GIRD syndrome in male handball and volleyball players: Is the decrease of total range of motion the turning point to pathology?

BACKGROUND: Adaptations in glenohumeral range of motion may affect overhead athletes and lead to shoulder pathologies. OBJECTIVE: The purpose of this study was to evaluate glenohumeral internal rotation deficit (GIRD) and postero-superior impingement among male handball and volleyball players and the relationship between these pathologies and training level (amateur vs. professional), position (attack vs. no attack), experience (> 5 years vs. < 5 years) and sports. METHODS: Sixty-seven handball players and 67 volleyball players with a mean age of 25 [± 5] years were included. The range of motion including external and internal rotation in 90∘ abduction of the dominant and non-dominant shoulder was measured of each examined athlete. Visual analogue scale, disabilities of the shoulder and hand score, constant score and subjective shoulder value were recorded. The athletes were examined for postero-superior impingement and abduction force was measured with an isokinetic dynamometer. RESULTS: Internal rotation was significantly lower and external rotation was significantly greater in the dominant arm for both sports. 72% presented with GIRD. GIRD was more prevalent in athletes active for > 5 years (odds ratio (OR) 3), in those training > 3 times per week (OR 1.4) and in handball players (OR 2.7). 24% presented with postero-superior impingement. Players active for > 5 years (OR 1.22), professionals (OR 1.14), volleyball players (OR 1.19), offensive players (OR 2.2) and athletes with GIRD > 10∘ (OR 1.5) showed a higher prevalence of postero-superior impingement. CONCLUSION: GIRD is a common phenomenon in handball and volleyball players. Offensive players are frequently suffering from postero-superior impingement. GIRD > 10∘ leads in nearly 75% of the athletes to a decrease of total range of motion and a high rate of postero-superior impingement. Thus, a decreased range of motion seems to be the turning point from adaptation to pathology. Therefore, regular controls of range of motion and countermeasures by means of stretching the posterior shoulder joint should be integrated in the training content.

Foraminiferal Biostratigraphy of the Uppermost Cretaceous Period, Duhok Area, Kurdistan Region, North of Iraq

A relatively complete Late Maastrichtian succession of the upper part of the Shiranish Formation (Upper Cretaceous) in the Duhok area is investigated for the planktic foraminiferal assemblages. This studied interval consists mainly of bluish shale, marl, and thin beds of hard marly limestone all with grey-blue color. The upper contact of the Shiranish Formation is conformable with the overlies Danian Aaliji Formation. Based on the recorded planktic foraminifera and their ranges, the studied succession is subdivided into three main biozones of the latest Maastrichtian age, these zones are Pseudoguembelina hariaensis (CF3) Interval Zone, Pseudoguembelina palpebra (CF2) Interval Zone, and Plummerita hantkeninoides (CF1) Total Range Zone. These zones show continuous and complete Upper Cretaceous sediments, which are preserved in the Bade section of the Duhok area

Transcatheter Closure of Perimembranous and Intracristal Ventricular Septal Defects Using Amplatzer Duct Occluder II in Children

Background. Transcatheter closure of aneurysmal perimembranous ventricular septal defect (pmVSD), pmVSD near the aortic valve, and intracristal VSD (icVSD) with symmetrical or asymmetrical ventricular septal defect occluders still presents significant challenges. We report our experience with transcatheter closure of pmVSD and icVSD using Amplatzer duct occluder II (ADO II) in children. Method. We retrospectively analyzed all children, who presented to our hospital consecutively between March 2014 and June 2020 for attempted transcatheter closure of pmVSD or icVSD with the ADO II device. Standard safety and last-follow-up outcomes were assessed and compared. Results. In total, 41 patients underwent transcatheter closure of VSD with the ADO II (28 in pmVSD and 13 in icVSD groups) with a median age of 3.5 years (total range: 0.9 to 12 years) and median weight of 15.0 kg (total range: 10.0 to 43.0 kg). Implantation was successful in 40/41 patients (97.5%, 27/28 in pmVSD group, 13/13 in icVSD group). One patient with mild aortic valve prolapse in pmVSD group developed new-onset moderate aortic regurgitation after a 4/4 mm ADO II was deployed; however, this resolved after the device was retrieved and successfully replaced with a 5 mm zero eccentric VSD occluder. There was no procedure-related mortality. After a median follow-up of six months (total range: 6 to 72 months), complete closure rates were 85.1% and 76.9% among pmVSD and icVSD groups, respectively. In the pmVSD group, one case of new-onset moderate tricuspid regurgitation was observed at six months, and there was one case of severe tricuspid regurgitation that had progressed from mild tricuspid regurgitation at 12 months. No serious complications were noted in the icVSD group. Conclusion. ADO II provides a safe and reproducible alternative for the closure of perimembranous and intracristal ventricular septal defects with a diameter less than 5 mm in young children.

