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August 2013 Briefing - Dermatology

August 2013 Briefing - Dermatology

Here are what the editors at HealthDay consider to be the most important developments in Dermatology for August 2013. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Final Rules Issued for Individual Shared Responsibility Mandate

WEDNESDAY, Aug. 28 (HealthDay News) -- Starting 2014, the individual shared responsibility provision of the Affordable Care Act, which calls for each individual to have basic health insurance coverage, will be implemented, according to a statement from the U.S. Department of the Treasury.

More Information (http://www.treasury.gov/press-center/press-releases/Pages/jl2152.aspx )

Health Care Savings With Early Accountable Care Organizations

WEDNESDAY, Aug. 28 (HealthDay News) -- Early accountable care organization initiatives correlate with lower spending for elderly Medicare beneficiaries, but not necessarily with improved quality, according to a study published in the Aug. 28 issue of the Journal of the American Medical Association.

Abstract (http://jama.jamanetwork.com/article.aspx?articleid=1733718#Abstract )Full Text (subscription of payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1733718 )

Online Dermatology Education Effective Among Students

FRIDAY, Aug. 23 (HealthDay News) -- An online dermatology curriculum significantly improves dermatology knowledge among medical students taking an introductory dermatology clerkship, according to research published in the August issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622%2813%2900412-X/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622%2813%2900412-X/fulltext )

Vitamin D Supplementation Beneficial in Atopic Dermatitis

FRIDAY, Aug. 23 (HealthDay News) -- Vitamin D may influence atopic dermatitis, and supplementation is associated with reduced disease severity, according to a study published in the August issue of the Journal of the American Academy of Dermatology.

Abstract (http://www.jaad.org/article/S0190-9622(13)00288-0/abstract )Full Text (subscription or payment may be required) (http://www.jaad.org/article/S0190-9622(13)00288-0/fulltext )

Implications, Solutions for U.S. Health Disparities Discussed

TUESDAY, Aug. 20 (HealthDay News) -- Research on health disparities in the United States, the policy implications of these disparities, and suggestions for improvement of disparities are discussed in "Health Policy Brief: Health Gaps," published Aug. 15 in Health Affairs.

Full Text (http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=98 )

CDC Estimates 300,000 Cases of Lyme Disease in U.S./Year

TUESDAY, Aug. 20 (HealthDay News) -- An estimated 300,000 Americans are diagnosed with Lyme disease each year, according to a report presented at the 2013 International Conference on Lyme Borreliosis and Other Tick-Borne Diseases in Boston.

More Information (http://www.cdc.gov/media/releases/2013/p0819-lyme-disease.html )

Increasing Operating Costs Top Concern for Medical Practices

TUESDAY, Aug. 20 (HealthDay News) -- The top five concerns of medical practice executives all relate to financial management, with dealing with increasing operating costs reported as the most difficult daily challenge, according to a report published by the Medical Group Management Association (MGMA).

More Information (http://www.mgma.com/press/default.aspx?id=1374836 )

Early-Life Probiotics Reduce Allergies, Not Asthma

TUESDAY, Aug. 20 (HealthDay News) -- Probiotic exposure in early life may reduce total immunoglobulin E level (IgE) and protect against atopic sensitization, but does not seem to protect against asthma/wheezing, according to a meta-analysis published online Aug. 19 in Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0246.abstract )Full Text (http://pediatrics.aappublications.org/content/early/2013/08/13/peds.2013-0246.full.pdf+html )

Combo Pulsed, Non-Ablative Laser Treatment Is Safe

TUESDAY, Aug. 20 (HealthDay News) -- For facial rejuvenation, a combination treatment of an optimized intense pulsed light source and a non-ablative fractional laser is safe and effective, according to a study published in the September issue of Lasers in Surgery and Medicine.

Abstract (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22162/abstract )Full Text (subscription or payment may be required) (http://onlinelibrary.wiley.com/doi/10.1002/lsm.22162/pdf )

Expansion of Pharmacists' Practice Will Benefit Patients

MONDAY, Aug. 19 (HealthDay News) -- The expanding scope of pharmacists' practice will potentially improve patient care but has implications for physicians, according to an article published online Aug. 19 in CMAJ, the journal of the Canadian Medical Association.

Full Text (subscription or payment may be required) (http://www.cmaj.ca/content/early/2013/08/19/cmaj.121990 )

Prevalence of Indoor Tanning Quantified for Young Women

MONDAY, Aug. 19 (HealthDay News) -- For non-Hispanic white females, the prevalence of indoor tanning is about 30 percent for high school students and about 25 percent among 18- to 34-year-olds, according to a research letter published online Aug. 19 in JAMA Internal Medicine.

Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1729532 )

HHS Awards $67 Million to Marketplace Navigators

MONDAY, Aug. 19 (HealthDay News) -- $67 million is being awarded to Navigator grant applicants and their staff, who will serve as an in-person resource for those requiring additional assistance in shopping for and enrolling in Health Insurance Marketplace plans, according to a report published by the U.S. Department of Health and Human Services.

