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Acute rehabilitation following traumatic anterior shoulder dislocation (ARTISAN): pragmatic, multicentre, randomised controlled trial

Objective To assess the effects of an additional programme of physiotherapy in adults with a first-time traumatic shoulder dislocation compared with single session of advice, supporting materials, and option to self-refer to physiotherapy. Design Pragmatic, multicentre, randomised controlled trial (ARTISAN). Setting and participants Trauma research teams at 41 UK NHS Trust sites screened adults with a first time traumatic anterior shoulder dislocation confirmed radiologically, being managed non-operatively. People were excluded if they presented with both shoulders dislocated, had a neurovascular complication, or were considered for surgical management. Interventions One session of advice, supporting materials, and option to self-refer to physiotherapy (n=240) was assessed against the same advice and supporting materials and an additional programme of physiotherapy (n=242). Analyses were on an intention-to-treat basis with secondary per protocol analyses. Main outcome measures The

East suffolkUnited kingdomNorth yorkshireWest suffolkUnited kingdom generalGlasgow cityCity ofWest midlandsHenry nwankwoChristopher ratcliffeHannah rileyNicola parkerMaria mestreRachel chesterAlison armstrongRebeccas kearney

Two schools and a lido get housebuilder s donation

THREE deserving causes have each received £1,000 thanks to a charitable fund set up by a housebuilder.

West yorkshireUnited kingdom generalUnited kingdomStacey lalandeJoanne kellySarah langliBroadgate primary schoolLeeds city councilPersimmon homes community championsCommunity championsRoundhay primary schoolPersimmon homes west yorkshireRoundhay primaryOtley lidoPrimary school

Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial, randomised controlled trial

Progressive exercise compared with best practice advice, with or without corticosteroid injection, for the treatment of patients with rotator cuff disorders (GRASP): a multicentre, pragmatic, 2 × 2 factorial, randomised controlled trial
thelancet.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from thelancet.com Daily Mail and Mail on Sunday newspapers.

Eteläuomen läiFrance generalBorough of bedfordUnited kingdomMelina dritsakiNeil smith sandwellPeter heineEmma searle mscAlison hallettTreena larkin staffordshireJames blacknall sherwoodElaine willmore gloucestershireJean millarDavid keeneDebbie brownTim andrews

Here is the Canada Reads 2021 longlist

Gary Barwin is the author of the novel Yiddish for Pirates.(Adela Talbot, Vintage Canada) Yiddish for Pirates is a nautical odyssey narrated by a wise-cracking, polyglot parrot. The parrot, who now lives in a nursing home in Florida, tells the story of Moishe, a boy who joins a ship s crew in 1492. There, Moishe meets the parrot, Aaron. The two have an unforgettable adventure, following maps and hunting for treasure. But it s the period of the Spanish Inquisition, and it s a dangerous time to be Jewish. When Jews as expelled from Spain, Moishe ends up travelling to the Caribbean with Christopher Columbus, making his adventures grander than he ever imagained.

New yorkUnited statesNigeria generalHong kongBritish columbiaCity ofUnited kingdomRed riverNew yorkerChristopher columbusFrancesca ekwuyasiHamza abouelouafaaAmanda brugelRicardoa rivasWalter scottNatalie zina walschots