Do North American Migratory Barren-Ground Caribou Subpopulations Cycle?

Unlike all other members of the deer family, subpopulations of barren-ground caribou (Rangifer tarandus groenlandicus) are typically sine-cyclic. We used Bayesian Information Criteria (BIC) to rank competing population dynamics models for 11 North American barren-ground caribou subpopulations. Nine of these subpopulations were best described as sine-cyclic with periods ranging from a minimum of 26 years (Bluenose-East and Porcupine) to a maximum of 55 years (Western Arctic); and amplitudes ranging from a minimum of 8 455 (Cape Bathurst) to a maximum of 327 432 (George River). Time series estimates of subpopulation abundance generated by the sine cycle models showed good correspondence to published subpopulation estimates of abundance for all nine sine-cyclic subpopulations (r = 0.978; p < 0.001). Lack of demographic closure (migration between subpopulations) was evident in both of the subpopulations that were not identified as sine-cyclic. Barren-ground caribou subpopulation amplitudes were mostly determined by subpopulation total range size and summer range productivity (R2 = 0.962; p < 0.001) and subpopulation periods were mostly determined by amplitude, total range productivity, and land surface temperature (R2 = 0.950; p < 0.001). Time series estimates of subpopulation abundance generated from the respective environmental regression models were highly correlated (r = 0.964; p < 0.001) to the published subpopulation estimates of abundance for the set of 9 sine-cyclic subpopulations. Extended (> 3 generations) subpopulation declines are a natural feature of cyclic barren-ground caribou subpopulations. Trends in species abundance based on pooled assemblages of asynchronous cyclic subpopulations should be interpreted with caution.

Mengukur Prestasi Belajar Pendidikan Agama Islam Siswa SMP dalam Perspektif Gender

This study aims to prove that gender does not affect the learning achievement of Islamic education and character of junior high school students. The construct in society is that men are superior to women. Men are smarter than women. The problem solving in this research uses quantitative research with comparative analysis. In this study, the authors used data collection techniques in the form of conventionalized results of Mid-Semester Assessment (PTS) and Final Semester Assessment (PAS). The results showed the mean score of male students in the Islamic Religious Education subject was 81.51 with a standard deviation of 6.863 with a total range of 27. The lowest score for male students was 68 and the highest score was 95. The majority of male students scored category is quite good (C) or a value of 75 - 83, that is, there are 25 students or 47.2% of the 53 male students. The average achievement score of female students in the subject of Islamic Religious Education has an average of 85.57 with a standard deviation of 7.324, a total range of 28, the lowest score is 71 and the highest score is 99. The majority of students scored quite well, between scores of 75 -83, namely as many as 20 students or 37.7% of 53 female students. In the independent t test it is known that the sig (2 tailed) value of 0.29 and> 0.05, from these results it shows that Ho is accepted and Ha is rejected, meaning that there is no positive and significant difference between male and female students to get achievement. learn Islamic religious education

Exposure to Descriptions of Traumatic Events Narrows One’s Concept of Trauma

The word 'trauma' was originally used by psychiatrists to describe horrific events such as rape and torture that characteristically provoke extreme emotional distress. Both colloquially and clinically, the concept of psychological trauma has broadened considerably. Although many clinical scientists have expressed concern about the broadening of the concept of trauma, it remains unclear how and why this concept expansion occurs. We present two experiments in which US adults (N = 276, 267) sequentially classified descriptions of events (e.g., "broke a leg in a bicycle accident") as either 'trauma' or 'not trauma'. In the first experiment, we manipulated the frequency of serious and nonserious events. In the second experiment, we manipulated the total range of events (i.e., participants viewed only nonserious or only serious events). Together, the experiments suggest that participants' frame of reference for events (i.e., the perceived range of event seriousness) plays a relatively more important role.

