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Medical Rounds

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Gastroenterology: Bypassing Bypass Surgery

Gastroenterologist Ashish Nimgaonkar is engineering a pill that will mimic not only the weight loss effects but also the glycemic benefits of a gastric bypass procedure.

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Technology: Avoiding Kidney Injury

Aaron Chang founded Renalert to develop a real-time urine monitoring device for the prevention of acute kidney injury during surgery.

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Patient Safety: Rx for More Accurate Prescriptions

In contrast to opioid prescriptions created electronically, handwritten prescriptions contributed heavily to a trio of prescribing and processing errors, according to a recent study of opioid prescriptions filled at a Johns Hopkins outpatient pharmacy.

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Pediatric Surgery: In Great Shape

Pediatric neurosurgeon Edward Ahn has developed a novel, single-incision technique for an endoscopic approach to surgery for sagittal craniosynostosis.

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Technology: An App for Better Sleep

Alan Schwartz and other Johns Hopkins sleep experts are teaming with Under Armour to develop an app that delivers insights based on sleep information collected through wearable devices, like Under Armour’s UA Band.

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“Our review strongly suggests that giving teens easier access to various contraceptives will not lead to more sex but would result in fewer unwanted pregnancies.”

The conclusion reached by a teams of Johns Hopkins pediatric and women’s health experts, whose study in the Journal of Adolescent Health supports switching “the pill” and other oral contraceptives from prescription-only status to over-the-counter availability. “Decades of research show that a majority of adolescents initiate sex before the age of 18 and that earlier use of contraception reduces the risk of teen pregnancy,” notes lead author Krishna Upadhya, assistant professor of pediatrics.

1 in 5

The ratio of patients who suffered adverse side effects from taking antibiotics, according to a recent Johns Hopkins study, which also found that nearly one-fifth of those side effects occurred in patients who didn’t need antibiotics in the first place. Gastrointestinal, kidney and blood abnormalities were the most common side effects experienced. “Antibiotics have the potential to cause real harm to patients. Each time we think to prescribe an antibiotic, we need to pause and ask ourselves, ‘Does this patient really need an antibiotic?’” says Pranita Tamma, director of the Pediatric Antimicrobial Stewardship Program at The Johns Hopkins Hospital and lead author of the study, which appeared in JAMA Internal Medicine.