The high prevalence and diversity of longer-term problems experienced by patients with stroke and their carers has long been recognized, but they remain poorly addressed by existing services. Postdischarge contact with therapy services is associated with improved outcomes. However, these interventions are generally time limited and have little effect on psychosocial outcome. National guidelines...

BACKGROUND: Snoring is extremely common in the general population and may indicate OSA. However, snoring is not objectively measured during polysomnography, and no standard treatment is available for primary snoring or when snoring is associated with mild forms of OSA. Th is study determined the eff ects of oropharyngeal exercises on snoring in minimally symptomatic patients with a primary comp...

Correction Contact me if this article is corrected. http://jama.ama-assn.org/cgi/content/full/jama;294/23/2973 Correction is appended to this PDF and also available at Citations Contact me when this article is cited. This article has been cited 73 times. Topic collections Contact me when new articles are published in these topic areas. Surgery; Surgical Physiology; Surgical Infections; Randomiz...

Background—Previous studies suggested that transplantation of autologous bone marrow–derived mononuclear cells (BMNCs) improves heart function in chronic chagasic cardiomyopathy. We report the results of the first randomized trial of BMNC therapy in chronic chagasic cardiomyopathy. Methods and Results—Patients 18 to 75 years of age with chronic chagasic cardiomyopathy, New York Heart Associatio...

Therapeutic Effect of Thyme (Thymus Vulgaris) Essential Oil on Patients with COVID19: A Randomized Clinical Trial

Objective: The aim of this study was to compare clinical outcomes of early versus delayed laparoscopic cholecystectomy (LC) in acute cholecystitis with more than 72 hours of symptoms. Background: LC is the treatment of acute cholecystitis, with consensus recommendation that patients should be operated within 72 hours of evolution. Data however remain weak with no prospective study focusing on p...

Background—Cardiac stress testing in patients at low risk for acute coronary syndrome is associated with increased false-positive test results, unnecessary downstream procedures, and increased cost. We judged it unlikely that patient preferences were driving the decision to obtain stress testing. Methods and Results—The Chest Pain Choice trial was a prospective randomized evaluation involving 2...

From the Rudd Center for Food Policy and Obesity (Roberto, Bragg, Schwartz, Musicus, Novak, Brownell), Yale University, New Haven, Connecticut; and the School of Public Health (Seamans), University of North Carolina, Chapel Hill, North Carolina Address correspondence to: Christina A. Roberto, PhD, The Rudd Center for Food Policy and Obesity, Yale University, PO Box 208369, New Haven CT 06511. E...