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International Journal of Environmental... Mar 2023Ultraviolet radiation (UVR) exposure is the primary modifiable risk factor for melanoma. Wearable UVR sensors provide a means of quantifying UVR exposure objectively and...
Ultraviolet radiation (UVR) exposure is the primary modifiable risk factor for melanoma. Wearable UVR sensors provide a means of quantifying UVR exposure objectively and with a lower burden than self-report measures used in most research. The purpose of this study was to evaluate the relationship between detected UVR exposure and reported sunburn occurrence. In this study, a UVR monitoring device was worn by 97 parent-child dyads during waking hours for 14 days to measure instantaneous and accumulated UVR exposure. The results showed that the participants' total UVR exposure was associated with reported sunburn after adjusting for Fitzpatrick skin type and geographic location. It was observed that one standard erythemal dose (SED) increase in the participants' daily total UVR exposure was associated with reported sunburn (an odds ratio (OR) of 1.26 with a 95% CI of 1.13 and 1.41, and < 0.001 for parents and an OR of 1.28 with a 95% CI of 1.12 and 1.47, and < 0.001 for children). A one-SED increase in the participants' UVR exposure from 10 am to 4 pm was also associated with reported sunburn (an OR of 1.31 with a 95% CI of 1.15 and 1.49, and < 0.001 for parents and an OR of 1.33 with a 95% CI of 1.12 and 1.59, and = 0.001 for children). We found that elevated UVR exposure recordings measured by the UVR sensor were associated with reported sunburn occurrence. Future directions for wearable UVR sensors may include their use as an intervention tool to support in-the-moment sunburn prevention.
Topics: Humans; Sunburn; Ultraviolet Rays; Melanoma; Forecasting; Risk Factors
PubMed: 37047850
DOI: 10.3390/ijerph20075234 -
Cutis Oct 2017
Topics: Diagnosis, Differential; Female; Humans; Leg; Purpura; Sunburn; Sunscreening Agents; Young Adult
PubMed: 29136065
DOI: No ID Found -
Enfermedades Infecciosas Y... 2023
Topics: Humans; Sunburn; Sunscreening Agents; Skin Neoplasms
PubMed: 36624029
DOI: 10.1016/j.eimce.2022.12.011 -
Primary Care Dec 2015Sunburn, thermal, and chemical injuries to the skin are common in the United States and worldwide. Initial management is determined by type and extent of injury with... (Review)
Review
Sunburn, thermal, and chemical injuries to the skin are common in the United States and worldwide. Initial management is determined by type and extent of injury with special care to early management of airway, breathing, and circulation. Fluid management has typically been guided by the Parkland formula, whereas some experts now question this. Each type of skin injury has its own pathophysiology and resultant complications. All primary care physicians should have at least a basic knowledge of management of acute and chronic skin injuries.
Topics: Airway Management; Body Surface Area; Burn Units; Burns; Burns, Chemical; Frostbite; Humans; Primary Health Care; Referral and Consultation; Sunburn; United States
PubMed: 26612374
DOI: 10.1016/j.pop.2015.07.003 -
Journal of the European Academy of... Jul 2024This review aimed at summarizing some of the key points that were discussed during the photoprotection session at the International Forum of Dermatology in 2022. This... (Review)
Review
This review aimed at summarizing some of the key points that were discussed during the photoprotection session at the International Forum of Dermatology in 2022. This international conference was designed to address prominent topics of clinical dermatology in a holistic way, allowing to articulate multiple viewpoints. Therefore, this review does not claim to be exhaustive, but is instead intended to give an overview of recent developments and ongoing controversies in the field of photoprotection. Cumulative ultraviolet radiation (UVR) exposure is the major aetiological factor in the development of photoageing, photoimunosuppression and photocarcinogenesis. UVA (320-400 nm) penetrates into the dermis and damages DNA and other intracellular and acellular targets primarily by generating reactive oxygen species (ROS). It is the major contributor to photoageing, characterized by fine and coarse wrinkles, dyspigmentation and loss of elasticity. UVB (290-320 nm) is responsible for sunburns through direct damage to DNA by the formation of 6-4 cyclobutane pyrimidine dimers (CPDs) and pyrimidine 6-4 pyrimidone photoproducts. Both UVA and UVB exposure increase the risk of basal cell carcinoma, squamous cell carcinoma and melanoma. In recent years, visible light (VL; 400-700 nm) has also been implicated in the exacerbation of conditions aggravated by sun exposure such as hyperpigmentation and melasma. Photoprotection is a critical health strategy to reduce the deleterious effects of UVR and VL. Comprehensive photoprotection strategies include staying in the shade when outdoors, wearing photoprotective clothing including a wide-brimmed hat, and sunglasses, and the use of sunscreen. Due to the absorption of UV filters, the safety of sunscreens has been questioned. Newer sunscreens are becoming available with filters with absorption even beyond the UV spectrum, offering enhanced protection compared with older products. Prevention of photocarcinogenesis, sun-induced or sunlight-exacerbated hyperpigmentary conditions and drug-induced photosensitivity is an important reason for adopting comprehensive photoprotection strategies.
