SUMMARY Forty-two patients with frozen shoulder were followed up closely for eight months. They were all taught pendular exercises and randomly allocated to one of four treatment groups: (a) intraarticular steroids, (b) mobilisations, (c) ice therapy, (d) no treatment. This study has shown that there is little long-term advantage in any of the treatment regimens but that steroid injections may benefit pain and range of movement in the early stages of the condition.
SUMMARY As the natural history of frozen shoulder is poorly documented, a prospective study of 40 patients followed up for 40-48 months (mean 44 months) is described.
This paper describes the research carried out into small and medium enterprises (SMEs) and corporate responsibility (CR) in the Northwest of England during Phase I of Responsibility Northwest, a partnership programme designed to significantly increase the CR of the region. By engaging with significant numbers of SMEs and SME support providers across the region, key insights were gained in three key areas: The current attitudes to, understanding of, and management of CR issues in the SME sector. The barriers to greater implementation of CR management. The opportunities for overcoming the barriers and improving regional CR. The research revealed a large diversity both in terms of understanding of the issues and their management. Seven key barriers to improve CR performance were identified which centred round the inappropriateness and inaccessibility of current CR approaches and support services on CR, certain characteristics of SMEs which tend to reduce their interest and opportunities for engaging in CR activities and supply-chain barriers. Fortunately there was significant agreement on the mechanisms which should be used to overcome these barriers, in particular the importance of delivering CR support through existing business networks that are valued and trusted by SMEs. These results have been used to create the partnership programme, Responsibility Northwest Phase II that runs until 2008 and aims to significantly increase the overall CR of Northwest England. Copyright Springer Science+Business Media, Inc. 2006Business networks, corporate responsibility, Northwest England, regional competitiveness, small and medium-sized enterprises,
SUMMARY. In a microscopical and cultural survey of clinically normal skin of patients attending a skin clinic with minor complaints P. orbiculare was found to be present on the scalp in 74%P. ovule was numerically the dominant species in this site but on the trunk P. orbiculare was nearly always the more numerous yeast and was present in more than 90% of subjects. The occasional finding of a few rod or filamentous forms similar to those seen in pityriasis versicolor was noted. This phenomenon was associated with a greater tendency than usual for the yeast to form germ tubes in culture. The significance of this is discussed.
SUMMARY.— The records of 554 consecutive patients attending hospitals in the Cambridge region with urticaria have been analysed with the aid of a computer. These patients represent only a small minority of all patients with urticaria in the region. In 79%, the aetiology was unknown although in many cases aggravating factors, for example, psychological stress, aspirin, or infection, were detected.
A past or family history of atopic disorders was not found more frequently in patients with urticaria than in controls and the course of the disease in patients with a background of atopy did not differ from the remainder, suggesting that an undetected allergy is not responsible for many of these undiagnosed cases. Allergy is relatively more important in acute urticaria and in patients who do not attend hospital.
The frequency of attacks and total duration of the disease are different in patients with urticaria alone, angio‐oedema alone and both together but there was little difference in the aetiological factors, supporting the concept that urticaria and angio‐oedema are fundamentally similar.
The prognosis is expressed in the form of life tables.
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