Turks take to street to resist, cheer coup attempt. Turkey's military is attempting a coup of the country and declared martial law.
Beard with the Daybreak crew in 2012: WGRZ President and General Manager Jim Toellner, Melissa Holmes and weatherman Andy Parker. Mummyblogging is dead. It died in the face of perfectly filtered instagram photos, posed and cropped for maximum rose-coloured-glasses blur. It died in the face of recipes full of hidden vegetables and sickly. Sleepless in Istanbul: Turks take to street to resist, cheer coup attempt. Thousands heeded president's call to stand up to military coup and protect democracy.
Citizens reported hearing gunfire and seeing military jets flying over the capital city of Ankara. Residents reported roads blocked by tanks, military helicopters flying low over the sprawling city and occasional gunfire. Erdogan issued his call for resistance using his i. Phone's Face- Time App because the military behind.
The New York Times has a truly remarkable piece this morning about the final days of the Trump campaign: Aboard his gold-plated jumbo jet, the Republican nominee does not like to rest or be alone with his thoughts, insisting. Directed by Baran bo Odar. With Jamie Foxx, Michelle Monaghan, Dermot Mulroney, Gabrielle Union. A cop with a connection to the criminal underworld scours a nightclub in search of his kidnapped son. The Sleepless trailer has arrived, teasing an action thriller with Jamie Foxx as an undercover detective posing as a corrupt cop whose son gets kidnapped.
His appearance was a strong signal that the coup was failing. Earlier, after the coup leaders announced on national. But nobody knows what is happening now. Either way, it will end badly.
Then I realized it was bigger than what I thought.
Sleepless in the hospital? Published in the July 2. Today’s Hospitalist.
AH, SLEEP! It may be the one proven therapy that hospitals can’t provide on floors that are just as hectic at midnight as at 6p. To boost the number of hours that patients can sleep, neurologists at Johns Hopkins School of Medicine in Baltimore decided to test two different types of what they called sleep rounds. As part of basic sleep rounds, nurses spent about 2. The deluxe model added amenities on top of that basic package, like offering patients a glass of warm milk. Researchers tested the interventions in several phases from February 2.
June 2. 01. 0. Study results were posted online in March by the Journal of Hospital Medicine. The data provided both good and bad news. The bad news was that patients in neither intervention arm actually got more sleep. But on the plus side, patients who took part in either type of sleep rounds thought that they had slept better and had fallen asleep faster. For lead author Robert E. Hoesch, MD, however, that good news wasn’t good enough.
Hoesch, who finished his neuro critical care fellowship at Johns Hopkins, has since become the director of the neuro critical care unit (NCCU) at the University of Utah in Salt Lake City.“Perception isn’t enough,” Dr. But from the standpoint of physiology and medicine, our goal was to actually see changes in the real parameters: time to fall asleep, how long patients stayed asleep and how they rated their sleep the next day.”White noise and warm blankets. During basic sleep rounds, nurses at 1. In addition to warm milk, patients could opt for aroma spritzers, warm blankets, body lotions or white- noise machines. Patients the next morning answered the following questions: How many hours did they sleep, how often did they wake up and how long did it take them to fall asleep? During both intervention phases, researchers also put noise recorders in the rooms of some patients to gauge noise levels.
Despite researchers’ best efforts, patients enrolled in both types of sleep rounds reported getting the same amount of sleep “around five hours “as patients during the pre- study baseline period and the washout period between the two interventions. But when researchers looked at the questionnaires, they were surprised to find that patients in both interventions reported getting a better night’s sleep. And on their Press Ganey scores, patients in both intervention arms gave the hospital higher marks for keeping noise levels down. That’s interesting, Dr. Hoesch notes, because for reasons that weren’t clear, the actual noise levels in patient rooms rose a few decibels over the study period. Second thoughts. If he could do the study again, Dr.
Hoesch knows what he would do differently. For one, he thinks the data would have shown patients getting an hour or two more sleep every night if each intervention phase had lasted more than six months, instead of only four. He also wishes the study had covered more patients to see how sleep quality and duration varied between patients in private and semi- private rooms. While the study reported the same sleep experience for both sets of patients, “we really weren’t powered to see a difference between room types,” he says.“I’d be willing to guess that if we did 1. Hoesch, “try not to interrupt the patient between midnight and 6 a. But his biggest regret is not making basic sleep rounds the default both before and after the study. It took nurses about a month after each intervention to stop attending to patients’ sleep hygiene at bedtime.
But if the team had continued the protocol permanently, Dr. Hoesch notes, “the data from the study would be considered baseline and we could see if other hospital- related complications could have been reduced in further analysis.”Helping patients to the bathroom at 1.
And “patients with brain injury, especially older people in the hospital, tend to become delirious in the middle of the night when they wake up,” Dr. Hoesch plans to make attending to better sleep hygiene a daily clinical exercise for all patients. Part of that is getting patients up and moving during the day.“Our immediate plan is to execute a protocol to normalize patients’ days through aggressive mobilization,” he says.
That includes practices that promote healthier sleep patterns such as quiet time, sleep rounds or just a clear demarcation of the end of the day.