Head Skin Research Articles

A modelling framework for local thermal comfort assessment related to bicycle helmet use

Thermal discomfort due to accumulated sweat increasing head skin wettedness may contribute to low wearing rates of bicycle helmets. Using curated data on human head sweating and helmet thermal properties, a modelling framework for the thermal comfort assessment of bicycle helmet use is proposed. Local sweat rates (LSR) at the head were predicted as the ratio to the gross sweat rate (GSR) of the whole body or by sudomotor sensitivity (SUD), the change in LSR per change in body core temperature (Δtre). Combining those local models with Δtre and GSR output from thermoregulation models, we simulated head sweating depending on the characteristics of the thermal environment, clothing, activity, and exposure duration. Local thermal comfort thresholds for head skin wettedness were derived in relation to thermal properties of bicycle helmets. The modelling framework was supplemented by regression equations predicting the wind-related reductions in thermal insulation and evaporative resistance of the headgear and boundary air layer, respectively. Comparing the predictions of local models coupled with different thermoregulation models to LSR measured at the frontal, lateral and medial head under bicycle helmet use revealed a large spread in LSR predictions predominantly determined by the local models and the considered head region. SUD tended to overestimate frontal LSR but performed better for lateral and medial head regions, whereas predictions by LSR/GSR ratios were lower and agreed better with measured frontal LSR. However, even for the best models root mean squared prediction errors exceeded experimental SD by 18–30%. From the high correlation (R > 0.9) of skin wettedness comfort thresholds with local sweating sensitivity reported for different body regions, we derived a threshold value of 0.37 for head skin wettedness. We illustrate the application of the modelling framework using a commuter-cycling scenario, and discuss its potential as well as the needs for further research.

Особенности ухода за чувствительной кожей детей в возрасте до 7 лет

Aim. To assess the effectiveness of skin cosmetics in skin restoration (decrease in dryness, irritation, itching) in children up to 7 years Design. An observative open clinical noncomparative study. Materials and methods. The study enrolled 50 children: 30 children with sensitive skin and 20 participants with head cradle caps. The study included 2 visits in the office. During the examination, the doctor assessed the severity of dryness and itching in children with sensitive skin, and the severity of dryness, itching and flaking of the scalp in children with cradle cap. The values varied 0 to 10 points. The duration of the study was 28 ± 3 days. Results. Within usage of the cosmetics, there was no negative effect on the skin. No patients require external anti-inflammatory treatments. Within washing, there was no lacrimation, conjunctiva irritation. Day 3–5 decreased dryness of the sensitive skin approximately twice, light itching was present only in 1 participant. At the end of the study, minimal skin dryness was observed in only 2 patients. On Day 3–5 of shampoo usage, the cradle cap group has had no complaints of itching and head skin dryness has significantly reduced. At the end of the study, the dryness, itching and squamous elements median values in all the patients was significantly lower. Conclusion. Regarding skin peculiarities in children up to 7 years old, it is quite important to find appropriate variants (ingredients and formulas) of skin management because without risk factors and taking into account hygiene rules increased sensitivity to the environment may be decreased leading to lower risk of irritation and skin conditions. Cosmetic components might positively influence skin moistening and maintain optimal barrier function. Keywords: epidermis, children, skin peculiarities, skin maintenance, skin dryness, skin conditions, itching, squamous elements, cradle cap, bathing

Feline progressive histiocytosis in four cats: case reports

We describe four cases of feline progressive histiocytosis (FPH) including three females (one intact, two spayed) and one castrated male cat, with a mean age of 5.95 years at diagnosis. Masses were found under the skin of head, lip, neck, and vulva. Histologically, proliferative round cells had ovoid nuclei, foamy eosinophilic cytoplasm, distinct cytoplasmic processes, and mitotic figures. Immunohistochemically, all cases were positive for Iba1 and MHC II (Dako). One case showed cytoplasmic positive staining for E-cadherin. To the best of our knowledge, this is the first documented report of FPH in Korea.

