Emollients
Administration, Topical
Dermatitis, Atopic
Water Loss, Insensible
Eczema
Petrolatum
Massage
Mustard Plant
Skin hygiene and infection prevention: more of the same or different approaches? (1/107)
The purpose of this article is to review research indicating a link between hand hygiene and nosocomial infections and the effects of hand care practices on skin integrity and to make recommendations for potential changes in clinical practice and for further research regarding hand hygiene practices. Despite some methodological flaws and data gaps, evidence for a causal relationship between hand hygiene and reduced transmission of infections is convincing, but frequent handwashing causes skin damage, with resultant changes in microbial flora, increased skin shedding, and risk of transmission of microorganisms, suggesting that some traditional hand hygiene practices warrant reexamination. Some recommended changes in practice include use of waterless alcohol-based products rather than detergent-based antiseptics, modifications in lengthy surgical scrub protocols, and incorporation of moisturizers into skin care regimens of health care professionals. (+info)Evaluation of skin viscoelasticity and anisotropy by measurement of speed of shear wave propagation with viscoelasticity skin analyzer. (2/107)
Skin viscoelasticity was evaluated by a fast, noninvasive assay based on the measurement of the speed of elastic shear wave propagation in the skin by a new portable and user-friendly viscoelasticity skin analyzer. The range of speed of elastic shear wave propagation measured by viscoelasticity skin analyzer allows the evaluation of the stiffness of a wide spectrum of artificial materials as well as the viscoelasticity of skin of laboratory animals and human subjects. The directional nature of the measurement enables to monitor the anisotropy of the materials tested. The speed of elastic shear wave propagation was shown to have a positive correlation with the stiffness of the material tested. In symmetric contralateral areas of intact skin in rabbit ears, similar viscoelasticity and anisotropy were observed. Twenty-four hours after the induction of local edema by croton oil, skin stiffness and anisotropy were significantly increased. In healthy human subjects of both sexes significant variations in skin stiffness and anisotropy were observed in three different skin areas along the forearms, but the speed of elastic shear wave propagation was similar in the symmetric contralateral areas. Age (17-65 y) seemed to have a limited effect on the viscoelasticity of the forearm skin. Hydrating creams decreased the stiffness of the forearm skin for only approximately 3 h. The stiffness and anisotropy of the skin of the breasts in female volunteers (20-86 y) increased with age, but the speed of elastic shear wave propagation was similar in symmetric contralateral areas in the same individuals. Based on these results, we propose the application of the viscoelasticity skin analyzer in experimental and clinical practice for quantitative evaluation of skin condition. (+info)A novel skin penetration enhancer: evaluation by membrane diffusion and confocal microscopy. (3/107)
PURPOSE: The aim of this study was to determine the in vitro transdermal efficacy of a Meyer Zall Laboratories (MZL) oil/water emulsion in two separate preparations containing the actives, coal tar and the non-steroidal anti-inflammatory drug, diclofenac sodium. METHOD: The release rate of the two active ingredients from MZL dermatological preparations, Exorex and Athru-Derm and four comparator products was determined using an enhancer cell system, whilst specific penetration characteristics of the MZL formulation were elucidated using confocal and electron microscopy. The latter properties were explored at both the organ level, using human skin, as well as at a cellular level using a melanoma cell line. RESULTS: While the in vitro release rates for all formulations was high, coal tar and diclofenac release from Exorex and Athru-Derm respectively was, at nearly all time intervals, significantly higher than from comparator products. Microscopy revealed the presence of spherical liposomal type structures in both the MZL lotion and a comparator gel. In the MZL lotion, the majority of these structures, referred to here as emzaloid particles, were in the order of magnitude of about 50 nm to 1 microm in diameter with a small minority exceeding these dimensions. After application of Athru-Derm to human skin, intact emzaloid particles of submicron dimensions were detected in the epidermis in association with the cell membranes. The affinity of the MZL lotion for cell membranes was further demonstrated with melanoma cells; in addition, the formulation was seen to penetrate even to the nucleus of viable cells. CONCLUSION: Overall the data suggest that the oil/water base in MZL formulations is a highly efficient transdermal vehicle able to transport a wide range of indication- specific actives to their site of action. (+info)Restoration of phototropic responsiveness in decapitated maize coleoptiles. (4/107)
The literature indicates that the tip of maize (Zea mays L.) coleoptiles has the localized functions of producing auxin for growth and perceiving unilateral light stimuli and translocating auxin laterally for phototropism. There is evidence that the auxinproducing function of the tip is restored in decapitated coleoptiles. We examined whether the functions for phototropism are also restored by using blue-light conditions that induced a first pulse-induced positive phototropism (fPIPP) and a time-dependent phototropism (TDP). When the apical 5 mm, in which photosensing predominantly takes place, was removed, no detectable fPIPP occurred even if indole-3-acetic acid (lanolin mixture) was applied to the cut end. However, when the blue-light stimulation was delayed after decapitation, fPIPP became inducible in the coleoptile stumps supplied with indole-3-acetic-acid/lanolin (0.01 mg g-1), indicating that phototropic responsiveness was restored. This restoration progressed 1 to 2 h after decapitation, and the curvature response became comparable to that of intact coleoptiles. The results for TDP were qualitatively similar, but some quantitative differences were observed. It appeared that the overall TDP was based on a major photosensing mechanism specific to the tip and on at least one additional mechanism not specific to the tip, and that the tip-specific TDP was restored in decapitated coleoptiles with kinetics similar to that for fPIPP. It is suggested that the photoreceptor system, which accounts for fPIPP and a substantial part of TDP, is regenerated in decapitated coleoptiles, perhaps together with the mechanism for lateral auxin translocation. (+info)Randomised controlled trial of short bursts of a potent topical corticosteroid versus prolonged use of a mild preparation for children with mild or moderate atopic eczema. (5/107)
OBJECTIVE: To determine whether a three day burst of a potent corticosteroid is more effective than a mild preparation used for seven days in children with mild or moderate atopic eczema. DESIGN: Randomised, double blind, parallel group study of 18 weeks' duration. SETTING: 13 general practices and a teaching hospital in the Nottingham area. PARTICIPANTS: 174 children with mild or moderate atopic eczema recruited from general practices and 33 from a hospital outpatient clinic. INTERVENTIONS: 0.1% betamethasone valerate applied for three days followed by the base ointment for four days versus 1% hydrocortisone applied for seven days. MAIN OUTCOME MEASURES: Primary outcomes were total number of scratch-free days and number of relapses. Secondary outcomes were median duration of relapses, number of undisturbed nights, disease severity (six area, six sign atopic dermatitis severity scale), scores on two quality of life measures (children's life quality index and dermatitis family impact questionnaire), and number of patients in whom treatment failed in each arm. RESULTS: No differences were found between the two groups. This was consistent for all outcomes. The median number of scratch-free days was 118.0 for the mild group and 117.5 for the potent group (difference 0.5, 95% confidence interval -2.0 to 4.0, P=0.53). The median number of relapses for both groups was 1.0. Both groups showed clinically important improvements in disease severity and quality of life compared with baseline. CONCLUSION: A short burst of a potent topical corticosteroid is just as effective as prolonged use of a milder preparation for controlling mild or moderate atopic eczema in children. (+info)Origin of the epidermal calcium gradient: regulation by barrier status and role of active vs passive mechanisms. (6/107)
Mammalian epidermis displays a characteristic calcium gradient, with low calcium levels in the lower, basal, and spinous epidermal layers, whereas calcium levels increase progressively towards the outer stratum granulosum, and declining again in the stratum corneum. As the calcium gradient disappears after acute permeability barrier disruption, and returns after 6 h in parallel with barrier recovery, barrier function (through restriction of transcutaneous water movement) could regulate the formation of the epidermal calcium gradient. Two types of experiments confirmed the role of barrier status in regulating the calcium gradient: (i) either a vapor-permeable membrane (Gore-Tex) or an emollient (Vaseline), applied after acute barrier disruption, immediately restored barrier function, while accelerating the return of the calcium gradient, and (ii) in contrast, applications of lovastatin, a cholesterol synthesis inhibitor, which delayed barrier recovery and retarded the return of the calcium gradient. We next asked whether the calcium gradient is formed/maintained by passive and/or active mechanisms. Previous studies have demonstrated that cold exposure (4 degrees C) blocks permeability barrier recovery after acute disruption. Here, we abrogated the barrier with tape-stripping, and then compared barrier recovery and restoration of the calcium gradient in hairless mice exposed to 4 degrees C external temperatures, with and without occlusion with Gore-Tex. Although low levels of returned calcium throughout the epidermis, acutely disrupted, unoccluded, cold-exposed sites showed neither barrier recovery nor reappearance of the calcium gradient at 5 h. In contrast, acutely disrupted, cold-exposed sites, covered with Gore-Tex, likewise displayed little barrier recovery, but the calcium gradient largely returned by 3 h. These results show that (i) barrier status regulates formation of the calcium gradient, and (ii) passive processes alone can account for the formation/maintenance of the calcium gradient. (+info)Twice weekly fluticasone propionate added to emollient maintenance treatment to reduce risk of relapse in atopic dermatitis: randomised, double blind, parallel group study. (7/107)
OBJECTIVE: To explore the efficacy and safety of fluticasone propionate, cream and ointment, applied twice weekly in addition to maintenance treatment with emollients, in reducing the risk of relapse of chronic recurrent atopic dermatitis. DESIGN: Randomised, double blind, parallel group study of 20 weeks' duration. SETTING: Dermatology outpatient clinics (6 countries, 39 centres). PARTICIPANTS: Adult (aged 12-65) patients with moderate to severe atopic dermatitis who were experiencing a flare. METHODS: Participants applied fluticasone propionate (0.05% cream or 0.005% ointment; once or twice daily) regularly for four weeks to stabilise their condition. The patients whose disease was brought under control then continued into a 16 week maintenance phase, applying emollient on a daily basis with a bath oil as needed and either the same formulation of fluticasone propionate or its placebo base (emollient alone) twice weekly to the areas that were usually affected. MAIN OUTCOME MEASURE: Time to relapse of atopic dermatitis during maintenance phase. RESULTS: 376 patients entered the stabilisation phase, and 295 continued into the maintenance phase. After 16 weeks in the maintenance phase, the disease remained under control in 133 patients (87 using fluticasone propionate twice weekly, 46 using emollient alone), 135 (40 fluticasone propionate, 95 emollient) had experienced a relapse, and 27 had discontinued. Median time to relapse was six weeks for emollient alone compared with more than 16 weeks for additional fluticasone propionate. Patients who applied fluticasone propionate cream twice weekly were 5.8 times less likely (95% confidence interval 3.1 to 10.8, P < 0.001) and patients using fluticasone propionate ointment 1.9 times less likely (1.2 to 3.2, P=0.010) to have a relapse than patients applying emollient alone. The groups showed no differences in adverse events. CONCLUSION: After atopic dermatitis had been stabilised the addition of fluticasone propionate twice weekly to maintenance treatment with emollients significantly reduced the risk of relapse. (+info)Intact skin--an integrity not to be lost. (8/107)
Maintaining skin integrity can be challenging but it is vital to overall health, particularly in elderly patients. In this population, skin integrity is frequently compromised as a result of under- or over-hydration, which may cause serious complications. Plans of care must include preventive efforts such as the use of barriers and protectants including zinc oxide preparations, petrolatum- and silicone-based ointments and creams, liquid-forming products, adhesive dressings, fluid managers, skin cleansers, and moisturizers. A team approach that includes the patient, caregivers, and healthcare professionals is needed to address patient concerns regarding independence/dependence, utilization of support systems and services, pain, and control of body fluids. The healthcare provider's role in this team should emphasize continuity of care, patient satisfaction, and product selection - all vital to protecting skin integrity. (+info)Emollients are medical substances or preparations used to soften and soothe the skin, making it more supple and flexible. They work by forming a barrier on the surface of the skin that helps to prevent water loss and protect the skin from irritants and allergens. Emollients can be in the form of creams, lotions, ointments, or gels, and are often used to treat dry, scaly, or itchy skin conditions such as eczema, psoriasis, and dermatitis. They may contain ingredients such as petroleum jelly, lanolin, mineral oil, or various plant-derived oils and butters. Emollients can also help to reduce inflammation and promote healing of the skin.
Dermatologic agents are medications, chemicals, or other substances that are applied to the skin (dermis) for therapeutic or cosmetic purposes. They can be used to treat various skin conditions such as acne, eczema, psoriasis, fungal infections, and wounds. Dermatologic agents include topical corticosteroids, antibiotics, antifungals, retinoids, benzoyl peroxide, salicylic acid, and many others. They can come in various forms such as creams, ointments, gels, lotions, solutions, and patches. It is important to follow the instructions for use carefully to ensure safety and effectiveness.
Topical administration refers to a route of administering a medication or treatment directly to a specific area of the body, such as the skin, mucous membranes, or eyes. This method allows the drug to be applied directly to the site where it is needed, which can increase its effectiveness and reduce potential side effects compared to systemic administration (taking the medication by mouth or injecting it into a vein or muscle).
Topical medications come in various forms, including creams, ointments, gels, lotions, solutions, sprays, and patches. They may be used to treat localized conditions such as skin infections, rashes, inflammation, or pain, or to deliver medication to the eyes or mucous membranes for local or systemic effects.
When applying topical medications, it is important to follow the instructions carefully to ensure proper absorption and avoid irritation or other adverse reactions. This may include cleaning the area before application, covering the treated area with a dressing, or avoiding exposure to sunlight or water after application, depending on the specific medication and its intended use.
Atopic dermatitis is a chronic, inflammatory skin condition that is commonly known as eczema. It is characterized by dry, itchy, and scaly patches on the skin that can become red, swollen, and cracked over time. The condition often affects the skin on the face, hands, feet, and behind the knees, and it can be triggered or worsened by exposure to certain allergens, irritants, stress, or changes in temperature and humidity. Atopic dermatitis is more common in people with a family history of allergies, such as asthma or hay fever, and it often begins in infancy or early childhood. The exact cause of atopic dermatitis is not fully understood, but it is thought to involve a combination of genetic and environmental factors that affect the immune system and the skin's ability to maintain a healthy barrier function.
A skin cream is not a medical term per se, but it generally refers to a topical emollient preparation intended for application to the skin. It contains a mixture of water, oil, and active ingredients, which are formulated to provide various benefits such as moisturizing, protecting, soothing, or treating specific skin conditions. The exact definition and composition may vary depending on the product's intended use and formulation.
Examples of active ingredients in skin creams include:
1. Moisturizers (e.g., glycerin, hyaluronic acid) - help to retain water in the skin, making it feel softer and smoother.
2. Emollients (e.g., shea butter, coconut oil, petrolatum) - provide a protective barrier that helps prevent moisture loss and soften the skin.
3. Humectants (e.g., urea, lactic acid, alpha-hydroxy acids) - attract water from the environment or deeper layers of the skin to hydrate the surface.
4. Anti-inflammatory agents (e.g., hydrocortisone, aloe vera) - help reduce redness, swelling, and itching associated with various skin conditions.
5. Antioxidants (e.g., vitamin C, vitamin E, green tea extract) - protect the skin from free radical damage and environmental stressors that can lead to premature aging.
6. Sunscreen agents (e.g., zinc oxide, titanium dioxide, chemical filters) - provide broad-spectrum protection against UVA and UVB rays.
7. Skin lighteners (e.g., hydroquinone, kojic acid, arbutin) - help reduce the appearance of hyperpigmentation and even out skin tone.
8. Acne treatments (e.g., benzoyl peroxide, salicylic acid, retinoids) - target acne-causing bacteria, unclog pores, and regulate cell turnover to prevent breakouts.
It is essential to choose a skin cream based on your specific skin type and concerns, as well as any medical conditions or allergies you may have. Always consult with a dermatologist or healthcare provider before starting a new skincare regimen.
Insensible water loss is the unnoticeable or unperceived loss of water from the body through processes such as respiration, evaporation from the skin, and perspiration that is too fine to be seen or felt. It is a normal physiological process and typically accounts for about 400-800 milliliters (ml) of water loss per day in a healthy adult at rest. However, this amount can increase with factors such as environmental temperature, humidity, and altitude, as well as physical activity or illness that increases metabolic rate or alters body temperature regulation.
Insensible water loss is an important factor to consider in maintaining fluid balance in the body, particularly in individuals who are unable to regulate their own fluid intake, such as critically ill patients or those with impaired consciousness. Prolonged or excessive insensible water loss can lead to dehydration and electrolyte imbalances, which can have serious consequences on various organ systems and overall health.
Eczema is a medical condition characterized by inflammation of the skin, which leads to symptoms such as redness, itching, scaling, and blistering. It is often used to describe atopic dermatitis, a chronic relapsing form of eczema, although there are several other types of eczema with different causes and characteristics.
Atopic dermatitis is believed to be caused by a combination of genetic and environmental factors, and it often affects people with a family history of allergic conditions such as asthma or hay fever. The condition typically begins in infancy or childhood and can persist into adulthood, although it may improve over time.
Eczema can affect any part of the body, but it is most commonly found on the hands, feet, behind the knees, inside the elbows, and on the face. The rash of eczema is often accompanied by dry, scaly skin, and people with the condition may experience periods of flare-ups and remissions.
Treatment for eczema typically involves a combination of moisturizers to keep the skin hydrated, topical corticosteroids to reduce inflammation, and antihistamines to relieve itching. In severe cases, systemic immunosuppressive drugs may be necessary. It is also important for people with eczema to avoid triggers that can worsen their symptoms, such as harsh soaps, scratchy fabrics, and stress.
Petrolatum is a semi-solid mixture of hydrocarbons obtained from petroleum. In the medical field, it's often used as an ointment base or protective dressing because of its impermeability to water and bacteria. It's also known as petroleum jelly or soft paraffin.
Medical Definition of Massage:
Massage is defined as the manual manipulation of soft body tissues (such as muscle, connective tissue, tendons, and ligaments) to enhance health and well-being. It involves various techniques that include kneading, rubbing, pressing, and stretching the muscles and fascia (the connective tissue that covers the muscles).
The goal of massage is to increase circulation, relieve tension, reduce muscle stiffness and pain, promote relaxation, and improve range of motion and overall flexibility. Massage therapy may be used to treat a variety of medical conditions, including anxiety, headaches, insomnia, joint pain, soft tissue injuries, and sports-related injuries.
It is important to note that massage should be performed by a trained and licensed professional to ensure safety and effectiveness. Additionally, individuals with certain health conditions, such as deep vein thrombosis, fractures, or infectious diseases, should avoid massage or consult their healthcare provider before receiving treatment.
I'm sorry for any confusion, but "Mustard Plant" is not a term typically used in medical definitions. Mustard plants are actually a type of crop plant from the Brassicaceae family, which also includes vegetables like broccoli and cabbage. The seeds from these plants are often ground to make mustard condiments and spices. If you're looking for information related to potential medicinal uses or health effects of mustard plants or their derivatives, I would be happy to help with that.
Skin absorption, also known as percutaneous absorption, refers to the process by which substances are taken up by the skin and pass into the systemic circulation. This occurs when a substance is applied topically to the skin and penetrates through the various layers of the epidermis and dermis until it reaches the capillaries, where it can be transported to other parts of the body.
The rate and extent of skin absorption depend on several factors, including the physicochemical properties of the substance (such as its molecular weight, lipophilicity, and charge), the concentration and formulation of the product, the site of application, and the integrity and condition of the skin.
Skin absorption is an important route of exposure for many chemicals, drugs, and cosmetic ingredients, and it can have both therapeutic and toxicological consequences. Therefore, understanding the mechanisms and factors that influence skin absorption is crucial for assessing the safety and efficacy of topical products and for developing strategies to enhance or reduce their absorption as needed.
Medical definitions generally do not include plant oils as a specific term. However, in a biological or biochemical context, plant oils, also known as vegetable oils, are defined as lipid extracts derived from various parts of plants such as seeds, fruits, and leaves. They mainly consist of triglycerides, which are esters of glycerol and three fatty acids. The composition of fatty acids can vary between different plant sources, leading to a range of physical and chemical properties that make plant oils useful for various applications in the pharmaceutical, cosmetic, and food industries. Some common examples of plant oils include olive oil, coconut oil, sunflower oil, and jojoba oil.
Moisturizer
Graston Emollients Archives - Graston Technique, LLC
Emollients - Greater Manchester Fire Rescue Service
Mary Kay® Extra Emollient Night Cream
GPs should not prescribe bath emollients for under-12s, NICE suggests - Pulse Today
Alcare Plus® Antiseptic Handrub with Emollients | Emergency Medical Products
Alba Botanica® Very Emollient Body Lotion Original -- 32 fl oz - Vitacost
GRE Word List - emollient
Buy Dexeryl Emollient Cream 250g | Chemist Direct
Derm Skin Care and Emollients to Fall, Then Rise | Cosmetics & Toiletries
Emollient in Skin Care: What It Is | Paula's Choice
Alba Botanica® Very Emollient® SPF 15 Daily Shade Body Lotion, 32 fl oz - Ralphs
Alba Botanica® Sparkling Mint Very Emollient Body Wash, 32 fl oz - Kroger
Emollients and skin barrier function | MIMS online
What is an emollient - E45
Scottish Fire & Rescue Service: Emollient Creams
Alba Botanica® Very Emollient After Sun Lotion, 8 oz - QFC
Emollient Combination No.76 Topical: Side Effects, Uses, Warnings - iMedix
Alba Botanica® Honey Mango Very Emollient Body Wash, 32 fl oz - Dillons Food Stores
Non-Silicone, Plant-Based Sensory Emollient Kit - Inolex
Reducing the fire risk from emollient-impregnated fabrics - ARU
The role of emollients in paediatric atopic dermatitis - QI&CPD - Category 2 - MDBriefCase
Emollient bath cream - ROELMI HPC
Emollients
Emollients | IMCD Canada
Emollients - Whats best practice?
Emollients - Aussie Candle Supplies
Emollient
Skin Care Ingredients Dictionary: From AHAs to Zinc Oxide
Recommendations | Atopic eczema in under 12s: diagnosis and management | Guidance | NICE