Re: Laser Treatments May Clear Acne

[Guest guest]

" In an ex vivo study of human skin, denaturation of collagen was

observed with dermal heating, he said. " We think what's happening is

that the injury to the sebaceous gland is collateral damage from the

collagen heating, " he said. Histologic evaluation revealed mild

necrosis of the sebocytes and thermal damage around the follicular

duct epithelium. "

In other words, killing the pimple by killing the gland. Oops.

Marjorie

Marjorie Lazoff, MD

> Hi,

>

> I know some of us have a bit of acne with our rosacea, so I thought

> the below article from June 2002 Skin and Allergy News would be

> helpful.

>

> Take care,

> Matija

>

>

> Sebaceous glands targeted

> Active Acne Cleared With Four Laser Treatments

> It's still unknown if the same results can be achieved on larger

> treatment areas.

>

> Walsh

> New York Bureau

>

>

> ATLANTA — Selective dermal heating that targets the sebaceous

glands

> may represent a new way to clear active acneiform papules and

> pustules.

>

> In a study that included 27 men with mild to moderate acne, a

series

> of four treatments with a 1,450-nm laser resulted in 100% clearance

> of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

said

> at the annual meeting of the American Society for Laser Medicine

and

> Surgery.

>

> Treatments took place at 3- to 4-week intervals. Fluences used

ranged

> from 16 to 18 J/cm2, and the device also provides 40 milliseconds

of

> cooling via a cryogen spray.

>

> Treated lesions were located on the subjects' backs; nearby control

> areas were treated with the spray cooling only.

>

> Lesions were counted at baseline and at 6, 12, and 24 weeks after

the

> final treatment.

>

> At the control sites there was a slight increase in the number of

> lesions by the study conclusion, while there were " zero lesions " by

> 24 weeks on the active treatment sites, said Dr. Blair of the Naval

> Medical Center, San Diego.

>

> But this 100% reduction " is definitely not happening all the time, "

> said coinvestigator Dr. E. Victor Ross. " We're not sure what's

going

> to happen when we go to the face, to larger areas, and to larger

> numbers of patients. "

>

> Statistically significant decreases in lesion counts also were

> observed at 6 and 12 weeks after the last treatment. At 6 weeks,

the

> average lesion count decreased from 5.43 to 0.43 on the active

> treatment sites, compared with a nonsignificant decrease from 5 to

> 3.86 on the control sites.

>

> The epidermis is left intact by the cooling device used during

> treatment, while the heating of the dermis leads to photothermal

> alterations in the sebaceous glands, Dr. Blair said.

>

> In an ex vivo study of human skin, denaturation of collagen was

> observed with dermal heating, he said. " We think what's happening

is

> that the injury to the sebaceous gland is collateral damage from

the

> collagen heating, " he said.

>

> Histologic evaluation revealed mild necrosis of the sebocytes and

> thermal damage around the follicular duct epithelium.

>

> Side effects in the study were mild and transient. All patients

> experienced erythema for approximately 6-12 hours.

>

> Some patients with type IV skin also had mild blistering that

> resulted in hyperpigmentation, which resolved in 6-9 weeks.

>

> " Like most great discoveries, ours was serendipitous, " Dr. Blair

> said. " We were using the laser in a different study and noticed on

> histology that after treatment there were alterations in the

> sebaceous glands. "

[Guest guest]

" In an ex vivo study of human skin, denaturation of collagen was

observed with dermal heating, he said. " We think what's happening is

that the injury to the sebaceous gland is collateral damage from the

collagen heating, " he said. Histologic evaluation revealed mild

necrosis of the sebocytes and thermal damage around the follicular

duct epithelium. "

In other words, killing the pimple by killing the gland. Oops.

Marjorie

Marjorie Lazoff, MD

> Hi,

>

> I know some of us have a bit of acne with our rosacea, so I thought

> the below article from June 2002 Skin and Allergy News would be

> helpful.

