Study: Circadian rhythm may predict chance of recovery from coma | Edible "CRISPR pill" in development to cause bacterial self-destruction | N.Y. hospital renovation includes critical care center
April 21, 2017
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Study: Circadian rhythm may predict chance of recovery from coma
A study in the journal Neurology, based on 18 patients with severe brain injuries, found the more closely a patient's body temperature pattern matched a healthy person's circadian rhythm, the higher they scored on tests of recovery from coma.
HealthDay News (4/19) 
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Edible "CRISPR pill" in development to cause bacterial self-destruction
University of Wisconsin-Madison researchers are developing edible probiotic therapies, such as a pill or liquid that contains a customizable CRISPR message, to possibly treat infectious diseases caused by pathogens such as Clostridium difficile. The pill would contain bacteriophage that will deliver the CRISPR message to pathogens such as C. diff., resulting in the bacteria destroying its own DNA.
MIT Technology Review online (free registration) (4/17),  Futurism (4/17) 
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CMS Open Payments: What You Need to Know
As part of CMS Open Payments, pharmaceutical and device manufacturers submitted data about their financial relationships with you - physicians and teaching hospitals. CMS encourages you to review that data before it is made available on a publicly accessible website. Learn more now!
Medicine in the News
Federal drill assessed preparedness for global deadly disease outbreaks
An interagency drill dubbed Tranquil Shift, led by the State Department and HHS, tested their readiness to take on a possible large-scale evacuation of Americans from outside the US due to potential outbreaks of deadly diseases such as Ebola or other highly infectious diseases. Despite some glitches in the operation, "there were no lessons learned; there were lessons reinforced," according to Dr. William Walters, the State Department's managing director for operational medicine. (4/19),  The Associated Press (4/18) 
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Trump urges pressure on Congress to repeal and replace ACA
Speaking at a tool manufacturing company in Wisconsin, President Donald Trump said a deal on dismantling the Affordable Care Act is imminent and encouraged attendees to put pressure on Congress to repeal and replace the law.
Politico (4/18) 
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Trends and Technology
Augmented reality could transform medical care
Researchers at the University of Maryland's "Augmentarium," a virtual and augmented reality research lab, are working to create a headset that allows doctors to view and control images during surgery. Trauma surgeon and researcher Sarah Murthi said AR could make critical care more efficient, but others say the level of detail is not needed and could be distracting. (4/20) 
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GAO looks at telehealth, remote patient monitoring use by Medicaid in 6 states
A Government Accountability Office report on telehealth and remote patient monitoring use in Medicaid programs in six states found that Connecticut spent $89,053 in 2015 on 817 encounters involving provider-to-provider consultations via secure messaging, while Montana's Medicaid program used telehealth to let patients consult with in-state and out-of-state specialists remotely. Meanwhile, Kansas implemented a remote patient monitoring pilot project from September 2007 to June 2010 and called telehealth a "valuable" tool, the report stated. (4/19) 
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I stand upon my desk to remind myself that we must constantly look at things in a different way.
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