skin-care-5.matches: skin care
The new dermatology. Implications for the dermatologist and for dermatological training.

Greaves MW.

St Thomas's Hospital, London.

The advent of new drugs including 'over the counter' (OTC) drugs, the increasingly aged population with its special requirements for skin care, and environmental and occupational factors will affect the nature of future dermatological practice in developed countries. The role of sub-specialists is likely to increase, and the case for expansion of the dermatological consultant grade is debatable. Consultant training should place more emphasis on highly specialised training in specific areas, including occupational dermatoses, environmental dermatology, dermatopharmacology, dermatological surgery and dermato-oncology. A strategy for dermatological research in Europe needs to be established which is based upon fewer, larger groups of a multi-disciplinary character. Corporate support could well help achieve this aim.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2352201&dopt=Abstract skin, skin care, skin care medicine skin-care-1.matches: skin care
[Study on antiradiation effect of panaxatriol]

[Article in Chinese]

Li X, Lin Z, Huang Y, Deng Q, Xu H.

Jinan University, Guangzhou 510632.

OBJECTIVE: To study antiradiation effect of panaxatriol (PT) and to provide an experiment basis for developing relative radiation-resistant skin care products. METHODS: Mice were treated with PT or normal saline (the control group) before X-ray irradiation and were to observe the number of chromosme aberrations killed 3 hours after irradiation. The chromosome samples of bone marrow cells were prepared and chromatid mutation as well as aberrant cells. RESULTS: PT can reduce the frequency of chromatid mutative induced by X-ray. Antiradiation effect was positively correlated with the dose of PT and the duration of drug, and negatively correlated with the dose of X-rays. CONCLUSION: PT has significant antiradiation effect.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15562708&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Cost of skin care in the myelomeningocele population.

Harris MB, Banta JV.

Department of Surgery, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire.

This study was undertaken to illustrate the magnitude of the skin breakdown problem in children with myelomeningocele. Seventy-five of the 650 spina bifida patients treated at the Newington Children's Hospital during a 13-year period comprised our final study group. The criterion for inclusion was hospitalization solely for treatment of skin breakdown. Multiple parameters were reviewed. Skin breakdown remains prevalent in this patient population, despite significant improvements in patient care. These improvements are readily demonstrated by (a) an increase in age at time of admission, (b) a significant reduction in average length of hospital stay, and (c) more aggressive admission policies with earlier operative intervention. More than two million dollars and the equivalent of 17 years in hospital days were needed to treat these patients during the 13-year study period.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2355079&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Dressing change core procedure: a new approach.

Lund C, Thomason S.

The dressing change core procedure has proven advantageous to our clinical staff. It has enhanced the quality of wound care because it is comprehensive, eliminating the need to look up several procedures. Wound care strategies involving new products are readily incorporated as addendums to the core procedure. Additionally, staff and students with varying levels of education and experience can understand the core procedure and apply it to their clinical practice settings. The "core" concept has made the dressing procedure one of the highlights of our skin care program.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2390163&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Pseudomonas aeruginosa infections associated with use of povidone-iodine in patients receiving continuous ambulatory peritoneal dialysis.

Goetz A, Muder RR.

Department of Medicine, Veterans Administration Medical Center, Pittsburgh, Pennsylvania.

Fifteen episodes of infection due to Pseudomonas aeruginosa, including peritonitis and catheter site infections, occurred in nine patients receiving continuous ambulatory peritoneal dialysis over a 27-month period. Eight episodes were associated with catheter loss. Occurrence of P aeruginosa infection was significantly associated with use of povidone-iodine solution to cleanse the catheter site. There was no association with use of povidone-iodine solution to disinfect tubing connections, use of other skin care products or exposure to other environmental sources of P aeruginosa. Cultures of available povidone-iodine products were negative. Local irritation and alteration in skin flora caused by antiseptic solution or low-level contamination of povidone-iodine solution are potential mechanisms of infection.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2509549&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
[The significance of dermatologic management in computer-assisted occupational dermatology consultation]

[Article in German]

Rakoski J, Borelli S.

Dermatologische Klinik und Poliklinik, Technischen Universitat Munchen.

At our occupational outpatient clinic, 230 patients were treated for about 15 months. With the help of a standardized questionary, we registered all the data regarding the relevant substances the patients contacted during their work as well as their various jobs since they left school. The patients were repeatedly seen and trained in procedures of skin care and skin protection. If required, we took steps to find new jobs for them within their employing company; this was done in cooperation with the trade cooperative association according to the dermatological insurance consultanship. If these proceedings did not work out, the patient had to change his profession altogether. All data were computerized. As an example for this computer-based documentation we present the data of barbers.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2522696&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Management of Stevens-Johnson syndrome and toxic epidermal necrolysis in children.

Prendiville JS, Hebert AA, Greenwald MJ, Esterly NB.

Division of Dermatology, Children's Memorial Hospital, Northwestern University Medical School, Chicago.

A retrospective analysis of 21 consecutive patients hospitalized with either Stevens-Johnson syndrome or toxic epidermal necrolysis was carried out to assess morbidity and mortality rates and to establish the value of a specific management practice. Fourteen children with Stevens-Johnson syndrome and seven with toxic epidermal necrolysis were cared for at the Children's Memorial Hospital, Chicago, between 1978 and 1988. All were managed in a well-staffed medical ward or, when necessary, in the pediatric intensive care unit. Supportive measures included reverse barrier isolation, intravenous fluids and nutritional support, meticulous skin care, early detection and treatment of infection, and daily ophthalmologic examination. No patient was treated with systemic steroids. The mortality rate was zero. Eye complications, consisting of dry eyes or mild chronic symblepharon, were the most significant long-term sequelae.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=2585222&dopt=Abstract skin, skin care, skin care medicine