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Allergy and Asthma Proceedings May 2019The latest guidelines of the American Academy of Dermatology suggest bathing as an advantageous nonpharmacologic intervention for regular skin care of patients with... (Review)
Review
The latest guidelines of the American Academy of Dermatology suggest bathing as an advantageous nonpharmacologic intervention for regular skin care of patients with atopic dermatitis. Regular bathing with water can hydrate the skin, remove scale, crust, irritants, and allergens, enhance penetration of topical agents, and potentially reduce bacterial colonization. However, it is still unclear whether the addition of oils, emollients, and other additives to bath water may produce further benefits for the management of atopic dermatitis. This article will review current pearls and pitfalls of adding salts and nonirritating, nonsensitizing substances to water baths for the long-term maintenance treatment of atopic dermatitis in children.
Topics: Baths; Dermatitis, Atopic; Humans; Self Care; Skin Care; Treatment Outcome
PubMed: 31018897
DOI: 10.2500/aap.2019.40.4210 -
Advances in Skin & Wound Care Jun 2022To examine the effectiveness of a structured skin care protocol for preventing and treating incontinence-associated dermatitis (IAD) in critically ill patients.
OBJECTIVE
To examine the effectiveness of a structured skin care protocol for preventing and treating incontinence-associated dermatitis (IAD) in critically ill patients.
METHODS
Participants were drawn from the ICUs of three teaching hospitals between January 2016 and December 2017. Patients were eligible if they were ≥18 years old, had idiopathic fecal incontinence, had diarrhea but were unable to sense it, and were expected to stay in the ICU for at least 72 hours after developing incontinence. A total of 143 patients were enrolled: 79 in the experimental group and 64 in the control group. In the first phase of the study, routine skin care measures were used; in the second phase, three ICU caregivers were trained to provide a structured skin care protocol. Trained research team members conducted the data collection and analysis. The TREND (Transparent Reporting of Evaluations with Nonrandomized Designs) Statement Checklist was followed in reporting the study results.
RESULTS
Application of the structured skin care protocol reduced the incidence of IAD from 35.9% in the control phase to 17.7% in the intervention phase (χ2 = 6.117, P < .05) and also decreased the severity of IAD (z = -2.023, P < .05). Further, IAD developed later (z = -2.116, P < .05) in the intervention group than in the control group. In addition, the nursing times to prevent or manage IAD did not differ significantly between the groups (t = -0.258, P > .05; t = -1.190, P > .05).
CONCLUSIONS
Use of the developed structured skin care protocol for IAD in critically ill patients lowered the incidence and severity of IAD and delayed IAD development.
Topics: Adolescent; Critical Illness; Dermatitis; Fecal Incontinence; Humans; Intensive Care Units; Skin Care
PubMed: 35703853
DOI: 10.1097/01.ASW.0000828972.70137.8a -
Journal of Tissue Viability Nov 2020The non-invasive skin barrier measurements transepidermal water loss, stratum corneum hydration and the skin surface pH are widely used in clinical skin research....
BACKGROUND
The non-invasive skin barrier measurements transepidermal water loss, stratum corneum hydration and the skin surface pH are widely used in clinical skin research. Relative and absolute measurement errors of these measurements are unknown in geriatric care settings.
MATERIAL AND METHODS
Transepidermal water loss, stratum corneum hydration, skin surface pH and temperature were measured on the volar forearm and lower leg twice by trained raters within a cross-sectional study in ten nursing homes. Intrarater reliability was calculated using the ICC (1,1). Intrarater agreement was analyzed using Bland Altman Plots with limits of agreement.
RESULTS
Two hundred twenty-three residents were included and mean age was 84.2 years. The highest ICC was found for transepidermal water loss and skin surface temperature of the leg with 0.95 (95% CI 0.93 to 0.96). The ICC of the stratum corneum was 0.91 (95% CI 0.88 to 0.93) for both investigated skin areas. The measurement of the pH at the lower leg had the lowest ICC with 0.73 (95% CI 0.66 to 0.78). Highest limits of agreement of approximately 8 a.u. were calculated for stratum corneum hydration and lowest limits of agreement of approximately 1 °C were calculated for skin surface pH.
CONCLUSION
Relative measurement errors of transepidermal water loss and stratum corneum hydration were very low indicating that single measurements provide reliable estimates in this population and setting. However, the absolute measurement errors were high for both of these parameters. To increase reliability of skin surface pH we recommend at least two repeated measurements.
