skincare

护肤品
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    文章类型: Journal Article
    辅酶Q10(CoQ10)是一种天然产物,脂溶性分子对细胞能量产生和抗氧化活性至关重要。它随着年龄和皮肤的外部压力因素而减少,导致衰老的迹象。除了它在线粒体内细胞能量产生中的作用,辅酶Q10对皮肤防御氧化应激至关重要,过早衰老的关键因素。使用含有CoQ10的局部护肤产品可以有效补充CoQ10水平并逆转皮肤老化。
    本出版物讨论了CoQ10在皮肤老化中的作用以及含有CoQ10作为成分的局部护肤品的益处。
    我们使用术语“辅酶Q10”和“皮肤”和“老化”搜索PubMed数据库。“总的来说,搜索产生了80个结果,但是10年的限制被用于限制出版物的最新科学。
    总共确定了36种出版物,并将其作为本文的背景。这36篇出版物包括原创研究文章和评论文章。
    使用含有CoQ10的局部护肤品补充CoQ10细胞水平,有助于使细胞能量稳态正常化,并提供抗氧化作用,以支持和修复皮肤损伤,包括皮肤老化的迹象。在离体和体内研究中,CoQ10的应用增加了皮肤表面的CoQ10水平(即,角质层),甚至更多的皮肤。临床上,局部应用CoQ10配方产品可减少皮肤皱纹的深度,与衰老有关的迹象。
    老化和紧张的皮肤是,在某种程度上,细胞代谢稳态改变的结果,可以通过局部应用富含辅酶Q10的制剂的益处来逆转,该制剂刺激皮肤能量代谢并通过抗氧化功能减少自由基。通过恢复生理稳态,局部护肤品与CoQ10补充皮肤的抗氧化剂水平,增加细胞(能量)代谢,并减少皮肤老化的迹象。
    UNASSIGNED: Coenzyme Q10 (CoQ10) is a naturally produced, lipid-soluble molecule crucial for cellular energy production and antioxidant activity. It diminishes with age and under external stress factors in skin, leading to signs of aging. Beyond its role in cellular energy production within the mitochondria, CoQ10 is vital to skin\'s defense against oxidative stress, a key contributor to premature aging. Use of topical skincare products with CoQ10 can be effective to replenish levels of CoQ10 and reverse skin aging.
    UNASSIGNED: This publication discusses the role of CoQ10 in skin aging along with the benefits of topical skincare products that incorporate CoQ10 as an ingredient.
    UNASSIGNED: We searched the PubMed database using terms \"Coenzyme Q10\" and \"skin\" and \"aging.\" Overall, the search yielded 80 results, but a limitation of 10 years was then applied to restrict publications to those with the most up-to-date science.
    UNASSIGNED: A total of 36 publications were identified and included as background for this article. These 36 publications encompassed both original research articles and review articles.
    UNASSIGNED: Applying topical skincare products with CoQ10 replenishes CoQ10 cellular levels, helping to normalize cellular energy homeostasis and providing antioxidative effects to support and repair cutaneous damage including signs of skin aging. In ex vivo and in vivo studies, application of CoQ10 increased CoQ10 levels both on the skin surface (i.e., stratum corneum) and even more in deeper levels of the skin. Clinically, topical application of CoQ10-formulated products reduces the depth of cutaneous wrinkles, a sign associated with aging.
    UNASSIGNED: Aging and stressed skin are, in part, the result of alterations in cellular metabolic homeostasis, which can be reversed via the benefits of topical application of CoQ10-enriched formulations that stimulate cutaneous energy metabolism and reduce free radicals via antioxidant function. By restoring physiological homeostasis, topical skincare products with CoQ10 replenish the skin\'s antioxidant levels, increase cellular (energy) metabolism, and reduce the signs of skin aging.
