skin-care-5.matches: skin care
Risk taking and its influence on metabolic control: a study of adult clients with diabetes.

Joseph DH, Patterson B.

College of Nursing, University of Rhode Island, Kingston 02881-0814.

Clients afflicted with diabetes are routinely faced with making decisions about insulin control, diet, exercise and skin care. The specific aims of this study were (a) to determine if clients with controlled blood sugar levels were more likely to have risk-averse information processing styles and, (b) to determine the extent to which the differences in blood sugar levels were attributed to information processing styles, after controlling for knowledge of diabetes, participation in home monitoring, and age. A comparative design utilizing 86 insulin-dependent male and female clients with diabetes was used. Findings indicated that there were no differences in risk scores between uncontrolled and controlled diabetics. Additionally, in this study there were no differences in control between clients who were knowledgeable and those who were not. This study has several implications for nursing practice. As taking risks may not be as dangerous to the diabetic client's wellbeing as many believe, there may be a need to consider this behaviour in developing the client's plan of care. Questions are also raised about the influence of knowledge on control.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8138634&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
[Recommendations for travel and residence in the tropics (author's transl)]

[Article in German]

Mohr W.

Increased tourism into tropical countries and the use of German labor forces in such countries make it necessary for doctors to advise emigrants properly. Besides vaccinations and drug prophylaxis, a rational way of life is extraordinarily important in the tropics, skin care, cleanliness, hygienic living, suitable clothing and sports activity are important factors to which attention must be paid. Additional salt is necessary if sweating is profuse. Alcohol should not be drunk before sundown. Examination before setting out for the tropics and after return for lesions and infections which may have appeared during residence in the tropics are urgently recommended.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=822310&dopt=Abstract skin, skin care, skin care medicine skin-care-1.matches: skin care
Exposure of nursery school children and their parents and teachers to di-n-butylphthalate and butylbenzylphthalate.

Koch HM, Preuss R, Drexler H, Angerer J.

Institute and Outpatient Clinic of Occupational, Social and Environmental Medicine, Friedrich-Alexander University of Erlangen-Nuremberg, Schillerstrasse 25/29, 91054, Erlangen, Germany, Juergen.Angerer ipasum.imed.uni-erlangen.de.

Objectives: Some phthalates, among them di-n-butylphthalate (DnBP) and butylbenzylphthalate (BBzP), are known reproductive and developmental toxicants in animals and suspected endocrine disruptors in humans. Children are probably the most susceptible to these effects. To obtain an estimate of internal exposure to DnBP and BBzP we compared the excretion of their metabolites in the urine of nursery school children with that of their teachers and parents. Methods: We measured the urinary mono-ester metabolites of DnBP, mono-n-butylphthalate (MnBP), and BBzP, monobenzylphthalate (MBzP), in first-morning voids of 36 children (median age 4.7 years) and 19 adults (37.4 years). Results: In all samples both metabolites were detected. Urinary MnBP concentrations (in microgrammes per litre) of the children and adults were 139 and 91.8 (median), respectively. MBzP concentrations were 22.1 mug/l and 12.7 mug/l (median), respectively. Concentrations in microgrammes per gramme creatinine for MnBP were 161 for the children and 91.8 for the adults (median). The maximum concentration found for children (2249 mug/g) was approximately 15-times higher than that for adults (149 mug/g). This maximum value for children was attributed to medication that contained DnBP. If this child was excluded, the maximum concentration was 517 mug/g. MBzP concentrations for children and adults were 37.0 mug/g and 9.8 mug/g (median), respectively. The maximum concentration found for children (193 mug/g) was approximately seven-times higher than that for adults (26.7 mug/g). Creatinine-adjusted concentrations were significantly higher for children for both MBzP and MnBP (P<0.0001). MnBP and MBzP exposures were found to correlate statistically significantly within the children's cohort (r=0.723, P<0.001). Within the children's cohort we found elevated MnBP exposure to be caused by augmented use of skin-care products (P<0.05). Conclusion: We have shown that the internal exposure to MnBP and MBzP in children is approximately two- to four-times higher than in adults. Correlation of internal MnBP with MBzP exposure points to common sources of exposure for both phthalates. DnBP exposure seems, at least in part, to be connected with the use of body/skin care products and certain medications.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=15776263&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Treatment of fistulas of the gastrointestinal tract with total parenteral nutrition and octreotide in patients with carcinoma.

