Monoclonal Gammopathies in a Fracture Liaison Service.

Monoclonal gammopathies are a spectrum of disorders characterized by the overproduction of plasma B-cells and immunoglobulin. Monoclonal gammopathy of uncertain significance (MGUS), a pre-malignant form of multiple myeloma, is defined by relatively low bone marrow concentration of clonal plasma cells and asymptomatic clinical presentation. New evidence, however, points to an association of MGUS with osteoporosis, microarchitectural bone deficiency, and fractures, and it has been suggested that it be renamed "Monoclonal Gammopathy of Skeletal Significance." The prevalence of MGUS in the general geriatric population is estimated to be 3-8%, while the prevalence in geriatric vertebral fracture patients is 15%, and the prevalence in all fracture patients within the Rhode Island Fracture Liaison Service is 10%. Therefore, MGUS and other monoclonal gammopathies should be suspected in all patients diagnosed with osteoporosis or an osteoporotic fracture, and patients diagnosed with monoclonal gammopathies should be evaluated for osteoporosis and fracture risk and treated appropriately.

Geographic variation in salt marsh structure and function.

We examined geographic variation in the structure and function of salt marsh communities along the Atlantic and Gulf coasts of the United States. Focusing on the arthropod community in the dominant salt marsh plant Spartina alterniflora, we tested two hypotheses: first, that marsh community structure varies geographically, and second, that two aspects of marsh function (response to eutrophication and addition of dead plant material) also vary geographically. We worked at eleven sites on the Gulf Coast and eleven sites on the Atlantic Coast, dividing each coast up into two geographic areas. Abiotic conditions (tidal range, soil organic content, and water content, but not soil salinity), plant variables (Spartina nitrogen content, height, cover of dead plant material, but not live Spartina percent cover or light interception), and arthropod variables (proportional abundances of predators, sucking herbivores, stem-boring herbivores, parasitoids, and detritivores, but not total arthropod numbers) varied among the four geographic regions. Latitude and mean tidal range explained much of this geographic variation. Nutrient enrichment increased all arthropod functional groups in the community, consistent with previous experimental results, and had similar effects in all geographic regions, contrary to our hypothesis, suggesting widespread consistency in this aspect of ecosystem function. The addition of dead plant material had surprisingly little effect on the arthropod community. Our results caution against the uncritical extrapolation of work done in one geographic region to another, but indicate that some aspects of marsh function may operate in similar ways in different geographic regions, despite spatial variation in community structure.

Disturbance and recovery of salt marsh arthropod communities following BP Deepwater Horizon oil spill.

Oil spills represent a major environmental threat to coastal wetlands, which provide a variety of critical ecosystem services to humanity. The U.S. Gulf of Mexico is a hub of oil and gas exploration activities that historically have impacted intertidal habitats such as salt marsh. Following the BP Deepwater Horizon oil spill, we sampled the terrestrial arthropod community and marine invertebrates found in stands of Spartina alterniflora, the most abundant plant in coastal salt marshes. Sampling occurred in 2010 as oil was washing ashore and a year later in 2011. In 2010, intertidal crabs and terrestrial arthropods (insects and spiders) were suppressed by oil exposure even in seemingly unaffected stands of plants; however, Littoraria snails were unaffected. One year later, crab and arthropods had largely recovered. Our work is the first attempt that we know of assessing vulnerability of the salt marsh arthropod community to oil exposure, and it suggests that arthropods are both quite vulnerable to oil exposure and quite resilient, able to recover from exposure within a year if host plants remain healthy.