Skin problem

  • 文章类型: Journal Article
    背景:众所周知,女性一直受到各种皮肤问题的困扰。然而,对不同年龄女性皮肤特征的研究还不够。此外,目前缺乏对女性护肤习惯和护肤意识程度的研究。
    方法:在上海进行了皮肤横断面调查,中国,这是通过问卷进行的。3678名妇女,18-59岁,参与研究。收集的信息集中在它们对皮肤的重要性上,他们的皮肤问题,以及他们对护肤产品的使用和感知。
    结果:在25岁之前,女性面临的最常见的皮肤问题是干燥和油腻,而在30岁以后,皮肤老化问题开始出现,并随着年龄的增长而恶化。此外,教育水平越高,使用防晒霜的频率和依从性越高,经济也影响女性使用防晒霜。重要的是,女性对皮肤的重视程度和防晒意识水平影响着女性对防晒霜的使用。
    结论:进行这项研究是为了了解不同年龄组女性的皮肤特征,并确定影响使用防晒霜的因素,这不仅会促进女性的皮肤护理实践和产品开发,而且也为未来的防晒霜使用和健康促进活动提供重要线索。
    BACKGROUND: It is well known that women have been plagued by various skin problems. However, research on the characteristics of women\'s skin at different ages is still inadequate. In addition, there is a lack of research on the extent of women\'s skincare habits and skin care awareness.
    METHODS: A cross-sectional survey on skin was carried out in Shanghai, China, which was conducted by means of a questionnaire. 3678 women, aged 18-59 years, participated in the study. The information collected focused on the importance they place on their skin, the skin problems they have, and their use and perception of skin care products.
    RESULTS: Before the age of 25, the most common skin problems that women face are dryness and oiliness, while after the age of 30, skin-ageing issues begin to appear and worsen with age. In addition, the higher the level of education, the higher the frequency of and compliance with sunscreen use, and the economy also affects women\'s use of sunscreen. Importantly, the importance women place on their skin and the level of sunscreen awareness affects women\'s use of sunscreen.
    CONCLUSIONS: This study was conducted to understand the skin characteristics of women of different age groups as well as to determine the factors that influence the use of sunscreens, which will not only promote women\'s skin care practices and product development, but also provide important clues for future activities on sunscreen use and health promotion.
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  • 文章类型: Journal Article
    背景:医护人员,在COVID-19大流行期间密集工作,面临一些问题,包括皮肤问题,由于他们使用个人防护设备(PPE)来控制感染的传播。
    目的:本研究旨在确定在一家医院的三个COVID-19重症监护病房(ICU)中,护士在提供医疗保健期间使用PPE引起的皮肤问题。
    方法:本研究设计为横断面调查。这项研究是在安卡拉都会区的三个重症监护病房工作的护士进行的,土耳其。数据是通过研究人员在2021年12月至2022年6月之间开发的问卷在线收集的。
    结果:在这项研究中,82/120(68.33%)护士在分发期间至少回答了一次问卷。每次PPE使用持续时间的平均值,包括护目镜,N95面罩,引擎盖,面罩,手套,靴子/鞋套和鞋套为3.76±1.36h。经历过至少两个或两个以上与任何PPE相关的皮肤问题的护士比例为74/82(90.24%)。压疮的比例,痤疮,皮肤反应,包括过敏性皮炎或接触性荨麻疹,区域性疼痛在4.9%至79.3%之间。使用任何保护性应用来预防皮肤问题的护士比例为53.66%。在保护性应用中,减压表面使用最多。护目镜防护应用的使用(p=.010),引擎盖(p=.000)和面罩(p=.000)有效地减少了与PPE相关的皮肤问题。
    结论:在大流行期间,护士面临各种各样的皮肤问题,因为PPEs。设计减少诊所使用PPEs的持续时间的研究计划可能是有益的。此外,需要有效的保护性应用以防止皮肤问题和不引起皮肤问题的PPE的新开发。
    结论:在大流行中,由于在提供医疗保健的护士中使用PPE,密集。这些问题,这在大流行中没有被视为优先事项,可能会对护士的健康产生不利影响,他们在治疗和护理过程中的表现和工作质量。
    Health care workers, who worked intensively during the COVID-19 pandemic, faced some problems, including skin problems, due to the personal protective equipment (PPE) they used to control the spread of infection.
    This study aimed to identify the skin problems because of using PPE by nurses during the delivery of health care in three COVID-19 intensive care units (ICUs) within one hospital service.
