Woodpecker Nest Tree Characteristics in Upper Midwestern Oak Forests

Characteristics of woodpecker nest trees have been widely studied in some regions of North America. However, there is little research from the Upper Midwest. Forest managers need information on woodpecker nest tree characteristics so they can recommend leaving during harvest trees that meet the needs of cavity-dwelling wildlife. Information specific to the Upper Midwest is especially important given that declines in several species of cavity nesting birds have been predicted by an environmental analysis of timber harvest in Minnesota. Our purpose was to identify attributes of nest trees used by primary cavity-nesting birds. We compared nest trees to unused trees and examined differences in nest trees among woodpecker species. We found 166 active woodpecker nests in upper midwestern oak forests in 1997 and 1998. For each nest tree, we recorded height, diameter, status, and aspects of tree decay. We also measured four potential nest trees (non-nest trees, within size requirements of cavity-nesting birds, with at least 2 indicators of heartwood decay) closest to each active nest tree. Additionally, we recorded these measurements for 137 randomly selected potential nest trees. Using paired t-tests and chi-square analysis, we found each woodpecker species had a unique set of characteristics that separated nest trees from potential nest trees. Using an extension of the McNemar test for related samples, we found woodpeckers as a group used trees that were larger, both in diameter and height, more often elm (Ulmus americana, U. rubra) or aspen (Populus tremuloides, P. grandidentata), more likely to have old cavities present, and with more decay indicators than adjacent potential nest trees. The Yellow-bellied Sapsucker (Sphyrapicus varius) differed from the other woodpecker species by nesting in living Trembling Aspens (Populus tremuloides) with intact tops, complete bark cover, and heartwood fungus. Diameters of nest trees differed significantly among woodpecker species, but unlike findings from other studies, the height of nest hole and nest tree did not. Woodpecker nest entrances faced south or southeast significantly more often than by chance alone, even when excluding leaning trees. This study suggests that generic forest management for all woodpecker species may not be adequate because individual species have specific nest tree requirements. Management recommendations for cavity-nesting birds need to be tailored to meet the needs of a diversity of species

Introduction: Double-crested Cormorants of the Great Lakes – St. Lawrence River Basin: Recent Studies, Movements and Responses to Management Actions

This paper introduces the second Special Publication of the Waterbird Society to address the biology and management of the Double-crested Cormorant (Phalacrocorax auritius) in North America. Since the late 1960s and early 1970s, when the species was at very low population levels, the Double-crested Cormorant has rebounded to its greatest population level in over 100 years. Such a significant increase has resulted in changes in community structure, and new stressors, in many aquatic ecosystems. Both Special Publications (1995 and 2013) have been focused on the biology and management of the species. The first volume dealt mainly with population growth and the resulting, immediate management issues. In the current volume, studies address the longer term situation, the implementation of two U.S. depredation orders and new research directions identified in the first Special Publication and in subsequent smaller cormorant symposia. Seventeen papers which comprise this volume are presented under six headings: introduction, impacts to natural resources, population dynamics, evaluation of control efforts, assessing fish consumption and bioenergetics, migration ecology and local and seasonal movements, and summary overview and future information needs. A second Special Publication on Double-crested Cormorants gives us an opportunity to assess how well cormorant biologists have addressed and answered questions we posed to ourselves 15 years earlier; it also provides us with a vision for the next 18 years

Migratory routes and wintering locations of declining inland North American Common Terns

Common Terns (Sterna hirundo) breeding at inland lakes in North America have experienced significant population declines since the 1960s. Although management actions aimed at mitigating effects of habitat loss and predation have been largely effective, numbers continue to decline, which suggests that the population may be limited during the nonbreeding season. Between 2013 and 2015, we used light-level geolocators to track Common Terns nesting at 5 inland colonies—from Lake Winnipeg in Manitoba, Canada, to the eastern Great Lakes region of the United States and Canada—to identify migratory routes and stopover and wintering sites and to determine the strength of migratory connectivity among colonies. Within 46 recovered tracks, we found evidence of a longitudinal gradient in use of migration routes and stopover sites among colonies and identified major staging areas in the lower Great Lakes and at inland and coastal locations along the Atlantic coast, Florida, and the Gulf of Mexico. Low migratory connectivity across inland colonies illustrates high intermixing within wintering sites, with many birds spending the nonbreeding season in Peru (70%) and the remainder spread throughout the Gulf of Mexico, Central America, and northwestern South America. While the large spatial spread and intermixing of individuals during the nonbreeding season may buffer local effects of climate change and human disturbance, the aggregation of individuals along the coast of Peru could make them vulnerable to events or changes within this region, such as increased frequency and intensity of storms in the Pacific, that are predicted to negatively influence breeding productivity and survival of Common Terns. Identifying sources of mortality during the nonbreeding season, quantifying winter site fidelity, and reinforcing the importance of continued management of inland breeding colonies are vital priorities for effective conservation and management of this vulnerable population