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  • 文章类型: Systematic Review
    目的:接受癌症治疗的患者经历了大量的皮肤,头发,和指甲不良事件,提示他们使用非循证且通常限制性的非处方(OTC)建议来缓解症状。全面评估基于证据的OTC模式对于使癌症患者能够舒适地恢复治疗后的生活并将临床上合理的实践融入他们的自我护理程序至关重要。
    目的:对基于证据的非处方药皮肤进行系统评价和评估,头发,和成人癌症治疗患者的指甲护理建议。
    方法:PubMed,科克伦,Embase,和Medline数据库在2023年3月进行了搜索,以识别针对OTC皮肤的英文文章,头发,和成人患者之前的指甲护理建议,during,以及癌症化疗或放疗(RT)后。根据牛津循证医学中心标准评估质量。
    结果:筛选了2192篇独特文章,其中77项符合纳入标准,由54项随机对照试验(RCT)组成,8个非随机对照队列,1项非随机对照临床试验,3个对照前瞻性队列,4个前瞻性队列,2个对照临床试验,1个前瞻性比较研究,2例病例报告,和2例病例系列讨论9322例患者。在我们的数据库搜索之外的另一篇文章总共包含了78篇文章。具有最佳证据质量的OTC皮肤护理治疗包括保湿霜。我们的评论显示,缺乏基于证据的头发和指甲护理实践。
    结论:本系统综述旨在强调多种OTC皮肤的功效,头发,和成人癌症患者的指甲护理建议,同时鼓励进一步的临床试验,以建立循证管理指南。
    OBJECTIVE: Patients undergoing cancer treatment experience a multitude of skin, hair, and nail adverse events, prompting them to use non-evidence-based and often restrictive over-the-counter (OTC) recommendations to alleviate their symptoms. Comprehensively assessing evidence-based OTC modalities is crucial to enable cancer patients to comfortably resume their lives post-treatment and integrate clinically sound practices into their self-care routines.
    OBJECTIVE: Perform a systematic review and assessment of evidence-based OTC skin, hair, and nail care recommendations for adult patients undergoing cancer treatment.
    METHODS: PubMed, Cochrane, Embase, and Medline databases were searched in March 2023 to identify English articles addressing OTC skin, hair, and nail care recommendations for adult patients before, during, and after cancer chemotherapy or radiation therapy (RT). Quality was assessed with Oxford Centre for Evidence Based Medicine criteria.
    RESULTS: 2192 unique articles were screened, of which 77 met inclusion criteria consisting of 54 randomized controlled trials (RCT), 8 non-randomized controlled cohorts, 1 non-randomized controlled clinical trial, 3 controlled prospective cohorts, 4 prospective cohorts, 2 controlled clinical trials, 1 prospective comparative study, 2 case reports, and 2 case series discussing 9322 patients. An additional article outside of our database search was included for a total of 78 articles. OTC skin care treatments with the best quality of evidence included moisturizing creams. Our review revealed a paucity of evidence-based hair and nail care practices.
    CONCLUSIONS: This systematic review serves to highlight the efficacy of diverse OTC skin, hair, and nail care recommendations for adult cancer patients while encouraging further clinical trials to establish evidence-based management guidelines.
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  • 文章类型: Journal Article
    背景:护肤品和化妆品“起球”是一种难看且不受欢迎的现象,由此诸如保湿剂或粉底球之类的护肤品在皮肤上形成薄片。迄今为止,护肤品起球的原因尚未研究。这项研究旨在研究皮肤生理学与防晒霜和粉底起球潜力之间的关系(消费者报告最多的两种产品会引起起球)。这项研究还检查了产品应用方法对起球的影响。
    方法:来自广州的528名女性志愿者,中国,年龄在20至49岁之间,接受了各种临床皮肤评估,其次是产品分层的三个步骤。在每个产品施用步骤之后评估起球。
    结果:217名志愿者(41%)经历了起球。大多数起球(n=655事件)发生在涂抹防晒霜后,而只有几个起球事件(n=35)发生与基础。98.9%的病例因防晒引起的基础起球改善。使用防晒霜和粉底进行起球的志愿者的面部皮肤水合作用和油性显着降低,更高的pH,皮肤质地光滑(P<0.05)。两种应用方法,以圆周运动和直线运动摩擦产品,产生最多的起球事件。
    结论:这项研究为起球的原因提供了第一个见解。防晒霜是起球的推动者,而粉底在许多情况下可以解决防晒剂引起的起球。皮肤生理学,尤其是更干燥,更光滑的皮肤,更高的pH值,和产品施用方法可能是造成这种不良现象的因素。
    BACKGROUND: Skincare and makeup \"pilling\" is an unsightly and undesirable phenomenon whereby skincare such as moisturizers or foundation ball up to form flakes on the skin. To date, the causes of skincare product pilling have not been studied. This study aimed to examine the relationship between skin physiology and pilling potential of sunscreen and foundation (the two products most reported by consumers to cause pilling). This study also examined the effects of product application methods on pilling.
