Publications by authors named "Baldwin H"

This is the first bottom-up review of the lived experience of postpartum depression and psychosis in women. The study has been co-designed, co-conducted and co-written by experts by experience and academics, drawing on first-person accounts within and outside the medical field. The material initially identified was shared with all participants in a cloud-based system, discussed across the research team, and enriched by phenomenological insights.

View Article and Find Full Text PDF

Background: Acne treatment can take weeks to deliver noticeable improvements, which may diminish patients' perception of treatment effectiveness and undermine treatment adherence. Combination topical treatments that target multiple acne pathophysiological pathways are more efficacious than topical monotherapies, and simplifying combination treatment by delivering multiple active ingredients as fixed combinations may improve adherence.

Methods: This review provides an overview of efficacy with 4 weeks of treatment in pivotal trials of fixed-combination topical treatments for acne.

View Article and Find Full Text PDF
Article Synopsis
  • Topical clindamycin phosphate/adapalene/benzoyl peroxide (CAB) gel is approved for treating acne in patients 12 and older, and post hoc analyses examined its effectiveness in younger patients with acne.
  • Data from two studies showed that CAB significantly improved treatment success and reduced acne lesions in adolescents compared to a vehicle gel, with 51.5% of treated adolescents achieving success versus 24.9% with the vehicle.
  • The CAB gel was generally well tolerated, with most adverse events being mild to moderate, and it was effective for younger children as well, with significant lesion reductions observed in all treated children.
View Article and Find Full Text PDF

Acne and sensitive skin can take a profound toll on patients' well-being, which can be exacerbated if the conditions are experienced together. This narrative review aims to identify appropriate treatments to facilitate a holistic management approach to acne (One Acne™), sensitive skin, and acne-induced sequelae and describe the role of treatments in improving skin quality. Topical retinoids are considered the preferred first-line option for acne treatment by dermatologists, either as monotherapy or in combination with other treatments, because of their ability to target various aspects of the disease.

View Article and Find Full Text PDF
Article Synopsis
  • Topical CAB gel, a combination of clindamycin phosphate, adapalene, and benzoyl peroxide, is the only approved treatment for moderate-to-severe acne using a triple formulation, showing superior results in clinical studies compared to individual components.
  • In two phase 3 studies, participants aged 9 and older were treated with CAB or a placebo, resulting in over 70% reduction in acne lesions for all CAB-treated cases by week 12, with most achieving clear skin or a notable reduction in severity.
  • Overall findings indicated CAB is effective and well-tolerated, emphasizing the need for patient education on adherence and managing expectations regarding side effects.
View Article and Find Full Text PDF

Objective: We sought to compare the efficacy and safety of encapsulated benzoyl peroxide (E-BPO) cream, 5%, versus vehicle in subjects <65 years of age versus subjects ≥65 with moderate to severe papulopustular rosacea.

Methods: This analysis used pooled results from two 12-week, randomized, vehicle-controlled Phase III trials (NCT03564119, NCT03448939) of E-BPO cream, 5%. These trials included 733 subjects randomized 2:1 to E-BPO or vehicle.

View Article and Find Full Text PDF
Article Synopsis
  • Clindamycin phosphate/adapalene/benzoyl peroxide gel (CAB) is the only approved triple-combination treatment for acne, and a post hoc analysis evaluated its efficacy and safety based on sex.
  • In two phase 3 clinical studies, participants aged 9 and older with moderate-to-severe acne were treated with CAB or a placebo for 12 weeks, and outcomes were analyzed by sex regarding treatment success, lesion counts, quality of life, and side effects.
  • Results showed that CAB was significantly more effective than the vehicle for both sexes in reducing acne severity and improving quality of life, with no notable differences in safety or efficacy between male and female participants.
View Article and Find Full Text PDF

Background: The treatment of rosacea is complicated as there are multiple pathogenic factors in play resulting in a myriad of clinical signs and symptoms including facial redness.

Objective: The primary objective was to evaluate the efficacy and tolerability of a non-prescription anti-redness regimen in patients with rosacea.

Methods: Thirty subjects with rosacea-induced facial erythema were enrolled in this single site, monadic study.

