It is the sum of the grades of tenderness (0 = not tender, 1 = tender, 2 = tender and causes wince, and 3 = tender, causes wince and effort to withdraw) elicited by applying firm pressure over the joint margin of articular joints (shoulders, elbow, wrists, hips).t is the sum of the grades of tenderness (0 = not tender, 1 = tender, 2 = tender and causes wince, and 3 = tender, causes wince and effort to withdraw) elicited by applying firm pressure over the joint margin of articular joints (shoulders, elbow, wrists, hips).
Definitions for EcosystemËÉk oÊËsÉªs tÉm, Ëi koÊ-. ecosystem(noun) a system formed by the interaction of a community of organisms with their physical environment. ecosystem(Noun) A system formed by an ecological community and its environment that functions as a unit.
An ecosystem is the combined system that comprises animals, plants, and other organisms, all living together and interacting with one another. natural ecosystem is a complex community that functions as an  ecological unit in nature. Its two main components are biotic and  abiotic factors, which are living and non â¦ -living things that  interact with each other.