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https://www.readbyqxmd.com/read/27861741/rosacea-treatment-update-recommendations-from-the-global-rosacea-consensus-rosco-panel
#1
M Schaller, L Almeida, A Bewley, B Cribier, N Dlova, G Kautz, M Mannis, H Oon, M Rajagopalan, M Steinhoff, D Thiboutot, P Troielli, G Webster, Y Wu, E van Zuuren, J Tan
BACKGROUND: Rosacea is currently treated according to subtypes. As this does not adequately address the patient spectrum of clinical presentation (phenotypes), it has implications for patient management. The ROSacea COnsensus (ROSCO) panel was established to address this issue. OBJECTIVES: To incorporate current best treatment evidence with clinical experience from an international expert panel and establish consensus to improve outcomes for patients with rosacea...
November 12, 2016: British Journal of Dermatology
https://www.readbyqxmd.com/read/27859716/response-to-the-concept-of-fragile-skin-a-case-of-disease-mongering-in-dermatology
#2
Ulrike Blume-Peytavi
We thank Dr Elsner for his interest in our supplement "Fragility of epidermis in newborns, children and adolescents" recently published in this journal, but note his concern about the value of the term "fragile skin" as a scientifically useful disease definition, given the wide spectrum of conditions covered by the term [1]. Contrary to what is suggested in the letter by Dr Elsner, fragile skin is not a "disease" and should not be confounded with skin fragility existing in the repertoire of dermatological diseases requiring medical treatment using pharmaceutical interventions (e...
November 11, 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
https://www.readbyqxmd.com/read/27846027/new-technique-acute-minced-expansion-graft-of-traumatic-wound-tissue
#3
Andrew Mark Klapper, Scott Moradian, Philip Pack
OBJECTIVES: Superficial soft tissue injury, such as a skin tear, is common. For such wounds, the authors introduce a novel technique that allows the physician to salvage otherwise discarded tissue as a traumatic graft to highly accelerate wound healing. METHODS: A series of 11 patients with superficial soft tissue trauma in which debrided tissues are salvaged back into the wound by means of minced expansion grafting (MEG) are followed from presentation through healing...
December 2016: Advances in Skin & Wound Care
https://www.readbyqxmd.com/read/27824507/effects-of-muller-s-muscle-conjunctival-resection-for-ptosis-on-ocular-surface-scores-and-dry-eye-symptoms
#4
Bruna L Rymer, Diane R Marinho, Cristina Cagliari, Samara B Marafon, Fernando Procianoy
This article evaluates the effects of Muller's muscle-conjunctival resection (MMCR) on ocular surface scores and dry eye symptoms. Forty-six patients were enrolled in the study. Eighteen underwent bilateral upper eyelid skin excision with MMCR and 28 underwent bilateral upper eyelid skin-only excision (control group). The Salisbury Eye Evaluation Questionnaire and an ocular surface evaluation protocol consisting of Schirmer's test, tear break-up time (TBUT), fluorescein and rose bengal corneal staining were performed during the pre-operative consultation and on postoperative days 7, 30, and 90...
November 8, 2016: Orbit
https://www.readbyqxmd.com/read/27794535/convergence-in-thunniform-anatomy-in-lamnid-sharks-and-jurassic-ichthyosaurs
#5
Theagarten Lingham-Soliar
Among extinct ichthyosaurs the Jurassic forms Ichthyosaurus and Stenopterygius share a number of anatomical specializations with lamnid sharks, characterized in the white shark, Carcharodon carcharias These features allow their inclusion within the mode of high-speed thunniform swimming to which only two other equally distinctive phylogenetic groups belong, tuna and dolphins-a striking testaments to evolutionary convergence. Jurassic ichthyosaurs evolved from reptiles that had returned to the sea (secondarily adapted) about 250 million years ago (MYA) while lamnid sharks evolved about 50 MYA from early cartilaginous fishes (originating ca...
October 29, 2016: Integrative and Comparative Biology
https://www.readbyqxmd.com/read/27787321/2-ce-test-hours-preventing-assessing-and-managing-skin-tears-a-clinical-review
#6
Emily Contrada
No abstract text is available yet for this article.
November 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27758078/skin-property-can-predict-the-development-of-skin-tears-among-elderly-patients-a-prospective-cohort-study
#7
Yuiko Koyano, Gojiro Nakagami, Shinji Iizaka, Junko Sugama, Hiromi Sanada
The aim of this study was to identify skin properties that may be used to predict the development of a skin tear (ST) among elderly patients. A prospective cohort study was conducted among elderly patients aged 65 and older (N = 149) at a long-term medical facility in Japan over an 8-month period. Skin properties at baseline were measured on the forearm using a 20-MHz ultrasound scanner, which measured the thickness of the dermis layer and low-echogenic pixels, and skin blotting method, which evaluated the levels of collagen type IV, matrix metalloproteinase-2 and tumour necrosis factor-alpha...
