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Effects of Dietary Bacillus natto Productive Protein on the Skin: In Vitro Efficacy Test and Single-Armed Trial 饲料中添加纳豆芽孢杆菌产蛋白对皮肤的影响:体外功效试验和单臂试验
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-25 DOI: 10.3390/cosmetics10050135
Naoki Igari, Ryo Ninomiya, Satoshi Kawakami
The dietary bacillus natto productive protein (BNPP) is a functional food ingredient that contains Bacillopeptidase F. BNPP is reported to improve blood flow. Based on previous research, we investigated the effect of BNPP on the skin. In vitro tests were performed to evaluate BNPP for its inhibitory effects on tyrosinase, elastase, and active oxygen (2,2-diphenyl-1-picrylhydrazyl (DPPH)) radical scavenging activities. In addition, a small-scale, single-armed trial of 15 female participants aged 40–65 years were conducted to assess the effects on human skin of BNPP, administered 250 mg/day orally, for 6 weeks. The beneficial effects of BNPP on the skin were shown by the evaluation of the tyrosinase inhibitory (0.01% and 0.1%), elastase inhibitory (0.00001% to 0.001%), and DPPH radical scavenging (1% and 10%) activities. In addition, the results suggested that the oral administration of BNPP may significantly enhance skin rosiness and also achieve significant improvement in skin conditions, defined as complexion, skin elasticity and resilience, moist feeling, skin texture, cosmetic adhesion, fine lines, under-eye darkness, eye bags, sagging cheeks, and sagging mouth. Furthermore, to investigate the use of BNPP as cosmetics, a skin irritation study was conducted using a cultured human skin model. The results showed that BNPP is non-irritant. In addition, to confirm the stability of BNPP, the quality of BNPP at the time of manufacture and three years and six months after manufacture was examined. The results showed no quality problems. These results suggest that the BNPP could be used as cosmetic purposes.
膳食纳豆芽孢杆菌生产蛋白(BNPP)是一种含有芽孢杆菌肽酶f的功能性食品成分,据报道BNPP可以改善血液流动。在前人研究的基础上,我们研究了BNPP对皮肤的影响。体外实验评估了BNPP对酪氨酸酶、弹性酶和活性氧(2,2-二苯基-1-苦味酰肼(DPPH))自由基清除能力的抑制作用。此外,对15名年龄在40-65岁之间的女性进行了一项小规模单臂试验,以评估口服BNPP 250 mg/天,持续6周对人体皮肤的影响。通过对酪氨酸酶抑制(0.01%和0.1%)、弹性酶抑制(0.00001% ~ 0.001%)和DPPH自由基清除(1%和10%)活性的评价,证明了BNPP对皮肤的有益作用。此外,结果表明,口服BNPP可显著增强皮肤红润度,并显著改善皮肤状况,包括肤色、皮肤弹性和弹性、润泽感、皮肤质地、化妆品粘连、细纹、黑眼圈、眼袋、脸颊下垂和嘴下垂。此外,为了研究BNPP作为化妆品的使用,我们使用培养的人体皮肤模型进行了皮肤刺激研究。结果表明,BNPP无刺激性。此外,为了确认BNPP的稳定性,对BNPP生产时和生产后3年6个月的质量进行了检测。结果显示没有质量问题。这些结果表明,BNPP可用于美容目的。
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引用次数: 0
Work-Related Hand Eczema in Healthcare Workers: Etiopathogenic Factors, Clinical Features, and Skin Care 医护人员与工作有关的手湿疹:致病因素、临床特征和皮肤护理
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-25 DOI: 10.3390/cosmetics10050134
Iva Japundžić, Massimo Bembić, Bruno Špiljak, Ena Parać, Jelena Macan, Liborija Lugović-Mihić
Work-related skin conditions, including work-related irritant and allergic contact dermatitis, rank as the second most prevalent among work-related diseases. The most commonly reported manifestation of these conditions is hand eczema, which develops due to exposure to various substances in the workplace. Understanding the origins and triggers of eczema and contact dermatitis enables healthcare professionals to educate themselves and their patients about effective preventive measures, such as avoiding specific irritants and allergens, using protective equipment, and maintaining proper skincare hygiene. Additionally, this knowledge facilitates the development of new recommendations to enhance skin protection in work-related settings, regulate the use of substances known to cause work-related skin diseases, and provide healthcare practitioners with the necessary training to recognize and manage these conditions. Given that approximately one in every five healthcare workers is considered to have hand eczema, the objective of this study was to review the existing literature regarding the characteristics of eczema in healthcare workers. Furthermore, this study aimed to comprehensively investigate environmental and constitutional factors (including years of work experience involving exposure to skin hazards, frequent glove use, regular handwashing and water contact, frequent use of disinfectants and detergents, and a history of previous allergies and atopic dermatitis) that influence the occurrence and progression of eczema.
