The aim of this study was to determine whether the dry needling of myofascial trigger points (MTrPs) is superior to placebo in the prevention of pain after total knee arthroplasty. Forty subjects were randomised to a true dry needling group (T) or to a sham group (S). All were examined for MTrPs by an experienced physical therapist 4–5 hours before surgery. Immediately following anesthesiology and before surgery started, subjects in the T group were dry needled in all previously diagnosed MTrPs, while the S group received no treatment in their MTrPs. Subjects were blinded to group allocation as well as the examiner in presurgical and follow-up examinations performed 1, 3, and 6 months after arthroplasty. Subjects in the T group had less pain after intervention, with statistically significant differences in the variation rate of the visual analogue scale (VAS) measurements 1 month after intervention and in the need for immediate postsurgery analgesics. Differences were not significant at 3- and 6-month follow-up examinations. In conclusion, a single dry needling treatment of MTrP under anaesthesia reduced pain in the first month after knee arthroplasty, when pain was the most severe. Results show a superiority of dry needling versus placebo. An interesting novel placebo methodology for dry needling, with a real blinding procedure, is presented.

Few studies have dealt with the geographic distribution of freshwater snails in Argentina. The objectives of this study were to: (1) determine species and family richness and diversity patterns; (2) verify if species richness behaves according to Rapoport's rule; (3) identify and classify species according to their distributions; and (4) identify endangered species. A grid was applied to a map of Argentina, with each of 340 squares (SUs) representing 10,000 km?. A database of 3,376 records was analyzed. Of the 101 species belonging to ten families recorded in Argentina, four are introduced and 40 are endemic to Argentina. The Lithoglyphidae have the highest number of species ( 22). The highest species richness/SU was recorded in the Brazilic subregion at Salto Grande (32 species) on Uruguay River, and parts of the Río de la Plata (31). In this subregion the species richness values increase from west to east. The highest richness in the Chilean-Patagonian subregion was detected at San Carlos de Bariloche, Río Negro province (9), and the Chilinidae contained the largest number of species. In Argentina, the north-south decline species pattern could be explained through Rapoport's rule. In Patagonia, the species richness gradients do not show significant west-east trends. Most of the native species of freshwater molluscs of restricted distribution can be considered endangered (about 45 species) but need further study.

No abstract

ABSTRACT. For over 40 years malacologists have been discussing the taxonomical status of Heleobia species, an enigmatic genus from Cochliopidae family (Caenogastropoda: Rissooidea). As with other rissooidean families, the considerable character convergence and the paucity of anatomical synapomorphies has proved to be a problem in resolving cochliopid phylogenetic relations and establishing the validity of several nominal cochliopid species. Here we present a molecular contribution to solve the taxonomical status of one of the most abundant Southern South America cochliopid genera which has many endemic species. We report molecular evidence that supports three of the four Heleobia groups described for this region, the "australis", "parchappii" and "piscium" groups. The fourth, the "hatcheri" group, belongs not to Heleobia but to a different genus which itself should not be considered as part of the family Cochliopidae but closely related to genus Potamolithus Pilsbry & Rush, 1896.

The exotic land gastropod Ovachlamys fulgens (Gude, 1900), aka the jumping snail, was registered in Eldorado city, Misiones province, constituting the first documented record of that species in Argentina-and for all of South America as well. Identities of the individuals were confirmed through morphological examination, and by a DNA sequencing of the cytochrome oxidase subunit I gene. DNA sequences for the mitochondrial 16S-rRNA and the nuclear 18S-rRNA genes were also obtained from the morphologically-confirmed specimens to gain insights into the genetic background of this species in Argentina, and as additional markers for enhancing the rapidity of identification by governmental authorities who are responsible for managing the presence of exotic species. Different size classes suggested that the species had successfully reproduced and become established in the locality. Ovachlamys fulgens is emphasized in the literature as being a serious pest to orchids. Misiones province harbors a high species richness of orchids, representing about one half of the known species in Argentina. Owing to the use of the orchid as an ornamental plant, the commercial trade could have facilitated the introduction of the species into Argentina. Control measures, preventive education, and surveillance are needed to prevent the further spread of this snail.