More Information (http://www.hhs.gov/news/press/2013pres/08/20130815a.html )

IOM Describes Themes Relating to Patients' Role in Health Care

FRIDAY, Aug. 16 (HealthDay News) -- Themes and messages relating to the role of patients in informed care decisions, knowledge generation, and value improvement were discussed at the Institute of Medicine's (IOM) Workshop Proceedings, according to a report published Aug. 15 in conjunction with the transcript of the proceedings.

More Information (http://www.iom.edu/Reports/2013/Partnering-with-Patients-to-Drive-Shared-Decisions-Better-Value-and-Care-Improvement.aspx )

Childhood ADHD Linked to Atopic Diseases, Impetigo

FRIDAY, Aug. 16 (HealthDay News) -- For boys with attention-deficit/hyperactivity disorder (ADHD), the likelihoods of asthma, impetigo, and any antihistamine drug prescriptions are independently increased, according to a study published in the August issue of the Annals of Allergy, Asthma & Immunology.

Abstract (http://www.annallergy.org/article/S1081-1206(13)00357-8/abstract )Full Text (subscription or payment may be required) (http://www.annallergy.org/article/S1081-1206(13)00357-8/fulltext )

Age-Linked Variation Noted in Melanoma Management

THURSDAY, Aug. 15 (HealthDay News) -- Age-related variation is seen in the characteristics and management of melanoma, according to a study published online Aug. 14 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1729128#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1729128 )Editorial (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1729125 )

Involved Patients Have Better Health Care Experiences

THURSDAY, Aug. 15 (HealthDay News) -- Health care providers and patients shape the care experience, and strategies to improve care interactions should also help patients ensure that their needs are met, according to research published in the July issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/7/1299.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/7/1299.full )

Doctors Pessimistic About Future of U.S. Health Care

THURSDAY, Aug. 15 (HealthDay News) -- Physicians report concerns regarding health care delivery and the future of health care, according to survey findings published by athenahealth.

More Information (http://investors.athenahealth.com/phoenix.zhtml?c=213592&p=irol-newsArticle&ID=1846875&highlight= )

Nontreatment, Undertreatment of Psoriatic Disease Quantified

THURSDAY, Aug. 15 (HealthDay News) -- Nontreatment and undertreatment of psoriasis and psoriatic arthritis, including severe disease, is widespread in the United States, according to research published online Aug. 14 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1729130#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1729130 )

Physicians Should Consider Social Media As Public Space

WEDNESDAY, Aug. 14 (HealthDay News) -- A new approach is needed for resolving the physician online identity crisis, according to a viewpoint piece published in the Aug. 14 issue of the Journal of the American Medical Association.

Full Text (subscription or payment may be required) (http://jama.jamanetwork.com/article.aspx?articleid=1728725 )

Medicare Reimbursement Drives Procedural Over Cognitive Care

WEDNESDAY, Aug. 14 (HealthDay News) -- Physicians treating Medicare patients are reimbursed three to five times more for performing common procedures versus providing cognitive care, according to a study published online Aug. 12 in JAMA Internal Medicine.

Abstract (http://archinte.jamanetwork.com/article.aspx?articleid=1726999#Abstract )Full Text (subscription or payment may be required) (http://archinte.jamanetwork.com/article.aspx?articleid=1726999 )

New Initiative Announced for Patient-Doc Collaboration

TUESDAY, Aug. 13 (HealthDay News) -- A new Center for Patient Partnership in Healthcare (CPPH) has been launched to advance physician-patient collaboration, according to a report published by the American College of Physicians (ACP).

More Information (http://www.acponline.org/pressroom/cpph.htm?hp )

Perceived Doc Verbal Abuse Impairs Nurses' Work Attitude

TUESDAY, Aug. 13 (HealthDay News) -- For registered nurses (RNs), perceived verbal abuse by physicians correlates with less favorable work conditions and attitudes, according to a study published in Nursing Outlook.

Abstract (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/abstract )Full Text (subscription or payment may be required) (http://www.nursingoutlook.org/article/S0029-6554(13)00005-5/fulltext )

U.S. Hospitals Up Exchange of Electronic Health Information

MONDAY, Aug. 12 (HealthDay News) -- Between 2008 and 2012, hospitals significantly increased their exchange of electronic health information with other providers, according to research published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1346.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1346.full )

Guidelines for Post-HIV Exposure Management Updated

MONDAY, Aug. 12 (HealthDay News) -- Management and prophylaxis recommendations have been updated for health care providers with occupational exposure to HIV, according to guidelines published in the September issue of Infection Control and Hospital Epidemiology.

