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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.

Ma ....

East Suffolk , United Kingdom , North Yorkshire , West Suffolk , United Kingdom General , Glasgow City , City Of , West Midlands , Henry Nwankwo , Christopher Ratcliffe , Hannah Riley , Nicola Parker , Maria Mestre , Rachel Chester , Alison Armstrong , Rebeccas Kearney , Hannah Craig , Aileen Nacorda , Kathryn Allison , Fiona Carleton , Chandramohan Panneerselvam , Leanne Dymott , David Torgerson , David Bailey , Hayley Potter , Sarah Melling ,

Climate taxes on agriculture could lead to more food insecurity than climate change itself

Public Release: 30-Jul-2018   International Institute for Applied Systems Analysis New IIASA-led research has found that a single climate mitigation scheme applied to all sectors, such as a global carbon tax, could have a serious impact on agriculture and result in far more widespread hunger and food insecurity than the direct impacts of climate change.… ....

France General , Petr Havlik , Hugo Valin , Helen Tunnicliffe , Tomoko Hasegawa , Shinichiro Fujimori , International Institute For Applied Systems Analysis , National Institute For Environmental Studies , Research Scholar , Kyoto University , Deputy Program , Ecosystems Services , Japan National Institute For Environment Studies , Public Release , Applied Systems Analysis , Nature Climate Change , National Institute , Environment Studies , Saharan Africa , Paris Agreement , Climate Change , International Institute , Environmental Studies ,

3radical Delivers the Goods for Leading Distributors

/PRNewswire/ 3radical, the leader in audience engagement and consented data capture solutions, today announced that it has successfully delivered an. ....

City Of , United Kingdom , United States , Jewson Civils Frazer , Helen Tunnicliffe , Rebecca Trivella , Asia Pac , Jewson Civils , Better Home , Commercial Director , Civils Frazer , British Gypsum , Learned Data , North America ,