Nino d'Heresie

  剛睡醒感到難以起床，睡眠醫學上稱為「睡眠慣性」，它是睡眠和清醒之間的過渡狀態，表現為暫時性的認知和動作反應遲緩，持續時間通常約20~30分鐘，不過一小時內都算正常。 Sleep inertia refers to the groggy, disoriented feeling experienced after waking up. It's a transitional state between sleep and wakefulness characterized by impaired cognitive and physical performance. Sleep inertia typically lasts around 30 minutes, but it's normal within an hour. 時型(chronotype)為夜型人(俗稱夜貓族) 與社交時差高的人 (工作日與休假日的睡眠時間中點差異 [前移或後移] 兩個小時以上) ，以及剛好在深睡期或快速動眼期被叫醒的人，都會有更明顯的睡眠慣性反應。這些人會對外在刺激 (例如鬧鐘) 的喚醒依賴程度較高。 People who are night person (owl), people with high social jet lag (more than two hours of difference between midpoint of sleep on workdays and midpoint of sleep on free days [shifts forward or backwards]), and people who wake up from deep sleep or during a REM sleep cycle can increase the likelihood of experiencing sleep inertia. These people also have a higher reliance on external stimuli (such as alarm clocks) to wake them up. 除了上述情況之外，神經疾患和憂鬱症患者，也會變得需要異常長的時間才能脫離睡眠慣性。過長的睡眠慣性時間可否作為神經/...

  今年5月底，在我完全不抱期待的情況下，收到了期刊出版社確定刊登的信，第一時間跟圈外的朋友分享好消息。以他很喜歡提出質疑然後開啟辯論的個性，第一句回覆是：「所以試驗結果如何？」 At the end of May this year, I received a letter from a journal publisher confirming that the article would be published, even though I had no expectations at all. I immediately shared the good news with a friend outside my professional circle. As he likes to raise questions and start debates, his first reply was: "How were the trial results?" 「我記得病人轉普通病房的天數縮短了？不，其實我不確定結果如何，因為我是 “blinded” 的，我在執行計劃的時候是不該知道病人分組和結果的。他開始寫的時候我也離職了。」我說。 “I think the main result is fewer delirium days in the treatment group. No, I’m not sure, because I should be ‘blinded’, they shouldn’t tell me the results during the study, and by the time he started writing the paper, I left the hospital.”  「原來如此。會不會像對岸很多那種研究設計充滿疑慮的論文啊？......但如果可以加速痊癒，那也是好事啦。」他試圖挽救場面。 “I see. Seems like how a lot of China does their TCM research…questionably. But faster healing…if true, is good.” He tried to save it. 「我不知道耶。就算結果顯示有正面影響，要放入臨床實...