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A study published in the International Journal of Dermatology found no apparent link between the use of isotretinoin, a medication for severe acne, and adverse male sexual health outcomes. The study analyzed data from a large healthcare network in the United States and used a cohort study design. The findings suggest that isotretinoin does not pose a significant risk to male sexual health. However, the study had limitations and further research is needed to evaluate sexual health outcomes in female patients. This study provides reassuring data for clinicians and patients. [Extracted from the article]

A population-based cohort study was conducted to evaluate the association between tetracycline-class antibiotic use in patients with acne and the risk of idiopathic intracranial hypertension (IIH). The study found that minocycline, a type of tetracycline-class antibiotic, was significantly associated with an increased risk of IIH compared to doxycycline and nonsystemic treatments. However, the study had limitations, such as the inability to control for external lifestyle factors and the potential for residual confounding. Further research is needed to generalize these findings, but the study provides valuable insight for clinicians and patients considering tetracycline-class antibiotic treatment for acne. [Extracted from the article]

A study published in the British Journal of Dermatology examined the association between granuloma annulare (GA), an inflammatory skin condition, and various autoimmune conditions. The study analyzed data from the TriNetX Research Network, which included 88 healthcare organizations, and identified 53,505 patients with GA who were matched with a control group. The results showed that patients with GA had a significantly increased risk of systemic lupus erythematosus, rheumatoid arthritis, type 1 diabetes mellitus, and autoimmune thyroiditis. The study also found potential associations with systemic sclerosis and uveitis, but further research is needed to confirm these findings. The study provides valuable insight into the risk of autoimmune disorders in people with GA. [Extracted from the article]

As the pandemic made it unsafe for providers and patients to meet in person, the US government implemented key temporary telehealth waivers in March 2020 that expanded Medicare telehealth coverage dramatically. Some of the most significant changes included the removal of location restrictions so that patients and providers could engage in telehealth from their homes, full provider reimbursement for telehealth visits, coverage for more medical specialties and types of practitioners such as occupational and physical therapists, and the allowance of telehealth prescription of controlled substances. The waivers will end when the government removes the federal status of a public health emergency, which is expected to occur in 2023. Nearly 64 million Medicare patients are at risk of losing most modalities of telehealth access. We present current legislation that could combat this "telehealth cliff" and defend the position that Medicare telehealth access should remain permanently expanded. [ABSTRACT FROM AUTHOR]

Student mental health concerns can manifest in several forms. Medical students juggling a multitude of trials (i.e., intense academic rigor, financial debt, sleep deprivation, lack of control, continual exposure to sickness and death, and training mistreatment) can help explain the higher prevalence of psychological disorders within this population. Furthermore, these mental health difficulties are not static; certain challenges move into the forefront as students face key transition points in schooling. Primary examples include the entry year of medical school, the shift from preclinical curriculum to clinical training, and the final moments prior to beginning residency. Given the existing mental health trends among medical students at baseline, it can be concluded that the COVID-19 pandemic has exacerbated the stress, anxiety, and depression associated with medical education. Solutions do indeed exist to address the moral injury medical students face, from expanded crisis management training and implementation of peer support networks to destigmatization of and improved access to professional mental health resources. It is up to the curators of the medical education system to make these solutions the new status quo., Competing Interests: The authors report no funding or conflicts of interest., (Copyright © 2023 Baylor University Medical Center.)

As the pandemic made it unsafe for providers and patients to meet in person, the US government implemented key temporary telehealth waivers in March 2020 that expanded Medicare telehealth coverage dramatically. Some of the most significant changes included the removal of location restrictions so that patients and providers could engage in telehealth from their homes, full provider reimbursement for telehealth visits, coverage for more medical specialties and types of practitioners such as occupational and physical therapists, and the allowance of telehealth prescription of controlled substances. The waivers will end when the government removes the federal status of a public health emergency, which is expected to occur in 2023. Nearly 64 million Medicare patients are at risk of losing most modalities of telehealth access. We present current legislation that could combat this "telehealth cliff" and defend the position that Medicare telehealth access should remain permanently expanded., Competing Interests: The authors report no funding or conflicts of interest., (Copyright © 2022 Baylor University Medical Center.)