Squamous Cell Carcinoma of The Skin Mimicking Breast Cancer: A Case Report

Squamous cell carcinoma (SCC) is the second most common skin cancer and it often occurs in sun-exposed areas such as head and neck skin. Invasive SCC located on breast skin is a rare entity and may clinically mimic breast cancer. We report a case of a 39 years old female with a non-eroded, vegetative, growing lesion on the right breast skin, initially mimicking breast cancer both clinically and histopathologically. After surgery with clear margins, adjuvant radiotherapy was administered, by considering the pathological risk factors for recurrence. At 14 months, the patient is disease-free and under regular follow-up. Invasive SCC of the breast skin is a rare entity and may have different etiology/behavior or directly develop de novo when compared to SCCs located on sun-exposed skin. Medical history and physical examination in conjunction with histopathological examination of the biopsy specimen are critical for the accuracy of the diagnosis and the correct treatment decision in patients presenting with a mass invading breast skin.

The effect of observation angles on facial age perceptions: A case study of Japanese women.

Most conventional aging research has limited its approach concerning the head and face shape and skin condition to the frontal face. However, in our daily lives, we observe facial features from various angles, which may reveal or obscure aging features that could only be identified under limited conditions in the past. This study systematically investigates the effect of facial observation angles-specifically, of horizontal and vertical angles-on age impression. A total of 112 Japanese women aged 20-49 years participated as observers who evaluated the age impressions of 280 Japanese women aged 20-69 years. A two-way analysis of the variance of the age impression score was conducted for two factors: observation angle (five angles with yaw and pitch directions) and age group (five ages, from the 20s to the 60s). The results reveal that, as compared with frontal observation, the perceived age tended to decrease with the facial observation angles and that the effect of the angle on perceived age decreased with increasing age, especially for the profile face. Understanding the effect of the facial observation angle on age impression and clarifying the characteristics of the face and skin not perceived in the frontal face will provide useful knowledge to make people look youthful, look more beautiful, and be happier in all aspects of their lives.

Distribution and comparison of melanin in different tissues and organs of Triplophysa stenura and T. orientalis

We examined the distribution characteristics of melanin in different tissues and organs of Triplophysa stenura and T. orientalis by using histological method. The results showed that melanin was distributed in the head skin, dorsal skin, lateral skin, peritoneal kidney layer, spinal cord cavity wall, peritoneal wall layer, pericardial cavity wall, neurocranial cavity wall and eyes of both Triplophysa species. Melanin was not found in the abdomen skin, liver chorion, gonad capsule and spleen capsule. Melanin was distributed in the dermis layer and subcutaneous layer in the skin, and in the endothelial layer or wall layer in other tissues and organs. Melanin was mainly distributed on the back, with sparse and symmetrical distribution on both sides of the body. Melanin was more abundant and densely distributed on the dorsal and lateral skin with stripes than areas without stripes. Melanin in the no stripes skin was only partially aggregated or formed intermittently distributed melanin patches. The distribution of melanin in different tissues and organs of the same Triplophysa species was different, and the percentage of distribution area and thickness of melanin layer were significantly different. However, the distribution characteristics of melanin in the same tissues and organs were similar in two Triplophysa species. The distribution of melanin in the tissues and organs of both species were related to the intensity of ultraviolet radiation they received, which was an adaptation to the intense ultraviolet radiation environment of the plateau.

70. Risk factors contributing to post-operative surgical site infections in head and neck skin cancer surgery in a busy London teaching hospital

Post-operative surgical site infections (SSIs) carry significant costs to healthcare systems often through prolonged hospital stays and failure of reconstruction necessitating further surgical intervention. Rates of up to 20% have been documented but very few studies investigate rates exclusively in the head and neck. This study evaluates a cohort of patients who have undergone elective surgical management of cutaneous cancers and analyses factors associated with the development of SSIs in the head and neck area.