    METHODS: 528 female volunteers from Guangzhou, China, aged between 20 and 49 years, underwent various clinical skin assessments, followed by three steps of product layering. Pilling was assessed after each product application step.
    RESULTS: 217 volunteers (41%) experienced pilling. The majority of pilling (n = 655 events) occurred following sunscreen application, while only a few pilling events (n = 35) occurred with foundation. Foundation improved pilling caused by sunscreen in 98.9% of cases. Volunteers experiencing pilling with both sunscreen and foundation had significantly lower facial skin hydration and oiliness, higher pH, and smoother skin texture (P < 0.05). Two application methods, rubbing of products in circular and linear motions, yielded the highest numbers of pilling events.
    CONCLUSIONS: This study has provided the first insights into the causes of pilling. Sunscreen is a promoter of pilling, while foundation may resolve sunscreen-induced pilling in many cases. Skin physiology, particularly drier, smoother skin with higher pH, and product application methods are likely contributing factors to this undesirable phenomenon.
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  • 文章类型: Journal Article
    背景:改善的皮肤外观与更高的自尊密切相关,良好的第一印象,提高生活质量,护肤品通常与生物刺激和再生成分配制,以增强皮肤健康并提供心理益处。某些组件,比如磷脂和植物药,不仅可以改善皮肤质量,还会影响情绪,浪漫的纽带,性吸引力。
    目的:为了评估一种新型的局部皮肤护理产品是否采用了专有的蛋白质组合,脂质,和植物衍生物,可以通过调节表皮催产素和信息素途径潜在地导致强大的心理社会皮肤病学益处。
    方法:在这种单中心前瞻性中,随机化,控制,双盲研究,40名女性受试者被随机分配使用任何一种活性新型护肤产品,或安慰剂,4-8周。皮肤评估,标准化摄影,第一印象评分,并进行了信心和性满意度问卷调查。
    结果:39名受试者完成了研究,在使用4周和8周后,皮肤质量有了统计学上的显着改善。随着使用时间的延长,其改善幅度更大。产品用户的第一印象更好,平均比实际年龄年轻3岁,86%的受试者报告信心增强。产品用户发现异性的随机人在88%的时间里更具吸引力,并报告90%的类别的性满意度有所改善。
    结论:这种新型外用产品的使用最终导致皮肤质量有统计学意义的改善,信心,性关系满意度,感知到的吸引力,和青春,突出其在抗衰老和情绪增强方面的潜力。
    BACKGROUND: Improved skin appearance is closely linked to higher self-esteem, favorable first impressions, and enhanced quality of life, with skincare products often being formulated with biostimulatory and regenerative ingredients to both enhance skin health and provide psychological benefits. Certain components, such as phospholipids and botanicals, may not only improve skin quality, but also impact mood, romantic bonding, and sexual attraction.
    OBJECTIVE: To assess whether a novel topical skin care product formulated with a proprietary combination of proteins, lipids, and botanical derivatives, can potentially result in a robust psycho-social-dermatological benefit via modulation epidermal oxytocin and pheromonal pathways.
    METHODS: In this single-center prospective, randomized, controlled, double-blinded study, 40 female subjects were randomly assigned to use of either active novel skincare products, or placebos, for 4-8 weeks. Skin assessments, standardized photography, first impression ratings, and questionnaires on confidence and sexual satisfaction were conducted.
