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Background: There has been an increase in both primary anatomic (aTSA) and reverse total shoulder arthroplasty (rTSA) over the last decade, with rates peaking for patients aged 75 years and older. Despite aTSA being the mainstay of treatment for patients with glenohumeral arthritis in the absence of rotator cuff insufficiency, there has been an upward trend of rTSA utilization in the elderly due to concerns about rotator cuff integrity, regardless of deformity. The purpose of this study is to evaluate outcomes including pain, function, range of motion, satisfaction, and complications in patients 80 years or older following primary anatomic and reverse total shoulder arthroplasty for osteoarthritis without full thickness rotator cuff tears.
View Article and Find Full Text PDFOyster reef recovery: Impacts of rotational management and restoration efforts on public fishing grounds.
J Environ Manage
January 2025
Virginia Institute of Marine Science, William & Mary, P.O. Box 1346, Gloucester Point, VA, 23062, USA.
Coastal ecosystems are degraded worldwide and oyster reefs are among the most threatened coastal habitats. Oysters are a critical ecosystem engineer and valuable fishery species, thus effective management strategies must balance tradeoffs between protecting reef ecosystems and continued human use. Management practices for oysters commonly incorporate shell replenishment (provisioning hard substrates to increase reef relief) and spatial management (rotational harvest areas or sanctuaries); however, the impact of these practices on reef dynamics and fisheries outcomes are poorly understood, particularly on harvested reefs.
View Article and Find Full Text PDFInfluence of precipitation and temperature variability on anthropogenic nutrient inputs in a river watershed: Implications for environmental management.
J Environ Manage
January 2025
Advanced Institute of Natural Sciences, Beijing Normal University, Zhuhai, 519087, China; State Key Laboratory of Wetland Conservation and Restoration, School of Environment, Beijing Normal University, Beijing, 100875, China; Key Laboratory of Coastal Water Environmental Management and Water Ecological Restoration of Guang-dong Higher Education Institutes, Beijing Normal University, Zhuhai, 519087, China.
Since the Industrial Revolution, anthropogenic activities have substantially increased the input of nitrogen (N) and phosphorus (P) into river watersheds, exacerbated by uncertainties stemming from climate change. This study provided a detailed analysis of N and P inputs within the Dawen River Watershed in China from 2000 to 2021. The Net Anthropogenic Nitrogen Input (NANI) and Net Anthropogenic Phosphorus Input (NAPI) methods were used in study, which aimed to investigate how they respond to various climate change factors.
View Article and Find Full Text PDFThree-dimensional kinematics in patients with anterior shoulder instability - A systematic review with meta-analysis.
J Biomech
January 2025
Instituto Brasil de Tecnologias da Saúde, Rua Visconde de Piraja, 407 suite 905, Rio de Janeiro, RJ 22410-003, Brazil; Depto. de Diagnóstico por Imagem - Escola Paulista de Medicina, Universidade Federal de São Paulo, R. Napoleão de Barros, 800, São Paulo, SP, Brazil. Electronic address:
Anterior Shoulder Instability (ASI) is a common orthopedic condition often resulting in altered shoulder kinematics. Understanding the biomechanics of the unstable shoulder is critical to determine the most appropriate treatment. This study aims to conduct the first systematic review and meta-analysis of three-dimensional (3D) shoulder kinematic studies in ASI patients.
View Article and Find Full Text PDFLentigo maligna melanoma of the face: Clinical insights from a case of recurrence following surgical excision.
Int J Surg Case Rep
January 2025
Head and neck Surgery Department, Khalili Hospital, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address:
Background: Lentigo maligna (LM) and lentigo maligna melanoma (LMM) are the most prevalent subtypes of melanoma, primarily affecting sun-exposed areas of the face in individuals aged 65 to 80 years. LM accounts for approximately 80 % of in situ melanomas and carries a risk of progression to LMM, which constitutes 4 % to 15 % of global cutaneous melanoma cases. This report discusses the clinical challenges and management strategies for recurrent LM, with an emphasis on accurate diagnosis and surgical intervention.
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