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Medical Rounds

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A Laser Focus for Epilepsy

Some patients with intractable epilepsy now have an option beside open craniotomy: a minimally invasive approach that uses a heated laser to destroy the seizure focus in the brain.

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Sweating It Out

A new wearable sweat monitor could help doctors better monitor cystic fibrosis in individual patients.

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Sickle Cell and Opioids

A new study sends up a warning flag about long-term opioid use in adults with sickle cell disease.

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Look to the Biofilm in Colon Cancer

The bacteria stuck to the walls of the colon could offer potential as a biomarker for colon cancer risk.

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A Link Between Antibiotics and Mental Illness?

Preventing infections and minimizing antibiotic treatment in people with mental illness could help prevent the occurrence of manic episodes, according to the results of a new study.

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“Compared to a class or lecture, where I share information with a room full of people, Facebook gives me an astounding reach to educate.”

Radiologist Elliot Fishman, speaking of his use of the popular social media platform to share medical education materials related to radiology. He makes an average of 15 posts per day to a Facebook page for CTisus.com, a website developed in 2000 for radiology medical education. In one month alone (July 2015), CTisus.com posts reached an average of 29,307 people per day. These people interacted with the posts—by clicking, sharing, liking or commenting—approximately 2,354 times per day, Fishman reported in a recent issue of the Journal of the American College of Radiology.

“We have long thought this big final fusion surgery, after years of spine straightening treatment, was always necessary, and now we have found that that’s not true.”

—Pediatric orthopaedic surgeon Paul Sponseller, on a look-back study of medical records showing that a major operation to fuse the spines of children with a rare form of severe, early-onset scoliosis can be eliminated in many cases. His study, reported in The Journal of Bone & Joint Surgery, is part of a larger effort at Johns Hopkins and elsewhere to challenge conventional wisdom in medicine and potentially do away with unnecessary medical procedures. “These patients have gone through a long and arduous process,” Sponseller says. “The payoff is that they often don’t need a big surgery at the end.”

150 Minutes

The time saved daily by each therapy coordinator at Johns Hopkins Bayview Medical Center, thanks to a new computer platform developed there that tracks and prioritizes patients needing physical and occupational therapy.

“It narrows patients down—based on their ability to move, walk and perform daily activities—out of more than 100 patients a day. If patients are not walking the way they should or performing daily activities, they are priorities,” says Krishnaj Gourab, director of physical medicine and rehabilitation consult services, of the Rehabilitation and Healthcare Analytics Platform (ReHAP).

Johns Hopkins Technology Ventures is helping to commercialize ReHAP: “Interviews with outside hospitals and home health agencies found almost everybody needs something like this for therapy case load management,” says John Adamovich, administrator of innovation and research for Johns Hopkins Home Care Group.