    RESULTS: Thirty-nine subjects completed the study and demonstrated a statistically significant improvement in skin quality following 4 and 8 weeks of use, with improvements of greater magnitude demonstrated with a longer duration of use. Product users projected a better first impression and appeared on average 3 years younger than their actual age, with 86% of subjects reporting increased confidence. Product users found random people of the opposite sex to be more attractive 88% of the time and reported improvement in sexual satisfaction in 90% of the categories.
    CONCLUSIONS: The use of this novel topical product culminated in statistically significant improvements in skin quality, confidence, sexual relationship satisfaction, perceived attractiveness, and youthfulness, highlighting its potential in anti-aging and mood enhancement.
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  • 文章类型: Journal Article
    干燥症在50岁以上的人群中非常普遍,由于相关的耻辱,严重影响生活质量。相关瘙痒,和潜在的后遗症。我们建议将术语“成熟干燥症”用于50岁以上患有与年龄相关的干燥症的受试者,并代替老年干燥症来描述这种现象。干燥病的病因取决于影响角质层水合和皮肤屏障功能的遗传和环境因素。恢复屏障功能的护肤在干燥症治疗中是必不可少的,并且与维持和预防其进展有关。许多保湿剂和清洁剂可用于干燥病;然而,成熟干燥症患者对它们的利用不足。由八位全球皮肤科医生组成的小组回顾了干燥症在成熟皮肤中的独特方面,并讨论了具体需求,相关性,和护肤品选择的注意事项,以防止,请客,并保持皮肤成熟干燥。小组根据文献综述的证据和小组的临床经验选择了五个陈述,为皮肤科医生和其他医疗保健提供者治疗成熟干燥症患者提供临床考虑和建议。有必要增加对成熟皮肤干燥病负担的认识。温和的清洁剂和屏障恢复含神经酰胺的保湿剂对干燥管理至关重要,减少干燥症的体征和症状,包括相关的瘙痒。
    Xerosis is highly prevalent in the population aged over 50 years and substantially impacts quality of life due to the associated stigma, related pruritus, and potential sequelae. We propose that the term mature xerosis be used for subjects over 50 who suffer from age-related xerosis and replace senile xerosis to describe the phenomenon. The etiology of xerosis depends on genetic and environmental factors that affect stratum corneum hydration and skin barrier function. Skincare to restore barrier function is essential in xerosis treatment and is relevant for maintaining and preventing its progression. Many moisturizers and cleansers are available for xerosis; however, they are underutilized by patients with mature xerosis. A panel of eight global dermatologists reviewed the unique aspects of xerosis in mature skin and discussed the specific needs, relevance, and considerations for skincare selection to prevent, treat, and maintain skin with mature xerosis. The panel selected five statements based on evidence from a literature review and the panel\'s clinical experience to provide clinical considerations and recommendations for dermatologists and other healthcare providers treating patients with mature xerosis. Increased recognition of the burden of xerosis in mature skin is warranted. Gentle cleansers and barrier-restoring ceramide-containing moisturizers are essential to xerosis management, reducing signs and symptoms of xerosis, including associated pruritus.
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  • 文章类型: Journal Article
    尽管据称负担不断增加,但非洲大陆的湿疹数据却很少。
    描述Kiambu5级医院湿疹的患病率和患者皮肤护理。
    进行了描述性回顾性横断面研究设计,描述了2016年至2020年之间的时期。使用STATA版本13进行数据分析。还进行了患者住所的地理空间测绘。
    湿疹是最常见的皮肤病,患病率为25.5%。大多数患者赞成使用非常规产品,例如肥皂和挤奶果冻作为常规护肤品。地理空间制图表明,城市地区的湿疹患病率更高,并且还揭示了获得专家作为寻求健康行为的贡献者。
    未描述湿疹的亚型,该数据仅反映了为整个县服务的1个设施。
    Kiambu5级医院的湿疹患病率反映了全球湿疹负担的增加。Kiambu的城市环境中湿疹的密度较高。需要更多的研究来破译首选的非常规护肤品对湿疹的影响。
    UNASSIGNED: There is a dearth of data on eczema from the African continent despite the purported increasing burden.
    UNASSIGNED: To describe the prevalence of eczema at Kiambu Level 5 Hospital and patient skincare.