Topics: Aged; Aged, 80 and over; Architectural Accessibility; Body Mass Index; Cross-Sectional Studies; Female; Geriatrics; Germany; Humans; Male; Nursing Homes; Skin Care; Skin Temperature
PubMed: 32788086
DOI: 10.1016/j.jtv.2020.06.007 -
Journal of Family Health 2016
Review
Topics: Eczema; Humans; Infant; Infant Care; Infant, Newborn; Skin Care
PubMed: 27498518
DOI: No ID Found -
JAMA Dermatology Jul 2017
Topics: Animals; Dermatology; History, 15th Century; History, 16th Century; History, 17th Century; History, 18th Century; History, 19th Century; History, 20th Century; History, Ancient; History, Medieval; Humans; Pigmentation Disorders; Skin Care; Snails
PubMed: 28700796
DOI: 10.1001/jamadermatol.2017.1383 -
Clinical Medicine & Research Dec 2017Moisturizer is a major component of basic daily skin care, particularly in presence of epidermal barrier alteration and reduced epidermal water content. It is an... (Review)
Review
Moisturizer is a major component of basic daily skin care, particularly in presence of epidermal barrier alteration and reduced epidermal water content. It is an important part of a dermatologist's strategy to maintain skin health as well as treating various dermatoses which co-exist with skin dryness and are linked to impaired skin barrier function, such as in atopic disorders as well as other types of dermatitis. Mastering the knowledge regarding mechanism of action, application, dosage, adverse effects as well as specific clinical usage of moisturizers is a must for a dermatologist in order to support their use, particularly for evidence-based, therapeutic purposes. This review discusses the use of moisturizer both for skin health maintenance as well as a definitive or adjuvant therapy for many kinds of dermatitis.
Topics: Administration, Cutaneous; Dermatitis; Dermatitis, Atopic; Dermatitis, Contact; Dermatitis, Seborrheic; Drug Compounding; Emollients; Humans; Hygroscopic Agents; Skin Care; Skin Cream; Skin Diseases
PubMed: 29229630
DOI: 10.3121/cmr.2017.1363 -
British Journal of Community Nursing Dec 2014Maggot debridement therapy is used extensively in the UK in both community and hospital situations, but remains a potentially under-used modality in many wound care... (Review)
Review
Maggot debridement therapy is used extensively in the UK in both community and hospital situations, but remains a potentially under-used modality in many wound care markets. It promotes wound healing by performing three key processes: debridement, disinfection and growth-promoting activity. It can be used for the debridement of non-healing necrotic skin and soft tissue wounds, including pressure ulcers, venous stasis ulcers, neuropathic foot ulcers and non-healing traumatic of post-surgical wounds. With the increase in chronic diabetic foot wounds, maggot debridement therapy is a promising tool for health professionals dealing with difficult wounds. This article presents an overview of the research evidence surrounding maggot debridement therapy that serves as a guide to health professionals who may be users of this form of treatment now and in the future.
Topics: Animals; Debridement; Diptera; Humans; Larva; Skin Care; Wound Healing; Wounds and Injuries
PubMed: 25478859
DOI: 10.12968/bjcn.2014.19.Sup12.S6 -
Journal of Wound Care Sep 2016
Topics: Awards and Prizes; Congresses as Topic; Humans; Skin Care; Wound Healing; Wounds and Injuries
PubMed: 27608510
DOI: 10.12968/jowc.2016.25.9.497 -
Journal of Drugs in Dermatology : JDD Apr 2016The cosmeceutical industry is a multi-billion dollar, consumer-driven market. Products promise highly desirable anti-aging benefits, but are not subject to regulation.... (Review)
Review
The cosmeceutical industry is a multi-billion dollar, consumer-driven market. Products promise highly desirable anti-aging benefits, but are not subject to regulation. We present an introduction to cosmeceuticals for the general and cosmetic dermatologist, including definitions and explanations of key terms, an approach to the evidence base, a dissection of chamomile and green tea, two paradigmatic cosmeceutical products, and a window into the underlying psychology of this vast marketplace.
Topics: Animals; Chamomile; Cosmeceuticals; Cosmetics; Dermatologic Agents; Humans; Plant Extracts; Skin Aging; Skin Care; Tea
PubMed: 27050700
DOI: No ID Found -
International Journal of Cosmetic... Apr 2024Emotions play an important role in consumers' perception of a sensory experience. The objective of this work was to investigate the ability of basic skin care formulas...
OBJECTIVE
Emotions play an important role in consumers' perception of a sensory experience. The objective of this work was to investigate the ability of basic skin care formulas (i.e. without interference of odour, colour and packaging) and pillar ingredients (i.e. emollients and rheology modifiers) to elicit emotions. Another objective was to track, as claimed by neurocosmetics, the possible effect of formulas to trigger emotions from their direct biochemical effects on the skin.
METHODS
Standard methodologies were mobilized, combining subjective and behavioural parameters (i.e. verbatim, prosody and gesture). Sense and Story methodology based on a collection of metaphoric verbatim was conducted after an induction phase. In addition, an experimental electrophysiological real-time visualization method was tried as a first experience in cosmetics. Finally, the ability of formulations with emotional benefits to modulate the release of neuropeptides by sensory neurons was evaluated on a 3D human model (epidermis co-cultured with sensory neurons).
RESULTS
Skin care formulas were shown to play a role in emotional potential and the types of emotion generated, while changing one ingredient mostly acted on the intensity of the emotions. Verbatim provided contrasted answers depending on the protocol, highlighting the interest of non-verbal approaches to detect subtle effects. The in vitro model substantiated physiological effects of skin care formulas with emotional potential on human skin sensory neuron activity.
CONCLUSION
Emotions were impacted by the change in ingredients and were better captured through non-verbal methods.
Topics: Humans; Skin; Skin Care; Cosmetics; Epidermis; Research Design
PubMed: 37914390
DOI: 10.1111/ics.12928