Stratigraphy and Sedimentology of Upper Cretaceous to Upper Palaeocene Succession in Zimam Formation Along Wadi Tar al Kabir, NW Libya

The Upper Cretaceous to Upper Palaeocene rocks of the Zimam Formation along the southwestern escarpment of the Hun Graben of NW Libya have been stratigraphically investigated from two stratigraphical sections in wadi Tar al Kabir. The field investigations led to the recognition of three members, from the oldest to the youngest, the Lower Tar Member, the Upper Tar Member and the Had Member. Eight sedimentary facies were distinguished at outcrop-scale and several microfacies were recognized and the outcome indicates that the depositions of the Zimam Formation are corresponding to two transgressive-regressive sedimentary cycles. The first cycle is attributed to the Lower Tar Member in which small planktonic foraminifera is quite common in the Campanian whereas the larger benthic foraminifera, namely, Omphalocyclus macroporus and Siderolites calcitrapoides are abundant in the Maastrichtian. The last occurrence of the latter two taxa, however, was used to delineate the contact between the Maastrichtian and Danian stages in the studied sequence. Up-sequence the sediments of the Upper Tar Member along with the overlying Had Member correspond to the second transgressive-regressive sedimentary cycle. Herein, the Upper Tar Member is enriched by small benthic foraminifera; Neoeponides duwi and Cibicides cf. libycus, and has been ascribed to the Danian (Lower Palaeocene). The reaming sediments of Zimam Formation, however, are belonging to the overlying Had Member and is tentatively ascribed to the Selandian (Upper Palaeocene) based on the last occurrence of the Danian fauna and the total range of the codiacean algae Ovulites morelleti.

The Validity and Reliability of a New Simple Instrument for the Measurement of First Ray Mobility

Several methods have been described to quantify the first ray mobility. They all have certain disadvantages (great size, sophistication, or lack of validation). The objective of this work was to study the validity and reliability of a new instrument for the measurement of first ray mobility. Anterior-posterior radiographs were obtained from 25 normal feet and 24 hallux valgus feet, with the first ray in a neutral position, maximally dorsiflexed and maximally plantarflexed. The first ray mobility was radiographicaly measured in both groups, and was also manually examined with the new device. A cluster analysis determined whether normal and hallux valgus feet were correctly classified, and a graphic analysis of Bland-Altman was performed to compare the radiographic and manual measurement techniques. Based on the radiographs, the first ray mobility only showed significant differences in dorsiflexion between both groups (P = 0.015). First ray dorsiflexion, plantarflexion and total range of motion measured with the new device were different between both groups (P = 0.040, P = 0.011 and P = 0.006, respectively). The silhouette measure of the cohesion and separation coefficients from the cluster analysis was greater than 0.50 for the dorsiflexion, plantarflexion and total range of motion obtained from the radiographs and from the new device. The Bland-Altman graph suggested that 96% of the data presented agreement between both measurement methods. These results suggested that the new instrument was valid and reliable.

Biostratigraphy of the Gurpi Formation (Zagros Basin, western Iran) based on planktonic foraminifera

Micropalaeontological and biostratigraphic studies of the Gurpi Formation were carried out at the Kuhe-Surgah section (Zagros Basin, Iran). In this research, 62 species of planktonic foraminifera, belonging to 23 genera, were recognized and used to describe the following zones: 1) Contusotruncana plummerae Interval Zone; 2) Radotruncana calcarata Total Range Zone; 3) Globotruncanella havanensis Partial Range Zone; 4) Globotruncana aegyptiaca Interval Zone; 5) Gansserina gansseri Interval Zone; 6) Contusotruncana contusa Interval Zone; 7) Abathomphalus mayaroensis Interval Zone; 8) Pseudoguembelina hariaensis Interval Zone; 9) Pseudotextularia elegans Interval Zone; 10) Parvularugoglobigerina eugubina Total Range Zone; 11) Parasubbotina pseudobulloides Interval Zone; and 12) Praemurica unicinata Interval Zone. Based on the ranges of planktonic foraminifera, the age of the Kuhe-Surgah section was estimated to be middle Campanian–late Danian.

ОБ ИЗМЕНЕНИИ НАПОРА В ВЕРХНЕМ БЬЕФЕ ЩИТОВОГО ЗАТВОРА

В данной статье описывается явление, наблюдавшееся в опытах с щитовым затвором. При опускании щита в поток напор в верхнем бьефе резко возрастал вначале, а затем плавно изменялся. Общий диапазон опускания щита, при котором наблюдалось данное явление, равнялся 3,6-3,8 мм. Поэтому шаг опускания затвора составлял 1,1-1,3 мм. Начальный напор потока под щитом равнялся от 25 до 28 мм. В статье высказано предположение о причинах возникновения этого явления.This article describes the phenomenon observed in experiments with a shield shutter. When the shield was lowered into the flow, the upstream head sharply increased at the beginning, and then smoothly changed. The total range of the lowering of shield was 3.6-3.8 mm, at which this phenomenon was observed. Therefore, step of the lowering of shield was 1.1-1.3 mm. The initial flow head under the shield was 25 to 28 mm. The article suggested the causes of this phenomenon.