Informing Clinical Practice Guidelines for Children and Youth With Down Syndrome: A Survey of Key Partners.

PURPOSE: The purpose of this work was to describe input from key partners to inform the scope and priorities for a clinical practice guideline (CPG) pertaining to physical therapy services provided to children and youth with Down syndrome (DS). METHODS: A 68-item survey was completed by interventionists and parents (n = 296) of children and youth with DS. RESULTS: The most prevalent physical therapy interventions currently being performed included tummy time, postural control activities, activity-based interventions, and play-based interventions. Key partners agreed on the importance of specific clinical outcomes, needing guidance on frequency and dosage of interventions, common barriers to physical therapy intervention, and needing information for discharge criteria in a future CPG. CONCLUSIONS: The results of this survey have given the CPG committee the necessary information to inform the CPG process for children and youth with DS.

Weather and nest cavity characteristics influence fecundity in mountain chickadees.

Background: Examining direct and indirect effects on reproduction at multiple scales allows for a broad understanding of species' resilience to environmental change. We examine how the fecundity of the mountain chickadee (Poecile gambeli), a secondary cavity-nesting, insectivorous bird, varied in relation to factors at three scales: regional weather conditions, regional- and site-level food availability, site-level community dynamics, and nest-level cavity characteristics. We hypothesized that earlier laying dates and higher fecundity (clutch size, nest survival, brood size) would be associated with milder climatic conditions, increased food from insect outbreaks, lower densities of conspecifics and nest predators (red squirrel; Tamiasciurus hudsonicus), and safer (smaller, higher) cavities. Methods: We collected data on laying date, clutch size, brood size, nest fate (success/failure), and cavity characteristics from 513 mountain chickadee nests in tree cavities in temperate mixed coniferous-broadleaf forest in interior British Columbia, Canada, from 2000 to 2011. We surveyed annual abundances of mountain chickadees and squirrels using repeated point counts, and mountain pine beetle (Dendroctonus ponderosae) and lepidopteran defoliators by monitoring host trees and by using regional-scale aerial overview forest insect survey data. We used weather data (temperature, rain, snow) from a local Environment and Climate Change Canada weather station. We modeled laying date, clutch size, daily nest survival, and brood size as a function of predictors at regional-, site-, and nest-scales. Results and Conclusions: Measures of fecundity varied dramatically across years and spatial scales. At the regional (study-wide) scale, chickadees laid earlier and larger first clutches in warmer springs with minimal storms, and daily nest survival (DSR) increased with a 2-year lag in growing season temperature. Despite a doubling of mountain chickadee density that roughly accompanied the outbreaks of mountain pine beetle and lepidopteran defoliators, we found little evidence at the site scale that fecundity was influenced by insect availability, conspecific density, or predator density. At the nest scale, DSR and brood size increased with clutch size but DSR declined with nest cavity size indicating a positive reproductive effect of small-bodied cavity excavators. Double-brooding, rare in chickadees, occurred frequently in 2005 and 2007, coinciding with early breeding, high food availability from insect outbreaks, and warm spring temperatures with 0-1 spring storms. Our results support the idea that fecundity in secondary cavity-nesting species is impacted directly and indirectly by weather, and indirectly through changes in community dynamics (via cavity resource supply). We stress the importance of adopting holistic, community-level study frameworks to refine our understanding of fecundity in opportunistic and climate-sensitive species in future.

GABB: A global dataset of alpine breeding birds and their ecological traits.

Alpine ecosystems represent varied climates and vegetation structures globally, with the potential to support rich and functionally diverse avian communities. High mountain habitats and species are under significant threat from climate change and other anthropogenic factors. Yet, no global database of alpine birds exists, with most mountain systems lacking basic information on species breeding in alpine habitats, their status and trends, or potential cryptic diversity (i.e., sub-species distributions). To address these critical knowledge gaps, we combined published literature, regional monitoring schemes, and expert knowledge from often inaccessible, data-deficient mountain ranges to develop a global list of alpine breeding bird species with their associated distributions and select ecological traits. This dataset compiles alpine breeding records for 1,310 birds, representing 12.0% of extant species and covering all major mountain regions across each continent, excluding Antarctica. The Global Alpine Breeding Bird dataset (GABB) is an essential resource for research on the ecological and evolutionary factors shaping alpine communities, as well as documenting the value of these high elevation, climate-sensitive habitats for conserving biodiversity.

The relative influence of cross-seasonal and local weather effects on the breeding success of a migratory songbird.

