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April 2013 Briefing - Dermatology

Here are what the editors at HealthDay consider to be the most important developments in Dermatology for April 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.

Renewed Efforts From AAFP to Repeal OTC Provision in ACA

TUESDAY, April 30 (HealthDay News) -- Members of the American Academy of Family Physicians (AAFP) and other medical associations are urging further consideration of Section 9003 of the Patient Protection and Affordable Care Act (ACA) that requires holders of tax-preferred health care accounts to obtain a physician's prescription to use funds from those accounts to pay for over-the-counter (OTC) medications. The concerns have been laid out in a letter to the chair and the ranking member of the House Committee on Ways and Means.

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FDA Announces New Network to Focus Exclusively on Patients

MONDAY, April 29 (HealthDay News) -- The U.S. Food and Drug Administration has announced the launch of a new interactive tool for educating patients, their advocates, and consumers about the processes involved in medication development.

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FDA: Purveyors of Phony Botox Targeting U.S. Practices

MONDAY, April 29 (HealthDay News) -- Medical practices that purchase Botox may unwittingly be purchasing a fraudulent product not approved by the U.S. Food and Drug Administration for sale in the United States, according to an April 26 drug safety alert issued by the agency.

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Medical Interns Spending Less Time With Patients

FRIDAY, April 26 (HealthDay News) -- Medical interns are spending less time with patients and more time at a computer since new rules limiting total work hours were instituted in 2011, according to a study published online April 18 in the Journal of General Internal Medicine.

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Saturday Marks Sixth Annual Rx Drug Take-Back Day

FRIDAY, April 26 (HealthDay News) -- United States residents across the nation will have an opportunity to safely and anonymously unload expired, unwanted prescription medications on Saturday, April 27, during the sixth annual National Prescription Drug Take-Back Day.

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History of Skin Cancer Linked to Secondary Cancers

FRIDAY, April 26 (HealthDay News) -- Men and women with a history of non-melanoma skin cancer (NMSC) are at modestly greater risk of secondary cancers at other sites, according to a study published online April 23 in PLOS Medicine.

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Physicians Less Empathetic in Talking to Heavy Patients

THURSDAY, April 25 (HealthDay News) -- Primary care physicians (PCPs) are less likely to bond with overweight and obese patients, according to research published online March 20 in Obesity.

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Fumarate Linked to Progressive Multifocal Encephalopathy

WEDNESDAY, April 24 (HealthDay News) -- Fumaric acid or fumarate-induced lymphopenia may contribute to the development of progressive multifocal encephalopathy (PML), according to two letters published in the April 25 issue of the New England Journal of Medicine.

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Diagnostic Errors Are the Leading Type of Malpractice Claim

WEDNESDAY, April 24 (HealthDay News) -- In the past 25 years, diagnostic errors have been the leading type of malpractice claim and account for the highest proportion of total payments, according to a study published online April 22 in BMJ Quality & Safety.

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Severe Cutaneous Adverse Rxns Up in Allopurinol Initiators

TUESDAY, April 23 (HealthDay News) -- Allopurinol initiators have an almost 10-fold increased risk of severe cutaneous adverse reactions (SCARs) compared with nonusers, according to a study published in the April issue of Arthritis Care & Research.

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HPV Exposure in Family, School Linked to Wart Development

MONDAY, April 22 (HealthDay News) -- For schoolchildren, exposure to human papillomavirus (HPV)-causing warts in the family and school class is associated with an increased risk of wart development, according to a study published online April 22 in Pediatrics.

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Patient-Centered Decision Making Ups Health Outcomes

FRIDAY, April 19 (HealthDay News) -- Patient-centered decision making (PCDM) is associated with improved health care outcomes, according to a study published in the April 16 issue of the Annals of Internal Medicine.

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Accuracy of Smartphone Apps for Melanoma Risk Is Variable

THURSDAY, April 18 (HealthDay News) -- The diagnostic accuracy of smartphone applications that analyze photos of pigmented skin lesions for melanoma risk is highly variable and incorrectly classifies about a third of melanomas as benign, according to a study published in the April issue of JAMA Dermatology.