>

> Take care,

> Matija

>

>

> Sebaceous glands targeted

> Active Acne Cleared With Four Laser Treatments

> It's still unknown if the same results can be achieved on larger

> treatment areas.

>

> Walsh

> New York Bureau

>

>

> ATLANTA — Selective dermal heating that targets the sebaceous

glands

> may represent a new way to clear active acneiform papules and

> pustules.

>

> In a study that included 27 men with mild to moderate acne, a

series

> of four treatments with a 1,450-nm laser resulted in 100% clearance

> of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

said

> at the annual meeting of the American Society for Laser Medicine

and

> Surgery.

>

> Treatments took place at 3- to 4-week intervals. Fluences used

ranged

> from 16 to 18 J/cm2, and the device also provides 40 milliseconds

of

> cooling via a cryogen spray.

>

> Treated lesions were located on the subjects' backs; nearby control

> areas were treated with the spray cooling only.

>

> Lesions were counted at baseline and at 6, 12, and 24 weeks after

the

> final treatment.

>

> At the control sites there was a slight increase in the number of

> lesions by the study conclusion, while there were " zero lesions " by

> 24 weeks on the active treatment sites, said Dr. Blair of the Naval

> Medical Center, San Diego.

>

> But this 100% reduction " is definitely not happening all the time, "

> said coinvestigator Dr. E. Victor Ross. " We're not sure what's

going

> to happen when we go to the face, to larger areas, and to larger

> numbers of patients. "

>

> Statistically significant decreases in lesion counts also were

> observed at 6 and 12 weeks after the last treatment. At 6 weeks,

the

> average lesion count decreased from 5.43 to 0.43 on the active

> treatment sites, compared with a nonsignificant decrease from 5 to

> 3.86 on the control sites.

>

> The epidermis is left intact by the cooling device used during

> treatment, while the heating of the dermis leads to photothermal

> alterations in the sebaceous glands, Dr. Blair said.

>

> In an ex vivo study of human skin, denaturation of collagen was

> observed with dermal heating, he said. " We think what's happening

is

> that the injury to the sebaceous gland is collateral damage from

the

> collagen heating, " he said.

>

> Histologic evaluation revealed mild necrosis of the sebocytes and

> thermal damage around the follicular duct epithelium.

>

> Side effects in the study were mild and transient. All patients

> experienced erythema for approximately 6-12 hours.

>

> Some patients with type IV skin also had mild blistering that

> resulted in hyperpigmentation, which resolved in 6-9 weeks.

>

> " Like most great discoveries, ours was serendipitous, " Dr. Blair

> said. " We were using the laser in a different study and noticed on

> histology that after treatment there were alterations in the

> sebaceous glands. "

[Guest guest]

" In an ex vivo study of human skin, denaturation of collagen was

observed with dermal heating, he said. " We think what's happening is

that the injury to the sebaceous gland is collateral damage from the

collagen heating, " he said. Histologic evaluation revealed mild

necrosis of the sebocytes and thermal damage around the follicular

duct epithelium. "

In other words, killing the pimple by killing the gland. Oops.

Marjorie

Marjorie Lazoff, MD

> Hi,

>

> I know some of us have a bit of acne with our rosacea, so I thought

> the below article from June 2002 Skin and Allergy News would be

> helpful.

>

> Take care,

> Matija

>

>

> Sebaceous glands targeted

> Active Acne Cleared With Four Laser Treatments

> It's still unknown if the same results can be achieved on larger

> treatment areas.

>

> Walsh

> New York Bureau

>

>

> ATLANTA — Selective dermal heating that targets the sebaceous

glands

> may represent a new way to clear active acneiform papules and

> pustules.

>

> In a study that included 27 men with mild to moderate acne, a

series

> of four treatments with a 1,450-nm laser resulted in 100% clearance

> of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

said

> at the annual meeting of the American Society for Laser Medicine

and

> Surgery.

