Older Patients & Motor Vehicle Crashes | Physician’s Weekly

Older Patients & Motor Vehicle Crashes | Physician’s Weekly.

According to current estimates, there are about 30 million licensed drivers in the United States aged 65 and older, but this figure is expected to jump to 57 million by 2030. Studies indicate that drivers aged 65 and older have higher rates of motor vehicle crashes (MVCs) per mile driven. Data also show that older motorists have higher rates of death and serious injury and incur greater costs for acute care and rehabilitation. “MVCs are the second leading cause of injury-related death among adults aged 65 and older,” says Jody A. Vogel, MD, MSc. “As the U.S. population ages, EDs will need to be prepared with appropriate resources and protocols to care for older adult MVC patients effectively.”

Sleep Apnea Linked to Cancer

Sleep Apnea Linked to Cancer.

Moderate-to-severe OSA was associated with a 2.5-fold higher likelihood of incident cancer (95% CI 1.2-5.0) after adjustment for obesity and a full range of other factors, Nathaniel Marshall, PhD, of the University of Sydney Nursing School in Australia, and colleagues found.

Cancer mortality was 3.4 times more common (95% CI 1.1-10.2) in those with sleep apnea than with no sleep apnea during 20 years of follow-up, they reported in the April 15 issue of theJournal of Clinical Sleep Medicine.

Sixth Circuit Rules Telecommuting may be a Reasonable Accommodation – Employee Benefit News

Sixth Circuit rules that telecommuting may be a reasonable accommodation – Articles – Employee Benefit News.

Under this precedent, an employer may be required to grant some degree of telecommuting as a reasonable accommodation. However, employers still may require regular attendance during regular working hours, even if that attendance is via telecommuting

The article notes the employee was terminated and had a history of irritable bowel syndrome.  Now this whole work from home thing is getting real interesting.

MIB – Life Index First Quarter 2014 off -5.4%

MIB Group – Risk Analytics – Life Index – Archives.

U.S. application activity for individually underwritten life insurance was off -4.4% in March, year-over-year, all ages combined according to the MIB Life Index. Declining activity across the first three months of the year foreshadowed 2014’s first quarter losses, off -5.4% as compared to Q1 2013. The MIB Life Index has marked declining life insurance application activity for the past twelve consecutive months.

The Recruiter: Hot Spots

The Recruiter: Hot Spots.

The supply and demand scale for emergency physicians is obviously going to be tipped in favor of physicians for many years to come. If you’re an ABEM/AOBEM certified physician with a solid track record, typically the job hunt can be akin to achieving celebrity status – “Everybody wants you – everybody needs you”.  In most parts of the country, a well-qualified EP is highly likely to secure a position at the hospital of his or her choice.

If you’re an underwriter reading this, sorry this link is not for you.

If you’re related to me and starting your emergency medicine residency in June then, Bud this link’s for you.

Testing Design Options and Creativity

The things you read when you have an architect in the family.

fredcschmidt's avatarDesign Matters

FSB-TKA Scheme B-C - 1

Studying how a vertical circulation spine and the interaction that it can introduce to the building organization was an enlivening and creatively infusive exercise. Each scheme that was developed seemed as strong and powerful as the previous one and yet each one very distinctive with its own strong character statement.

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Watch Chicago’s middle class vanish before your very eyes

Great maps. Stunning.

Daniel Kay Hertz's avatarDaniel Kay Hertz

Note: I owe both the concept for this measurement of income segregation and much of the actual data – all of it, except for 2012 – to Sean Reardon and Kendra Bischoff, who wrote a series of wonderful papers on the subject and then were kind enough to send me a spreadsheet of their data from Chicago a while ago. The maps, however, are mine, as is all the data from 2012, and any mistakes in them or in the interpretation of the data is entirely my responsibility.

I think one reason I’ve felt less than compelled by Chicagoland, CNN’s reasonably well-made documentary series, is that its tale-of-two-cities narrative is so worn, so often repeated, that it’s become a little dull. Not the actual fact of inequality – which only seems to cut deeper over time – but its retelling.

In fact, I think the point has long passed…

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