS:The median OS was 47 months (95 % CI: 34-58) and the median PFS was 12 months (95 % CI: 11-15). Pre-treatment serum levels of genomic DNA (gDNA), markers of neutrophil degranulation (myeloperoxidase [MPO]) and neutrophil extracellular traps (NETs) (citrullinated histone H3 [CitH3]), and complement activation (C3b/c) were each associated with worse OS in univariate analysis. In multivariate analyses controlling for age, stage, and optimal debulking, serum gDNA, MPO, and CitH3 remained associated with worse OS, while C3b/c levels were not. In an exploratory analysis, the largest magnitude of difference in 2-year OS occurred in patients with low C3b/c and low CitH3 compared to all other patients (87 % vs 46 % survival, respectively). In ascites fluid, increased factor H, a negative regulator of complement activation, was associated with improved OS in univariate analysis. CONCLUSIONS:These results point to serum gDNA, NETs, and complement activation as potential prognostic biomarkers in patients with newly diagnosed EOC.

IntroductionOyster reef restoration has expanded in the Gulf of Mexico, yet many large-scale projects fail to sustain ecological or physical outcomes. A key challenge is maintaining vertical relief in dynamic estuarine settings, where low elevation and cultch degradation limit recruitment and reef persistence.ObjectivesThis study evaluates whether intertidal reef elevation can be reliably restored and maintained using locally sourced limestone in the low-energy, open-ocean facing environment of Suwannee Sound, Florida. We compare elevation changes across 26 constructed reef pads with pre-construction and nearby wild reef elevations.MethodsIn 2018, 26 reef pads were built along 5 km of Lone Cabbage Reef. Elevations were surveyed post-construction and in 2021 using a Real-Time Kinematic (RTK) Global Positioning System (GPS) over 304 transects. Pad-level summaries, linear regressions, and spatial models assessed elevation change and geographic trends.ResultsAll reef pads met or exceeded target elevations and remained above pre-construction levels after 3 years. Mean elevation declined approximately 0.14 m but stayed within the range of adjacent wild reefs. Regression showed modest decline and greater subsidence east and south.ConclusionsThe Lone Cabbage project shows reef elevation can be restored and maintained at scale using durable limestone and targeted intertidal design. Despite some settling, structures remained within ecologically functional elevation zones.

The challenges of monitoring wildlife often limit the scales and intensity of the data that can be collected. New technologies-such as remote sensing using unoccupied aircraft systems (UASs)-can collect information more quickly, over larger areas, and more frequently than is feasible using ground-based methods. While airborne imaging is increasingly used to produce data on the location and counts of individuals, its ability to produce individual-based demographic information is less explored. Repeat airborne imagery to generate an imagery time series provides the potential to track individuals over time to collect information beyond one-off counts, but doing so necessitates automated approaches to handle the resulting high-frequency large-spatial scale imagery. We developed an automated time-series remote sensing approach to identifying wading bird nests in the Everglades ecosystem of Florida, USA to explore the feasibility and challenges of conducting time-series based remote sensing on mobile animals at large spatial scales. We combine a computer vision model for detecting birds in weekly UAS imagery of colonies with biology-informed algorithmic rules to generate an automated approach that identifies likely nests. Comparing the performance of these automated approaches to human review of the same imagery shows that our primary approach identifies nests with comparable performance to human review, and that a secondary approach designed to find quick-fail nests resulted in high false-positive rates. We also assessed the ability of both human review and our primary algorithm to find ground-verified nests in UAS imagery and again found comparable performance, with the exception of nests that fail quickly. Our results showed that automating nest detection, a key first step toward estimating nest success, is possible in complex environments like the Everglades and we discuss a number of challenges and possible uses for these types of approaches.

Vulvar cancer is annually diagnosed in an estimated 6,470 individuals and the vast majority are histologically squamous cell carcinomas. Vulvar cancer accounts for 5% to 8% of gynecologic malignancies. Known risk factors for vulvar cancer include increasing age, infection with human papillomavirus, cigarette smoking, inflammatory conditions affecting the vulva, and immunodeficiency. Most vulvar neoplasias are diagnosed at early stages. Rarer histologies exist and include melanoma, extramammary Paget’s disease, Bartholin gland adenocarcinoma, verrucous carcinoma, basal cell carcinoma, and sarcoma. This manuscript discusses recommendations outlined in the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for treatments, surveillance, systemic therapy options, and gynecologic survivorship.