>

> Treatments took place at 3- to 4-week intervals. Fluences used

ranged

> from 16 to 18 J/cm2, and the device also provides 40 milliseconds

of

> cooling via a cryogen spray.

>

> Treated lesions were located on the subjects' backs; nearby control

> areas were treated with the spray cooling only.

>

> Lesions were counted at baseline and at 6, 12, and 24 weeks after

the

> final treatment.

>

> At the control sites there was a slight increase in the number of

> lesions by the study conclusion, while there were " zero lesions " by

> 24 weeks on the active treatment sites, said Dr. Blair of the Naval

> Medical Center, San Diego.

>

> But this 100% reduction " is definitely not happening all the time, "

> said coinvestigator Dr. E. Victor Ross. " We're not sure what's

going

> to happen when we go to the face, to larger areas, and to larger

> numbers of patients. "

>

> Statistically significant decreases in lesion counts also were

> observed at 6 and 12 weeks after the last treatment. At 6 weeks,

the

> average lesion count decreased from 5.43 to 0.43 on the active

> treatment sites, compared with a nonsignificant decrease from 5 to

> 3.86 on the control sites.

>

> The epidermis is left intact by the cooling device used during

> treatment, while the heating of the dermis leads to photothermal

> alterations in the sebaceous glands, Dr. Blair said.

>

> In an ex vivo study of human skin, denaturation of collagen was

> observed with dermal heating, he said. " We think what's happening

is

> that the injury to the sebaceous gland is collateral damage from

the

> collagen heating, " he said.

>

> Histologic evaluation revealed mild necrosis of the sebocytes and

> thermal damage around the follicular duct epithelium.

>

> Side effects in the study were mild and transient. All patients

> experienced erythema for approximately 6-12 hours.

>

> Some patients with type IV skin also had mild blistering that

> resulted in hyperpigmentation, which resolved in 6-9 weeks.

>

> " Like most great discoveries, ours was serendipitous, " Dr. Blair

> said. " We were using the laser in a different study and noticed on

> histology that after treatment there were alterations in the

> sebaceous glands. "

[Guest guest]

Marjorie,

Thanks for separating the wheat from the chaff on these articles.

(Too bad there's not enough wheat, but plenty of chaff.)

I was wondering why doctors, who should know better, post results of

studies that aren't very useful though sound good. Are they looking

to further their reputation in the field? Also, do publications

accept these " less than useful " articles because the publications

want a flashy article to sell subscriptions?

I know there must be many reasons. However, since you're a fellow

doctor, you might have more insight into the situation.

Take care,

Matija

> > Hi,

> >

> > I know some of us have a bit of acne with our rosacea, so I

thought

> > the below article from June 2002 Skin and Allergy News would be

> > helpful.

> >

> > Take care,

> > Matija

> >

> >

> > Sebaceous glands targeted

> > Active Acne Cleared With Four Laser Treatments

> > It's still unknown if the same results can be achieved on larger

> > treatment areas.

> >

> > Walsh

> > New York Bureau

> >

> >

> > ATLANTA — Selective dermal heating that targets the sebaceous

> glands

> > may represent a new way to clear active acneiform papules and

> > pustules.

> >

> > In a study that included 27 men with mild to moderate acne, a

> series

> > of four treatments with a 1,450-nm laser resulted in 100%

clearance

> > of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

> said

> > at the annual meeting of the American Society for Laser Medicine

> and

> > Surgery.

> >

> > Treatments took place at 3- to 4-week intervals. Fluences used

> ranged

> > from 16 to 18 J/cm2, and the device also provides 40 milliseconds

> of

> > cooling via a cryogen spray.

> >

> > Treated lesions were located on the subjects' backs; nearby

control

> > areas were treated with the spray cooling only.

> >

> > Lesions were counted at baseline and at 6, 12, and 24 weeks after

> the

> > final treatment.