与工作有关的皮肤病,包括与工作有关的刺激性和过敏性接触性皮炎,在与工作有关的疾病中排名第二。这些疾病最常见的表现是手部湿疹,这是由于在工作场所接触各种物质而产生的。了解湿疹和接触性皮炎的起源和触发因素,使医疗保健专业人员能够教育自己和患者有效的预防措施,例如避免特定的刺激物和过敏原,使用防护设备,保持适当的皮肤护理卫生。此外,这些知识有助于制定新的建议,以加强与工作有关的环境中的皮肤保护,规范已知导致与工作有关的皮肤病的物质的使用,并为医疗保健从业人员提供必要的培训,以识别和管理这些情况。鉴于大约五分之一的卫生保健工作者被认为有手部湿疹,本研究的目的是回顾现有的文献关于卫生保健工作者湿疹的特点。此外,本研究旨在全面调查影响湿疹发生和发展的环境和体质因素(包括多年接触皮肤危害的工作经验、频繁使用手套、经常洗手和接触水、频繁使用消毒剂和洗涤剂、既往过敏史和特应性皮炎)。
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引用次数: 0
Development and Clinical Efficacy Evaluation of Facial Toner Containing Houttuynia cordata Thunb 鱼腥草爽肤水的研制及临床疗效评价
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-21 DOI: 10.3390/cosmetics10050133
Oraphan Anurukvorakun, Sarunpat Numnim
The goal of this research was to develop a reliable oil-controlling toner for facial skin with a natural product, Houttuynia cordata Thunb extract (HCE). The developed HCE facial toner showed high stability and had a high satisfaction level. Clinical studies revealed that the sebum value of the skin after using the developed HCE toner for eight weeks decreased (4.6-times lower), which was statistically significant (p-value < 0.05) when compared to the HCE-free toner. The sebum amount on the facial skin after using the HCE toner decreased by approximately two-times compared to the HCE-free toner. In addition, the skin moisture content increased statistically significantly (p-value < 0.05) from the eighth week of treatment compared to the HCE-free toner and was 1.5- and 1.4-times higher for the left and right cheeks, respectively. The average moisture content of the facial skin treated with the HCE toner increased by 2- and 1.4-times compared to the treatment with the HCE-free toner for the left and right cheeks, respectively. Consequently, the HCE toner had anti-sebum and moisturizing efficacy, and the increased reliability of the natural product meant that it could soon be a premium commercial product.
本研究的目的是利用天然产物鱼腥草提取物(HCE)开发一种可靠的面部皮肤控油爽肤水。研制的HCE爽肤水稳定性好,满意度高。临床研究显示,使用开发的HCE爽肤水8周后,皮肤皮脂值下降(降低4.6倍),差异有统计学意义(p值<0.05),与不含hce的墨粉相比。与不含HCE的化妆水相比,使用HCE化妆水后面部皮肤的皮脂量减少了大约两倍。此外,皮肤水分含量显著增加(p值<与不含hce的爽肤水相比,左脸颊和右脸颊分别高出1.5倍和1.4倍。用HCE爽肤水处理的面部皮肤的平均水分含量比左脸颊和右脸颊的无HCE爽肤水分别增加了2倍和1.4倍。因此,HCE爽肤水具有抗皮脂和保湿功效,天然产品的可靠性增加意味着它很快就会成为优质的商业产品。
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引用次数: 0
Sustainability by Reduced Energy Consumption during Manufacturing: The Case of Cosmetic Emulsions 在生产过程中减少能源消耗的可持续性:化妆品乳液的案例
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-20 DOI: 10.3390/cosmetics10050132
Slobodanka Tamburic, Jana Fröhlich, Shivani Mistry, Ludger Josef Fischer, Tim Barbary, Sylvie Bunyan, Elisabeth Dufton
Energy input in emulsion manufacturing comprises thermal and mechanical energy, with thermal energy being predominant. In terms of raw material selection, there is a widely accepted belief that natural formulations are more “eco-friendly” than their standard (not natural) counterparts. The aim of this study was to compare the energy consumption and subsequent carbon footprint resulting from the production of two main emulsion types, each represented by its standard and natural variant and made by using different manufacturing processes (hot, hot-cold and cold). This resulted in six samples of oil-in-water (O/W) and water-in-oil (W/O) emulsion types, respectively. Scale-down calculations were used to establish the required homogenisation time and speed of the laboratory homogeniser, necessary to achieve the same shear rates as the chosen industrial vessel. The resulting emulsions were characterised using rheological and textural analysis. The six emulsions within each emulsion type have exhibited sufficiently similar characteristics for the purpose of carbon footprint comparisons. Calculations were conducted to quantify the energy input of hot and hot-cold procedures, followed by cradle-to-gate life cycle analysis (LCA). Energy calculations demonstrated that the hot-cold manufacturing process saved approximately 82% (for O/W) and 86% (for W/O) of thermal energy in comparison to the hot process. LCA has shown that the effects of using natural instead of standard ingredients were negative, i.e., it led to a higher carbon footprint. However, it was dwarfed by the effect of the energy used, specifically thermal energy during manufacturing. This strongly indicates that the most efficient way for companies to reduce their carbon footprint is to use the hot-cold emulsification process.
