Covid-19 — Navigating the Uncharted – MUST READ

This suggests that the overall clinical consequences of Covid-19 may ultimately be more akin to those of a severe seasonal influenza (which has a case fatality rate of approximately 0.1%) or a pandemic influenza (similar to those in 1957 and 1968) rather than a disease similar to SARS or MERS, which have had case fatality rates of 9 to 10% and 36%, respectively.2

Click here to read the full NEJM Editorial.

I’m hoping the NEJM editorial gets read and shared widely.  Clearly all individuals and businesses need to be prepared for the worst case scenario.  If you manage a large company, go back and review/revise your disaster recovery/business continuation plans. I’d make absolutely certain your tele-commuting platform is A+ and working as well as possible.  You may even consider expanding your remote work capabilities because every one of your employees might be using it.  Soon.

 

 

Alcohol consumption in later life and reaching longevity: the Netherlands Cohort Study

Key points

  • The highest probability of reaching 90 years of age (longevity) was found for men and women drinking 5– < 15 g alcohol/day (or 0.5–1.5 glass/day); the exposure–response relationship was significantly non-linear in women.
  • Usual drinking pattern and binge drinking were not significantly associated with longevity, but the risk estimates indicate to avoid binge drinking.
  • The estimated modest risk ratios (RRs) should not be used as motivation to start drinking if one does not drink alcoholic beverages.
Results

 

We found statistically significant positive associations between baseline alcohol intake and the probability of reaching 90 years in both men and women. Overall, the highest probability of reaching 90 was found in those consuming 5– < 15 g/d alcohol, with RR = 1.36 (95% CI, 1.20–1.55) when compared with abstainers. The exposure-response relationship was significantly non-linear in women, but not in men. Wine intake was positively associated with longevity (notably in women), whereas liquor was positively associated with longevity in men and inversely in women. Binge drinking pointed towards an inverse relationship with longevity. Alcohol intake was associated with longevity in those without and with a history of selected diseases.

 

Alcohol consumption in later life and reaching longevity: the Netherlands Cohort Study

Hormesis?

Tulsa Remote

A year after Tulsa Remote launched, the first participants — a mix of expats from expensive coastal cities, wanderlusty young adults, and those with roots in the region — say they’ve found many of the things they were looking for: a more comfortable and affordable quality of life, new neighbors they like, enough of an economic cushion to ease the stress of buying new furniture, and a fresh start. Many say they’ll stick around past the end of the one-year program. More than that: Some of them tell stories of positive personal transformation that are so dramatic, they might appear too perfect, almost canned. But after checking in with participants over the course of eight months, I found that many of them remained just as effusive. Maybe it’s something about Tulsa. Or maybe it’s something about Tulsa Remote.

According to an analysis of U.S. Census and Bureau of Labor Statistics data by the remote work consultancy Global Workspace Analytics and Flexjobs, telecommuting grew more than 150% between 2005 and 2017. This year, the American Community Survey found that the fastest-growing commute was no commute, as work-from-home arrangements become more popular everywhere.

What Happened When Tulsa Paid People to Work Remotely

I love Tulsa.  It’s kind of like a really great restaurant you want to tell all of your friends about but you don’t because if everyone knows about it the place gets too crowded or the food quality slips.  But for a city to pay remote workers to come live and work is certainly a grand experiment.

My #1 Project currently lives in Owasso, a suburb of Tulsa.  He could have gotten a job anywhere but decided to settle and stick roots in the Tulsa metro.

The Citylab article is long but worth reading if you’re interested in tele-commuting and remote work issues.

Here’s a taste of Oklahoma for y’all.

First Covid-19 outbreak in a U.S. nursing home

Washington state reported on Saturday the first death in the U.S. from the new coronavirus, the first health care worker to be infected with the disease, and most worrying, the first known outbreak in a long-term care facility.

At a nursing facility in Kirkland, Wash, approximately 27 of the 108 residents and 25 of the 180 staff have some symptoms, health officials said during a teleconference with the Centers for Disease Control and Prevention. Authorities report that some among them have pneumonia.

Read the full article here at statnews.com

COVID-19 – Coronavirus Deep Dive

What were the demographics of the forty-one admitted 2019-nCoV patients included in this study?

  • Most were men (30/41 patients; 73%)

  • Median age = 49 years

  • 13/41 patients (32%) had underlying disease (e.g. diabetes, hypertension, cardiovascular disease, COPD, cancer)

What kind of symptoms did the forty-one admitted 2019-nCoV patients included in this study have?

  • Fever (40/41 patients; 98%)

  • Cough (31/41 patients; 76%)

  • Myalgia or Fatigue (18/41 patients; 44%)

  • These three symptoms were the major ones. There were patients who had sputum production, headache, hemoptysis, and diarrhea; however, these symptoms were less common.

  • Dyspnea occurred in 55% later in the course, with mean time to onset of dyspnea at 8 days.

Here’s a nice short summary of a recent study published in Lancet.  The balance of the source article can be found at emDOCs.net

And if you want to maintain your sanity regarding this emerging infectious disease threat avoid social media. 

Social media, for all its many ills and its few redeeming qualities, identifies idiots.

Can we turn serious for a minute? Are you on social media, talking to people that you don’t know about things that you know nothing about? If so, what are you doing? There’s a great big wonderful wide world out there. Why not trying exploring it? Talk to people. See things. Read stuff that is longer than 14 words.

Berry Tramel: Garth Brooks’ Barry Sanders jersey brings out the idiots, thinking he was endorsing Bernie Sanders

 

 

Corona Sales Plummet in China Amid Coronavirus Pandemic — VinePair

Despite the fact that the COVID-19 coronavirus has nothing whatsoever to do with Corona, the parent company of the Mexican lager has nonetheless suffered a crushing financial loss due to the growing pandemic. Anheuser-Busch InBev (A-B InBev), the international producer and distributor of Corona beer, reported Thursday that a decline in Chinese on- and off-premise…

via Corona Sales Plummet in China Amid Coronavirus Pandemic — VinePair

Yikes!

Here’s when you should (and shouldn’t) trust your gut

Here’s when you should (and shouldn’t) trust your gut

This was an interesting article from Fast Company written by…

A neuroscientist!

Now, we live in a world that values logic and considers emotions as weak. It seems like decisions based on intuition have little or no place in today’s society. Over time, we’ve neglected the gut and the limbic brain, and placed the cortex on a pedestal. We’ve demoted depth, passion and instinct to fixate on surface-level capabilities—exams, rote-learning, and transactional relationships. We are more connected with material gain than joy. At the same time, increased stress, processed food, and antibiotics have massively diminished the biodiversity of our gut flora, which compromises more than our physical resilience.