October 19, 2016: International Wound Journal
https://www.readbyqxmd.com/read/27755001/ce-preventing-assessing-and-managing-skin-tears-a-clinical-review
#8
Sharon Baranoski, Kimberly LeBlanc, Mary Gloeckner
: Often perceived as minor injuries, these wounds can become painful, costly, and complex. ABSTRACT: Although skin tears are common, particularly among older adults and neonates, they are often inadequately documented and poorly managed, resulting in complications, extended hospital stays, and negative patient outcomes. In this article, the first in a series on wound care in collaboration with the World Council of Enterostomal Therapists (www.wcetn.org), the authors describe the complications that developed in an elderly patient whose skin tear was improperly dressed and discuss best practices for preventing, assessing, documenting, and managing skin tears...
October 13, 2016: American Journal of Nursing
https://www.readbyqxmd.com/read/27739386/allostatic-load-and-comorbidities-a-mitochondrial-epigenetic-and-evolutionary-perspective
#9
Robert-Paul Juster, Jennifer J Russell, Daniel Almeida, Martin Picard
Stress-related pathophysiology drives comorbid trajectories that elude precise prediction. Allostatic load algorithms that quantify biological "wear and tear" represent a comprehensive approach to detect multisystemic disease processes of the mind and body. However, the multiple morbidities directly or indirectly related to stress physiology remain enigmatic. Our aim in this article is to propose that biological comorbidities represent discrete pathophysiological processes captured by measuring allostatic load...
November 2016: Development and Psychopathology
https://www.readbyqxmd.com/read/27720193/peri-articular-local-infiltration-analgesia-versus-femoral-nerve-block-for-postoperative-pain-control-following-anterior-cruciate-ligament-reconstruction-prospective-comparative-non-inferiority-study
#10
N Lefevre, S Klouche, O de Pamphilis, S Herman, A Gerometta, Y Bohu
INTRODUCTION: Femoral nerve block (FNB) is considered as a major advance in anterior cruciate ligament (ACL) reconstruction as it reduces the need for parenteral opioids. However, the incidence of transient or even permanent neurological deficits due to the FNB is estimated at 1.94% after knee surgery. The primary objective of this study was to compare local infiltration analgesia (LIA) to FNB during ACL reconstruction procedures. The study hypothesis was that LIA was not less effective than FNB on early postoperative pain...
October 3, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27686590/pseudo-tying-injuries-in-a-hanged-person
#11
Lena Kramer, Markus Große Perdekamp, Dorothee Geisenberger, Rebecca Pircher, Stefan Pollak, Ulrike Schmidt
A 50-year-old man was found hanged on the concrete dam of a water reservoir. The ligature, a braided rope made of synthetic fibres, was attached to a lamp on the dam crest. The length of the rope between the fastening point and the noose was about 4m. At autopsy, stretchmark-like intimal tears of the carotid arteries were found, but the full pattern of (internal) decapitation and severance of the cervical spine was not present. The right wrist showed two almost circular, ribbon-like abrasions initially suggesting that the man had been tied before hanging...
September 16, 2016: Forensic Science International
https://www.readbyqxmd.com/read/27676113/skin-rounds-a-quality-improvement-approach-to-enhance-skin-care-in-the-neonatal-intensive-care-unit
#12
Marliese Dion Nist, Elizabeth A Rodgers, Brenda M Ruth, C Briana Bertoni, Thomas Bartman, Leah A Keller, James W Dail, Renee Gardikes-Gingery, Edward G Shepherd
BACKGROUND: Skin injuries are common among neonatal intensive care unit (NICU) patients and may lead to significant complications. Standardized methods of preventing, detecting, and treating skin injuries are needed. PURPOSE: The aim of this project was to standardize the assessment, documentation, and tracking of skin injuries among hospitalized neonatal patients and to determine the incidence of pressure ulcers in this patient population. METHODS: (1) Creation of an interdisciplinary skin team to identify skin injuries through weekly skin rounds...
October 2016: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/27644966/quantitative-mass-spectrometry-of-unconventional-human-biological-matrices
#13
REVIEW
Ewelina P Dutkiewicz, Pawel L Urban
The development of sensitive and versatile mass spectrometric methodology has fuelled interest in the analysis of metabolites and drugs in unconventional biological specimens. Here, we discuss the analysis of eight human matrices-hair, nail, breath, saliva, tears, meibum, nasal mucus and skin excretions (including sweat)-by mass spectrometry (MS). The use of such specimens brings a number of advantages, the most important being non-invasive sampling, the limited risk of adulteration and the ability to obtain information that complements blood and urine tests...
October 28, 2016: Philosophical Transactions. Series A, Mathematical, Physical, and Engineering Sciences
https://www.readbyqxmd.com/read/27605904/tear-trough-deformity-different-types-of-anatomy-and-treatment-options
#14
Jindou Jiang, Xuekun Wang, Rongrong Chen, Xueying Xia, Sai Sun, Kuikui Hu
AIM: To explore the efficacy of tear trough deformity treatment with the use of hyaluronic acid gel or autologous fat for soft tissue augmentation and fat repositioning via arcus marginalis release. MATERIAL AND METHODS: Seventy-eight patients with the tear trough were divided into three groups. Class I has tear trough without bulging orbital fat or excess of the lower eyelid skin. Class II is associated with mild to moderate orbital fat bulging, without excess of the lower eyelid skin...
