This article in Sleep Health found an association between sleeping less then 5 hours a night and consumption of caffeinated beverages containing sugar such as energy drinks and sodas. Interestingly there was no association sound between sleep duration and consumption of teas, fruit juices or diet soft drinks. It is unclear if the consumption of… Read More
Trump shocked pollsters, pundits, and much of the population with his victory. But perhaps it should not have been a surprise to Americans or anyone else in the world as 2016 is likely the rise of the populist movement. Populists are considered the “ordinary people.” And this wave that elected Trump is not limited to… Read More
From November 11, 2016 Modern Healthcare Sources say President-elect Donald Trump’s transition team for HHS will be led by Andrew Bremberg, who worked at the agency under President George W. Bush administration and more recently has been an adviser to Senate Majority Leader Mitch McConnell and Wisconsin Gov. Scott Walker’s fleeting presidential bid. Bremberg was… Read More
This PlosOne article examined patients enrolled in the Health eHeart Study looked at demographics, health information and sleep quality. The objective was to test the hypothesis that increased screen-time is associated with poor sleep Total screen-time over 30 days was a median 38.4 hours (IQR 21.4 to 61.3) and average screen-time over 30 days was… Read More
As residents we were always taught not to extubate at night. This JAMA cohort study examined the frequency of overnight extubations and their outcomes. This study looked at 97 844 patients in US intensive care units who were intubated. They found 20.1% were extubated at night. The study extended from January 1, 2015, to July 5,… Read More
This is a link to the 4th annual report from the Rocky Mountain High Intensity Drug Trafficking Area publication which reports on the effects of legalization in Colorado. Marijuana related traffic deaths increased 48 percent in the three year average (2013‐2015) since Colorado legalized recreational marijuana compared to the three‐year average (2010‐2012) prior to legalization.… Read More
This November 2016 Modern Health article looks at the fatalistic view many gun violence survivors and witnesses have and how it affects their lives and future behaviors. This is especially true with children who are repeatedly exposed to violence. The trauma surrounding exposure to gun violence is not disputed, especially among children. In 1995, the… Read More
This November 4, 2016 New York Times Article talks about how Community paramedicine programs are expanding and are increasingly tending to older patients in their homes, solving problems there and eliminating costly ambulance trips. In 2009, when Medstar Mobile Healthcare began enrolling patients in Fort Worth, it was one of four emergency services in the… Read More
This JAMA article discusses the problems of routinely hospitalizing elderly patients which may hasten their disability, independence, and demise In older patients, acute medical illness that requires hospitalization is a sentinel event that often precipitates disability. This results in the subsequent inability to live independently and complete basic activities of daily living (ADLs). This hospitalization-associated… Read More