> >

> > At the control sites there was a slight increase in the number of

> > lesions by the study conclusion, while there were " zero lesions "

by

> > 24 weeks on the active treatment sites, said Dr. Blair of the

Naval

> > Medical Center, San Diego.

> >

> > But this 100% reduction " is definitely not happening all the

time, "

> > said coinvestigator Dr. E. Victor Ross. " We're not sure what's

> going

> > to happen when we go to the face, to larger areas, and to larger

> > numbers of patients. "

> >

> > Statistically significant decreases in lesion counts also were

> > observed at 6 and 12 weeks after the last treatment. At 6 weeks,

> the

> > average lesion count decreased from 5.43 to 0.43 on the active

> > treatment sites, compared with a nonsignificant decrease from 5

to

> > 3.86 on the control sites.

> >

> > The epidermis is left intact by the cooling device used during

> > treatment, while the heating of the dermis leads to photothermal

> > alterations in the sebaceous glands, Dr. Blair said.

> >

> > In an ex vivo study of human skin, denaturation of collagen was

> > observed with dermal heating, he said. " We think what's happening

> is

> > that the injury to the sebaceous gland is collateral damage from

> the

> > collagen heating, " he said.

> >

> > Histologic evaluation revealed mild necrosis of the sebocytes and

> > thermal damage around the follicular duct epithelium.

> >

> > Side effects in the study were mild and transient. All patients

> > experienced erythema for approximately 6-12 hours.

> >

> > Some patients with type IV skin also had mild blistering that

> > resulted in hyperpigmentation, which resolved in 6-9 weeks.

> >

> > " Like most great discoveries, ours was serendipitous, " Dr. Blair

> > said. " We were using the laser in a different study and noticed

on

> > histology that after treatment there were alterations in the

> > sebaceous glands. "

[Guest guest]

Marjorie,

Thanks for separating the wheat from the chaff on these articles.

(Too bad there's not enough wheat, but plenty of chaff.)

I was wondering why doctors, who should know better, post results of

studies that aren't very useful though sound good. Are they looking

to further their reputation in the field? Also, do publications

accept these " less than useful " articles because the publications

want a flashy article to sell subscriptions?

I know there must be many reasons. However, since you're a fellow

doctor, you might have more insight into the situation.

Take care,

Matija

> > Hi,

> >

> > I know some of us have a bit of acne with our rosacea, so I

thought

> > the below article from June 2002 Skin and Allergy News would be

> > helpful.

> >

> > Take care,

> > Matija

> >

> >

> > Sebaceous glands targeted

> > Active Acne Cleared With Four Laser Treatments

> > It's still unknown if the same results can be achieved on larger

> > treatment areas.

> >

> > Walsh

> > New York Bureau

> >

> >

> > ATLANTA — Selective dermal heating that targets the sebaceous

> glands

> > may represent a new way to clear active acneiform papules and

> > pustules.

> >

> > In a study that included 27 men with mild to moderate acne, a

> series

> > of four treatments with a 1,450-nm laser resulted in 100%

clearance

> > of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

> said

> > at the annual meeting of the American Society for Laser Medicine

> and

> > Surgery.

> >

> > Treatments took place at 3- to 4-week intervals. Fluences used

> ranged

> > from 16 to 18 J/cm2, and the device also provides 40 milliseconds

> of

> > cooling via a cryogen spray.

> >

> > Treated lesions were located on the subjects' backs; nearby

control

> > areas were treated with the spray cooling only.

> >

> > Lesions were counted at baseline and at 6, 12, and 24 weeks after

> the

> > final treatment.

> >

> > At the control sites there was a slight increase in the number of

> > lesions by the study conclusion, while there were " zero lesions "

by

> > 24 weeks on the active treatment sites, said Dr. Blair of the

Naval

> > Medical Center, San Diego.