    UNASSIGNED: A descriptive retrospective cross-sectional research design was performed describing the period between 2016 and 2020. Data analysis was done using STATA Version 13. Geospatial mapping of patient residence was also conducted.
    UNASSIGNED: Eczema was the most common skin condition diagnosed with a prevalence of 25.5%. Majority of the patients favored the use of non-conventional products such as bar soap and milking jelly as routine skincare products. Geospatial mapping demonstrated a higher prevalence of eczema in the urban areas and also revealed access to a specialist as a contributor to health-seeking behavior.
    UNASSIGNED: Subtypes of eczema were not described and this data only reflects 1 facility serving an entire county.
    UNASSIGNED: The prevalence of eczema in Kiambu Level 5 Hospital mirrors the increasing global burden of eczema. Urban environments have a higher density of eczema in Kiambu. More research is needed to decipher the impact of the preferred non-conventional skin care products on eczema.
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  • 文章类型: Journal Article
    细菌纤维素(BC)作为一种多功能生物材料出现,具有无数的工业应用,特别是在化妆品行业。没有半纤维素,木质素,和果胶在其纯纤维素结构中能够与亲水性和疏水性生物聚合物两者有利地相互作用。这增强了与化妆品中常用的活性成分的相容性,如抗氧化剂,维生素,和植物提取物。BC基材料的最新进展,包括膜,电影,凝胶,纳米晶体,和纳米纤维,凸显了其在化妆品方面的巨大潜力。在这种情况下,BC不仅作为活性成分的载体,而且作为制剂中的结构剂也起着至关重要的作用。BC生产和加工的可持续性是一个中心焦点,强调需要创新方法来加强可扩展性和成本效益。未来的研究工作,包括新型栽培策略和功能化技术的探索,旨在最大限度地发挥BC的治疗潜力,同时扩大其在个性化护肤制度中的范围。因此,这篇评论强调了卑诗省对化妆品行业的重要贡献,强调其在促进创新中的作用,可持续性和道德护肤实践。通过整合最新的研究成果和行业趋势,这篇综述提出了一种新的方法来推进化妆品行业的护肤科学和环境责任。
    Bacterial cellulose (BC) emerges as a versatile biomaterial with a myriad of industrial applications, particularly within the cosmetics sector. The absence of hemicellulose, lignin, and pectin in its pure cellulose structure enables favorable interactions with both hydrophilic and hydrophobic biopolymers. This enhances compatibility with active ingredients commonly employed in cosmetics, such as antioxidants, vitamins, and botanical extracts. Recent progress in BC-based materials, which encompasses membranes, films, gels, nanocrystals, and nanofibers, highlights its significant potential in cosmetics. In this context, BC not only serves as a carrier for active ingredients but also plays a crucial role as a structural agent in formulations. The sustainability of BC production and processing is a central focus, highlighting the need for innovative approaches to strengthen scalability and cost-effectiveness. Future research endeavors, including the exploration of novel cultivation strategies and functionalization techniques, aim to maximize BC\'s therapeutic potential while broadening its scope in personalized skincare regimes. Therefore, this review emphasizes the crucial contribution of BC to the cosmetics sector, underlining its role in fostering innovation, sustainability, and ethical skincare practices. By integrating recent research findings and industry trends, this review proposes a fresh approach to advancing both skincare science and environmental responsibility in the cosmetics industry.
