Hoganish's observations have resonated with circadian scientists struggling to make headway at their own institutions. He and his co-authors wrote in a 2019 PNAS publication, Pain, Infection, Hypertensive Crisis do not occur selectively in the morning. Initial drug doses given in hospitals are most likely to happen at specific times of day,. Usually corresponding to shift changes, and when medical teams make their rounds. Clinical decisions should be made around the clock.

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