> >

> > But this 100% reduction " is definitely not happening all the

time, "

> > said coinvestigator Dr. E. Victor Ross. " We're not sure what's

> going

> > to happen when we go to the face, to larger areas, and to larger

> > numbers of patients. "

> >

> > Statistically significant decreases in lesion counts also were

> > observed at 6 and 12 weeks after the last treatment. At 6 weeks,

> the

> > average lesion count decreased from 5.43 to 0.43 on the active

> > treatment sites, compared with a nonsignificant decrease from 5

to

> > 3.86 on the control sites.

> >

> > The epidermis is left intact by the cooling device used during

> > treatment, while the heating of the dermis leads to photothermal

> > alterations in the sebaceous glands, Dr. Blair said.

> >

> > In an ex vivo study of human skin, denaturation of collagen was

> > observed with dermal heating, he said. " We think what's happening

> is

> > that the injury to the sebaceous gland is collateral damage from

> the

> > collagen heating, " he said.

> >

> > Histologic evaluation revealed mild necrosis of the sebocytes and

> > thermal damage around the follicular duct epithelium.

> >

> > Side effects in the study were mild and transient. All patients

> > experienced erythema for approximately 6-12 hours.

> >

> > Some patients with type IV skin also had mild blistering that

> > resulted in hyperpigmentation, which resolved in 6-9 weeks.

> >

> > " Like most great discoveries, ours was serendipitous, " Dr. Blair

> > said. " We were using the laser in a different study and noticed

on

> > histology that after treatment there were alterations in the

> > sebaceous glands. "

[Guest guest]

Marjorie,

Thanks for separating the wheat from the chaff on these articles.

(Too bad there's not enough wheat, but plenty of chaff.)

I was wondering why doctors, who should know better, post results of

studies that aren't very useful though sound good. Are they looking

to further their reputation in the field? Also, do publications

accept these " less than useful " articles because the publications

want a flashy article to sell subscriptions?

I know there must be many reasons. However, since you're a fellow

doctor, you might have more insight into the situation.

Take care,

Matija

> > Hi,

> >

> > I know some of us have a bit of acne with our rosacea, so I

thought

> > the below article from June 2002 Skin and Allergy News would be

> > helpful.

> >

> > Take care,

> > Matija

> >

> >

> > Sebaceous glands targeted

> > Active Acne Cleared With Four Laser Treatments

> > It's still unknown if the same results can be achieved on larger

> > treatment areas.

> >

> > Walsh

> > New York Bureau

> >

> >

> > ATLANTA — Selective dermal heating that targets the sebaceous

> glands

> > may represent a new way to clear active acneiform papules and

> > pustules.

> >

> > In a study that included 27 men with mild to moderate acne, a

> series

> > of four treatments with a 1,450-nm laser resulted in 100%

clearance

> > of both inflammatory and noninflammatory lesions, Dr. M.A. Blair

> said

> > at the annual meeting of the American Society for Laser Medicine

> and

> > Surgery.

> >

> > Treatments took place at 3- to 4-week intervals. Fluences used

> ranged

> > from 16 to 18 J/cm2, and the device also provides 40 milliseconds

> of

> > cooling via a cryogen spray.

> >

> > Treated lesions were located on the subjects' backs; nearby

control

> > areas were treated with the spray cooling only.

> >

> > Lesions were counted at baseline and at 6, 12, and 24 weeks after

> the

> > final treatment.

> >

> > At the control sites there was a slight increase in the number of

> > lesions by the study conclusion, while there were " zero lesions "

by

> > 24 weeks on the active treatment sites, said Dr. Blair of the

Naval

> > Medical Center, San Diego.

> >

> > But this 100% reduction " is definitely not happening all the

time, "

> > said coinvestigator Dr. E. Victor Ross. " We're not sure what's

> going

> > to happen when we go to the face, to larger areas, and to larger

> > numbers of patients. "

> >

> > Statistically significant decreases in lesion counts also were

> > observed at 6 and 12 weeks after the last treatment. At 6 weeks,

> the

> > average lesion count decreased from 5.43 to 0.43 on the active

> > treatment sites, compared with a nonsignificant decrease from 5

to

> > 3.86 on the control sites.