The mechanisms of color production in black skin versus red skin on the heads of New World vultures

A determination of how the color of animal integument is produced is a starting point for investigations into the function and evolution of coloration. The mechanisms that give rise to the color of bare skin of New World vultures are largely unexplored. Here, we investigate the source of color production in the bare skin of Turkey Vultures (Cathartes aura) and Black Vultures (Coragyps atratus). Using UV–vis reflectance spectroscopy, we found evidence that hemoglobin is the primary pigment responsible for the red coloration of the bare skin on the heads of Turkey Vultures, and that eumelanin is responsible for the black coloration of the bare skin on the heads of Black Vultures. Light microscopy of incisional skin samples further supported these mechanisms of color production by revealing the presence of numerous blood vessels near the surface of the Turkey Vulture skin, and a high concentration of melanosomes in the skin of Black Vultures. Using high performance liquid chromatography (HPLC), we detected carotenoids within the skin of both species with significantly higher total concentrations of carotenoids in the skin of Turkey Vultures compared to the skin of Black Vultures. The carotenoids detected were dietary carotenoids that typically produce yellow coloration when accumulated in integument and were present in low concentrations. We hypothesize that the dietary carotenoids present do not contribute to the color of the skin, but rather help to compensate for the lack of melanosomes found in Turkey Vulture skin. The presence of additional carotenoids may act as an antioxidant to minimize UV damage when the bare Turkey Vulture head skin is exposed to direct sunlight for prolonged periods of time when soaring and scavenging for food.

Hemodynamic response to intestinal pH stimulation measured with spectroscopic video imaging

To investigate the relationship between the gut and skin (gut-skin axis), head skin hemodynamic responses to gut stimulation including the injection of acetic acid in nude mice were measured by spectroscopic video imaging, which was calculated using a modified Beer-Lambert formula. The relationship with blood proteins was also analyzed. The blood volume changes in three mice injected with acetic acid were highly reproducible in the mathematical model equation. Four proteins correlated with blood volume changes were all related to immunity. These results suggest that intestinal pH can alter the blood volume in the skin and induce immune-related responses.

Comparison of general anesthesia and continuous intravenous sedation for electrochemotherapy of head and neck skin lesions.

Electrochemotherapy of cutaneous tumor nodules requires local or general anesthesia. For multiple and larger nodules, general anesthesia is recommended by standard operating procedures. The choice of general anesthesia is at the discretion of the treating center. Continuous intravenous sedation is also an option. Our study aimed to elucidate the tolerability, safety and possible advantages of continuous intravenous sedation in comparison to general anesthesia in patients undergoing electrochemotherapy. In the prospective study, 27 patients undergoing electrochemotherapy were either under general anesthesia or under continuous intravenous sedation. Evaluated were different endpoints, such as feasibility and safety, duration of anesthesia and compliance with the patients. Ten patients were treated under general anesthesia, and 17 patients were under continuous intravenous sedation. The comparison of the approaches indicated that continuous intravenous sedation required a lower overall dosage of propofol, a shorter duration of anesthesia, a shorter time to reach an Aldrete score >8, and greater satisfaction of the patients with the procedure compared to general anesthesia. The results indicate the feasibility and safety of continuous intravenous sedation for patients undergoing electrochemotherapy of cutaneous tumor nodules. This proved the preferred choice of anesthesia due to its shorter duration and better compliance with the patients compared to general anesthesia.

Efficient Bone Conduction Hearing Device With a Novel Piezoelectric Transducer Using Skin as an Electrode.

Bone conduction hearing aids are the only non-surgical devices used for conductive hearing loss. However, they are impractical for lifelong use since they require close contact of the transducer with the head skin, causing skin erosion and discomfort. Bone conduction hearing implants and active middle ear implants do not present these issues; however, they require surgery and can sometimes cause issues in the skin surrounding the devices. This study aimed to develop a new bone conduction hearing device that does not exert pressure on the skin or require surgery. Our device modified a piezoelectric element by using the skin of a pinna as one of the two electrodes of a conventional piezoelectric device. We compared the sound transmission of a speaker, a conventional piezoelectric device, or the new device to the Guinea pig cochlea, a physiological sound transducer to the auditory nerve, in normal and air-conductive hearing loss conditions. The novel device transmitted sound to the cochlea even after causing air-conductive hearing loss. Its bone conduction was more efficient than the speaker and the conventional piezoelectric device. We developed a novel type of bone conduction device that efficiently transmits sound to the cochlea by skipping the external auditory canal, tympanic membrane, and middle ear ossicles. This device does not exert pressure on the skin that can result in skin damage, an adverse effect of a conventional bone conduction hearing aid. Our novel hearing device can be used as a substitute for current bone-conduction hearing devices.

Rainbow trout integrated response after recovery from short-term acute hypoxia.

Overcoming a stress situation, such as hypoxia episodes, which involve an allostatic load, will depend on the ability of fish to modulate physiological and biochemical systems to maintain homeostasis. The aim of the study was to determine the integrated stress response after acute hypoxia of the rainbow trout considering the different elements and areas of the stress response: systemic and mucosal, local and global, and from the systemic hypothalamic-pituitary-interrenal axis to skin mucosa. For this purpose, trout were subjected to acute hypoxia (dissolved O2 down to 2mg/L) for 1h and then recovered and sampled at 1, 6, and 24h after reoxygenation. Physiological responses were significantly affected by hypoxic stress and their interaction with time after the challenge, being significant for plasma lactate and cortisol levels, in both plasma and skin mucus. At the central brain level, only trh expression was modulated 1h after hypoxia which indicates that brain function is not heavily affected by this particular stress. Unlike the brain, the head kidney and skin were more affected by hypoxia and reoxygenation. In the head kidney, an upregulation in the expression of most of the genes studied (gr, il1β, il6, tgfβ1, lysozyme, caspase 3, enolase, hif-1, myoglobin, sod2, gpx, gst, and gsr) took place 6h after recovery, whereas only hsp70 and il10 were upregulated after 1h. On the contrary, in the skin, most of the analyzed genes showed a higher upregulation during 1h after stress suggesting that, in the skin, a local response took place as soon as the stressor was detected, thus indicating the importance of the skin in the building of a stress response, whereas the interrenal tissue participated in a later time point to help prevent further alteration at the central level. The present results also show that, even though the stressor is a physical/environmental stressor, all components of the biological systems participate in the regulation of the response process and the recovery process, including neuroendocrine, metabolism, and immunity.

Risk analysis of systemic side effects of tumescent local anaesthesia in the surgical treatment of geriatric and multimorbid patients with skin cancer.

Due to demographic change and increased UV exposure, the number of dermatosurgical procedures in the elderly is increasing. Data on the occurrence of systemic side effects during and after treatment with tumescent local anaesthesia are limited and do not refer to details such as volume and composition of local anaesthetics or epinephrine additive. The aim of this study was to investigate the risk of systemic side effects in elderly patients undergoing skin tumour surgery with tumescent local anaesthesia. Investigation of systemic complications in patients (≥75 years) who underwent head and neck skin tumour surgery under tumescent local anaesthesia at the Department of Dermatology, University Medical Centre Tübingen, between October 2018 and March 2020. In total 782 patients (479 males, 303 females) with a mean age of 83.3 years (range: 75.1-102.2 years) could be included. A total of 2940 procedures were performed. Patients were assigned to two groups. The old-old group (≥75-84 years) included 491 patients and the oldest-old group (≥85 years) included 291 patients. The total inpatient stay and thus mean follow-up period was 4.9 days (range 1-28 days). 92.0% (719/782) suffered from pre-existing comorbidities. Systemic complications occurred in 10.2% (80/782; old-olds: 8.6%, oldest-olds: 13.1%). Hypertensive crisis (>180/120 mmHg) requiring intervention (6.7%) that occurred intraoperatively or during the inpatient stay was the most frequent systemic complication. Cardiac arrhythmias occurred postoperatively in 0.8% of cases. No life-threatening complications directly related to tumescent local anaesthesia were found. Skin tumour surgery in tumescent local anaesthesia for the elderly is safe, and complications caused by general anaesthesia can be avoided. Systemic complications can occur, but are usually mild, are caused by pre-existing diseases and perioperative excitement, and can be rapidly detected and well treated by monitoring. There is no direct correlation of complications to high-tumescent concentrations or volume quantities.

