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Alho 2007 recruited participants aged 15 years and above between 2001 and 2005, with proven group A streptococcal pharyngitis. Participants had to have documented recurrent episodes of pharyngitis due to group A Streptococcus (three or more episodes in six months or four episodes in 12 months); the symptoms and signs had to be "typical of streptococcal pharyngitis" and severe enough for the patient to seek medical attention. At least one episode had to be microbiologically proven by culture or rapid antigen test.

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was conducted between 2007 and 2010. This study included patients aged 13 and above who were referred for tonsillectomy because of recurrent pharyngitis (three or more episodes in the previous 12 months).

However, participants from both studies had a similar number of episodes of acute pharyngitis diagnosed by a physician before enrolment (a mean of 3 and 3.5 episodes in the last six months and five episodes in the last 12 months).

Stafford 1986 was conducted in the UK, probably in the early 1980s. The study "randomly" allocated 40 patients referred by their general practitioners. Patients over 16 years old were included if they had a history of at least four episodes of tonsillitis per year in the two preceding years, each of these episodes consisting of sore throat, dysphagia, fever and general malaise for at least three days.

Participants in the treatment arm of the van Staaij 2004 trial received adenotonsillectomy, while those in Lock 2010 could receive either tonsillectomy (dissection or bipolar diathermy according to surgical preference) or adenotonsillectomy (tonsillectomy with adenoid curettage). The control arms of both studies received "standard" medical treatment.

The Paradise studies had treated tonsillectomy and adenotonsillectomy as different intervention arms. In Paradise 1984 , the results were reported together. Paradise 2002a and Halston Heritage Woman Capeeffect Satin And Crepe Dress Midnight Blue Size 14 Halston Heritage BEFKQTn
were two trials that ran in parallel. Paradise 2002b included children with one or more indications for adenoidectomy (obstructing adenoids or history of recurrent or persistent otitis media) assigned randomly into adenotonsillectomy or control non-surgical intervention (two-arm trial). Paradise 2002a only included patients with no indications for adenoidectomy and they were randomly assigned to tonsillectomy, adenotonsillectomy or control (three-armed trial). In the Paradise studies, the protocol for managing suspected sore throat involved taking a culture and prescribing penicillin if the culture was positive.

The participants in the treatment arm of the two studies in adults received a tonsillectomy as soon as possible after randomisation. All patients had tonsillectomy (total capsular tonsillectomy using blunt or diathermy dissection), except one (who received adenotonsillectomy in Koskenkorva 2013 ). Both studies used "watchful waiting" as the control group. The control groups 'waited' for between three and six months in Alho 2007 and between five and six months in Koskenkorva 2013 .

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A wholly-owned subsidiary is a legal entity over which the parent organisation has sole control. The subsidiary may be structured as a company but not normally as a society. A society cannot be a wholly-owned subsidiary because a society must normally have a minimum of three members, or two members if both these members are societies.

If the parent organisation is a co-operative society then its wholly-owned subsidiaries must also be fully committed to co-operative values and principles Womens Ava Lace amp; Silk Halter Babydoll Gilda amp; Pearl qxARXqS
.

If the subsidiary is a company limited by shares, all voting shares must be owned by the society, or, if the subsidiary is a company limited by guarantee, the society must have the sole power to appoint and dismiss directors.

If a society is investing general reserves (retained surpluses and/or donations), it can use whatever method of investment it chooses, be it in the form of equity, debt or donation, bearing in mind its own rules, its overall level of reserves, and the potentially different tax treatments of these forms of investment. If a society chooses to invest in the form of transferable equity then it must be willing and able to sell the subsidiary if this is in the best interests of the society.

If a society is investing capital raised through a public offer it should only invest in a subsidiary in a way that enables it to honour the terms of the public offer. If the society has issued withdrawable share capital, then this capital should only be invested in the subsidiary either in the form of a loan or, in exceptional circumstances, as redeemable share capital if the subsidiary is a company limited by shares.

Company law imposes restrictions on redeemable shares, only allowing a company to redeem this type of share capital using distributable profits, or newly issued shares, unless it is a private company that adopts special procedures to protect creditors. This makes redeemable shares an unsuitable method for investing withdrawable share capital in a subsidiary, unless there are reasons for believing that the withdrawal terms of the public offer can still be met.

The repayment schedule for the loan must be consistent with the terms and conditions for withdrawal of share capital from the society. For example, if a society is making an open offer (see Section 4.6) and limits the total amount of share capital that can be withdrawn in any one year to 10%, then the capital invested in the subsidiary must be repayable at this 10% rate. If a society is raising capital through a time bound offer, then the forecast business performance of the subsidiary should be used to set the terms of the offer.

Likewise, the interest or dividends payable on any investment must be consistent with any financial returns mentioned in the public offer document. At all times, the society must be minded to manage the subsidiary in the best interests of its members, and be prepared to sell the subsidiary if doing so would serve the society’s best interests.

If you have any questions or suggestions for new information you would like to find in the Handbook, contact the team by email at communityshares@uk.coop

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