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Forge the path

In this complicated new era of health care, a prominent dermatologist says, there are some battles to fight and other changes to accept.

Hologic to Acquire Cynosure

Hologic, a global healthcare and diagnostics company focused on woman’s health, announced Feb. 14, 2017, that it signed a definitive agreement to acquire all outstanding Cynosure shares, an equity value estimated at $1.65 billion.

Researchers treated a small cohort with two anti-inflammatory drugs and saw a significant improvement in clinical manifestations of disease.Further data showed the approach safely maintained results.

Dermatologists should consider the features of the nasal defect when weighing options for repair.Consider the desires of the patient when assessing options for both repair and treatments to mitigate post-surgical scar formation.The dermatologist must determine the choice of which procedure will likely achieve the best aesthetic outcome overall.

New challenges of melanoma

Melanoma rates continue to rise, especially thin lesions which represents the largest group of fatalities. Gene expression profile tests can help diagnose or predict melanoma and are easy to use. But many dermatologists do not follow recommended treatment guidelines, which indicates a need to either educate practitioners or rethink the guidelines.

Since its introduction, isotretinoin has been reported to cause psychiatric problems or irritable bowel disease. Because different studies over the past 35 years do not support these claims dermatologists should not hesitate to prescribe this medication for their acne patients.

Because rosacea is an inflammatory disease there is scientific rationale for a possible association between it and other inflammatory diseases. A recent study demonstrates that rosacea patients have a greater percentage of gastrointestinal disorders than do controls and should be evaluated further if they present with GI symptoms. In such cases a systematic approach to the treatment of both conditions may be warranted.

Injectable fillers are considered to be safe in the hands of experienced dermatologists. But side effects are a possibility no matter how experienced the practitioner. A derm expert shares what colleagues need to know about filler complications and how to treat them.

Is 'natural' soap milder?

It is unclear what constitutes “natural” soap, since all soap is really natural, however there is a trend toward the purchase of homemade soap.

What is nail shellac?

Nail shellac is a long wearing form of nail polish that's removal procedure may cause damage to the nail plate.

Mood changing nail polish is another fashion popular among young women based on the “mood stone” concept pioneered in the 1960s.

What is nail caviar?

A popular trend amongst teenagers, nail caviar may be doing harm to water sources.

Steps to Security

To keep patient information safe, experts recommend using cutting-edge hardware and software, personalizing the challenge for employees and reminding them of data-hygiene basics. An information technology partner that will manage your on-site systems and perform updates on a regular basis is as important as your insurance provider is to your practice.

In the event of a data breach physicians may have to inform HHS, law enforcement and the media, as well as any patients who may have been affected. Suspected breaches also should trigger calls to your IT staff, lawyer and insurer. An alarming number of violations have been the result of inappropriate use of social media by doctors or staff rather than hacking or aggressive data breaching.

There is a growing burden in wound management. Stem cells will be instrumental in the development of skin substitutes. Novel hydrogel promotes skin regeneration in in vivo experiments.

A revised and updated set of criteria and treatment recommendations establishes a phenotype approach to diagnosing and classifying rosacea. This approach marks a transition from treating rosacea patients according to subtype. Global representation may identify research needed to determine whether rosacea is a global condition.

The word of the moment is "new!" We have a new year, a new president, we are looking at the possibility of another new organizational structure in medicine, and we are working on a new look here at Dermatology Times.