Plasma oncology: Adjuvant therapy for head and neck cancer using cold atmospheric plasma.

The worldwide incidence of head and neck cancer (HNC) exceeds half a million cases annually, and up to half of the patients with HNC present with advanced disease. Surgical resection remains the mainstay of treatment for many HNCs, although radiation therapy, chemotherapy, targeted therapy, and immunotherapy might contribute to individual patient’s treatment plan. Irrespective of which modality is chosen, disease prognosis remains suboptimal, especially for higher staging tumors. Cold atmospheric plasma (CAP) has recently demonstrated a substantial anti-tumor effect. After a thorough literature search, we provide a comprehensive review depicting the oncological potential of CAP in HNC treatment. We discovered that CAP applies to almost all categories of HNC, including upper aerodigestive tract cancers, head and neck glandular cancers and skin cancers. In addition, CAP is truly versatile, as it can be applied not only directly for superficial or luminal tumors but also indirectly for deep solid organ tumors. Most importantly, CAP can work collaboratively with existing clinical oncotherapies with synergistic effect. After our attempts to elaborate the conceivable molecular mechanism of CAP’s anti-neoplastic effect for HNC, we provide a brief synopsis of recent clinical and preclinical trials emphasizing CAP’s applicability in head and neck oncology. In conclusion, we have enunciated our vision of plasma oncology using CAP for near future HNC treatment.

71: Incidence and Management Trends in Locally Advanced Head and Neck Non-Melanoma Skin Cancer

71: Incidence and Management Trends in Locally Advanced Head and Neck Non-Melanoma Skin Cancer

Mucosal immunoglobulin response in Epinephelus coioides after Cryptocaryon irritans infection

The teleost mucosal immune system consists mainly of the skin, gills and gut, which play crucial roles in local immune responses against invading organisms. Immunoglobulins are essential molecules in adaptive immunity that perform crucial biological functions. In our study, a mucosal immunity model was constructed in Epinephelus coioides groupers after Cryptocaryon irritans infection, according to previous experience. Total IgM and IgT in the groupers increased in the serum and mucus in the immune group, whereas only pathogen-specific IgM were detected existence. More critically, pathogen-specific IgM was detected in the head kidney, gill and skin supernatants, thus suggesting that the systematic immune and mucosal immune system secreted immunoglobulins. Furthermore, an early response in the skin was observed, on the basis of the detection of pathogen-specific IgM in the skin supernatant. In conclusion, this research characterized the grouper IgM and IgT in mucosal immune responses to pathogens in the gills and skin, thus providing a theoretical basis for future studies on vaccines against C. irritans.

A 72-year-old man with nonhealing facial erosions and bullae

A 72-year-old man with nonhealing facial erosions and bullae

Morphological and ontogenetic characteristics of Miridex putorii (Acariformes: Demodecidae), a new genus and species of skin mite specific to the European polecat Mustela putorius.

