Physiotherapeutic Approach Toward Restoring Upper Limb Function Post the Surgical Excision of Desmoid Fibromatosis Tumor Over the Right Upper Arm.

Desmoid fibromatosis is an uncommon soft tissue tumor that is locally aggressive and can result in both pain and limited range of motion (ROM). The rehabilitation protocol is designed to promote optimal recovery and functional outcomes by following a phased approach. Initially, the focus is on managing pain and performing passive ROM exercises immediately after surgery. As the weeks progress, the exercises transition to active-assisted and then active ROM exercises. Additionally, strengthening exercises, manual therapy techniques, and functional training are incorporated to improve muscle strength, flexibility, and coordination. The goal of the rehabilitation journey is to ensure a safe return to daily activities while closely monitoring for any signs of recurrence or functional deficits. This comprehensive approach highlights the importance of collaboration between surgical teams, rehabilitation specialists, and patients in order to achieve successful outcomes.

Description of ROM-SPORT I Battery: Keys to Assess Lower Limb Flexibility.

Limited range of motion (ROM) is considered one of the most important intrinsic and modifiable risk factors for the most common sports-related injuries. In addition, controlling and monitoring an athlete's ROM is a strategy to achieve optimal ROM and improve athletic performance in sports, especially those that require high ROM in the major joints. Therefore, assessing ROM (pre-participation, during a rehabilitation process, on return to play, etc.) is important not only as a method to prevent sports injuries, but also as a quantitative determinant of the potential of athletic performance. However, despite the variety of different ROM assessment methods described in the literature, there is no consensus on which methods are best suited for this goal. Recently, the ROM-SPORT I battery has been shown to have advantages over other ROM assessment methods. This tool has not yet been fully described in detail for researchers, sports professionals, and clinicians to learn. The main objective of this study is to describe the ROM-SPORT I battery tests in detail using the following criteria: test description, simplicity of the test procedure, low need for human and material resources, predictive validity, and reliability.

[Posttraumatic and postoperative shoulder stiffness : Trauma, rotator cuff reconstruction, instability operations and shoulder arthroplasty]. / Posttraumatische und postoperative Schultersteife : Trauma, Rotatorenmanschettenrekonstruktion, Instabilitätsoperationen und Arthroplastik.

Apart from primary or idiopathic frozen shoulder, the secondary form of glenohumeral stiffness can also develop after trauma or surgery. The cause for these secondary forms of restricted range of motion can be distinguished into intra-articular and extra-articular factors. Posttraumatic stiffness can develop after minor or major trauma to the bony or soft tissues of the shoulder girdle. After minor trauma the course and clinical presentation is similar to the primary form as pathomorphological correlates are often not detectable; therefore, treatment protocols are adapted according to those for primary shoulder stiffness. Shoulder stiffness after major trauma is mainly caused by scarring and adhesions of gliding structures and often necessitates surgical release if resolution under conservative treatment fails. Postoperative shoulder stiffness is a common problem after rotator cuff surgery or fracture fixation, even though incidences vary widely between different surgical procedures. Apart from the abovementioned scarring, overstuffing implants or tightening of soft tissue structures can lead to restricted range of motion. Stiffness after shoulder arthroplasty is rare and should prompt further diagnostic work-up to differentiate implant, surgery or patient-specific causes. Furthermore, an inflammatory shoulder stiffness similar to the primary or minor trauma form can develop after surgery. Reviewing the literature, shoulder stiffness has been reported most often after rotator cuff reconstruction surgery, followed by fracture fixation surgery, instability operations and lastly shoulder arthroplasty.

The role of time and species identities in spatial patterns of species richness and conservation.

Many conservation actions are justified on the basis of managing biodiversity. Biodiversity, in terms of species richness, is largely the product of rare species. This is problematic because the intensity of sampling needed to characterize communities and patterns of rarity or to justify the use of surrogates has biased sampling in favor of space over time. However, environmental fluctuations interacting with community dynamics lead to temporal variations in where and when species occur, potentially affecting conservation planning by generating uncertainty about results of species distribution modeling (including range determinations), selection of surrogates for biodiversity, and the proportion of biodiversity composed of rare species. To have confidence in the evidence base for conservation actions, one must consider whether temporal replication is necessary to produce broad inferences. Using approximately 20 years of macrofaunal data from tidal flats in 2 harbors, we explored variation in the identity of rare, common, restricted range, and widespread species over time and space. Over time, rare taxa were more likely to increase in abundance or occurrence than to remain rare or disappear and to exhibit temporal patterns in their occurrence. Space-time congruency in ranges (i.e., spatially widespread taxa were also temporally widespread) was observed only where samples were collected across an environmental gradient. Fifteen percent of the taxa in both harbors changed over time from having spatially restricted ranges to having widespread ranges. Our findings suggest that rare species can provide stability against environmental change, because the majority of species were not random transients, but that selection of biodiversity surrogates requires temporal validation. Rarity needs to be considered both spatially and temporally, as species that occur randomly over time are likely to play a different role in ecosystem functioning than those exhibiting temporal structure (e.g., seasonality). Moreover, temporal structure offers the opportunity to place management and conservation activities within windows of maximum opportunity.

