Background: Work engagement has been an ongoing subject of interest within many organizations as it reflects employee well-being and can affect productivity, work outcomes, emotional health, and physical health (1). Stress levels in the work environment can lead to deterioration of sleep and work engagement and increase burnout (2). Heartfulness meditation is a simple heart-based [...]

Background: In a time when rural hospitals across the United States are closing for various reasons and local residents are left with limited access to healthcare, our academic medical center successfully built one of the few new rural facilities in the country and opened it in January 2023. The new hospital is a seventeen bed [...]

Background: Work engagement has been an ongoing subject of interest within many organizations as it reflects employee well-being and can affect productivity, work outcomes, emotional health, and physical health (1). Stress levels in the work environment can lead to deterioration of sleep and work engagement and increase burnout (2). Heartfulness meditation is a simple heart-based [...]

Background: In a time when rural hospitals across the United States are closing for various reasons and local residents are left with limited access to healthcare, our academic medical center successfully built one of the few new rural facilities in the country and opened it in January 2023. The new hospital is a seventeen bed [...]

Background: Nocturnists often start their positions immediately after residency. It has been shown that early career hospitalists benefit from mentorship for scholarly productivity, academic promotion and personal career satisfaction (1,2). However, as nocturnists typically work at different hours than senior clinicians and service leaders, there are decreased opportunities for informal mentorship, modelling, and visibility. Purpose: [...]

Background: The South Bronx has the highest overdose death rate in New York City, exceeding the city’s overall rate, with fentanyl implicated in approximately 80% of cases. In 2018, the New York City Health and Hospitals (NYCHH) started a new initiative called Consult for Addiction Treatment and Care in Hospitals (CATCH) to create health promotion [...]

Background: Hospital length of stay (LOS) is an important metric for evaluating a healthcare system’s quality of patient care, patient experience and outcomes, efficiency of practice, and resource management. The COVID-19 pandemic led to a significant increase in the average hospital LOS in the United States. Hospital LOS has continued to remain high due to [...]

Background: Cocaine use disorders are a significant public health challenge, contributing to cardiovascular, neurological, and psychiatric complications. Chronic use exacerbates these risks and increases addiction rates. This study evaluates global, regional, and national trends in the burden of cocaine use disorders from 1990 to 2019 to inform targeted intervention strategies. Methods: Using the Global Burden [...]

Background: Alcohol poses a significant public health concern, contributing to acute and chronic health complications, including organ damage, neurological impairments, and increased mortality. Excessive alcohol consumption can result in poisoning. This study analyzed trends and disparities in mortality rates due to toxic effects of alcohol among different demographics and geographical regions from 1999 to 2020 [...]

Background: Guidelines recommend symptom triggered therapy for management of alcohol withdrawal. The most commonly use assessment scale is the Clinical Institute Withdrawal Assessment, Revised (CIWA-Ar). CIWA-Ar has been criticized however for relying on patient self-report, and alternative scales have been developed that incorporate vital signs to be more objective, including the Minnesota Detoxification Scale (MINDS) [...]