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the report said. "The experience can be horrific for patients."The patient died later after being removed from a breathing machine.An investigation from the Centers for Medicare and Medicaid Services found the error occurred through the nurse's improper use of an automatic medication dispensing machine, when the nurse mistakenly dispensed the wrong medication. That error, the report said, occurred when the nurse typed "ve-" into the dispensing machine, "and chose the 1st medication on the list."That medication was vecuronium, not Versed.The error had originally put the hospital's Medicare reimbursement status in jeopardy, but the Centers for Medicare and Medicaid Services announced Thursday that it had accepted a corrective plan submitted by the hospital, which allows the reimbursements to continue. VUMC said it will continue to work with the Tennessee State Survey Agency to take corrective steps to protect the health and welfare of patients served by the facility.Vanderbilt University released the following statement: 1082
The subpoena from House Oversight Chairman Elijah Cummings to the White House includes a request for a host of documents and communications tied to the President's July 25 call with Ukrainian President Volodymyr Zelensky, the holding up of foreign aid to Ukraine and efforts by Trump's personal lawyer Rudy Giuliani and his associates to push the Ukrainians to investigate Vice President Joe Biden and Burisma, the company that hired Hunter Biden's son Hunter Biden to be on its board, according to a memo Cummings sent on the subpoena earlier this week."We deeply regret that President Trump has put us — and the nation — in this position, but his actions have left us with no choice but to issue this subpoena," Cummings of Maryland, House Intelligence Chairman Adam Schiff of California and House Foreign Affairs Chairman Eliot Engel of New York wrote in a letter to the White House on Friday.The subpoena escalates the Democratic impeachment investigation, which stems from the whistleblower complaint alleging Trump sought help from Ukraine's government to dig up dirt on his political rival and the White House sought to cover it up. The three panels leading the probe have already issued subpoenas to Secretary of State Mike Pompeo and Giuliani, in addition to Friday's White House subpoena.The request for documents to Pence, meanwhile, adds the vice president to a growing list of Trump officials and allies from who Democrats are seeking documents as part of the impeachment inquiry.The three chairmen leading the probe wrote a letter to Pence on Friday requesting the documents by October 15. A subpoena could also be looming for Pence if he does not voluntarily provide the documents.Rather than traveling to Warsaw, Poland, last month to meet with Ukrainian President Volodymyr Zelensky, Trump decided to stay home to track the damage from Hurricane Dorian. In his place he sent Pence, whose face-to-face meeting with Zelensky now puts him at the heart of events that led to the impeachment inquiry by the House of Representatives.The Democratic impeachment investigation stems from the whistleblower complaint alleging Trump sought help from Ukraine's government to dig up dirt on his political rival and the White House tried to cover it up.House Democrats have set an aggressive schedule of depositions to go along with their document requests as they have prepared to potentially file articles of impeachment related to Ukraine, putting the other matters they were investigating involving the President -- from Russian election interference to the Emoluments clause of the Constitution -- to the side.The vice president's spokesman said that the Democrats letter "does not appear to be a serious request.""Given the scope, it does not appear to be a serious request but just another attempt by the Do Nothing Democrats to call attention to their partisan impeachment," Pence spokeswoman Katie Waldman said in a statement. "Despite their efforts to distract and obstruct our agenda, this Administration will stay focused on creating jobs, securing the border, rebuilding our military, negotiating better trade deals, and the issues most important to the American people."The Trump administration has signaled it does not intend to cooperate with the House investigation on Ukraine, just as it has stonewalled previous requests related to allegations of obstruction of justice and efforts to obtain the President's tax returns and other financial documents. Pompeo wrote in a letter this week that he would try to block State Department officials from testifying, calling the schedule unfeasible, and it was unclear whether he would comply with a subpoena that had a Friday deadline.Trump said Friday that he would be issuing a letter to House Speaker Nancy Pelosi in response to the Democrats' request for documents. White House lawyers were drafting the letter saying they could not be compelled to produce documents until the full House votes to open an impeachment inquiry, something Pelosi has said is unnecessary according House rules.Previously, Democrats have responded to White House stonewalling with contempt votes and lawsuits to pry loose the materials they were seeking. But they now appear to be taking a different tack with the Ukraine inquiry: arguing that a failure to cooperate will make their case that obstruction of justice occurred."We don't want this to drag on months and months and months, which appears to be the Administration's strategy, so they just need to know that even as they try to undermine our ability to find the facts around the President's effort to coerce a foreign leader to create dirt that he can use against the political opponent, that they will be strengthening the case on obstruction if they behave that way," Schiff said at a newsconference this week.But the Democrats have had successes in obtaining information, too, including the testimony from former US special envoy to Ukraine Kurt Volker and text messages Volker provided showing that Trump's push for an investigation was linked to Ukraine's efforts to obtain a face-to-face meeting between the two presidents.Pence was told about the July 25 call between Trump and Zelensky a day after it occurred, sources told CNN, although they would not say whether the vice president was briefed about what Trump said about the Bidens. 5348

The Republican congressman, who was re-elected last November as he faces corruption charges, made the comments during a town hall Saturday in his San Diego-area district, the San Diego Union-Tribune reported. 208
The young victim was rushed to a hospital, where he died. A second male victim, whose age was not released, was hospitalized with a gunshot wound described as non-life-threatening. There have been no arrests and there is no suspect description. 244
The transformation of 7% of Scott's DNA suggests longer-term changes in genes related to at least five biological pathways and functions.The newest preliminary results from this unique study of Scott, now retired from NASA, were released at the 2018 Investigator's Workshop for NASA's Human Research Program in January. Last year, NASA published its first round of preliminary results at the 2017 Investigator's Workshop. Overall, the 2018 findings corroborated those from 2017, with some additions.To track physical changes caused by time in space, scientists measured Scott's metabolites (necessary for maintaining life), cytokines (secreted by immune system cells) and proteins (workhorses within each cell) before, during and after his mission. The researchers learned that spaceflight is associated with oxygen-deprivation stress, increased inflammation and dramatic nutrient shifts that affect gene expression.In particular, Chris Mason of Weill Cornell Medicine reported on the activation of Scott's "space genes" while confirming the results of his separate NASA study, published last year.To better understand the genetic dynamics of each twin, Mason and his team focused on chemical changes in RNA and DNA. Whole-genome sequencing revealed that each twin has more than expected unique mutations in his genome -- in fact, hundreds.Although 93% of Scott's genetic expression returned to normal once he returned to Earth, a subset of several hundred "space genes" remained disrupted. Some of these mutations, found only after spaceflight, are thought to be caused by the stresses of space travel.As genes turn on and off, change in the function of cells may occur. 1676
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