Topics: Humans; Sunscreening Agents; Ultraviolet Rays; Skin Aging; Skin Neoplasms; Sunburn
PubMed: 38924160
DOI: 10.1111/jdv.19677 -
JAMA Dermatology Sep 2015
Topics: Dermatology; History, 20th Century; Humans; Medicine in Literature; Skin; Sunburn; Transients and Migrants; United States
PubMed: 26352124
DOI: 10.1001/jamadermatol.2015.1664 -
Anais Brasileiros de Dermatologia 2014Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is...
Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of non-melanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection.
Topics: Brazil; Clothing; Electromagnetic Radiation; Environmental Exposure; Health Promotion; Humans; Meteorological Concepts; Radiation Protection; Skin Diseases; Skin Neoplasms; Solar Energy; Sunburn; Sunscreening Agents; Ultraviolet Rays; Vitamin D
PubMed: 25761256
DOI: 10.1590/abd1806-4841.20143971 -
Der Hautarzt; Zeitschrift Fur... Apr 2022
Topics: Health Knowledge, Attitudes, Practice; Humans; Skin Neoplasms; Sunburn; Sunscreening Agents
PubMed: 35352135
DOI: 10.1007/s00105-022-04964-z -
JAMA Dermatology Mar 2018
Topics: Eye Protective Devices; Health Behavior; Humans; Protective Clothing; Sunburn; Sunlight; Sunscreening Agents; Time Factors
PubMed: 29541784
DOI: 10.1001/jamadermatol.2017.5256 -
CNS Neuroscience & Therapeutics Feb 2016Excessive exposure of skin to ultraviolet radiation (UVR) has dramatic clinical effects in humans, and it is a significant public health concern. Discomfort and sensory... (Review)
Review
Excessive exposure of skin to ultraviolet radiation (UVR) has dramatic clinical effects in humans, and it is a significant public health concern. Discomfort and sensory changes caused by skin sunburn are the main common features experienced by many of us, a phenomena triggered by the combination of long and short wavelengths radiation (UVA and UVB, respectively). Although the biological processes underlying UVR exposure are not fully understood, in the last few years many studies have made significant progress in characterizing sunburn at the cellular and molecular levels, making use of both humans and laboratory animal models. Here we review and reason that UVR can be used as an excellent model of sensitization and inflammation for pain research. UVR, particularly UVB, produces a controllable and sterile inflammation that causes a robust dose-dependent hypersensitivity with minimal confounding effects. Importantly, we show that UVR animal models precisely recapitulate the sensory, cellular, and molecular changes observed in human skin, giving it great confidence as a translational model. Furthermore, in this article, we give an overview of the pharmacology underlying UVB inflammation, the latest advances in the field, and potential new targets for inflammatory pain.
Topics: Animals; Anti-Inflammatory Agents; Humans; Pain; Skin; Sunburn; Ultraviolet Rays
PubMed: 26331607
DOI: 10.1111/cns.12444