乳状液制造的能量输入包括热能和机械能,其中热能占主导地位。在原材料选择方面,人们普遍认为天然配方比标准配方(非天然配方)更“环保”。本研究的目的是比较两种主要乳液类型的生产所产生的能源消耗和随后的碳足迹,每种乳液都由其标准和自然变体代表,并通过不同的制造工艺(热,热冷和冷)制造。这分别产生了6种水包油(O/W)和油包水(W/O)乳液类型。按比例缩小计算用于确定实验室均质机所需的均质时间和速度,以达到与所选工业容器相同的剪切速率。用流变学和结构分析对所得乳剂进行了表征。每种乳剂类型中的六种乳剂都表现出足够相似的特征,用于碳足迹比较。计算量化了热、热、冷过程的能量输入,然后进行了从摇篮到闸门的生命周期分析(LCA)。能源计算表明,与热过程相比,热冷制造过程节省了大约82% (O/W)和86% (W/O)的热能。LCA表明,使用天然成分而不是标准成分的影响是负面的,即,它导致更高的碳足迹。然而,与所使用的能源,特别是制造过程中的热能的影响相比,这是微不足道的。这有力地表明,公司减少碳足迹的最有效方法是使用冷热乳化工艺。
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引用次数: 0
Topical AHA in Dermatology: Formulations, Mechanisms of Action, Efficacy, and Future Perspectives 皮肤病学局部AHA:配方、作用机制、功效和未来展望
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-19 DOI: 10.3390/cosmetics10050131
Kanwarpreet Karwal, Ilya Mukovozov
The utilization of topical formulations containing alpha hydroxy acids (AHAs) has garnered considerable attention. This review summarizes the effectiveness of the most common topical AHA formulations, including mechanisms of action and future research directions. AHAs have a dramatic impact on diverse skin conditions, enhancing texture and stimulating collagen synthesis. Uncertainties persist regarding optimal concentration, pH, and vehicle for maximum efficacy. Advancements in formulation technologies offer opportunities for AHA penetration and stability. Understanding mechanisms is vital for skincare optimization. The review covers AHAs, their concentrations, formulation considerations, safety measures, and future directions.
含有α -羟基酸(AHAs)的外用制剂的利用已经引起了相当大的关注。本文综述了最常见的局部应用AHA制剂的有效性,包括作用机制和未来的研究方向。果酸对不同的皮肤状况有显著的影响,增强质地和刺激胶原蛋白合成。关于最佳浓度、pH值和最佳药效载体的不确定性仍然存在。配方技术的进步为AHA的渗透和稳定性提供了机会。了解机制对护肤优化至关重要。这篇综述涵盖了aha、它们的浓度、配方考虑、安全措施和未来的发展方向。
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引用次数: 0
Cannabinoids for the Treatment of Hair, Scalp, and Skin Disorders: A Systematic Review 大麻素治疗头发、头皮和皮肤疾病:系统综述
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-15 DOI: 10.3390/cosmetics10050129
Meagan Popp, Steven Latta, Betty Nguyen, Colombina Vincenzi, Antonella Tosti
Cannabinoid products have been studied in the treatment of various dermatologic conditions. We searched PubMed/MEDLINE for articles published before 1 February 2023 that described the use of cannabinoids in the management of hair, scalp, and skin conditions, identifying 18 original articles that encompassed 1090 patients who used various forms of cannabinoid products. Where specified, topical cannabidiol (CBD) was the most commonly utilized treatment (64.3%, 173/269), followed by oral dronabinol (14.4%, 39/269), oral lenabasum (14.1%, 38/269), and oral hempseed oil (5.9%, 16/269). Using the GRADE approach, we found moderate-quality evidence supporting the efficacy of cannabinoid products in managing atopic dermatitis, dermatomyositis, psoriasis, and systemic sclerosis and moderate-quality evidence supporting a lack of efficacy in treating trichotillomania. There was low to very low quality evidence supporting the efficacy of cannabinoid products in managing alopecia areata, epidermolysis bullosa, hyperhidrosis, seborrheic dermatitis, and pruritus. Our findings suggest that cannabinoids may have efficacy in managing symptoms of certain inflammatory dermatologic conditions. However, the evidence is still limited, and there is no standardized dosage or route of administration for these products. Large randomized controlled trials and further studies with standardized treatment regimens are necessary to better understand the safety and efficacy of cannabinoids.
