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What does it mean to be #1?: 
HOPKINS MEDICINE e-NEWS (July 2004)

A round-up of news from Johns Hopkins Medicine for busy executives.

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What does it mean to be #1 for the 14th consecutive year in U.S. News & World Report's annual ranking of America's best hospitals? At Hopkins, it means we just try harder. We must if we're to live up to our own reputation - and to our mission. So we're pleased to give you news of initiatives to reduce medical errors, a labor contract with unique benefits, a proposed third medical building at Green Spring Station, and federal funding for the nation's first center for the study of epigenetics.

July's science reports focus on advances in prostate cancer treatment; an intriguing "
signature" found in all cancers, renewing hope for finding a universal treatment; and the link between a muscular German baby, a Hopkins scientist, and hope for building muscle mass in patients with withering conditions.

A community of brilliant, dedicated individuals keeps us strong. This summer, the nation's top civilian honor, the Presidential Medal of Freedom, recognized Arnall Patz for his ground-breaking research that has saved thousands from blindness.

There's also a commentary on Hopkins Medicine's Singapore division and a Q&A with one of the founding fathers of geriatric medicine, John Burton.

Please send us your questions or comments. We welcome your suggestions and hope you enjoy reading these reports.

-- Edward D. Miller, M.D., Dean of the Medical Faculty, CEO, Johns Hopkins Medicine
-- Ronald R. Peterson, President, Johns Hopkins Health System, The Johns Hopkins Hospital 



THE BUSINESS OF MEDICINE


HOPKINS NO. 1 IN NATION FOR 14TH YEAR
U.S. News & World Report once again ranks Hopkins Hospital tops in the U.S., placing it among the best in 16 of 17 specialties and No. 1 in gynecology, otolaryngology and urology, #2 in Geriatrics, Kidney Disease, Neurology/Neurosurgery, Ophthalmology and Rheumatology; #3 in Cancer, Digestive Disorders, Hormonal Disorders, Pediatrics, Psychiatry and Respiratory Disorders; #4 in Heart/Heart Surgery and Orthopedics.

THIRD BUILDING PLANNED FOR GREEN SPRING STATION
With 235 physicians treating 300,000 patients, Johns Hopkins at Green Spring Station proposes a third building with a surgery center, imaging suite, physician offices, shops and a fitness club.

HOPKINS ESTABLISHES FIRST CENTER FOR STUDY OF EPIGENETICS
Thanks to a $5 million federal grant, the School of Medicine opens a pioneering research facility to study epigenetics - the "marks" that sit on the backbones of our genes and can turn genes on or off.
 
MAKING OPERATING ROOMS SAFE AND EFFICIENT
A $6 million computerized management system takes imperfections out of running operating rooms. It's the first phase of a $22 million provider order-entry system being phased in at Hopkins Medicine.

REDUCING COMMUNICATION BREAKDOWNS
Borrowing from the aviation industry, Hopkins makes communication skill training an institutional priority to improve medical staff teamwork and reduce hospital errors.

NEW LABOR CONTRACT OFFERS DEPENDENT TUITION BENEFITS
Union approval of a three-year contract makes The Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center among a handful of hospitals offering dependent tuition benefits to union workers.

PATZ RECEIVES PRESIDENTIAL MEDAL OF FREEDOM
Arnall Patz, director emeritus of the Johns Hopkins Wilmer Eye Institute and a groundbreaking ophthalmologist, receives the nation's highest civilian honor.


SCIENCE REPORT
GENE MUTATION IN SUPER-STRONG CHILD COULD SPUR MUSCLE-MASS DRUGS
Researchers studying a muscle-bound German boy find the gene that regulates muscle mass, which could mean blocking agents used to produce super-strong "mighty mice" in the lab may add muscle mass in humans, too. 

PROSTATE CANCER PILL REDUCES PROGRESS OF DISEASE IN ADVANCED CASES
Clinical studies find the drug atrasentan reduces by 20 percent the risk that cancer will progress in men with advanced hormone-resistant prostate cancer.

Related article: A study shows docetaxel, made from yew tree needles, decreases chance of dying by 24 percent in advanced-stage prostate cancer patients resistant to hormone therapy.

GENETIC SIMILARITIES IN CANCERS MAY LEAD TO COMMON TREATMENT
Hopkins researchers discover a gene-expression "signature" abnormally expressed in all cancers, renewing hope for finding a universal treatment.


 
COMMENTARY
UNIQUE OPPORTUNITY IN SINGAPORE
Why Hopkins chose the island nation of Singapore for the School of Medicine's first-ever division outside Baltimore.

GERIATRICS CHALLENGE
John Burton, one of the founding fathers of modern geriatrics, discusses why he's still excited about this medical discipline.
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