In seasonal environments, fluctuating early-season weather conditions and short breeding windows limit reproductive opportunities such that breeding earlier or later than the optimum may be particularly costly. Given the risk of early-season energy limitations, time- and energy-based carry-over effects stemming from environmental conditions across the annual cycle may have pronounced consequences for breeding phenology and fitness. Generally, when and where environmental conditions are most influential are poorly understood, limiting our ability to predict the future of climate-sensitive populations. For an alpine-breeding, migratory population of horned lark Eremophila alpestris in northern British Columbia, Canada (54.8°N), we assessed how weather conditions across the annual cycle influenced clutch initiation date and offspring development. We also addressed how cross-seasonal effects on breeding parameters combine to influence reproductive fitness. With 12 years of breeding data and 3 years of migration data, we used a sliding window approach to identify points during the annual cycle when weather events most influenced breeding phenology and offspring development. Consequences for breeding success were assessed using nest survival simulations. Average clutch initiation date varied up to 11 days among years but did not advance from 2003 to 2019. Warmer temperatures at stopover and breeding sites advanced clutch initiation, but winter conditions had no effect. Sub-zero stopover temperatures carried over to prolong offspring development independent of clutch initiation date, potentially indicating energy-based carry-over effects acting on parental investment. Nest survival decreased with both later clutch initiation and prolonged offspring development such that females nesting earlier and fledging offspring at a younger age were up to 45% more likely to reproduce successfully. We demonstrate that stronger carry-over effects originated from environmental conditions closer to the breeding site in time and space, as well as the potential for energy-based mechanisms to link pre-breeding conditions to reproductive fitness. We also highlight the importance of extended stopovers for songbirds breeding in seasonal environments, particularly given that climatic conditions are becoming increasingly decoupled across stages of the annual cycle. Understanding the cross-seasonal mechanisms shaping breeding decisions in stochastic environments allows for more accurate predictions of population-level responses to climate change.

Les variations saisonnières de l'environnement, notamment due aux conditions climatiques changeantes en début de saison ainsi que la réduction de la période propice à l'accouplement contraint fortement les possibilités de reproduction. Dans ces conditions, s'accoupler avant ou après le moment optimal peut s'avérer particulièrement coûteux. Les effets de report (temporels et énergétiques) causés par ces variations environnementales peuvent avoir des conséquences notables sur la phénologie de la reproduction, et ultimement sur la valeur sélective des individus. Où et quand les effets des conditions environnementales sont le plus critiques reste encore méconnu, limitant notre capacité à prédire le futur des populations sensibles aux variations climatiques. Ici, nous avons évalué comment des conditions climatiques au cours de l'année influencent la date de ponte et le développement des oisillons dans une population migratrice d'Alouette hausse-col Eremophila alpestris se reproduisant en milieux alpin. Nous tirons profit de données issues de 12 ans de suivit de la reproduction et de 3 ans de suivit migratoire, et utilisons une approche dite de 'sliding window' pour identifier les moments du cycle annuel pour lequel le climat a eu le plus d'influence sur la phénologie de la reproduction et le développement des oisillons. La date moyenne de ponte s'avère variable d'une année à l'autre (certaine différence allant jusqu'à 11 jours), mais ne se décale pas sur la période de 2003 à 2019. Nos résultats montrent que des conditions climatiques plus chaudes lors des haltes migratoires ainsi que sur les sites de reproductions rendent la date de ponte plus précoces. Des températures négatives lors des haltes migratoires aussi ont pour conséquences un temps de développement des oisillons plus long, et ceci indépendamment de la date de ponte. Cela suggère des effets de report, notamment énergétique, affectant l'investissement des parents. Nos résultats montrent que la survie au nid diminue lorsque la date de ponte est plus tardive ou que le temps de développement des oisillons est rallongé. De cette manière, les femelles commençants la nidification plus tôt et pour qui les oisillons quittent le nid plus tôt ont 45% plus de chance de se reproduire avec succès. Nous démontrons que des conditions environnementales proche du site de reproduction (que ce soit dans le temps ou dans l'espace) cause un fort effet de report, et suggérons un possible mécanisme reliant les conditions climatiques pré-reproductives au succès reproducteur. De plus, nous mettons en lumière l'importance des haltes migratoires prolongées pour la reproduction des passereaux en environnement saisonnier, particulièrement du fait que les conditions climatiques sont de plus en plus découplées au cours des les étapes du cycle annuel. Une meilleure compréhension des mécanismes inter-saisonniers influençant les décisions de reproduction en environnement stochastique permettrait de mieux prédire les réponses des populations aux changements climatiques.