Human activities are forcing wildlife to confront selective pressures different from those under which they evolved. In seasonal environments, migration evolved as an adaptation to fluctuating resource availability. Anthropogenic subsidies modify resource dynamics by providing a steady food source that is not subject to seasonality. Globally, many migratory populations are becoming increasingly resident in response to food supplementation. While these population-level shifts are assumed to arise from changing fitness consequences of individual behaviour in response to resource dynamics, these mechanisms are often difficult to quantify and disentangle. Here, we quantified fitness consequences of responses to anthropogenic subsidies in partially migratory wood storks (Mycteria americana) in the heavily urbanized southeastern United States. First, we tested whether individual migratory behaviour is linked to different responses to anthropogenic subsidies. Second, we quantified fitness consequences of these behavioural responses. We found that, in our system, migration and residency are alternative behavioural tactics associated with different responses to food supplementation. In turn, the use of anthropogenic resources alters a fitness component by enhancing nest survival. These results provide a mechanistic examination of how animals may respond to human-modified resource dynamics and how fitness consequences of individual tactics may translate into behavioural shifts at the population level.

Wildlife population monitoring over large geographic areas is increasingly feasible due to developments in aerial survey methods coupled with the use of computer vision models for identifying and classifying individual organisms. However, aerial surveys still occur infrequently, and there are often long delays between the acquisition of airborne imagery and its conversion into population monitoring data. Near real-time monitoring is increasingly important for active management decisions and ecological forecasting. Accomplishing this over large scales requires a combination of airborne imagery, computer vision models to process imagery into information on individual organisms, and automated workflows to ensure that imagery is quickly processed into data following acquisition. Here we present our end-to-end workflow for conducting near real-time monitoring of wading birds in the Everglades, Florida, USA. Imagery is acquired as frequently as weekly using uncrewed aircraft systems (aka drones), processed into orthomosaics (using Agisoft metashape), converted into individual-level species data using a Retinanet-50 object detector, post-processed, archived, and presented on a web-based visualization platform (using Shiny). The main components of the workflow are automated using Snakemake. The underlying computer vision model provides accurate object detection, species classification, and both total and species-level counts for five out of six target species (White Ibis, Great Egret, Great Blue Heron, Wood Stork, and Roseate Spoonbill). The model performed poorly for Snowy Egrets due to the small number of labels and difficulty distinguishing them from White Ibis (the most abundant species). By automating the post-survey processing, data on the populations of these species is available in near real-time (<1 week from the date of the survey) providing information at the time scales needed for ecological forecasting and active management.

Eastern oysters (Crassostrea virginica) generate structurally complex reef systems that offer diverse ecosystem services. However, there is limited understanding of how reef structure translates into reef condition. This knowledge gap might be better addressed if oyster reef structure could be more rapidly assessed. Conventional in situ monitoring techniques are often time-intensive, invasive, and do not provide spatially continuous information on the reef structure. Unoccupied Aircraft Systems (UAS), commonly referred to as drones, equipped with optical sensors can rapidly and non-invasively map intertidal oyster reef surfaces. We demonstrate how a digital surface model from UAS-based light detection and ranging (lidar) can enable very high-resolution characterization and monitoring of intertidal oyster reef surface morphology. Generalized linear models (GLMs) identified relationships between in situ live oyster counts and surface complexity metrics derived from digital surface models produced from lidar point clouds. Statistically significant relationships between surface complexity metrics (e.g., gray level co-occurrence features, volume to area ratio, skewness of elevation) and live oyster counts suggest that surface complexity provides useful proxies for reef condition. Advancing the application of remote sensing to intertidal oyster reefs can help identify reefs that are prone to degradation and inform conservation and restoration strategies.

