For complex diagnostic problems like TB, clinical risk assessments can provide important information regarding predictive values more likely to be experienced in clinical practice. For this series, a clinical suspicion of TB was helpful in targeting areas of the clinical spectrum in which nucleic acid amplification tests can make an important contribution.

No abstract

The generality of ecological patterns depends inextricably on the scale at which they are examined. We investigated patterns of crab distribution and the relationship between crabs and vegetation in salt marshes at multiple scales. By using consistent monitoring protocols across 15 U.S. National Estuarine Research Reserves, we were able to synthesize patterns from the scale of quadrats to the entire marsh landscape to regional and national scales. Some generalities emerged across marshes from our overall models, and these are useful for informing broad coastal management policy. We found that crab burrow distribution within a marsh could be predicted by marsh elevation, distance to creek and soil compressibility. While these physical factors also affected marsh vegetation cover, we did not find a strong or consistent overall effect of crabs at a broad scale in our multivariate model, though regressions conducted separately for each site revealed that crab burrows were negatively correlated with vegetation cover at 4 out of 15 sites. This contrasts with recent smaller-scale studies and meta-analyses synthesizing such studies that detected strong negative effects of crabs on marshes, likely because we sampled across the entire marsh landscape, while targeted studies are typically limited to low-lying areas near creeks, where crab burrow densities are highest. Our results suggest that sea-level rise generally poses a bigger threat to marshes than crabs, but there will likely be interactions between these physical and biological factors. Beyond these generalities across marshes, we detected some regional differences in crab community composition, richness, and abundance. However, we found striking differences among sites within regions, and within sites, in terms of crab abundance and relationships to marsh integrity. Although generalities are broadly useful, our findings indicate that local managers cannot rely on data from other nearby systems, but rather need local information for developing salt marsh management strategies.

The rapid proliferation of Phragmites australis in North America has challenged resource managers to curb its expansion and reduce the loss of functional tidal marsh. We investigated whether native plant competition could reduce the ability of Phragmites to invade a tidal marsh, and if plant diversity (species richness, evenness, and composition) altered the competitive outcome. Immature Phragmites shoots and four native halophytes were transplanted to small but dense field plots (~1,200 shoots m −2 ) comprising three community structure types (Phragmites alone, Phragmites+1 native species, and Phragmites+4 native species). Interspecific competition significantly reduced Phragmites aboveground biomass, shoot length production, density, and survival by approximately 60%. Additionally, plots planted with greater native diversity contained Phragmites with the lowest growth and survival, potentially indicating diversity-enhanced resource competition. Competition consistently reduced the growth of Phragmites even under favorable conditions: lack of strong tidal flooding stresses as well as elevated nutrient pools.