Woodpeckers and other excavators maintain the diversity of cavity-nesting vertebrates.

Woodpeckers and other excavators create most of the holes used by secondary cavity nesters (SCNs) in North American temperate mixedwood forests, but the degree to which excavators release SCNs from nest-site limitation is debated. Our goal was to quantify how excavators maintain the diversity and abundance of secondary cavity nesters in a temperate forest through the creation of tree cavities. We examined the short- and long-term (legacy) effects of excavators (principally woodpeckers, but also red-breasted nuthatches and black-capped chickadees) on forest biodiversity using longitudinal monitoring data (1,732 nest cavities, 25 sites, 16 years) in British Columbia, Canada. Sites with higher densities of excavator nests had more cavities available, higher species richness of SCNs and higher nest density of SCNs, indicating the importance of a standing stock of cavities. Years with higher nesting densities of excavators were followed by years with higher SCN diversity, indicating that the creation of nesting opportunities through fresh excavation releases SCNs from community-wide nest-site limitation. We also show that excavators leave a 'legacy' of biodiversity (species richness and abundance) at a site by accumulating cavities at rates faster than they become unusable by decay or destruction. By quantifying site-level effects of cavity excavation on the SCN community, our study highlights the key role of excavators as ecosystem engineers that maintain forest wildlife biodiversity.

Si, dans la forêt mixte tempérée d'Amérique du Nord, les pics et autres excavateurs créent la plupart des cavités utilisées par les cavernicoles secondaires (SCN), la question de savoir s'ils augmentent la disponibilité des sites de nidification des SCN reste ouverte. Notre objectif était d'évaluer et quantifier l'impact qu'ont les excavateurs lorsqu'ils creusent des cavités dans les arbres, sur la diversité et l'abondance de cavernicoles secondaires dans une forêt mixte tempérée. Nous avons examiné les effets des excavateurs (principalement les pics, mais aussi la sittelle à poitrine rousse et la mésange à tête noire) à court et à long terme (survivance), sur la biodiversité de la forêt en Colombie-Britannique, au Canada, en utilisant des données longitudinales de surveillance (1,732 cavités ressource, 25 sites, 16 ans). Les sites à plus fortes densités de nids d'excavateurs avaient une plus grande abondance en cavités disponibles, une richesse en espèce SCN plus élevée, et une plus forte densité de nids de SCN, ce qui montre l'importance des arbres à cavités utilisables, vivants ou morts sur pied. Les années à plus fortes densités de nids d'excavateurs étaient suivies par des années à plus fortes diversités d'espèces SCN, ce qui signifie que la disponibilité de sites de nidification à partir de nouveaux creusements augmente le potentiel de nidification des espèces SCN pour l'ensemble de la communauté qui en dépend. Nous démontrons aussi que, sur un site donné, les excavateurs laissent une 'survivance' de biodiversité (richesse en espèce et abondance) en formant des cavités à un taux plus élevé que le taux avec lequel ces dernières deviennent inutilisables suite à leur décomposition ou destruction. En quantifiant les effets du creusement de cavités au niveau de chaque site par rapport à la communauté des SCN, notre étude met en évidence le rôle clé des excavateurs comme ingénieurs de l'écosystème favorisant la diversité de la faune forestière.

Combining point counts and autonomous recording units improves avian survey efficacy across elevational gradients on two continents.

Accurate biodiversity and population monitoring is a requirement for effective conservation decision making. Survey method bias is therefore a concern, particularly when research programs face logistical and cost limitations.We employed point counts (PCs) and autonomous recording units (ARUs) to survey avian biodiversity within comparable, high elevation, temperate mountain habitats at opposite ends of the Americas: nine mountains in British Columbia (BC), Canada, and 10 in southern Chile. We compared detected species richness against multiyear species inventories and examined method-specific detection probability by family. By incorporating time costs, we assessed the performance and efficiency of single versus combined methods.Species accumulation curves indicate ARUs can capture ~93% of species present in BC but only ~58% in Chile, despite Chilean mountain communities being less diverse. The avian community, rather than landscape composition, appears to drive this dramatic difference. Chilean communities contain less-vocal species, which ARUs missed. Further, 6/13 families in BC were better detected by ARUs, while 11/11 families in Chile were better detected by PCs. Where survey conditions differentially impacted method performance, PCs mostly varied over the morning and with canopy cover in BC, while ARUs mostly varied seasonally in Chile. Within a single year of monitoring, neither method alone was predicted to capture the full avian community, with the exception of ARUs in the alpine and subalpine of BC. PCs contributed little to detected diversity in BC, but including this method resulted in negligible increases in total time costs. Combining PCs with ARUs in Chile significantly increased species detections, again, for little cost.Combined methods were among the most efficient and accurate approaches to capturing diversity. We recommend conducting point counts, while ARUs are being deployed and retrieved in order to capture additional diversity with minimal additional effort and to flag methodological biases using a comparative framework.