Full Text (http://www.jstor.org/stable/10.1086/672271 )

Medical Center Farmers Market Aids in Medical Home Goals

MONDAY, Aug. 12 (HealthDay News) -- A seasonal farmers market at a medical center can support the institution's commitment to the goals of the medical home, according to a study published online Aug. 1 in the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

Full Text (http://www.cdc.gov/pcd/issues/2013/13_0105.htm )

Physicians' Malpractice Concerns Predict More Testing

FRIDAY, Aug. 9 (HealthDay News) -- Physicians' concerns about malpractice risk predict more aggressive diagnostic testing practices in office-based care, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1383.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1383.full )

IPAs and PHOs Viable Option for Small Independent Practices

FRIDAY, Aug. 9 (HealthDay News) -- For small and medium-size independent practices, sharing care management and information technology resources with other practices through an independent practice association (IPA) or physician-hospital organization (PHO) is a viable alternative and may improve care for patients with chronic conditions, according to a study published in the August issue of Health Affairs.

Abstract (http://content.healthaffairs.org/content/32/8/1376.abstract )Full Text (subscription or payment may be required) (http://content.healthaffairs.org/content/32/8/1376.full )

Comorbidity Increases With Increasing Severity of Psoriasis

THURSDAY, Aug. 8 (HealthDay News) -- For patients with psoriasis, major medical comorbidity increases with increasing severity of disease, according to a study published online Aug. 7 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1724035#Abstract )Full Text (http://archderm.jamanetwork.com/article.aspx?articleid=1724035 )

Review Looks at Antibiotic Rx in Ambulatory Settings

WEDNESDAY, Aug. 7 (HealthDay News) -- Most ambulatory care antibiotic prescriptions are for broad-spectrum agents, which are commonly prescribed for conditions for which antibiotics are rarely indicated, according to research published online July 25 in the Journal of Antimicrobial Chemotherapy.

Abstract (http://jac.oxfordjournals.org/content/early/2013/07/24/jac.dkt301.abstract )Full Text (subscription or payment may be required) (http://jac.oxfordjournals.org/content/early/2013/07/24/jac.dkt301.full )

AMA, AHA Call for Realignment of Meaningful Use Stage 2

WEDNESDAY, Aug. 7 (HealthDay News) -- The American Medical Association (AMA) and American Hospital Association (AHA) are calling for additional flexibility in the timing of the adoption of stage 2 meaningful use of electronic health records, according to a letter written to the U.S. Department of Health and Human Services (HHS).

More Information (http://www.amednews.com/article/20130805/government/130809987/1/ )

Participation Increases in Online CME Activities

MONDAY, Aug. 5 (HealthDay News) -- The number of physicians and non-physicians participating in continuing medical education (CME) has increased, especially in online activities, according to a report published by the Accreditation Council for Continuing Medical Education (ACCME).

More Information (http://accme.org/sites/default/files/630_2012_Annual_Report_20130724_0.pdf )

Skin Cancer May Develop During Laser Removal of Tattoo

FRIDAY, Aug. 2 (HealthDay News) -- Malignant melanoma may develop on a preexisting nevus within a tattoo that is being removed with laser therapy, according to a case report published online July 31 in JAMA Dermatology.

Abstract (http://archderm.jamanetwork.com/article.aspx?articleid=1722816#Abstract )Full Text (subscription or payment may be required) (http://archderm.jamanetwork.com/article.aspx?articleid=1722816 )

FDA Warns of Serious Skin Reactions to Acetaminophen

FRIDAY, Aug. 2 (HealthDay News) -- Acetaminophen has been linked to rare but serious skin reactions, according to a drug safety communication released by the U.S. Food and Drug Administration.

More Information (http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm363519.htm?source=govdelivery )

Nonsentinel Lymph Nodes Key Factor in Melanoma Prognosis

FRIDAY, Aug. 2 (HealthDay News) -- Nonsentinel lymph node (NSLN) positivity is a significant prognostic factor in patients with stage III melanoma, associated with shorter overall and disease-specific survival, according to research published online July 31 in JAMA Surgery.

Abstract (http://archsurg.jamanetwork.com/article.aspx?articleid=1722799#Abstract )Full Text (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1722799 )Editorial (subscription or payment may be required) (http://archsurg.jamanetwork.com/article.aspx?articleid=1722798 )

After Facelift, Patient Looks Younger But Not More Attractive

THURSDAY, Aug. 1 (HealthDay News) -- Aesthetic facial surgery is effective for modestly reducing patients' apparent age, but does not improve their objective attractiveness, according to a study published online Aug. 1 in JAMA Facial Plastic Surgery.

Abstract (http://archfaci.jamanetwork.com/article.aspx?articleid=1722859#Abstract )Full Text (subscription or payment may be required) (http://archfaci.jamanetwork.com/article.aspx?articleid=1722859 )

Quality Improvement Model Cuts Pressure Ulcer Rate in PICU

THURSDAY, Aug. 1 (HealthDay News) -- A collaborative quality improvement (QI) model can effectively reduce the rate of pressure ulcers (PUs) in the pediatric intensive care unit (PICU), according to a study published in the June 1 issue of Pediatrics.

Abstract (http://pediatrics.aappublications.org/content/131/6/e1950.abstract )Full Text (subscription or payment may be required) (http://pediatrics.aappublications.org/content/131/6/e1950.full )