Impacts of extreme environmental disturbances on piping plover survival are partially moderated by migratory connectivity

Effective conservation for listed migratory species requires an understanding of how drivers of population decline vary spatially and temporally, as well as knowledge of range-wide connectivity between breeding and nonbreeding areas. Environmental conditions distant from breeding areas can have lasting effects on the demography of migratory species, yet these consequences are often the least understood. Our objectives were to 1) evaluate associations between survival and extreme environmental disturbances at nonbreeding areas, including hurricanes, harmful algal blooms, and oil spills, and 2) estimate migratory connectivity between breeding and nonbreeding areas of midcontinental piping plovers (Charadrius melodus). We used capture and resighting data from 5067 individuals collected between 2002 and 2019 from breeding areas across the midcontinent, and nonbreeding areas throughout the Gulf of Mexico and southern Atlantic coasts of North America. We developed a hidden Markov multistate model to estimate seasonal survival and account for unobservable geographic locations. Hurricanes and harmful algal blooms were negatively associated with nonbreeding season survival, but we did not detect a similarly negative relationship with oil spills. Our results indicated that individuals from separate breeding areas mixed across nonbreeding areas with low migratory connectivity. Mixing among individuals in the nonbreeding season may provide a buffering effect against impacts of extreme events on any one breeding region. Our results suggest that understanding migratory connectivity and linking seasonal threats to population dynamics can better inform conservation strategies for migratory shorebirds

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

Neuropsychiatric risk in children with intellectual disability of genetic origin: IMAGINE, a UK national cohort study

Background Children with intellectual disability frequently have multiple co-morbid neuropsychiatric conditions and poor physical health. Genomic testing is increasingly recommended as a first-line investigation for these children. We aim to determine the effect of genomics, inheritance, and socioeconomic deprivation on neuropsychiatric risk in children with intellectual disability of genetic origin as compared with the general population. Methods IMAGINE is a prospective cohort study using online mental health and medical assessments in a cohort of 3407 UK participants with intellectual disability and pathogenic genomic variants as identified by the UK's National Health Service (NHS). Our study is on a subset of these participants, including all children aged 4–19 years. We collected diagnostic genomic reports from NHS records and asked primary caregivers to provide an assessment of their child using the Development and Well-Being Assessment (DAWBA), the Strengths and Difficulties Questionnaire (SDQ), the Adaptive Behaviour Assessment System 3 (ABAS-3), and a medical history questionnaire. Each child was assigned a rank based on their postcode using the index of multiple deprivation (IMD). We compared the IMAGINE cohort with the 2017 National Survey of Children's Mental Health in England. The main outcomes of interest were mental health and neurodevelopment according to the DAWBA and SDQ. Findings We recruited 2770 children from the IMAGINE study between Oct 1, 2014 and June 30, 2019, of whom 2397 (86·5%) had a basic assessment of their mental health completed by their families and 1277 (46·1%) completed a medical history questionnaire. The mean age of participants was 9·2 years (SD 3·9); 1339 (55·9%) were boys and 1058 (44·1%) were girls. 355 (27·8%) of 1277 reported a seizure disorder and 814 (63·7%) reported movement or co-ordination problems. 1771 (73·9%) of 2397 participants had a pathogenic copy number variant (CNV) and 626 (26·1%) had a pathogenic single nucleotide variant (SNV). Participants were representative of the socioeconomic spectrum of the UK general population. The relative risk (RR) of co-occurring neuropsychiatric diagnoses, compared with the English national population, was high: autism spectrum disorder RR 29·2 (95% CI 23·9–36·5), ADHD RR 13·5 (95% CI 11·1–16·3). In children with a CNV, those with a familial variant tended to live in more socioeconomically deprived areas than those with a de novo variant. Both inheritance and socioeconomic deprivation contributed to neuropsychiatric risk in those with a CNV. Interpretation Children with genomic variants and intellectual disability are at an increased risk of neuropsychiatric difficulties. CNV variant inheritance and socioeconomic deprivation also contribute to the risk. Early genomic investigations of children with intellectual disability could facilitate the identification of the most vulnerable children. Additionally, harnessing parental expertise using online DAWBA assessments could rapidly identify children with exceptional needs to child mental health services

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries