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Teaching and modeling professionalism in health professions
Published in Joseph A. Balogun, Health Care Education in Nigeria, 2020
Proper grooming and healthy personal habits can ward off illnesses and improve self-esteem. It is prudent to brush teeth in the morning and evening to prevent gum disease (gingivitis), and shower daily to get rid of dirt, sweat, and germs, and use face cleanser. Because the face is more sensitive than other parts of the body, hypoallergenic products with less harsh chemicals should be used. It is also necessary to use deodorant to control excessive sweat and unpleasant odor and wash clothes after wearing them. Following every use, the shirts must be washed while pants and shorts may be worn a few times. Hair should be kept neat, and fingernails and toenails clipped regularly. Men should have a clean shave, and every 4–8 weeks should have a haircut (WikiHow, 2019).
Dermatological problems and treatment in long-term/nursing-home care
Published in Robert A. Norman, Geriatric Dermatology, 2020
Or: Cleanse with normal saline or commercial cleanser;Apply a skin prepping solution;Cover with a transparent dressing;Change every 5–7 days — frequency must be specific but individualized.
Eczema (dermatitis)
Published in Ronald Marks, Richard Motley, Common Skin Diseases, 2019
All emollients seem to have much the same degree of effect, provided they are sufficiently greasy and occlude the skin surface. The most important issues are how frequently they are applied and whether the patient actually uses them! They should be applied at least three times daily for the best effect and more frequently if possible – their effects only last a few hours or so. A bath oil or an emollient skin cleanser can also help.
A consistent skin care regimen leads to objective and subjective improvements in dry human skin: investigator-blinded randomized clinical trial
Published in Journal of Dermatological Treatment, 2022
Sooyoung Kim, Baochau K. Ly, Judy H. Ha, Kathryn A. Carson, Stacy Hawkins, Sewon Kang, Anna L. Chien
In clinical scores of TCS and VDS, we observed greater improvement in treatment group than control group for legs, but not observed for arms. Legs are more often affected by xerosis and the level of dryness is more severe than arms, thus the improvement may be more pronounced in legs (15). Moisturizer that is properly formulated is the mainstay of dry skin treatment (16). Besides moisturizer, mild cleanser is important in alleviating dry skin given that harsh soaps containing detergents strip away natural emollients in the skin, causing further drying and irritation (17). This likely explains the modest improvement that we observed in the control group who only used a gentle cleanser. Therefore, establishing a standardized skin care regimen is important and these benefits have been observed when compared to routine skin care on dry skin in nursing home residents (18). Although little is known regarding the efficacy of different types of skin care products because head-to-head comparisons are lacking, it is generally accepted that using low irritating cleansers and humectants (occlusive-containing lipophilic emulsions) improve skin health (18,19). We used a moisturizer with a mix of wax and oils that deliver skin protection and physiologic lipids that are able to traverse the stratum corneum and mingle with epidermal lipids (9). The glycerin, a humectant in the moisturizer, delivers moisture to the skin to promote lipid biosynthesis and NMF formation in dry skin leading to alleviation of xerosis.
Efficacy of a one-session fractional picosecond 1064-nm laser for the treatment of atrophic acne scar and enlarged facial pores
Published in Journal of Cosmetic and Laser Therapy, 2021
Thanaporn Puaratanaarunkon, Pravit Asawanonda
Enrolled patients washed their faces with a mild cleanser and lidocaine 2.5% and prilocaine 2.5% cream (a eutectic mixture of local anesthetic) (AstraZeneca LP, Wilmington, Delaware) was applied to the treatment area under occlusion for 1 h. Patients were treated with picosecond laser (Enlighten III TM, Cutera USA) through MLA, with the following parameters: spot size 8 mm, fluence 0.8 J/cm2, frequency 10 Hz, 2–3 passes, and the mean pulse count for whole face treatment was around 4,500 shots. The endpoint of treatment was moderate erythema or pinpoint bleeding. An air-cooling device (Koolio®, Daolmed Korea) was used at a cooling level 3 during treatment. The laser was operated by the same dermatologist (P.A.). Hydrophilic base was administered to patients as an immediate post laser treatment. After treatment session, patients were asked to provide a pain score ranging from 0 to 10. On days 0–3, patients were allowed to use only mild cleanser and hydrophilic base twice daily. To avoid irritation, broad spectrum sunscreen and topical treatment for acne vulgaris were used from day 4. Throughout the study period, other topical products were not permitted.
Dermocosmetics: beneficial adjuncts in the treatment of acne vulgaris
Published in Journal of Dermatological Treatment, 2021
Elena Araviiskaia, Jose Luis Lopez Estebaranz, Carlo Pincelli
Acne can be aggravated by aggressive cleansing or by using a cleanser with an unsuitable pH (4,79). A dermocosmetic cleanser with a pH close to that of normal skin, will be less irritating (4) and may increase patient adherence to the treatment regimen. Alkaline soaps increase the pH of the skin surface, which can adversely affect the repair mechanism of the skin barrier (80,81), and lead to irritation (82). Soap has also been shown to alter the skin surface and increase TEWL (81). When compared with an acidic syndet bar, soap caused peeling, dryness and burning (83,84). One study assessed the degreasing effect and skin tolerability of a botanical face cleanser with hops, willow bark extract and disodium cocoyl glutamate as a mild cleansing agent compared with a standard face cleanser containing sodium laureth sulfate (SLES) (85). Both cleansers were applied to 21 healthy volunteers with normal to oily skin, twice a day for 15 days in a split-face manner. It was found that the botanical skin cleanser significantly reduced the sebum level (p < .01) (85). Additionally, a continuing degreasing effect on Day 17 (following a treatment break of 48 h) was observed compared with the SLES containing cleanser, where the sebum level increased on Day 17 (85). Although neither of the cleansers caused skin irritation, skin cleansers without SLES may be more suitable for use on sensitive skin (85).