View Article and Find Full Text PDF
Article Synopsis
  • Acne vulgaris is a complex skin condition with limited research on adult cases, particularly regarding skin barrier function and effective management strategies.
  • A panel of dermatologists created a consensus on the importance of skin barrier integrity and the supportive role of cleansers and moisturizers in treating adult acne.
  • Addressing skin barrier dysfunction is crucial for managing symptoms and improving treatment adherence, emphasizing the need for better patient education on skincare routines.
View Article and Find Full Text PDF

Background: Autistic people have a high likelihood of developing mental health difficulties but a low chance of receiving effective mental healthcare. Therefore, there is a need to identify and examine strategies to improve mental healthcare for autistic people.

Aims: To identify strategies that have been implemented to improve access, experiences of care and mental health outcomes for autistic adults, and to examine evidence on their acceptability, feasibility and effectiveness.

View Article and Find Full Text PDF
Article Synopsis
  • The study analyzes the effectiveness and safety of a new acne treatment gel (CAB) that combines clindamycin, adapalene, and benzoyl peroxide, focusing on both pediatric (<18 years) and adult populations.
  • In a phase 3 trial involving participants aged 9 and older, CAB was found to significantly improve acne symptoms more than the vehicle gel after 12 weeks of treatment, with success rates of 52.7% in pediatric and 45.9% in adult participants.
  • The results indicated that CAB led to greater reductions in both inflammatory and non-inflammatory acne lesions and improved quality of life while demonstrating acceptable safety and tolerability across all age groups.
View Article and Find Full Text PDF

Xerosis is experienced by almost everyone at some time in their lives and the foundation of management of dry skin (both consumer- and healthcare professional--directed) rests on the use of moisturizers. Given the wide range of available moisturizers, counseling patients about selecting the optimum moisturizer for their individual situation relies on knowledge of ingredients and formulations. Traditionally, the main focus for many moisturizers centered on the core functional and structural role of ceramides within the epidermal barrier.

View Article and Find Full Text PDF
Article Synopsis
  • Autistic children and young people often face mental health challenges but find it hard to get the help they need.
  • Researchers looked at ways to improve mental health care for these individuals by examining existing studies and treatments.
  • The findings showed that Cognitive Behavioral Therapy (CBT) was effective for reducing anxiety, especially when support from parents and caregivers was involved, but there is still much to learn about how to make these services better.
View Article and Find Full Text PDF
Article Synopsis
  • * In a 12-week double-blind study involving over 360 participants aged 9 and older, CAB led to a 50% success rate in achieving clear skin, significantly outperforming a placebo gel, with over 70% reduction in both inflammatory and non-inflammatory acne lesions.
  • * The treatment showed a good safety profile, with only mild to moderate side effects and a low discontinuation rate due to adverse events, indicating CAB could be a promising option for those suffering from moderate
View Article and Find Full Text PDF
Article Synopsis
  • Inconsistent reporting of outcomes in rosacea clinical trials is hindering accurate data analysis and meta-analyses, highlighting the need for standardized outcome measures.
  • A core outcome set (COS) was developed through systematic literature reviews and a Delphi process, involving feedback from physicians and patients to identify essential outcomes in rosacea trials.
  • The final COS includes 8 key domains, such as skin symptoms and patient satisfaction, which aim to enhance the comparability and relevance of future rosacea research and interventions.
View Article and Find Full Text PDF

Anthropogenic disturbances and the subsequent loss of biodiversity are altering species abundances and communities. Since species vary in their pathogen competence, spatio-temporal changes in host assemblages may lead to changes in disease dynamics. We explore how longitudinal changes in bat species assemblages affect the disease dynamics of coronaviruses (CoVs) in more than 2300 cave-dwelling bats captured over two years from five caves in Ghana.

View Article and Find Full Text PDF
Article Synopsis
  • Several treatment options are available for managing moderate-to-severe acne, but their comparative effectiveness has not been thoroughly reviewed.
  • A systematic literature review identified 85 studies involving various treatment methods for acne, highlighting a topical triple-agent gel and combinations with oral antibiotics as the most effective.
  • Results indicated that the topical triple-agent gel was the safest and most effective treatment, outperforming other options in reducing acne severity and lesion counts.
View Article and Find Full Text PDF

Background: We aimed to investigate the effects of 2 ceramide plus natural moisturizing factor-enriched formulations compared to a ceramide-based cream on skin moisturization.

