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Sediment accretion (burial) and nutrient enrichment may exert a synergistic influence on the growth and distribution of macrophytes in floodplain wetlands; however, this phenomenon has rarely been examined. In this study, we investigated the effects of sediment accretion and nutrient enrichment on the growth and vegetative propagation of Phalaris arundinacea within a Carex thunbergii stand (one P. arundinacea ramet within 25 C . thunbergii ramets) using a factorial sediment burial (0, 3, and 6 cm) and nutrient addition (low, medium, and high) experimental design. High sediment burial (6 cm) without nutrient addition decreased the aboveground and total biomass of C. thunbergii but did not affect P. arundinacea , indicating that P. arundinacea is more tolerant to sediment burial than C. thunbergii . Moderate sediment burial (3 cm) with nutrient addition enhanced the aboveground and total biomass of P. arundinacea but did not affect C. thunbergii , indicating that P. arundinacea may gain a growth advantage over C. thunbergii under moderate sedimentation. High sediment burial with nutrient addition increased the number of rhizomes and ramets produced by P. arundinacea but did not affect C. thunbergii , indicating that the relative abundance of P. arundinacea may increase within the Carex community under high sedimentation conditions. Based on these results, it can be concluded that an increased sedimentation rate facilitates the invasion of P. arundinacea into Carex grasslands, and this invasion is further enhanced by nutrient enrichment. Therefore, management measures should be taken to reduce the sediment load and nutrient input to prevent Carex grasslands invasion by P. arundinacea and maintain the ecological function of floodplain wetlands., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision. The reviewer ZD declared a past co-authorship with the author X-SC to the handling editor., (Copyright © 2024 Guo, Zhong, Sun, Song, Liu and Chen.)

Background: Tuberculosis (TB) remains a significant challenge for public health and is closely associated with malnutrition; however, few studies have attempted to screen malnutrition among TB patients. The study aimed to evaluate the nutrition status and build a new nutritional screening model for active TB., Methods: A retrospective, multicenter, large cross-sectional study was conducted in China from 1 January 2020 to 31 December 2021. All included patients diagnosed with active pulmonary TB (PTB) were evaluated both by Nutrition Risk Screening 2002 (NRS 2002) and Global Leadership Initiative on Malnutrition (GLIM) criteria. Univariate and multivariate analyses were conducted to screen the risk factors associated with malnutrition, and a new screening risk model, mainly for TB patients, was constructed., Results: A total of 14,941 cases meeting the inclusion criteria were entered into the final analysis. The malnutrition risk rate among PTB patients in China was 55.86% and 42.70%, according to the NRS 2002 and GLIM, respectively. The inconsistency rate between the two methods was 24.77%. A total of 11 clinical factors, including elderly, low body mass index (BMI), decreased lymphocyte cells, taking immunosuppressive agents, co-pleural TB, diabetes mellitus (DM), human immunodeficiency virus (HIV), severe pneumonia, decreased food intake within a week, weight loss and dialysis were identified as independent risk factors of malnutrition based on multivariate analyses. A new nutritional risk screening model was constructed for TB patients with a diagnostic sensitivity of 97.6% and specificity of 93.1%., Conclusions: Active TB patients have severe malnutrition status according to screening by the NRS 2002 and GLIM criteria. The new screening model is recommended for PTB patients as it is more closely tailored to the characteristics of TB., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-23-623/coif). The authors have no conflicts of interest to declare., (2023 Journal of Thoracic Disease. All rights reserved.)