大麻素产品已被研究用于治疗各种皮肤病。我们在PubMed/MEDLINE检索2023年2月1日之前发表的描述大麻素在头发、头皮和皮肤状况管理中的使用的文章,确定了18篇原创文章,其中包括1090名使用各种形式大麻素产品的患者。在特定情况下,外用大麻二酚(CBD)是最常用的治疗方法(64.3%,173/269),其次是口服大麻酚(14.4%,39/269),口服lenabasum(14.1%, 38/269)和口服大麻籽油(5.9%,16/269)。使用GRADE方法,我们发现了中等质量的证据支持大麻素产品在治疗特应性皮炎、皮肌炎、牛皮癣和系统性硬化症方面的疗效,中等质量的证据支持大麻素产品在治疗拔毛癖方面缺乏疗效。支持大麻素产品治疗斑秃、大疱性表皮松解症、多汗症、脂溢性皮炎和瘙痒的疗效的证据质量低至极低。我们的研究结果表明大麻素可能对某些炎症性皮肤病的症状有效。然而,证据仍然有限,这些产品没有标准化的剂量或给药途径。为了更好地了解大麻素的安全性和有效性,有必要进行大型随机对照试验和进一步的标准化治疗方案研究。
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引用次数: 0
Psychobiotics-like Activity as a Novel Treatment against Dry Scalp Related-White Flakes Production with Pogostemon cablin Leaf Extract 类精神生物制剂作为一种治疗头皮干燥的新方法——用广藿香叶提取物生产白片
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-15 DOI: 10.3390/cosmetics10050130
Marie Meunier, Emilie Chapuis, Cyrille Jarrin, Julia Brooks, Heather Carolan, Jean Tiguemounine, Carole Lambert, Bénédicte Sennelier-Portet, Catherine Zanchetta, Amandine Scandolera, Romain Reynaud
Microbiome supplementation initially targeted the gut microbiota but has since been extended to the skin. A new category, psychobiotics, defined beneficial compounds with a positive action on microbiota, providing benefits to the host’s mental health. Pogostemon cablin leaf extract, proven to alleviate scalp dryness, was clinically evaluated on volunteers presenting dry scalp with flakes. A metagenomics study and sebum production analysis were performed, coupled to flakes scoring. The benefits of Pogostemon cablin leaf extract on emotions were assessed through three neuroscientific methods. Through this study, we proved that the skin microbiota of dry scalp was imbalanced, with increased alpha diversity and decreased Cutibacterium relative abundance compared to oilier skin. After applying our ingredient for one month, microbiota was rebalanced with a decrease in alpha diversity and increase in Cutibacterium relative abundance compared to the initial profile. Microbiota rebalancing led to an increase in scalp sebum and decrease in dry flakes compared to the start of the study. This global rebalancing improved the emotional state of people with scalp dryness who expressed more positive emotions after treatment.