Among carnivorans, mites of the family Demodecidae are mainly represented by the eight species of the genus Demodex known to cause demodecosis in domestic dog Canis lupus familiaris Linnaeus, 1758 and domestic cat Felis catus Linnaeus, 1758. However, nine other Demodex species from wild carnivorans are also known; in addition they are only known from few records. Previously unknown demodecid mites have been isolated from European polecats, Mustela putorius Linnaeus, 1758, originating from Germany. The specimens are characterized of by an aedeagus with a posterior end located between the opisthosoma and podosoma and an anterior end in the gnathosoma area, with a genital opening in the epistome area; aedeagus length corresponds to 53% (45–59%) of male body length. The mites were isolated from the head skin in 16 of 21 polecats examined (76.2%), mainly in the mystacial vibrissae area (84.8%) and less often in adjacent areas. However, the mite infestation did not appear to cause skin abnormality. Based on the morphological analysis of the adult mites and their morphological ontogenesis, including significant characteristics in demodecid taxonomy, the mite specimens have been classified as representatives of a new species and genus, described as Miridex putorii gen. nov., sp. nov.

Evaluation of Efficiency of Ivermectin Lotion in Comparison with Permethrin Shampoo and Dimethicone Lotion for Treatment of Head Lice (Pediculus humanus capitis) in Areas Covered by Health Centers of Islamshahr City, Tehran, Iran in 2019.

Head lice infestation is known as a serious health problem in developing and developed countries. The prevalence of pediculosis in children and females is higher than others. The infestation may cause the absence of student from school and make their parents upset. The aim of current study was to evaluate the WHO recommended insecticides for control of head lice in Islamshahr health center. In the current study infested individuals were older than 6 years old and have been diagnosed with at least 3 head lice adult and 10 live nits from less than 0.7 cm scalp. The pediculicides was applied randomly among groups. Permethrin shampoo as a golden standard was used. Dimethicone lotion 4% and Ivermectin lotion was compared with it. This study was conducted on 179 infested people. Results of infestation were evaluated after one month of intervention. Different indicators such as: present of head lice adult or live nit, redness and irritation in head skin were invested. All the participants were female and 72.6% of them were in the age group of 6-11. The result revealed that aging not only decreases the infection rate but also raised the recovery percentage. The results showed that 79.5% permethrin receiver, 83% of people who treated with Dimethicone lotion and 90.6% of Ivermectin receiver had no head lice. There was no significant difference among these three pediculicides. There was no significant difference among tested pediculicides. An appropriate pediculicide can be selected by training people.

Non-iatrogenic implantation of cutaneous metastasis from hepatocellular carcinoma.

Cutaneous metastases as an extrahepatic metastasis from hepatomas (HCC) is extremely rare and always carry a poor prognosis and less survival time. Previously, there has been a limited number of literature that reported skin metastasis in a large number of cases, which has rarely been discussed in the empirical treatment and therapy of cutaneous metastasis, especially for non-iatrogenic implantation. It is necessary to discuss this kind of metastasis. We summarize cases from our medical center from 2013 to 2021, there are 12 patients diagnosed with non-iatrogenic implantation of cutaneous metastasis after HCC. We conducted the investigation of the clinical prognosis, pathological characteristics, and treatment of those patients. All patients were male, the age ranged from 21 to 71years old, the average size of primary HCC was over 5cm, there was four patient's cutaneous metastasis from the skin of head (including scalp and occipital region), followed by right abdominal (2 patients), right chest wall (2 patients), back (2 patients), umbilical (1 patient), gluteal region (1 patient). The cutaneous metastases presented as solitary or multiple nodules, papules, and erythema without ulcers with sizes between 0.5cm and 5cm. 7 patients died after being diagnosed with cutaneous metastasis within 2-19months. The rate of non-iatrogenic implantation cutaneous metastasis is low, but the prognosis is poor, combining with histopathological analysis and history of diseases can be helpful in diagnosis. For large HCC (> 5cm), systematic treatment is recommended to prevent the occurrence of cutaneous metastasis and improve the prognosis after hepatectomy.