Salinity regimes in coastal ecosystems are highly dynamic and driven by complex geomorphic and hydrological processes. Estuarine biota are generally adapted to salinity fluctuation, but are vulnerable to salinity extremes. Characterizing coastal salinity regime for ecological studies therefore requires representing extremes of salinity ranges at time scales relevant to ecology (e.g., daily, monthly, and seasonally). Here, we propose a framework for modeling coastal salinity with these overall goals: (1) quantify uncertainty in salinity associated with important terrestrial and oceanographic drivers, (2) examine time scales of salinity response to river streamflow events, and (3) predict salinity continuously over space at key time scales. Salinity is modeled as quantile surfaces related to river discharge, tidal dynamics, wind, and spatial location, applied to Suwannee Sound estuary, FL, USA, where salinity has been monitored spatially since 1981. Each quantile level is regressed independently, and together they comprise a distribution of salinity uncertainty across space, with upper and lower quantiles describing salinity extremes. Effects of physical drivers on salinity are compared through four base models with various combinations of tide and wind variables, each including spatial coordinates and a single streamflow metric (in cubic meters per second). Multiple time scales of streamflow are considered by taking means across various periods, from 1 to 12 days, and at various lagged intervals prior to salinity sample, totaling 144 streamflow metrics. We found that the Suwannee coastal salinity regime is dynamic at multiple time scales and varies nonlinearly across space from the river effluence outward. Salinity increases nonlinearly with decreasing river flow rates below 200 m(3)/s, most prominently in the lower quantiles of salinity (t = 0.05-0.25). Wind appears to have a stronger influence on salinity than astronomic tides for this estuary. The regression approach developed here can be applied to any coastal system that has sufficient spatial and temporal monitoring coverage to capture multiple flood and drought events. It is implemented with a simple R routine, and is less computationally-intensive than finite difference hydrodynamic modeling. The characterizations of salinity uncertainty developed in these analyses can be directly applied to future studies of fish and wildlife responses to changes in watershed management.

Mercury (Hg) is a globally distributed pollutant. Its sub-lethal effects on reproduction of birds have been used as indicators of contamination and of potential demographic effects. However, studies typically used single endpoints that might not be representative of entire reproductive cycle. To estimate timing and net cumulative effects of Hg exposure under field conditions, we used observational data over 11 years from >1200 nests of great egrets breeding under temporally and spatially varying food availability and Hg exposures in the Florida Everglades. We collected measures of fish biomass and availability (>100 locations annually) and used four avian reproductive endpoints that represented the entire breeding cycle. We calculated net reproductive loss by adding estimated Hg effects on failures prior to egg laying, clutch size, hatching success and nestling survival in response to food availability and Hg exposure. To validate and assess results of the observational egret study, we ran the same analyses with data of captive breeding white ibises experimentally exposed to Hg with ad libitum food over 3 years. We found large (>50 %) reductions in great egret offspring with high Hg exposure (18 μg/g dw THg nestling feather, ~0.7 μg/g ww whole egg THg) and high food availability, and even larger reductions (up to 100 %) with high Hg exposure and low food. Timing and the relative contribution of different endpoints to overall reproductive failure varied with food availability. Failures prior to egg laying were relevant at all food availabilities and proportionally most important during high food availability (~70 % of total losses). Under high food, post-hatching failures increased moderately with increasing exposure (~10 % of total losses), and under low food, hatching failures became dominant (~50 % of total losses). Patterns of failure of captive white ibis fed ad libitum resembled those of great egrets under high food availability but differed in total magnitude. We suggest that, a) net reproductive effects of Hg in free-ranging animals are probably much higher than generally reported in studies using single endpoints, b) Hg effect sizes vary considerably among different endpoints and c) food availability is a strong driver of timing and net effects of Hg exposure.

Adenocarcinoma of the endometrium (also known as endometrial cancer, or more broadly as uterine cancer or carcinoma of the uterine corpus) is the most common malignancy of the female genital tract in the United States. It is estimated that 65,950 new uterine cancer cases will have occurred in 2022, with 12,550 deaths resulting from the disease. Endometrial carcinoma includes pure endometrioid cancer and carcinomas with high-risk endometrial histology (including uterine serous carcinoma, clear cell carcinoma, carcinosarcoma [also known as malignant mixed Müllerian tumor], and undifferentiated/dedifferentiated carcinoma). Stromal or mesenchymal sarcomas are uncommon subtypes accounting for approximately 3% of all uterine cancers. This selection from the NCCN Guidelines for Uterine Neoplasms focuses on the diagnosis, staging, and management of pure endometrioid carcinoma. The complete version of the NCCN Guidelines for Uterine Neoplasms is available online at NCCN.org.