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  • 文章类型: Journal Article
    随着静电纺丝在医疗保健领域的潜在应用不断被探索,随着工业规模解决方案的进步和便携式静电纺丝设备的出现,一些研究人员在局部产品中探索了静电纺丝技术,包括它在护肤中的应用,比如面膜,美容补丁,防晒霜,以及特应性皮炎等疾病的皮肤病治疗,牛皮癣,痤疮,皮肤癌,等。在这次审查中,我们首先概述了静电纺丝的基本原理,并概述了用于大规模生产的现有解决方案以及便携式纺丝设备的组件和功能。基于护肤产品所需的基本功能以及上述皮肤病的机制和治疗方法,我们总结了静电纺丝技术在这些领域的潜在优势,包括封装,持续释放,大表面积,和生物相容性,在其他人中。此外,考虑到静电纺丝技术的进一步商业化和临床发展,我们提供我们对这些领域当前挑战和未来前景的见解,包括成分等问题,功能,残留问题,环境影响,和效率问题。
    As the potential applications of electrospinning in healthcare continue to be explored, along with advancements in industrial-scale solutions and the emergence of portable electrospinning devices, some researchers have explored electrospinning technology in topical products, including its application in skincare, such as facial masks, beauty patches, sunscreen, and dermatological treatments for conditions like atopic dermatitis, psoriasis, acne, skin cancer, etc. In this review, we first outline the fundamental principles of electrospinning and provide an overview of existing solutions for large-scale production and the components and functionalities of portable spinning devices. Based on the essential functionalities required for skincare products and the mechanisms and treatment methods for the aforementioned dermatological diseases, we summarize the potential advantages of electrospinning technology in these areas, including encapsulation, sustained release, large surface area, and biocompatibility, among others. Furthermore, considering the further commercialization and clinical development of electrospinning technology, we offer our insights on current challenges and future perspectives in these areas, including issues such as ingredients, functionality, residue concerns, environmental impact, and efficiency issues.
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  • 文章类型: Journal Article
    在护肤行业中,销售使用天然成分作为有效试剂的激增。尽管这在东半球已经流行了一段时间,西方国家开始更加重视自然衍生产品。本文选择分析目前对牛脂的研究,这是一种来源于动物的固体脂肪。牛脂长期以来一直被用作中性烹饪脂肪,肥皂中的成分,生物燃料产品,现在是护肤品的成分。这项范围审查的目的是研究有关牛脂在皮肤上的治疗益处的当前研究。使用PRISMA扩展范围审查(PRISMA-ScR)指南,使用EMBASE和PubMed两个数据库作为证据来源进行范围审查.使用以下关键术语进行研究的搜索:(牛脂)AND(皮肤或皮肤病学或皮炎或乳液或化妆品或湿疹)。如果论文不是英文的,就被排除在外,如果他们没有提到牛脂对皮肤的影响,如果他们没有使用动物的牛脂。文章的日期范围和地理位置不是我们纳入或排除标准的一部分。我们专注于以下五个研究问题:牛脂的成分是否使其更适合在皮肤上使用?在皮肤上使用牛脂有什么好处?牛脂对皮肤有治疗作用吗?牛脂对皮肤有什么副作用?牛脂是否安全?虽然有很多证据支持将牛脂用作动物饲料中的成分,烹饪,肥皂,和生物燃料,在如何将其用于人体皮肤方面存在重大研究空白。我们在PubMed和EMBASE上的搜索导致总共147项研究被筛选,其中19项符合我们的特定标准。在19项研究中,有比较研究,基础科学研究,和动物研究。在回顾了回答本文目标的研究之后,我们能够找到支持前三个目标的信息;然而,仍然需要更多的研究。具体来说,需要进行更多的研究,以将牛脂作为人类的化妆品。第四个目标,这是为了解决局部用牛脂的副作用,来源之间的差异最大。第五个目标也找到了支持信息;然而,只有两个来源被发现。总的来说,需要对外用动物脂的副作用进行更多的控制变量研究。可以探索的不同研究设计包括案例研究,随机对照试验,横断面研究,和定性研究。
    There is a surge in the skincare industry marketing the use of natural ingredients as efficacious agents. Although this has been popular in the Eastern hemisphere for a while, Western countries are starting to put more emphasis on naturally derived products. This paper chose to analyze the current research available on tallow, which is a solid fat derived from animals. Tallow has long been used as a neutral cooking fat, ingredient in soaps, biofuel product, and now ingredient in skincare products. The purpose of this scoping review was to look at the current research pertaining to the therapeutic benefits of tallow on the skin. Using the PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines, a scoping review was conducted using two databases: EMBASE and PubMed as sources of evidence. The searches for studies were conducted using the following key terms: (tallow) AND (skin or dermatology or dermatitis or emulsion or cosmetics or eczema). Papers were excluded if they were not in English, if they did not mention the effects of tallow on the skin, and if they did not use tallow rendered from an animal. Date ranges and geographical locations for articles were not part of our inclusion or exclusion criteria. We focused on the following five research questions: Does the composition of tallow make it better suitable for use on skin? What is the benefit of using tallow on skin? Does tallow have therapeutic properties for skin conditions? What side effects does tallow have on the skin? Is tallow reef-safe? While there is much evidence supporting the use of tallow as an ingredient in animal feed, cooking, soaps, and biofuels, there are significant research gaps in how it can be used on human skin. Our search on PubMed and EMBASE resulted in a total of 147 studies being screened with 19 fitting our specific criteria. Of the 19 studies, there were comparative studies, basic science studies, and animal studies. After reviewing the studies to answer the objectives in this paper, we were able to find information that supported the first three objectives; however, more research is still needed. Specifically, more research is needed that is geared towards tallow as a cosmetic product in humans. The fourth objective, which was to answer the side effects of topical tallow, had the most discrepancies between the sources. The fifth objective also found supporting information; however, only two sources were found. Overall, there needs to be more research with controlled variables on the side effects of topical tallow. Different research designs that could be explored include case studies, randomized controlled trials, cross-sectional studies, and qualitative studies.
