Objective To assess the clinical and cost effectiveness of conservative management compared with laparoscopic cholecystectomy for the prevention of symptoms and complications in adults with uncomplicated symptomatic gallstone disease.
Design Parallel group, pragmatic randomised, superiority trial.
Setting 20 secondary care centres in the UK.
Participants 434 adults (>18 years) with uncomplicated symptomatic gallstone disease referred to secondary care, assessed for eligibility between August 2016 and November 2019, and randomly assigned (1:1) to receive conservative management or laparoscopic cholecystectomy.
Interventions Conservative management or surgical removal of the gallbladder.
Main outcome measures The primary patient outcome was quality of life, measured by area under the curve, over 18 months using the short form 36 (SF-36) bodily pain domain, with higher scores (range 0-100) indicating better quality of life. Other outcomes included costs to the NHS, quality adjuste
Stanford Cardinal cornerback Terian Williams II donated $10,000 to his favorite teacher. Partnering with the Extra Yard for Teachers campaign, Williams surprised his former teacher, Jerry Hayes, with the contribution. The 19-year-old has become a top NIL athlete with various partnerships, including Gold’s Gym, PSD Underwear and Boost Mobile, according to On3.
By Haley Wilson
The Birmingham Times
As a former teacher and a principal, Birmingham Schools Superintendent (BCS) Mark Sullivan, Ed.D., knows about the summer slide, which occurs when students are out of school and lose much of what they’ve learned the previous year “particularly among minority students and students who have low socioeconomic status,” he said.
“Typically, [those students] are not engaged in some activity because some activities can be expensive for parents paying for summer camps,” Sullivan added, noting that some of the challenges families faced during the COVID-19 pandemic may contribute to some of the steepest learning loses faced by educators and teachers in years.