unusually high for november, we live in daytime highs researchers in the uk say blood that of around 17 degrees, some rain in the north west, has been grown in a laboratory has been put into people, sunshine further south east. in a world first clinical trial. it could help scientists manufacture rare blood groups. and liverpool have drawn holders real madrid in the last 16 of the champions league in a repeat of last season s final. the head of the united nations has warned the cop27 climate conference in egypt that nations must co operate in the effort to reduce global emissions or perish. antonio guterres decribed the progress made since last year s gathering in glasgow as woeful. the prime minister, rishi sunak, is expected to warn world leaders later that it s essential that countries stick to the commitments made then to limit global warming to 1.5 degrees celsius above pre industrial levels. delegates have now agreed to discuss sending money to poorer nations to hel
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
The Guthrie Center has held a community dinner on Thanksgiving Day since the early 2000s, though the COVID-19 pandemic disrupted their ability to host it in-person over the last three