> >

> > The epidermis is left intact by the cooling device used during

> > treatment, while the heating of the dermis leads to photothermal

> > alterations in the sebaceous glands, Dr. Blair said.

> >

> > In an ex vivo study of human skin, denaturation of collagen was

> > observed with dermal heating, he said. " We think what's happening

> is

> > that the injury to the sebaceous gland is collateral damage from

> the

> > collagen heating, " he said.

> >

> > Histologic evaluation revealed mild necrosis of the sebocytes and

> > thermal damage around the follicular duct epithelium.

> >

> > Side effects in the study were mild and transient. All patients

> > experienced erythema for approximately 6-12 hours.

> >

> > Some patients with type IV skin also had mild blistering that

> > resulted in hyperpigmentation, which resolved in 6-9 weeks.

> >

> > " Like most great discoveries, ours was serendipitous, " Dr. Blair

> > said. " We were using the laser in a different study and noticed

on

> > histology that after treatment there were alterations in the

> > sebaceous glands. "

[Guest guest]

> I was wondering why doctors, who should know better, post results

> of studies that aren't very useful though sound good. Are they

> looking to further their reputation in the field? Also, do

> publications accept these " less than useful " articles because the

> publications want a flashy article to sell subscriptions?

It's just the sources you're looking at, Matija, but I think you do a

great job considering quality stuff on the Web is very limited. Skin

and Allergy News isn't following the heartbeat of medicine, and it

isn't where physicians go for information or education. Assuming it

is as it appears online, it's one of those throwaway weekly that

makes its money off selling ads to its target audience, who receive

the publication for free. Its article are the excuse, not the reason.

Articles are writeups from press releases or light editorials by

physicians who aren't expected to meet anywhere near a scholarly

level of dialogue. I'm sure you have similar publications in computer

programming.

Marjorie

[Guest guest]

Since Skin and Allergy News is a freebie, what about articles that

I've found on Medline? I would think that the National Library of

Medicine, which created Medline, would include those articles which

come from scientifically respected journals only. As a layperson,

it's hard to figure out which ones are legitimate and which ones mean

nothing.

As a side note, I read about the new policy of the New England

Journal of Medicine which will allow publication of articles by

scientists/physicians on treatments if they receive up to $10,000 a

year from the company whose drug/device they are using in their study.

The reason cited for this change is the lack of independent studies

available for their publication.

A former editor of the NEJM says that there are plenty of independent

studies.

If anyone is interested in the editorial, here is the link:

http://content.nejm.org/cgi/content/full/346/24/1901

Take care,

Matija

>

> > I was wondering why doctors, who should know better, post results

> > of studies that aren't very useful though sound good. Are they

> > looking to further their reputation in the field? Also, do

> > publications accept these " less than useful " articles because the

> > publications want a flashy article to sell subscriptions?

>

> It's just the sources you're looking at, Matija, but I think you do

a

> great job considering quality stuff on the Web is very limited.

Skin

> and Allergy News isn't following the heartbeat of medicine, and it

> isn't where physicians go for information or education. Assuming it

> is as it appears online, it's one of those throwaway weekly that

> makes its money off selling ads to its target audience, who receive

> the publication for free. Its article are the excuse, not the

reason.

[Guest guest]

Since Skin and Allergy News is a freebie, what about articles that

I've found on Medline? I would think that the National Library of

Medicine, which created Medline, would include those articles which

come from scientifically respected journals only. As a layperson,

it's hard to figure out which ones are legitimate and which ones mean

nothing.

As a side note, I read about the new policy of the New England

Journal of Medicine which will allow publication of articles by

scientists/physicians on treatments if they receive up to $10,000 a

year from the company whose drug/device they are using in their study.

