Implementation and outcomes of a quality improvement project to systematically assess the gross motor skills in school-aged children with cystic fibrosis.

INTRODUCTION: Limited data exist on the gross motor abilities of children with cystic fibrosis (CF). The objective of this research project was to implement a systematic gross motor assessment in children with CF ages 4-12 years. Secondarily, we aimed to assess demographic characteristics associated with gross motor delays. METHODS: Physical therapists aimed to evaluate at least 50% of eligible children (4-12 years) at our CF Center over 1 year using the Bruininks-Oseretsky Test of motor Proficiency, second edition (BOT-2). Delays are defined by scores less than 18th percentile. Demographic and clinical data included body mass index, hospitalizations, genotype, and comorbidities. Basic descriptive statistics summarized patient information. Parametric and nonparametric methods compared groups of interest. Linear regression assessed associations between BOT-2 measures and clinical characteristics. RESULTS: The BOT-2 evaluation was successfully implemented with 69% of eligible patients being evaluated. Forty-five (62.5%) scored below average. Impaired strength (22.2%) was most common, followed by impaired balance (16.7%), running speed and agility (15.3%), and bilateral coordination (8.3%). 15.5% scored below average on their total motor composite score (TMC). Increased age, comorbidities and hospitalizations were associated with a lower TMC. CONCLUSIONS: The BOT-2 was successfully implemented as part of routine CF care to screen for gross motor delays in children. Results suggest that a high percentage of children with CF, especially older children with comorbid conditions or a history of hospitalization, have impaired gross motor function. These findings support the need for routine gross motor evaluations and physical therapy interventions within pediatric CF clinics.

The Effects of Climate Change on the Nesting Phenology of Three Shorebird Species in the United States.

Previous research suggests that a frequent response of organisms to the ongoing climate crisis is the adjustment of their reproductive timing or breeding phenology. Shorebirds may be especially vulnerable to increasing temperatures and precipitation, as many are migratory and depend on coastal habitats for wintering and breeding. These particular habitats could be at risk due to changes in climate, and nesting times often depend on food availability, which is often directly influenced by temperature. We investigated if clutch initiation dates (CID) for three shorebird species in the United States have become earlier over time with increasing temperatures and precipitation. We used nest records from Cornell's NestWatch program and various museum databases and weather station data from the National Oceanic and Atmospheric Administration. We found evidence that CIDs have become earlier over time, though this was only a significant factor for one species. While temperature in our study areas has increased significantly over time, precipitation changes were more variable and not always significantly predicted by time. We found evidence that one species may be responding to increasing temperatures by nesting earlier, but there was no support for our hypothesis that CID has changed due to changes in precipitation for any species. Results varied for each species, indicating the importance of further studies on shorebirds as the effects of climate change on their nesting phenology may not be fully realized and will likely depend on the species' biology and distribution.

Life-history trait variation in native versus invasive asexual New Zealand mud snails.

Potamopyrgus antipodarum is a New Zealand freshwater snail that is invasive worldwide. While native P. antipodarum populations are characterized by frequent coexistence between obligately sexual and obligately asexual individuals, only the asexual snails are known to invade other ecosystems. Despite low genetic diversity and the absence of sex, invasive asexual P. antipodarum are highly successful. Here, we quantified variation in three key life-history traits across invasive P. antipodarum lineages and compared this variation to already documented variation in these same traits in asexual native lineages to provide a deeper understanding of why some lineages become invasive. In particular, we evaluated if invasive lineages of P. antipodarum could be successful because they represent life-history variation from native ancestors that could facilitate invasion. We found that invasive snails displayed a non-representative sample of native diversity, with invasive snails growing more slowly and maturing more rapidly than their native counterparts. These results are consistent with expectations of a scenario where invasive lineages represent a subset of native variation that is beneficial in the setting of invasion. Together, these results help illuminate the mechanisms driving the worldwide expansion of invasive populations of these snails.