微生物组补充最初针对肠道微生物群,但后来扩展到皮肤。一个新的类别,精神生物,定义了有益的化合物与微生物群的积极作用,为宿主的精神健康提供好处。广藿香叶提取物,证明缓解头皮干燥,是临床评估志愿者呈现头皮干燥与鳞片。进行宏基因组学研究和皮脂生成分析,并结合薄片评分。通过三种神经科学方法评估了广藿香叶提取物对情绪的益处。通过这项研究,我们证明了干性头皮的皮肤微生物群是不平衡的,与油性皮肤相比,α多样性增加,Cutibacterium相对丰度降低。在使用我们的成分一个月后,微生物群被重新平衡,与初始剖面相比,α多样性减少,Cutibacterium相对丰度增加。与研究开始时相比,微生物群再平衡导致头皮皮脂增加,干屑减少。这种整体再平衡改善了头皮干燥患者的情绪状态,他们在治疗后表达了更多的积极情绪。
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引用次数: 0
Applications of Beehive Products for Wound Repair and Skin Care 蜂窝产品在伤口修复和皮肤护理中的应用
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-14 DOI: 10.3390/cosmetics10050127
Simona Martinotti, Gregorio Bonsignore, Elia Ranzato
There is a long and interesting history between honeybees and humans. From the beginning, honey has been utilized not only as a sweetener, but also as an ointment and a drug to treat several diseases. Until the discovery of antibiotics, honey was a very popular product used to protect and preserve skin and promote wound healing, to counteract gastrointestinal pains and disorders of the oral cavity, and for other diseases. After the development of antibiotic resistance, honey again gained interest for its use in wound management. Subsequently, more recently, in vitro and in vivo studies have displayed antimicrobial, antioxidant, and other effects of honey and honeybee products, as well as protection of cardiovascular, respiratory, nervous, and gastrointestinal systems. Moreover, recent studies have demonstrated that beehive products are also able to influence the phenotype of skin cells, such as keratinocytes, fibroblasts, and endothelial cells, involved in correct wound healing. This review will characterize the great potential of honeybee products in the field of health and skin care, considering that honey is a virtually inexhaustible natural resource which people, as bees have been domesticated over the centuries, can freely access.
蜜蜂和人类之间有一段漫长而有趣的历史。从一开始,蜂蜜就不仅被用作甜味剂,而且还被用作软膏和药物来治疗几种疾病。在发现抗生素之前,蜂蜜是一种非常受欢迎的产品,用于保护和保护皮肤,促进伤口愈合,抵消胃肠道疼痛和口腔疾病,以及其他疾病。在抗生素耐药性的发展之后,蜂蜜再次因其在伤口管理中的应用而引起了人们的兴趣。随后,最近,体外和体内研究显示了蜂蜜和蜜蜂产品的抗菌、抗氧化和其他作用,以及对心血管、呼吸、神经和胃肠道系统的保护。此外,最近的研究表明,蜂窝产品也能够影响皮肤细胞的表型,如角质形成细胞、成纤维细胞和内皮细胞,参与正确的伤口愈合。考虑到蜂蜜是一种取之不尽、用之不竭的自然资源,由于蜜蜂已经被驯化了几个世纪,人们可以自由获取蜂蜜,本综述将描述蜜蜂产品在健康和皮肤护理领域的巨大潜力。
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引用次数: 1
Effect of the Hypoxic Chamber Training Series on Skin Characteristics of Overweight and Obese Women 低氧舱训练系列对超重和肥胖女性皮肤特征的影响
Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-14 DOI: 10.3390/cosmetics10050128
Anna Grodecka, Olga Czerwińska-Ledwig, Adrianna Dzidek, Wiktoria Lis, Dorota Cwalińska, Weronika Kozioł, Aneta Teległów, Tomasz Pałka, Anna Piotrowska
Obesity is a disease of civilization. The COVID-19 pandemic has caused an increase in its incidence; therefore, there is an increasing emphasis on programs aimed at improving body composition, often through physical activity. Various modifications to training interventions are being introduced, including the modification of the thermo-climatic conditions of the training. However, to date, whether such a modification is safe for the skin has not been studied. The purpose of this study was to evaluate the effects of a series of workouts in a hypoxic chamber on skin characteristics such as elasticity, hydration, and transepidermal water loss (TEWL). Women who were overweight or obese were invited to participate in the project. The workouts took place in a hypoxic chamber where conditions were mimicked at 2500 m, three times a week for a period of four weeks, for 60 min each. Finally, the results from 11 women in the study group and 9 in the control group were included in the analysis. Body composition analysis was performed, and venous blood was drawn (morphology and lipidogram). No statistically significant changes in skin firmness or the amount of TEWL were observed in the subjects. An increase in skin hydration on the hand was observed only after the first workout (p = 0.046), while skin hydration on the mandible did not change. A significant reduction in body weight (p = 0.042), BMI (p = 0.045), and TBW (p = 0.017) was indicated in the study group. The control group showed an increase in BMI (p = 0.045) and VFA (p = 0.042). There was no correlation between measured skin characteristics and body composition indices or the results of blood indices. A correlation was observed between TEWL and lipidogram results. Training under hypoxic conditions does not affect skin features in overweight and obese women. Even a significant reduction in TBW did not result in a decrease in hydration. It was also shown that the proper barrier function of the skin is closely dependent on the serum lipid profile.