    The study was designed as a cross-sectional survey. The study was conducted with nurses working in three intensive care units in the metropolitan districts of Ankara, Turkey. The data were collected online with a questionnaire developed by the researchers between December 2021 and June 2022.
    In this study, 82/120 (68.33%) nurses responded to the questionnaire at least once during the distribution period. The mean of the duration of PPE utilization per each time including goggles, N95 mask, bonnet, face-shield, gloves, boots/shoe covers and coverall was 3.76 ± 1.36 h. The proportion of nurses who experienced any skin problem related to any PPE at least two or more was 74/82 (90.24%). The proportion of pressure sores, acne, skin reaction including allergic dermatitis or contact urticaria, and regional pain varied between 4.9% and 79.3%. The proportion of nurses who applied any protective application to prevent skin problems was 53.66%. Among the protective applications, pressure-reducing surfaces were used the most. The use of protective applications for goggles (p = .010), bonnet (p = .000) and face shield (p = .000) effectively reduced PPE-related skin problems.
    During the pandemic, nurses faced a wide variety of skin problems because of PPEs. It may be beneficial to design a study programme that reduces the duration of PPEs use in clinics. In addition, there is a need for effective protective applications to prevent skin problems and new development of PPE that do not cause skin problems.
    In the pandemic, skin problems have developed because of the use of PPE in nurses who provide health care, intensively. These problems, which were not seen as a priority in the pandemic, may adversely affect the health of nurses, their performance in the treatment and care process and their work quality.
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  • 文章类型: Journal Article
    未经评估:自2019年12月以来,致命的COVID-19大流行席卷全球。由于感染的巨大风险,前线卫生工作者必须使用个人防护设备和手部卫生用品,帮助预防感染的传播。本研究旨在比较医护人员(HCW)和非医护人员(NHCW)之间的不良皮肤反应。
    未经批准:描述性的,对全国的HCW和NHCW进行了横断面研究。使用自结构化问卷在两个月的时间内使用多阶段抽样从404HCWs和826NHCWs中收集数据。使用STATA(v16)分析数据。
    UNASSIGNED:41.87%的研究参与者经历了不良皮肤反应,其中HCW(65.10%)比NHCW(30.51%)更普遍。最常报告的皮肤状况是皮肤干燥(34.39%),其次是脱皮(11.71%)。使用含酒精的洗手液(ABHS)的人更容易发痒(8.13%),而肥皂水使用者更容易出现皮肤脱皮(35.74%)和皮疹(7.46%)。职业与不良皮肤反应之间存在显着关联(p<0.001),与HCW相比,HCW出现不良皮肤表现的可能性是NHCW的3.5倍。
    UNASSIGNED:研究表明,医护人员发生皮肤反应的风险高于整体人群,频繁使用手卫生措施是一个重要的风险因素。
    UNASSIGNED: The deadly COVID-19 pandemic has swept the globe since December 2019. Due to the significant risk of infection, frontline health workers had to use Personal Protective Equipment and hand hygiene products, to help prevent transmission of infection. The present study aims to compare the adverse skin responses between healthcare workers (HCW) and non-healthcare workers (NHCW).
    UNASSIGNED: A descriptive, cross-sectional study of HCW and NHCW throughout the country wa executed. A self-structured questionnaire was utilized to gather data from 404 HCWs and 826 NHCWs during a two-month period using multistage sampling. STATA (v16) was used to analyse the data.
    UNASSIGNED: 41.87% of the study participants experienced adverse skin reactions, which were more prevalent amongs HCW (65.10%) than NHCW (30.51%). The most frequently reported skin condition was skin dryness (34.39%), followed by skin peeling (11.71%). Users of alcohol-based hand sanitizers (ABHS) were more likely to get itch (8.13%), whereas soap water users were more likely to suffer from skin peeling (35.74%) and rash (7.46%). There was a significant (p < 0.001) association between occupation and adverse skin responses, with HCW being 3.5 times more likely to have adverse skin manifestations than NHCW.
    UNASSIGNED: The research showed that healthcare workers were at a greater risk to developing skin reactions than the overall population with frequent use of hand hygiene measures being a significant risk factor.
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  • 文章类型: Journal Article
    背景:假肢接受腔是残端和假肢之间的连接部分,这是假体功能的重要基础。目前的假肢接受腔难以满足目前截肢者的需求,这是截肢者放弃假肢的主要原因。本文综述了下肢假肢接受腔的设计和使用。
    方法:本出版物的贡献是回顾皮肤问题,假肢接受腔的界面应力和体积波动,这被认为是影响假肢接受腔使用的关键因素。此外,下肢假肢接受腔根据残端与假肢接受腔的接触类型不同,分为全接触型和框架型。并从不同的角度分析了它们的优缺点。
    结论:旨在设计具有功能转移的假肢接受腔,插座的悬挂稳定性和舒适性,提出了一种实时自适应假肢接受腔的设计思想。它可以通过具有特殊机械性能的智能材料来实现。
    BACKGROUND: The prosthetic socket is the connecting part between the stump and the prosthesis, which is the important basis for the function of the prosthesis. The current prosthetic socket is difficult in meeting the needs of amputees current, which is the main reason for amputees abandoning their prostheses. This paper reviews the design and use of prosthetic sockets for lower limb.
    METHODS: The contribution of this publication is to review the skin problem, interface stress and volume fluctuations for prosthetic sockets, which are proposed as the key factors affecting the use of prosthetic sockets. Moreover, the lower limb prosthetic sockets are classified into the full-contact and the frame-type sockets according to the different contact type between stump and prosthetic socket, and their advantages and disadvantages are analyzed from different perspectives.
    CONCLUSIONS: Aim to design the prosthetic socket with function transfer, suspension stability and comfort of socket, a design concept for prosthetic socket with self-adapt in real-time is proposed. It can be achieved by the smart materials with special mechanical properties.
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  • 文章类型: Case Reports
    残肢伤口或溃疡是下肢假体使用者报告的最常见的皮肤问题之一。愈合通常需要停用假体,这在逻辑上会损害身体功能。然而,支持这一想法的数据有限。我们通过提供平衡评估来报告假体废弃的影响,步态,身体活动,在经历伤口之前以及在伤口相关假体废弃后重新引入合适的假体后,在病例受试者上获得的平衡置信度。案件主题是一名76岁的男性,13年前由于滑膜肉瘤引起的胫骨截肢。在慢性皮肤斑块区域出现疼痛病史后,他接受了穿刺活检,这导致了4周的假体废弃,然后是12周的有限使用,然后才接受了最终的良好配合腔。以下数据收集在活检前24周和接受最终良好的插座后4周:Berg平衡量表,L-步行测试,定量步态分析,特定活动平衡信心量表,和一周的社区活动。余额可信度下降近19%,步行速度下降了12%,在假体废弃/有限使用4个月后,步数/天减少了19%;功能措施没有受到影响。较低的平衡置信度并不是微不足道的,因为它可以导致活动避免和跌倒风险增加。假体废弃后目标平衡置信度变化的干预措施对于最大程度地减少废弃对身心健康的影响可能很重要。
    Residual limb wounds or ulcers are one of the most frequent skin problems reported by lower extremity prosthesis users. Healing often requires prosthesis disuse, which can logically impair physical functioning. However, there are limited data available to support this idea. We report the impact of prosthesis disuse by presenting assessments of balance, gait, physical activity, and balance confidence obtained on a case subject before experiencing a wound and following reintroduction to a well-fit prosthesis after wound-related prosthesis disuse. The case subject was a 76-year-old male who suffered a unilateral, transtibial amputation due to synovial sarcoma 13 years before. After presenting with a history of pain in the area of a chronic skin plaque, he received a punch biopsy, which resulted in 4 weeks of prosthesis disuse followed by 12 weeks of limited use before a final well-fitting socket was received. The following data were collected 24 weeks before the biopsy and 4 weeks after receiving the final well-fitting socket: Berg Balance Scale, L-test of walking, quantitative gait analysis, Activity-specific Balance Confidence Scale, and 1 week of community-based activity. Balance confidence decreased nearly 19%, walking speed decreased by 12%, and steps/day decreased by 19% following ∼4 months of prosthesis disuse/limited use; functional measures were not impacted. Lower balance confidence is not trivial as it can lead to activity avoidance and increased fall risk. Interventions to target balance confidence changes following prosthesis disuses may be important to minimize the impact of disuse on physical and mental well-being.
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  • 文章类型: Journal Article
    Peristomal irritation is one of the most common complications in patients with a stoma. In many cases, prevention is limited to the care provided during the post-operative period. However, it can start before the operation by improving the physical condition of the patient. It continues during the perioperative period with the surgical technique. Prevention advice can be given during these three key stages of the patient\'s treatment.
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