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English-Acculturated Hispanics Report Less Sun-Safe Behavior

THURSDAY, April 18 (HealthDay News) -- English-acculturated and bicultural (high English and Spanish acculturation) Hispanic adults report lower engagement in skin cancer-related behaviors, according to a study published online April 17 in JAMA Dermatology.

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Relative Proportion of MRSA Increasing in S. aureus Isolates

THURSDAY, April 18 (HealthDay News) -- The relative proportion of methicillin-resistant Staphylococcus aureus (MRSA) is increasing in S. aureus isolates, and methicillin-sensitive S. aureus (MSSA) is becoming increasingly resistant to antibiotics, according to a study published in the April issue of JAMA Dermatology.

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Guidelines Issued Relating to Online Medical Professionalism

THURSDAY, April 18 (HealthDay News) -- Physicians should be aware of the benefits on online media and should recognize the implications for patient confidentiality and public perception, according to a position paper published in the April 16 issue of the Annals of Internal Medicine.

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Family-Centered Teaching Rounds Good for Patients, Students

THURSDAY, April 18 (HealthDay News) -- Teaching and conducting rounds in the presence of patients and their families can be beneficial for patients and learners, according to research published online April 15 in Pediatrics.

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Community Benefit Spending Varies for Tax-Exempt Hospitals

WEDNESDAY, April 17 (HealthDay News) -- There is considerable variation in the level of community benefit expenditure by tax-exempt hospitals, according to a study published in the April 18 issue of the New England Journal of Medicine.

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Presenting Fee Data to Docs Cuts Number of Tests Ordered

WEDNESDAY, April 17 (HealthDay News) -- Presenting fee data to providers at the time of laboratory test orders is associated with a small reduction in the number of tests ordered, according to a study published online April 15 in JAMA Internal Medicine.

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Pediatric Melanomas Are Increasing 2 Percent a Year

MONDAY, April 15 (HealthDay News) -- The incidence of pediatric melanoma has increased by about 2 percent per year, and this incidence trend is influenced by gender, age, and stage at diagnosis, primary site, and ultraviolet (UV)-B exposure, according to research published online April 15 in Pediatrics.

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In-Transit Melanoma Advance Is Difficult to Predict

MONDAY, April 15 (HealthDay News) -- Progressive disease cannot be reliably predicted by patient, clinical, or procedural factors in patients receiving regional therapy for advanced melanoma of the extremities, according to a study published online April 3 in JAMA Surgery.

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Topical Treatment Effective for Toenail Fungal Infection

FRIDAY, April 12 (HealthDay News) -- Once daily topical efinaconazole is effective in treating fungal infections of the toenail, according to a study published in the April issue of the Journal of the American Academy of Dermatology.

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Speech Details Practices to Improve U.S. Health Systems

THURSDAY, April 11 (HealthDay News) -- There are specific steps health care providers and policymakers should take to create high-quality, patient-centered care at lower costs, according to remarks made in an April 9 speech to the National Press Club.

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ACS: Room for Improvement in Cancer Prevention, Detection

THURSDAY, April 11 (HealthDay News) -- Despite improvements in aspects of cancer prevention and early detection, more systematic efforts to reduce tobacco use and obesity, and expand the use of screening tests could prevent much of the suffering and death of cancer, according to a report published online April 11 by the American Cancer Society.

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Parenting Magazines Give Little Attention to Sun Protection

WEDNESDAY, April 10 (HealthDay News) -- Two popular U.S. parenting magazines give little attention in terms of articles or advertisements to preventing skin cancer risk, according to a study published in the April issue of the U.S. Centers for Disease Control and Prevention's Preventing Chronic Disease.

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Most Partners of U.S. Docs Satisfied in Their Relationships

MONDAY, April 1 (HealthDay News) -- Most spouses/partners of U.S. physicians report being satisfied with their relationships, with satisfaction linked to time spent together each day, according to research published in the March issue of the Mayo Clinic Proceedings.

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Physician's Briefing