The reason cited for this change is the lack of independent studies

available for their publication.

A former editor of the NEJM says that there are plenty of independent

studies.

If anyone is interested in the editorial, here is the link:

http://content.nejm.org/cgi/content/full/346/24/1901

Take care,

Matija

>

> > I was wondering why doctors, who should know better, post results

> > of studies that aren't very useful though sound good. Are they

> > looking to further their reputation in the field? Also, do

> > publications accept these " less than useful " articles because the

> > publications want a flashy article to sell subscriptions?

>

> It's just the sources you're looking at, Matija, but I think you do

a

> great job considering quality stuff on the Web is very limited.

Skin

> and Allergy News isn't following the heartbeat of medicine, and it

> isn't where physicians go for information or education. Assuming it

> is as it appears online, it's one of those throwaway weekly that

> makes its money off selling ads to its target audience, who receive

> the publication for free. Its article are the excuse, not the

reason.

[Guest guest]

Since Skin and Allergy News is a freebie, what about articles that

I've found on Medline? I would think that the National Library of

Medicine, which created Medline, would include those articles which

come from scientifically respected journals only. As a layperson,

it's hard to figure out which ones are legitimate and which ones mean

nothing.

As a side note, I read about the new policy of the New England

Journal of Medicine which will allow publication of articles by

scientists/physicians on treatments if they receive up to $10,000 a

year from the company whose drug/device they are using in their study.

The reason cited for this change is the lack of independent studies

available for their publication.

A former editor of the NEJM says that there are plenty of independent

studies.

If anyone is interested in the editorial, here is the link:

http://content.nejm.org/cgi/content/full/346/24/1901

Take care,

Matija

>

> > I was wondering why doctors, who should know better, post results

> > of studies that aren't very useful though sound good. Are they

> > looking to further their reputation in the field? Also, do

> > publications accept these " less than useful " articles because the

> > publications want a flashy article to sell subscriptions?

>

> It's just the sources you're looking at, Matija, but I think you do

a

> great job considering quality stuff on the Web is very limited.

Skin

> and Allergy News isn't following the heartbeat of medicine, and it

> isn't where physicians go for information or education. Assuming it

> is as it appears online, it's one of those throwaway weekly that

> makes its money off selling ads to its target audience, who receive

> the publication for free. Its article are the excuse, not the

reason.

[Guest guest]

> >

> > > I was wondering why doctors, who should know better, post

results

> > > of studies that aren't very useful though sound good. Are they

> > > looking to further their reputation in the field? Also, do

> > > publications accept these " less than useful " articles because

the

> > > publications want a flashy article to sell subscriptions?

> >

> > It's just the sources you're looking at, Matija, but I think you

do

> a

> > great job considering quality stuff on the Web is very limited.

> Skin

> > and Allergy News isn't following the heartbeat of medicine, and

it

> > isn't where physicians go for information or education. Assuming

it

> > is as it appears online, it's one of those throwaway weekly that

> > makes its money off selling ads to its target audience, who

receive

> > the publication for free. Its article are the excuse, not the

> reason.

[Guest guest]

> >

> > > I was wondering why doctors, who should know better, post

results

> > > of studies that aren't very useful though sound good. Are they

> > > looking to further their reputation in the field? Also, do

> > > publications accept these " less than useful " articles because

the

> > > publications want a flashy article to sell subscriptions?

> >

> > It's just the sources you're looking at, Matija, but I think you

do

> a

> > great job considering quality stuff on the Web is very limited.

> Skin

> > and Allergy News isn't following the heartbeat of medicine, and

it

> > isn't where physicians go for information or education. Assuming

it

> > is as it appears online, it's one of those throwaway weekly that

> > makes its money off selling ads to its target audience, who

receive

> > the publication for free. Its article are the excuse, not the

> reason.