Quantifying the relative irreplaceability of important bird and biodiversity areas.

World governments have committed to increase the global protected areas coverage by 2020, but the effectiveness of this commitment for protecting biodiversity depends on where new protected areas are located. Threshold- and complementarity-based approaches have been independently used to identify important sites for biodiversity. We brought together these approaches by performing a complementarity-based analysis of irreplaceability in important bird and biodiversity areas (IBAs), which are sites identified using a threshold-based approach. We determined whether irreplaceability values are higher inside than outside IBAs and whether any observed difference depends on known characteristics of the IBAs. We focused on 3 regions with comprehensive IBA inventories and bird distribution atlases: Australia, southern Africa, and Europe. Irreplaceability values were significantly higher inside than outside IBAs, although differences were much smaller in Europe than elsewhere. Higher irreplaceability values in IBAs were associated with the presence and number of restricted-range species; number of criteria under which the site was identified; and mean geographic range size of the species for which the site was identified (trigger species). In addition, IBAs were characterized by higher irreplaceability values when using proportional species representation targets, rather than fixed targets. There were broadly comparable results when measuring irreplaceability for trigger species and when considering all bird species, which indicates a good surrogacy effect of the former. Recently, the International Union for Conservation of Nature has convened a consultation to consolidate global standards for the identification of key biodiversity areas (KBAs), building from existing approaches such as IBAs. Our results informed this consultation, and in particular a proposed irreplaceability criterion that will allow the new KBA standard to draw on the strengths of both threshold- and complementarity-based approaches.

Discovery of endangered annual killifish Austrolebias cheradophilus (Aplocheiloidei: Rivulidae) in Brazil, with comments on habitat, population structure and conservation status

Austrolebias genus comprises about 40 small annual killifishes endemic to South America and their highest diversity occurs in southern Brazil and Uruguay, especially in drainages of Patos-Mirim system. Austrolebias species are severely threatened with extinction because their life cycle and restricted ranges. Low dispersal ability and the extensive loss and fragmentation of freshwater wetlands contribute to this threat. Accurate information on the geographic distribution and ecology of the species, vital to plan conservation and management strategies, are scarce. In order to provide basic knowledge for annual fish conservation this paper reports the presence of Austrolebias cheradophilus and present data about its population structure (CPUA, size, sex ratio, length-weight relationships and condition factor) and conservation status in southern Brazil. The estimated CPUA of populations was 0.86 fish/m2. Standard length (SL) of males ranged between 32.14 and 49.17 mm and for females between 25.11 and 41.6 mm. There were no differences in SL between the sexes (t-test = - 1.678; P = 0.105), and Chi-squared test demonstrated marginal differences in proportions of sexes (2.25:1; χ2 = 3.846; P = 0.07). Allometric coefficient of the LWR was slightly hyperallometric (b = 3.08) and K of the specimens ranged from 1.84 to 2.42 (mean ± S.E. = 2.12 ± 0.04). Populations have low density and their biotopes are under critical threat, mainly due to suppression by agriculture, pastures for livestock and increase housing. The species is considered "Critically Endangered" in Brazil, furthermore is strongly recommended its inclusion on lists of endangered fauna and ensures the protection of their remaining habitats. O gênero Austrolebias compreende cerca de 40 espécies de peixes anuais endêmicos da América do Sul, cuja maior diversidade está concentrada no sul do Brasil e Uruguai, especialmente nas drenagens do sistema hidrográfico Patos-Mirim. A combinação de seu ciclo de vida peculiar com suas restritas distribuições, baixa capacidade de dispersão e ampla fragmentação das áreas úmidas fazem com que suas espécies sejam consideradas ameaçadas de extinção. Entretanto, informações sobre sua distribuição e ecologia são escassas. Visando fornecer informações básicas para a conservação, este estudo registra a presença de Austrolebias cheradophilus no sul do Brasil e apresenta dados sobre sua estrutura populacional (CPUA, tamanho, razão sexual, relação peso-comprimento e fator de condição) e estado de conservação. O CPUA total das populações foi de 0,86 peixe/m2. Não foram encontradas diferenças no tamanho padrão entre os sexos (t-test = - 1,678; P = 0,105) e o teste do Qui-quadrado apresentou um valor marginalmente significativo para a proporção dos sexos (2,25:1; χ2 = 3.846; P = 0.07). O coeficiente de "b" calculado com base na relação peso-comprimento indica um padrão de crescimento levemente alométrico positivo (b = 3,08). O fator de condição dos indivíduos variou entre 1,84 e 2,42 (média ± S.E. = 2,12 ± 0,04). As populações identificadas têm baixa densidade e estão sob ameaça crítica, principalmente devido à supressão do habitat pela agricultura, pecuária e aumento da urbanização. A espécie foi considerada "Criticamente Ameaçada", portanto recomenda-se sua inclusão em listas de fauna ameaçada e a urgente proteção dos seus habitats.