Exploring the potential for online peer support mentorship: Perspectives of pediatric solid organ transplant patients.

OBJECTIVE: Self-management for patients who have undergone solid organ transplantation is demanding and a challenge for adolescents transitioning into adult-oriented healthcare systems. This study explores whether adolescent and young adult solid organ transplant patients support the use of online peer support programs that encourage peer mentorship as an approach to improve disease self-management. METHODS: A qualitative descriptive design comprised of semi-structured interviews with adolescent and young adult transplant patients. Individual interviews were audio-recorded, transcribed verbatim, and subject to content analysis. Emergent categories and themes were refined through member checking and team consensus following saturation. RESULTS: Interviews were conducted across organ groups with 15 participants (60% female) ages 14 to 22 years. Participants expressed unanimous support for an online peer support mentorship program to aid disease self-management in the pediatric transplant patient population. Three themes emerged from the interviews: (a) self-management care can be "taxing"; (b) there would be value in peer mentorship for adolescent transplant patients; and (c) online peer mentorship is the "best" option but still requires relationship building. Logistical preferences of an online peer mentorship program were solicited. The preferred peer "match" was someone of the same organ transplant group and gender who was able to have weekly contact via texting. CONCLUSIONS: Creating tailored, online peer mentorship programs is gaining evidence to justify further development. Findings from this study will support program modifications for adolescent and young adult solid organ transplant patients. Next steps will involve usability and feasibility testing of an adapted online program for this patient group.

Treeline ecotones shape the distribution of avian species richness and functional diversity in south temperate mountains.

Mountains produce distinct environmental gradients that may constrain or facilitate both the presence of avian species and/or specific combinations of functional traits. We addressed species richness and functional diversity to understand the relative importance of habitat structure and elevation in shaping avian diversity patterns in the south temperate Andes, Chile. During 2010-2018, we conducted 2202 point-counts in four mountain habitats (successional montane forest, old-growth montane forest, subalpine, and alpine) from 211 to 1,768 m in elevation and assembled trait data associated with resource use for each species to estimate species richness and functional diversity and turnover. We detected 74 species. Alpine specialists included 16 species (22%) occurring only above treeline with a mean elevational range of 298 m, while bird communities below treeline (78%) occupied a mean elevational range of 1,081 m. Treeline was an inflection line, above which species composition changed by 91% and there was a greater turnover in functional traits (2-3 times greater than communities below treeline). Alpine birds were almost exclusively migratory, inhabiting a restricted elevational range, and breeding in rock cavities. We conclude that elevation and habitat heterogeneity structure avian trait distributions and community composition, with a diverse ecotonal sub-alpine and a distinct alpine community.

Global relationships between tree-cavity excavators and forest bird richness.

Global monitoring of biodiversity and ecosystem change can be aided by the effective use of indicators. Tree-cavity excavators, the majority of which are woodpeckers (Picidae), are known to be useful indicators of the health or naturalness of forest ecosystems and the diversity of forest birds. They are indicators of the latter due to shared associations with particular forest elements and because of their role in facilitating the occurrence of other species through the provision of nesting cavities. Here, we investigated whether these positive correlations between excavators and other forest birds are also found at broad geographical scales. We used global distribution maps to extract richness estimates of tree-cavity nesting and forest-associated birds, which we grouped by zoogeographic regions. We then created generalized least-squares models to assess the relationships between these groups of birds. We show that richness of tree-cavity excavating birds correlates positively with that of secondary cavity nesters and other forest birds (generalists and specialists) at global scales, but with variation across zoogeographic regions. As many excavators are relatively easy to detect, play keystone roles at local scales and are effective management targets, we propose that excavators are useful for biodiversity monitoring across multiple spatial scales and geographical regions, especially in the tropics.

Assimilation of the Pediatric Essential Core Competencies by Professional Physical Therapist Education Programs.

PURPOSE: This study examined the degree to which pediatric essential core competencies (ECCs) are meeting their intended purpose to provide guidance to pediatric educators in professional physical therapy (PT) education programs and to determine facilitators, barriers, and recommendations to implementation of ECCs in curricula. METHODS: Pediatric PT educators from professional PT education programs were recruited to participate in a survey. Descriptive statistics were used to analyze close-ended questions for frequency of responses and content analysis to generate themes. RESULTS: Of the 162 completed surveys, most participants were aware of the ECCs (96%) and used them to inform pediatric curriculum (88%). A mean proportion (86%-95%) of participants perceived their program curricula addressed the ECCs very or moderately well. Multiple themes of facilitators/barriers/recommendations to ECC implementation were determined. CONCLUSIONS: Most pediatric educators are aware of and using the ECCs to guide pediatric education to prepare graduates for pediatric patients/clients.

Circumpolar status of Arctic ptarmigan: Population dynamics and trends.

Rock ptarmigan (Lagopus muta) and willow ptarmigan (L. lagopus) are Arctic birds with a circumpolar distribution but there is limited knowledge about their status and trends across their circumpolar distribution. Here, we compiled information from 90 ptarmigan study sites from 7 Arctic countries, where almost half of the sites are still monitored. Rock ptarmigan showed an overall negative trend on Iceland and Greenland, while Svalbard and Newfoundland had positive trends, and no significant trends in Alaska. For willow ptarmigan, there was a negative trend in mid-Sweden and eastern Russia, while northern Fennoscandia, North America and Newfoundland had no significant trends. Both species displayed some periods with population cycles (short 3-6 years and long 9-12 years), but cyclicity changed through time for both species. We propose that simple, cost-efficient systematic surveys that capture the main feature of ptarmigan population dynamics can form the basis for citizen science efforts in order to fill knowledge gaps for the many regions that lack systematic ptarmigan monitoring programs.

Lifetime productivity of tree cavities used by cavity-nesting animals in temperate and subtropical forests.

Tree cavities are a critical multi-annual resource that can limit populations and structure communities of cavity-nesting vertebrates. We examined the regional and local factors influencing lifetime productivity (number and richness of occupants) of individual tree cavities across two divergent forest ecosystems: temperate mixed forest in Canada and subtropical Atlantic Forest, Argentina. We predicted that (1) species would accumulate more rapidly within cavities in the species-rich system (Argentina: 76 species) than the poorer system (Canada: 31 species), (2) cavity characteristics associated with nest-site selection in short-term studies would predict lifetime cavity productivity, and (3) species would accumulate more rapidly across highly used cavities than across cavities used only once, and in Argentina than in Canada. We monitored and measured nesting cavities used by birds and mammals over 22 breeding seasons (1995-2016) in Canada and 12 breeding seasons (2006-2017) in Argentina. Cavities were used an average of 3.1 times by 1.7 species in Canada and 2.2 times by 1.4 species in Argentina. Species richness within cavities increased with number of nesting events at similar rates in Canada and Argentina, in both cases much slower than expected if within-cavity species assemblages were random, suggesting that lifetime richness of individual cavities is more strongly influenced by local ecological factors (nest site fidelity, nest niche) than by the regional species pool. The major determinant of lifetime cavity productivity was the cavity's life span. We found only weak or inconsistent relationships with cavity characteristics selected by individuals in short-term nest-site selection studies. Turnover among (vs. within) cavities was the primary driver of diversity at the landscape scale. In Canada, as predicted, species accumulation was fastest when sampling across high-use cavities. In Argentina, the rates of species accumulation were similar across high- and low-use cavities, and fastest when both high- and low-use cavities were pooled. These findings imply that biodiversity of cavity nesters is maintained by a mix of long-lived (highly productive, legacy trees) and many high-turnover (single-use, fast decaying) tree cavities. Conservation of both long-lasting and single-use cavities should be incorporated into decisions about stand-level forest management, regional land use policies, and reserve networks.

Nest boxes increase reproductive output for Tree Swallows in a forest grassland matrix in central British Columbia.

