People with chronic musculoskeletal pain often experience pain-related fear of movement and avoidance behavior. The FearAvoidance model proposes a possible mechanism at least partly explaining the development and maintenance of chronic pain. People who interpret pain during movement as being potentially harmful to the organism may initiate a vicious behavioral cycle by generating pain-related f...

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...

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...

ANAL CANAL CARCINOMA IS AN uncommon malignancy in the United States. Among 1 437 180 new cancer diagnoses projected for the year 2008, approximately 5070 will be new cases of anal canal carcinoma. Anal canal carcinoma has a unique clinical biology that can be distinguished from all other gastrointestinal cancers. It is mostly a local-regional cancer, with a metastatic potential in only 15% of p...

Objectives: To determine if a modified version of the cross body stretch that incorporates scapular stabilization immediately following a bout of pitching will increase passive shoulder range of motion more than the standard cross body stretch in male collegiate baseball players. Background: Overhead athletes, mainly baseball players, often exhibit pathologic gross internal rotation deficit (pG...

Background: Concept-based Indexing is purported to provide more granular data representation for clinical records"'2 This implies that a detailed clinical terminology should be able to provide improved access to clinical records. To date there is no data to show that a clinical reference terminology is superior to a precoordinated terminology in its ability to provide access to the clinical rec...

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...

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...

DEPRESSION IS A LEADING cause of disability in both developed and developing regions of the world, including Africa. In 2000, we conducted a community-based survey in an impoverished part of southwest Uganda that has been severely affected by the human immunodeficiency virus (HIV) epidemic. Using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) major depression cri...

A prospective controlled, double-Wind multicenter trial compared placebo, auranofin (an orally administered gold camplex), and parenteral gold sodium thiomalate (GST) in patients with active rheumatoid arthritis (RA). Of 193 patients who received any treatment, the only important improvement identified for either auranofin or GST was for paidtenderness scores. When 161 patients who completed 20...