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then the snow behind it which is why we have the wint e e weather advisories in effect for half of the view iing area from shenandh valley to martinsburg and leesburg and gaithersburg and points north and west, but it does not include the d.c. area. the snow with a little bit of the impact here from d.c. southwards, but the bigger impact is the huge drop of temperatures, and how that feels. yes, and as you said, doug, 74 degrees is the record, but this is how cold it is going to with be feeling tomorrow. it is going to be blustery and feeling like the 20s and then by friday morning, we will feel like we are in the single digits and talking about a 60-degree temperature drop, but the temperatures are going to to be playing a huge role in the snow system as rain is changing over to the snow, and a beautiful evening, doug. yes, it is a-o a doing be talking about the roads, and my snowfall map at 4:15. okay. if you are headed out today, that they are not going to be doing g
LouisianaUnited-statesAlabamaFredericksburgVirginiaWashingtonCharlestownOhioFloridaLoudoun-countyMartinsburgMarylandObjective 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-suffolkSuffolkUnited-kingdomDenmarkHarrogateNorth-yorkshireLincolnshireEssexWest-suffolkUnited-kingdom-generalJordanNorway