Spiliotis J, Briand D, Gouttebel MC, Astre C, Louer B, Saint-Aubert B, Kalfarentzos F, Androulakis J, Joyeux H.

Department of Surgical Oncology and Nutrition, University of Montpellier, France.

The development of a fistula is a serious postoperative complication. Conservative medical treatment with total parenteral nutrition, skin care and intensive infection control usually succeeds in closing fistulas (60 to 75 percent), but the treatment is of long duration (two to three months), high cost and high morbidity related to prolonged hospitalization. We have used octreotide, a long half-life stomatostatin analog, in 40 patients from two European university centers with postoperative enterocutaneous fistulas. Twenty-two patients had low fistula output and 28 patients had high fistula output. Spontaneous closure was achieved in 77.5 percent of the patients after a mean of 13.6 days. One patient died. Glucose intolerance, which has been reported with stomatostatin treatment of fistulas, was not observed. Previous chemotherapy or radiotherapy or low albumin level (23 grams per deciliter) negatively influenced fistula closure. As an adjunct treatment to primary care (total parenteral nutrition, skin care and infection control), octreotide is efficient in reducing fistula output and accelerating spontaneous fistulas closure.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8322132&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
The ICEROSS concept: a discussion of a philosophy.

Kristinsson O.

Ossur hf, Reykjavik, Iceland.

Prefabricated ICEROSS (Icelandic Roll On Silicone Socket) sockets have been in use in Iceland since early 1986. Use of custom-made silicone sockets began several years earlier, and a paper devoted to the subject was presented at the 1984 AOPA Assembly by the author of this article. The ICEROSS system is primarily used for suspension. At the same time the author believes it considerably improves the weight-bearing capability of the prosthesis and the interface between prosthesis and user. After being turned inside out and rolled over the stump, the silicone sleeve forces skin in a distal direction, stabilising soft tissue and minimising pistoning. Both prosthetist and user may experience some problems initially, although most can be overcome by careful socket design and skin care.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8337100&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
A pressure ulcer prevention program.

Jones S, Burger C, Piraino J, Utley S.

The prevention and management of pressure ulcers often creates challenging situations requiring specialized knowledge and expert, consistent nursing care. In order to promote pressure ulcer prevention and control costs at a 350-bed community hospital, a "Pressure Ulcer Prevention Program" was developed. This program was developed upon completion of a baseline audit determining the extent of skin problems, equipment in use, and nursing documentation regarding skin care. Five months after initiation of the program, a second audit was conducted to evaluate the effectiveness of the program. An overall decrease in pressure ulcer incidence was found and the documentation of pressure ulcer prevention was improved.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8363716&dopt=Abstract skin, skin care, skin care medicine skin-care-5.matches: skin care
Dihydroxyacetone test as a substitute for the dansyl chloride test.

Pierard GE, Pierard-Franchimont C.

Department of Dermatopathology, University of Liege, Belgium.

The hazards of the dansyl chloride test are not negligible. We introduce the dihydroxyacetone test as a safe substitute. Several advantages are highlighted including easy and reproducible measurements of the modifications in skin color by chromometry in the L* a* b* (luminance, hue, chroma) mode. The color variations in time as well as the fade-out of DHA-induced pigmentation by some cleansing skin care products are revealed 'in vivo' as well as 'ex vivo' on D-Squame collections of stratum corneum.

Online source: www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=8428042&dopt=Abstract skin, skin care, skin care medicine