An Atypical Case of Vasovagal Cardioinhibitory Syncope in a Young Male Soldier—Stand Up, Be Counted

Accurately Estimating Physician Voting Practices—Reply

“…2 I suggest the voting-eligible population and turnout estimates derived by the United States Elections Project as an appropriate standard. 3 More concerningly, Lalani et al 1 do not specify whether or how they eliminate physicians ineligible to vote in the United States from their estimates. Because a disproportionate number of US physicians are noncitizens, 4 the authors may drastically underestimate physician registration and turnoutboth in itself and in comparison to general statewide turnoutwhich may invalidate the conclusions of their study.…”

“…In Reply We are grateful for O'Mahen's thoughtful comments on our research. 1 Our online Supplement 1 contained details that address many of his concerns, and we welcome the opportunity to expand further.…”

“…To the Editor We very much enjoyed reading the recent case report of vasovagal syncope (VVS) presented by Doman and colleagues. 1 We would like to expand on the thorough discussion provided by stating that in our specialist Falls and Syncope Unit (1200 new patient attendances for syncope a year), this case presentation would not be unusual or rare. We frequently see young patients presenting with VVS triggered by prolonged standing or heat.…”

“…In Reply We thank Agarwal and Chandra for their comments on our randomized clinical trial comparing a prescription of time-restricted eating (TRE) to consistent meal timing (CMT). 1 With regard to the comments by Agarwal and Chandra, about messaging delivered to the CMT group regarding healthy snacks, the protocol was not updated to reflect some minor changes in the actual messages the participants received. Although the final protocol as approved by the University of California, San Francisco, institutional review board did specify that "fruits and vegetables are healthy snacks," this message was never actually delivered to the participants.…”

“…Regarding the question of noninferiority (NI), TREAT was indeed designed as a superiority trial. 1 In that context, the confidence intervals (CIs) can be used to help interpret the nonsignificant findings, by showing whether or not meaningful between-group differences are ruled out. An NI trial also uses the CI for inference, but requires prespecification of an NI margin, defined as the largest difference in favor of the comparator vs the treatment of interest in which the latter would be considered noninferior.…”