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Where data permitted, we performed suotica meta-analyses to provide a summary of results across studies. Main results The review included 27 studies advics in 30 articles. Of the included studies, 18 provided some element of the intervention in children aged four to 11 years, 17 studies kn children aged 11 to 14 years and nine studies included children aged 14 to 18 years. The overall quality of pleaee results was poor, with the all studies assessed as being at high or unclear risks of bias across multiple domains, and varied interventions Ladies how about a little advice please in subotica data collection methods employed. Interventions comprised information-giving, peer education or were multi-component.

Seven studies reported the primary outcome suboticw injury occurrence and only three of these ltitle similar sdvice to combine shbotica a meta-analysis, with a pooled incidence rate ratio of 0. However, this body of evidence was low certainty, due to concerns over this heterogeneity inconsistency and imprecision. Two studies report an improvement in safety skills in the intervention group. Likewise, the four studies measuring observed safety behaviour reported an improvement in the intervention group relative to the control.

Thirteen out of 19 studies describing self-reported behaviour and safety practices showed improvements, and of the 21 studies assessing changes in safety knowledge, 19 reported an improvement in at least one question domain in the intervention compared to the control group. However, we were unable to pool data for our secondary outcomes, so our conclusions were limited, as they were drawn from highly diverse single studies and the body of evidence was low safety skills or very low behaviour, safety knowledge certainty. Only one study reported intervention costs but did not undertake a full economic evaluation very low certainty evidence.

Authors' conclusions There is insufficient evidence to determine whether school-based educational programmes can prevent unintentional injuries. More high-quality studies are needed to evaluate the impact of educational programmes on injury occurrence. We found insufficient economic studies to assess cost-effectiveness. Had we known what we were going to put ourselves through when planning this trip, it may well not have happened. Luckily, with the faultless planning of trip organiser, Richard Walkland, and some very stubborn determination from all four riders, we successfully completed the challenge raised some money for our charities in the process.

Having sent the bikes ahead, for collection at Gare du Nord, we pulled out of London musing over what was to come.

On arrival in Paris, safely re-united with our bikes, we completed a short ride to Gare du Lyon, where we then caught a TGV train down to Grenoble. A four-hour train ride through France allowed us to do final checks and get the obligatory social posts uploaded. At 1pm, with chains oiled, gels stashed, helmets tightened, the journey began. Straight out of Grenoble we hit our first climb. As the realisation of what lay ahead sank in, the excitable chit chat died away. What took its place was a steely focus and determination which, unbeknown to us at that point, would form the foundation for us to complete the challenge that lay ahead. A lovely guest house and warm host welcomed us in, before we headed out to devour the first of many pasta dishes.

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Day 2 Asvice rested and breakfasted, we set off. Slightly less climbing on this leg, and km to cover. Now full advantage of a flat pplease, the team practiced their grouping, forming a peloton of 4 and smashing through the first 80km with ease NB — French roads are magnificent. Kn however, Ladies how about a little advice please in subotica hotel that night Le Clos Saint Michel had a spa, so concerns for day 3 were all but forgotten, as we frolicked around in the sauna and Jacuzzi. Day 3 Concerns returned. On paper this was right up there as one of the hardest days. This was the first of the key, iconic climbs that the trip had been based around and needless to say, there was a nervous anticipation as we left the hotel.

Fortunately, we would be staying at the same hotel that evening, so all excess baggage was left in the rooms. There are three ways up Mont Ventoux. Undeterred, the team persevered regrouping for lunch after successfully completing the second ascent of this notorious mountain. Day4 Up bright and early to start day 4. Technically the longest with km to cover, but with less climbing.