August 2016: Postȩpy Dermatologii i Alergologii
https://www.readbyqxmd.com/read/27596554/-comparison-of-results-between-fenestration-discectomy-associated-with-annulus-repair-and-fenestration-discectomy-for-lumbar-disc-herniation-in-the-adolescents
#15
J Li, C Ma, Y M Li, Z H Wang, M Zhao, J Feng, W X Dai
OBJECTIVE: To compare the preliminary clinical outcomes of fenestration discectomy associated with annulus repair (FDAR) and fenestration discectomy (FD) for lumbar disc herniation in the adolescents. METHODS: The data of 26 adolescent patients with single segment lumbar disc herniation who were admitted to the Department of Orthopedics, Xuzhou Central Hospital from October 2012 to October 2014 were retrospectively studied. All patients were divided into 2 groups, including 12 patients undergoing FDAR and 14 patients undergoing FD respectively...
August 23, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27567118/physiological-wear-and-tear-and-later-subjective-health-in-mid-life-findings-from-the-1958-british-birth-cohort
#16
Cristina Barboza Solís, Romain Fantin, Michelle Kelly-Irving, Cyrille Delpierre
OBJECTIVE: Our body adapts continuously to environmental challenges and stressful conditions. Allostatic load (AL) is a concept that aims to capture the overall physiological wear-and-tear of the body triggered by the repeated activation of compensatory physiological mechanisms as a response to chronic stress. Growing evidence has shown a link between AL and later health decline, morbidity and mortality. However, due to the global physiological effect captured by the AL concept, it is particularly pertinent to examine its association with subsequent health by taking a broad definition of the latter...
August 18, 2016: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/27544020/systematic-mapping-review-about-costs-and-economic-evaluations-of-skin-conditions-and-diseases-in-the-aged
#17
Andrea Lichterfeld-Kottner, Elisabeth Hahnel, Ulrike Blume-Peytavi, Jan Kottner
BACKGROUND: Skin conditions and dermatological diseases associated with advanced age (e.g. fungal infection, dry skin and itch) receive increasingly attention in clinical practice and research. Cost and economic evaluations are important sources to inform priority setting and ressource allocation decisions in healthcare. The economics of skin conditions in aged populations has not been systematically reviewed so far. OBJECTIVES: The aim of this mapping review was to summarize the economic evidence of selected skin conditions in the aged (65 + years)...
July 25, 2016: Journal of Tissue Viability
https://www.readbyqxmd.com/read/27520591/orbital-reconstruction-in-the-dog-cat-and-horse
#18
Nils Wallin-Håkansson, Karin Berggren
OBJECTIVE: To describe an adaptable method for reconstruction of the orbit following partial orbitectomy. ANIMALS STUDIED: One horse, one cat, and four dogs. PROCEDURE(S): Following partial orbitectomy for removal of bone and soft tissue affected by pathologic processes, reconstruction was achieved. Cerclage wires were used to reconstitute the orbital rim and other salient facial contours involved in excisions. These wires were then covered with a prolene mesh, first inside the orbit and then outwards over the affected extraorbital areas...
August 13, 2016: Veterinary Ophthalmology
https://www.readbyqxmd.com/read/27500887/preclinical-assessment-of-safety-and-efficacy-of-fluorescent-dye-for-detecting-dermal-injuries-the-injuries-were-both-abrasions-and-incision-in-a-murine-model
#19
Anthony C Bruce, Yiqi Cao, Catherine Henry, Shayn M Peirce, Kathryn Laughon
Objective documentation of tears and abrasions to the external genitalia after sexual assault is an important part of the forensic examination. A 1% aqueous solution of toluidine blue (TB) dye is often used to highlight injury, but the dye can be difficult to see on dark skin. We evaluated a fluorescent dye for detecting injuries on all skin colors in a relevant preclinical murine model. We compared the ability of trained, blinded observers to detect unstained wounds and wounds stained with 1% fluorescein sodium (FL) and with TB...
November 2016: Journal of Forensic Sciences
https://www.readbyqxmd.com/read/27491857/-arthroscopically-assisted-transcapsular-refixation-of-the-triangular-fibrocartilage-complex-of-the-wrist
#20
T Pillukat, R A Fuhrmann, J Windolf, J van Schoonhoven
OBJECTIVE: Refixation of the triangular fibrocartilage complex (TFCC) to the ulnar capsule of the wrist. INDICATIONS: Distal TFCC tears without instability, proximal TFCC intact. Loose ulnar TFCC attachment without tear or instability. CONTRAINDICATIONS: Peripheral TFCC tears with instability of the distal radioulnar joint (DRUJ). Complex or proximal tears of the TFCC. Isolated, central degenerative tears without healing potential. SURGICAL TECHNIQUE: Arthroscopically guided, minimally invasive suture of the TFCC to the base of the sixth extensor compartment...
August 2016: Operative Orthopädie und Traumatologie
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