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  • 文章类型: Journal Article
    背景:虽然不是普遍的,正在为出生时体重<500克的婴儿提供积极护理,称为适合胎龄的超低出生体重(ULBW)婴儿。这些婴儿死亡或发生重大疾病的风险最大。ULBW婴儿在生命的最初几天由于皮肤的极端解剖和生理不成熟而面临与流体和热量损失以及皮肤损伤相关的挑战。尽管有关于ULBW婴儿结局的新兴文献,缺乏证据为这一婴儿队列提供最佳护理的实践指南提供依据.
    方法:使用PubMed和Embase数据库对文献进行了全面回顾。搜索关键词包括\"体温调节或体温调节\",\"培养箱湿度\",\"护肤\",\"婴儿,极低出生体重\"和\"超低出生体重婴儿\"。
    结果:体温调节的证据,培养箱湿度,和护肤措施适用于出生时体重<1500g的早产儿,但不适用于ULBW婴儿。体温调节的研究,培养箱湿度,或皮肤护理实践的样本量较小,不包括ULBW婴儿的亚组分析.ULBW婴儿的当前实践建议是根据对极低和/或极低出生体重婴儿的研究而采用的。
    结论:这篇叙述性综述侧重于体温调节方面的挑战,培养箱湿度,和ULBW婴儿的护肤实践,突出了当前的研究差距,并提出了为改善ULBW婴儿健康结果的实践提供信息的潜在发展。视频摘要(MP41,49,115kb)。
    BACKGROUND: Although not universal, active care is being offered to infants weighing < 500 g at birth, referred to as ultra-low birth weight (ULBW) infants appropriate for gestational age. These infants have the greatest risk of dying or developing major morbidities. ULBW infants face challenges related to fluid and heat loss as well as skin injury in the initial days of life from extreme anatomical and physiological immaturity of the skin. Although there is an emerging literature on the outcomes of ULBW infants, there is a paucity of evidence to inform practice guidelines for delivering optimal care to this cohort of infants.
    METHODS: A comprehensive review of the literature was performed using the PubMed and Embase databases. Searched keywords included \"thermoregulation or body temperature regulation\", \"incubator humidity\", \"skin care\", \"infant, extremely low birth weight\" and \"ultra-low birth weight infants\".
    RESULTS: Evidences for thermoregulation, incubator humidity, and skincare practices are available for preterm infants weighing < 1500 g at birth but not specifically for ULBW infants. Studies on thermoregulation, incubator humidity, or skincare practices had a small sample size and did not include a sub-group analysis for ULBW infants. Current practice recommendations in ULBW infants are adopted from research in very and/or extremely low birth weight infants.
    CONCLUSIONS: This narrative review focuses on challenges in thermoregulation, incubator humidity, and skincare practices in ULBW infants, highlights current research gaps and suggests potential developments for informing practices for improving health outcomes in ULBW infants. Video abstract (MP4 1,49,115 kb).
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