Secondary cavity-nesting birds depend on tree cavities for nesting and roosting, but many studies of these birds are conducted using nest boxes. Implementation of effective conservation strategies for cavity-nesting species such as nest-site supplementation requires careful comparisons of fecundity and other vital rates for birds using both natural and artificial nest site types. We compared breeding phenology, clutch and brood sizes, and fledging success of Tree Swallows (Tachycineta bicolor) nesting in tree cavities and nest boxes during 2001-2003 in British Columbia, Canada. Swallows using nest boxes initiated egg-laying and hatched young at approximately the same time as those in tree cavities (2 June, 23 June, respectively). Female Tree Swallows in boxes laid larger clutches (5.9 ± 0.9 eggs, N = 76) than those in tree cavities (4.2 ± 1.6 eggs, N = 67). The mean number of nestlings hatched was greater in nest boxes (5.2 ± 1.1 nestlings, N = 67) than in tree cavities (2.6 ± 2.0 nestlings, N = 58). Pairs in boxes were over twice as successful in producing fledglings (93.4%; 57 of 61 pairs fledged > 1 young) than those in tree cavities (35.8%; 19 of 53 pairs). Of those successful nests, pairs nesting in boxes fledged 5.1 ± 1.1 young (N = 57), whereas those in tree cavities fledged 3.5 ± 1.2 young (N = 18). Because cavities in nest boxes averaged 60% larger in volume and 1.8 cm wider internally than tree cavities, we suggest that increased reproductive output was correlated with boxes enabling a larger clutch size. In previous research, we found that Tree Swallows were a poor competitor with other cavity-nesting passerines for tree cavities. The addition of nest boxes may serve as an effective way to supplement local reproduction for secondary cavity-nesting bird populations by reducing competition for limited nest sites. This is especially true in regions where the availability of natural nesting sites is highly variable, and where species compete with many other cavity-nesting passerines using a similar ecological niche and nesting cavities.

Local temperatures predict breeding phenology but do not result in breeding synchrony among a community of resident cavity-nesting birds.

Weather and ecological factors are known to influence breeding phenology and thus individual fitness. We predicted concordance between weather conditions and annual variation in phenology within a community of eight resident, cavity-nesting bird species over a 17-year period. We show that, although clutch initiation dates for six of our eight species are correlated with local daily maximum temperatures, this common driver does not produce a high degree of breeding synchrony due to species-specific responses to conditions during different periods of the preceding winter or spring. These "critical temperature periods" were positively associated with average lay date for each species, although the interval between critical periods and clutch initiation varied from 4-78 days. The ecological factors we examined (cavity availability and a food pulse) had an additional influence on timing in only one of our eight focal species. Our results have strong implications for understanding heterogeneous wildlife responses to climate change: divergent responses would be expected within communities where species respond to local conditions within different temporal windows, due to differing warming trends between winter and spring. Our system therefore indicates that climate change could alter relative breeding phenology among sympatric species in temperate ecosystems.

Maintaining ecosystem resilience: functional responses of tree cavity nesters to logging in temperate forests of the Americas.

Logging often reduces taxonomic diversity in forest communities, but little is known about how this biodiversity loss affects the resilience of ecosystem functions. We examined how partial logging and clearcutting of temperate forests influenced functional diversity of birds that nest in tree cavities. We used point-counts in a before-after-control-impact design to examine the effects of logging on the value, range, and density of functional traits in bird communities in Canada (21 species) and Chile (16 species). Clearcutting, but not partial logging, reduced diversity in both systems. The effect was much more pronounced in Chile, where logging operations removed critical nesting resources (large decaying trees), than in Canada, where decaying aspen Populus tremuloides were retained on site. In Chile, logging was accompanied by declines in species richness, functional richness (amount of functional niche occupied by species), community-weighted body mass (average mass, weighted by species densities), and functional divergence (degree of maximization of divergence in occupied functional niche). In Canada, clearcutting did not affect species richness but nevertheless reduced functional richness and community-weighted body mass. Although some cavity-nesting birds can persist under intensive logging operations, their ecosystem functions may be severely compromised unless future nest trees can be retained on logged sites.

Minimal Detectable Change for TUG and TUDS Tests for Children With Down Syndrome.

PURPOSE: To determine test-retest reliability and minimal detectable change of the Timed Up and Go (TUG) and Timed Up and Down Stairs (TUDS) for Down syndrome. SUBJECTS: Twelve children with Down syndrome (DS) aged 3 to 17 years. METHODS: Two sessions, 1 week apart, with 3 trials of the TUG and 2 trials of the TUDS. Test-retest reliability was estimated using intraclass correlation coefficients and the standard error of measurement. The minimal detectable changes (MDCs) for both tests were calculated. RESULTS: The TUG and TUDS tests both had high test-retest reliability. The MDC was 1.26 seconds for the TUG and 12.52 seconds for the TUDS test. CONCLUSIONS: Both tests were reliable in this population, but the MDC results suggest only the TUG is clinically useful.