The NCCN Guidelines for Cervical Cancer provide recommendations for all aspects of management for cervical cancer, including the diagnostic workup, staging, pathology, and treatment. The guidelines also include details on histopathologic classification of cervical cancer regarding diagnostic features, molecular profiles, and clinical outcomes. The treatment landscape of advanced cervical cancer is evolving constantly. These NCCN Guidelines Insights provide a summary of recent updates regarding the systemic therapy recommendations for recurrent ormetastatic disease.

Conservation planning for large ecosystems has multiple benefits but is often challenging to implement because of the multiple jurisdictions, species, and habitats involved. In addition, decision making at large spatial scales can be hampered because many approaches do not explicitly incorporate potentially competing values and concerns of stakeholders. After the Deepwater Horizon oil spill, establishing baselines was challenging because of (1) variation in study designs, (2) inconsistent use of explicit objectives and hypotheses, (3) inconsistent use of standardized monitoring protocols, and (4) variation in spatial and temporal scope associated with avian monitoring projects before the spill. Herein, we show how the Gulf of Mexico Avian Monitoring Network members used structured decision making to identify bird monitoring priorities. We used multiple tools and techniques to clearly define the problem and stakeholder objectives and to identify bird monitoring priorities at the scale of the entire northern Gulf of Mexico region. Although our example is specific to the northern Gulf of Mexico, this approach provides an example of how stakeholder values can be incorporated into the coordination process of broad-scale monitoring programs to address management, restoration, and scientific questions in other ecosystems and for other taxa. History: This paper was refereed. This paper was accepted for the Special Issue of INFORMS Journal on Applied Analytics—Decision Analysis. Funding: Thanks to the National Fish and Wildlife Foundation [Grant 324423], which supported A. Fournier as a postdoctoral research associate at Mississippi State University. M. Woodrey was supported by the U.S. Department of Agriculture, National Institute of Food and Agriculture, Hatch Project funds, the Mississippi Agricultural and Forestry Experiment Station, National Oceanographic and Atmospheric Administration [Grant NA16NOS4200088 to the Mississippi Department of Marine Resources’ Grand Bay National Estuarine Research Reserve], and the Mississippi Department of Marine Resources [Grant 8200025414]. This publication is a contribution of the Mississippi Agricultural and Forestry Experiment Station. T. Zenzal was supported by the National Oceanic and Atmospheric Administration RESTORE Act Science Program [Grant NA17NOS4510092].

Mercury (Hg) is a toxicant of concern, particularly in aquatic food webs. Mercury can move to terrestrial systems through consumption of aquatic prey or emergence of insects with aquatic larval phases. The possible movement of Hg from sediments to wetland plants and into terrestrial food webs though primary consumers has received less attention. We investigated differences and correlations in Hg in soil, wood and leaves of willows (Salix caroliniana) and folivorous beetles from a wetland with enhanced levels of Hg. Further, we compared samples from tree islands that had enriched Hg in soil through bird guano with control islands. Hg in any sample type did not correlate with Hg in any other sample type from the same island. We found higher [Hg] in soils and significantly higher [Hg] in leaves from colony islands, while [Hg] in beetles appeared to be higher in control islands. In any case, despite comparatively high [Hg] in soil and leaves, Hg in folivorous beetles was below detection levels and lower than that reported from other studies. We conclude that movement of Hg from wetland trees to terrestrial food webs through wetland vegetation is negligible in this ecosystem.

The NCCN Guidelines for Cervical Cancer provide recommendations for all aspects of management for cervical cancer, including the diagnostic workup, staging, pathology, and treatment. The guidelines also include details on histopathologic classification of cervical cancer regarding diagnostic features, molecular profiles, and clinical outcomes. The treatment landscape of advanced cervical cancer is evolving constantly. These NCCN Guidelines Insights provide a summary of recent updates regarding the systemic therapy recommendations for recurrent or metastatic disease.