Methods: Two double-blinded comparative studies were conducted, which enrolled 35 (n=29 females, n=6 males) and 33 (n=21 females, n=12 males) participants, respectively. Participants applied ceramide plus natural moisturizer cream or ceramide-based cream (study 1) or applied ceramide plus natural moisturizing factor lotion or ceramide-based cream (study 2) to each of their lower legs for 10 days with a 5-day regression period (no moisturizer applied).

View Article and Find Full Text PDF
Article Synopsis
  • - The study shows that a once-daily, three-in-one topical acne treatment (CAB gel) combining an antibiotic, antibacterial, and retinoid leads to faster and greater improvements in acne lesions compared to dual combinations or vehicle gel.
  • - In phase 2 and phase 3 trials, CAB gel users saw significant reductions in both inflammatory and noninflammatory acne lesions as early as week 4, with better results sustained over 12 weeks.
  • - By the end of the 12-week treatment, a higher percentage of participants using CAB gel achieved significant reductions in their acne compared to those using other combinations or placebo treatments.
View Article and Find Full Text PDF
Article Synopsis
  • Rosacea is a common chronic skin condition in the USA that causes social and professional stigma, making effective management important for improving patients' quality of life.
  • Encapsulated benzoyl peroxide 5% (E-BPO 5%) is a new FDA-approved topical treatment that enhances therapeutic response and reduces skin irritation, though it isn't yet in clinical guidelines.
  • A review of various FDA-approved treatments, including E-BPO 5%, highlights its rapid efficacy, good tolerability, and potential long-term benefits for managing rosacea-related symptoms.
View Article and Find Full Text PDF
Article Synopsis
  • Patient-reported outcomes (PROs) are being recognized as important in assessing the impact of acne vulgaris (AV), particularly with the use of sarecycline in real-world settings, which lacks existing data.
  • A study involved 253 patients aged 9 and older with moderate or severe non-nodular AV, who were treated with sarecycline for 12 weeks, demonstrating significant improvements in symptoms and psychosocial impacts as measured by the Acne Symptom and Impact Scale.
  • Results showed a 58.9% success rate in reducing AV severity and 88.1% physician satisfaction, with some patients reporting side effects, highlighting the efficacy of oral antibiotic treatment in managing AV symptoms.
View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted over 12 weeks involving 253 patients aged 9 and older with moderate to severe facial acne vulgaris (AV) who were treated with sarecycline, assessing the impact of AV on daily life using a specialized questionnaire.
  • Significant improvements were noted in emotional and social well-being, with many patients reporting reduced feelings of anger, worry, and social anxiety related to their acne.
  • Despite positive patient-reported outcomes, caregivers did not show a notable improvement in understanding their child's AV-related concerns throughout the study.
View Article and Find Full Text PDF

Acne Vulgaris (AV) is a prominent skin disease commonly affecting teenagers. It often persists into adulthood and is associated with adverse physical and psychosocial impacts. The pathophysiology of AV is conventionally correlated with 4 factors within and around the pilosebaceous unit: increased sebum production, follicular hyperkeratinization, Cutibacterium acnes proliferation, and localized immune responses.

View Article and Find Full Text PDF

Background: Registry-based trials have the potential to reduce randomized clinical trial (RCT) costs. However, observed cost differences also may be achieved through pragmatic trial designs. A systematic comparison of trial costs across different designs has not been previously performed.

View Article and Find Full Text PDF

Rosacea is a common, chronic inflammatory disease characterized by both fluctuating and fixed heterogeneous signs such as facial erythema, papules/pustules, telangiectasia, acute vasodilation (flushing), and phymatous changes, and symptoms such as cutaneous stinging and burning. The shift to a phenotype-based approach to rosacea management has improved the consistency of recommendations across recent published guidelines. Consistent and thorough guidance for the classification, diagnosis, and management of the disease is difficult, as the mechanisms underlying the development of rosacea are still not completely understood nor universally accepted.

View Article and Find Full Text PDF