肥胖是文明的一种疾病。COVID-19大流行导致其发病率上升;因此,人们越来越重视旨在改善身体成分的项目,通常是通过体育活动。目前正在对训练干预措施进行各种修改,包括改变训练的热气候条件。然而,到目前为止,这种修饰是否对皮肤安全还没有研究。本研究的目的是评估在低氧舱中进行一系列锻炼对皮肤特征的影响,如弹性、水合作用和经皮失水(TEWL)。超重或肥胖的女性被邀请参加这个项目。训练在一个模拟2500米深的低氧舱中进行,每周三次,每次60分钟,持续四周。最后,研究小组的11名妇女和对照组的9名妇女的结果被纳入分析。进行体成分分析,抽取静脉血(形态和脂质图)。在受试者中没有观察到皮肤紧致度或TEWL量的统计学显著变化。第一次锻炼后,手部皮肤水合作用增加(p = 0.046),而下颌骨皮肤水合作用没有变化。研究组的体重(p = 0.042)、BMI (p = 0.045)和TBW (p = 0.017)均有显著降低。对照组患者BMI (p = 0.045)和VFA (p = 0.042)升高。测量的皮肤特征与身体成分指标或血液指标结果无相关性。TEWL与脂质图结果之间存在相关性。低氧条件下的训练不会影响超重和肥胖女性的皮肤特征。即使TBW的显著减少也不会导致水合作用的减少。研究还表明,皮肤的屏障功能与血脂水平密切相关。
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引用次数: 0
Sequential and Combined Efficacious Management of Auricular Keloid: A Novel Treatment Protocol Employing Ablative CO2 and Dye Laser Therapy—An Advanced Single-Center Clinical Investigation 耳瘢痕疙瘩的顺序和联合有效治疗:一种采用烧蚀CO2和染料激光治疗的新治疗方案-一项先进的单中心临床研究
IF 3.3 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2023-09-08 DOI: 10.3390/cosmetics10050126
Simone Amato, S. Nisticò, Giovanni Pellacani, Stefania Guida, Anthony Rossi, Caterina Longo, E. Berardesca, G. Cannarozzo
Auricular keloids pose significant aesthetic and functional challenges, and traditional treatments often fall short in addressing these issues. Our study presents an innovative combined approach of ablative CO2 and dye laser therapy for improved keloid management. This treatment protocol was applied to 15 patients with auricular keloids after an initial multispectral analysis to assess keloid composition. The laser sequence was tailored per patient based on this analysis. Evaluations using the Vancouver Scar Scale and Patient and Observer Scar Assessment Scale were carried out at baseline and at 3-week intervals post-treatment. The results showed a significant reduction in these scores at the final follow-up (p < 0.05), suggesting improvements in keloid color, texture, and pliability, with minimal adverse events. Additionally, no recurrence of keloids was observed. Our findings indicate that this novel methodology of multispectral analysis followed by tailored laser therapy may offer a safe and effective solution for auricular keloids, promising enhanced keloid treatment and prevention of recurrence. However, further investigations, including randomized controlled trials, are needed to confirm and optimize this treatment protocol.
耳瘢痕疙瘩在美学和功能上提出了重大挑战,而传统的治疗方法往往无法解决这些问题。我们的研究提出了一种创新的CO2消融和染料激光联合治疗瘢痕疙瘩的方法。在对瘢痕疙瘩成分进行初步多光谱分析后,将该治疗方案应用于15例耳廓瘢痕疙瘩患者。基于该分析,为每位患者量身定制激光序列。使用温哥华疤痕量表和患者和观察者疤痕评估量表在基线和治疗后3周间隔进行评估。结果显示,在最后的随访中,这些评分显著降低(p<0.05),表明瘢痕疙瘩的颜色、质地和柔韧性有所改善,不良事件最少。此外,未观察到瘢痕疙瘩复发。我们的研究结果表明,这种多光谱分析和量身定制的激光治疗的新方法可能为耳廓瘢痕疙瘩提供一种安全有效的解决方案,有望加强瘢痕疙瘩的治疗和预防复发。然而,还需要进一步的研究,包括随机对照试验,来确认和优化这一治疗方案。
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引用次数: 0
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Cosmetics
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