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Allergic Contact Dermatitis from Rubber and Plastic Gloves
Published in Robert N. Phalen, Howard I. Maibach, Protective Gloves for Occupational Use, 2023
Other potential type IV sensitizers include thiourea and phenol derivatives, diphenylguanidine (DPG), mercaptobenzimidazole, quinoline derivatives, antioxidants, preservatives, antistatic agents, glove powder ingredients, as well as fragrances.3,4,18,19,43,44 Reports on sensitization to thiourea compounds (e.g., diphenylthiourea [DPTU]) from rubber gloves are few and involve mostly gloves made of neoprene rubber, which may also contain DPG.3,4,8,9,45 Thioureas, classified as moderate sensitizers, can be found in hypoallergenic surgical gloves. They are efficient accelerators in the vulcanization of neoprene rubber. In addition to gloves, neoprene is widely used in orthopedic braces, wet suits and other diving accessories, sports shoes and clothing, protective goggles, weather stripping, and adhesives.45 In a study of IVDK and the German Contact Dermatitis Research Group,36 thioureas (DPTU, dibutylthiourea) and DPG caused only a few positive patch test reactions.
Proteins as Trigger Factors of Immediate Skin Contact Reactions
Published in Ana M. Giménez-Arnau, Howard I. Maibach, Contact Urticaria Syndrome, 2014
Paolo Daniele Pigatto, Rossano Hermes Valsecchi
Patients with a known allergy to latex should avoid exposure, even if the product is in alternative material (vinyl or neoprene). Patients who have to undergo surgical procedures requiring frequent latex-free material should be closely monitored. The high prevalence of latex allergy in risk groups not only justifies but requires a prompt prophylaxis to prevent contact with natural rubber. Children who belong to such groups and those already sensitized should be treated in a latex-free environment, especially during the induction of anesthesia and surgery. In particular, infants with spina bifida should be cared for in a latex-free course from the first hours of life. A therapy of primary care includes: Antihistamine (cetirizine 2.5–10 mg desloratadine 1.25–5 mg);Prednisone 1–2 mg/kg betamethasone 0.1–0.2 mg/kg; andSelf-injectable epinephrine (e.g., Fast Jekt).
Halogenated insecticides
Published in Bev-Lorraine True, Robert H. Dreisbach, Dreisbach’s HANDBOOK of POISONING, 2001
Bev-Lorraine True, Robert H. Dreisbach
Treat as for halogenated insecticide poisoning (see p. 112). Cholestyramine resin (Questran) can be administered to increase the elimination of chlordecone up to 7-fold. Personnel involved in therapy should wear neoprene gloves as protection against contamination.
A comparison of the biomechanical and clinical effects of a biaxial ankle-foot orthosis and lateral wedge insole in individuals with medial knee osteoarthritis
Published in Disability and Rehabilitation, 2022
Kourosh Barati, Ismail Ebrahimi Takamjani, Alireza Shamsoddini, Habib Ejraei Dolatabad
Results of pain assessment were almost identical between the two orthoses, showing significant improvement compared with the baseline assessment. A possible reason for the equal effect on pain despite the different effects on KAM might be that the patient perception of pain relief is dependent not only on a decrease in KAM but also on joint stability [36]. According to the review article by Cudejko et al. [40] use of neoprene sleeves, which are not intended to reduce KAM, has effects on pain relief via increasing the feeling of improved stability. Another reason is that the patient’s perception of pain might be influenced by the placebo effect of receiving treatment [41]. However, the improvement in pain was more than the minimal perceptible clinical improvement defined for individuals with knee osteoarthritis using the WOMAC Questionnaire [39], suggesting that pain reduction likely resulted from the use of the orthoses not simply from the placebo effect.
Functional Splinting efficacy in a Specific Task Home Program for Children with Cerebral Palsy. A Randomized Controlled Trial
Published in Developmental Neurorehabilitation, 2022
Patricia Roldán-Pérez, Vanesa Abuín-Porras, Almudena Buesa-Estéllez, María Ortiz-Lucas
As a complement to goal-directed home rehabilitation programs, the use of thumb splints are also usually suggested to families in order to reposition the structure and improve manual function.17,18 Theoretically, splinting has been stated to facilitate ongoing function and enhance motor learning that would persist once the splint is taken off.18 Current evidence indicates that functional orthoses without the combination with practice in specific tasks do not show an immediate improvement in manual function (grasp and release). Some authors propose the prescription of the orthosis in combination with specific tasks to check the medium and long-term effects in manual skills.18,19 Moreover, in a study about the effects of a neoprene thumb opponens splint on hand function during a self-selected activity, it was shown that neoprene splints improve the grip biomechanically, even when the splint was removed.17 However, the impact of their use on Activities of Daily Living (ADL) is unknown.20
Minimal-contact physical interventions for pregnant women with musculoskeletal disorders: a systematic review of randomised and non-randomised clinical trials
Published in Journal of Obstetrics and Gynaecology, 2022
Chukwuebuka P. Onyekere, Grace N. Emmanuel, Benjamin C. Ozumba, Chinonso N. Igwesi-Chidobe
For pubic symphysis pain, Flack et al. (2015) reported that flexible neoprene belt reduced pain intensity more than rigid nylon belt. However, pain preceding 24 hours decreased in the flexible belt group compared to the rigid belt group while combining the two groups, pain intensity preceding week also decreased overall. Depledge et al. (2005) reported that verbal and written education about the anatomy and pathology of symphysis pubis dysfunction and self-help management, multimodal home-based exercise plus rigid/non-rigid belt reduced pain intensity. However, on group comparison, there was significant reduction in pain intensity for the exercise-only group and the group receiving exercise plus a rigid belt but not for the group receiving exercise plus a non-rigid belt (evidence: high).