Prescription Drug Monitoring Programs (PDMP) are statewide databases that collect data on prescription of controlled substances. New York State mandates prescribers to consult the PDMP registry before prescribing a controlled substance such as opioid analgesics. The effect of mandatory PDMP on opioid drug prescriptions by dentists is not known. This study investigates the impact of mandatory PDMP on frequency and quantity of opioid prescriptions by dentists in a dental urgent care center. Based on the sample size estimate, we collected patient records of a 3-month period before and two consecutive 3-month periods after the mandatory PDMP implementation and analyzed the data on number of visits, treatment types and drug prescriptions using Chi-square tests. For patients who were prescribed pain medications, 452 (30.6%), 190 (14.1%), and 140 (9.6%) received opioid analgesics in the three study periods respectively, signifying a statistically significant reduction in the number of opioid prescriptions after implementation of the mandatory PDMP (p<0.05). Total numbers of prescribed opioid pills in a 3-month period decreased from 5096 to 1120, signifying a 78% reduction in absolute quantity. Prescriptions for non-opioid analgesics acetaminophen increased during the same periods (p<0.05). We conclude that the mandatory PDMP significantly affected the prescription pattern for pain medications by dentists. Such change in prescription pattern represents a shift towards the evidence-based prescription practices for acute postoperative pain.

Seven new records of cotylean flatworms belonging to two families and four genera were identified from Israel collected in the eastern Mediterranean Sea and the northern Red Sea. The family Pseudocerotidae was represented by three genera and six species (Pseudoceros duplicinctus, Pseudobiceros apricus, Pseudobiceros damawan, Pseudobiceros murinus, Pseudobiceros stellae, and Thysanozoon brocchii), followed by the Euryleptidae with a single species (Maritigrella fuscopunctata). Pseudoceros duplicinctus is recognized as a senior synonym of Pseudoceros prudhoei and color and pattern variations are reported for Maritigrella fuscopunctata. In addition, the presence of Pericelis byerleyana in the northern Gulf of Aqaba is confirmed, illustrated, and properly described with morphological and molecular data. Pseudoceros duplicinctus and Pseudobiceros stellae represent new geographic records for the Mediterranean Sea and Pseudobiceros apricus and Pseudobiceros damawan are new for the Red Sea. Detailed morphological analysis with emphasis on the color and pattern was applied for species identifications including high quality photographs of live and fixed animals. Partial sequences of the 28S ribosomal DNA (rDNA) of four of the species were obtained and deposited in GenBank with accession numbers provided with the corresponding species description. Our results represent a significant taxonomic contribution for the diversity and distribution of the Polycladida in Israel pointing out the importance for more integrative and comprehensive surveys in these two regions to advance the knowledge of marine biodiversity worldwide and along both Israeli coasts.

Copepods provide a rich organic microenvironment allowing the settlement and proliferation of microorganisms, forming dynamic microbial hotspots in the oceans. Such symbiotic associations in the plankton were previously hypothesized to be especially developed in warm oligotrophic seas, as they may serve as alternative sources of nutrients in biologically poor waters. Aiming to better understand how copepod microbiomes are shaped in an oligotrophic sea, we characterized microbiota associated with three dominant coastal epipelagic copepod species in the ultra‐oligotrophic Eastern Mediterranean Sea using amplicon sequencing of the 16S rRNA gene. Our results show that copepod‐associated microbial communities were host‐specific rather than determined by seasonal environmental changes. In the filter‐feeding copepod with a tendency to herbivory, Temora stylifera, microbial diversity was low and relatively stable throughout the year. In contrast, omnivorous copepods, the ambush‐feeding Oithona nana, and the mixed‐feeding Centropages ponticus harbored more diverse microbiomes dominated by transient taxa. We suggest that filter‐feeding strategy and narrow food spectrum can limit copepod–microbe interactions, while the ambush and mixed feeding strategies combined with omnivory confer higher microbial diversity. Filter feeders may reduce the recruitment of opportunistic microbes by maintaining high fidelity associations, as indicated by the large number of core taxa in T. stylifera. We underline the importance of the copepod–microbe associations in nutrient‐impoverished ecosystems, based on predicted enrichment of nitrogen metabolism in the core microbiome, mostly during summer when the shallow coastal waters are nitrogen‐depleted.