Skin Surface Research Articles

Analysis of key pathways and genes in nodal structure on rat skin surface using gene ontology and KEGG pathway.

We have previously reported anatomical, histological, and gene expression characteristics of the nodal structure of rat skin surface and suggested its potential as an acupuncture point. However, the specific characteristics of the interactions among the genes expressed in this structure remain unclear. We aimed to determine gene expression changes by analyzing interaction networks of genes up-regulated in nodal structures and to explore relationships with acupuncture points. We investigated the relationship between the nodal structures and acupuncture points by analyzing the interactions of up-regulated genes, their Gene Ontology biological functions, and the characteristics of Kyoto Encyclopedia of Genes and Genomes pathways. RNA-seq and STRING analysis provided comprehensive information on these gene groups. Interactions between up-regulated genes in nodal structures were classified into three groups. The first group, which includes Wnt7b, Wnt3, and Wnt16, showed significant interactions in pathways such as Wnt signaling, Alzheimer's disease, and regulation of stem cell pluripotency. The second group, composed of Fos, Dusp1, Pla2g4e, Pla2g4f, and Fgfr3, demonstrated a notable association with the MAPK signaling pathway. Lastly, the third group, consisting of Adcy1, Pla2g4e, Pla2g4f, and Dusp1 exhibited effective interactions with the inflammatory mediator regulation of TRP channels and serotonergic synapse. Continued research on nodal structures where these genes are expressed is needed to improve our understanding of skin anatomy and physiology as well as their potential clinical utility as acupuncture points.

Facial disbiosis and UV filters.

Acne is a multifactorial inflammatory disease with a robust microbial component and numerous correlations with dysbiosis states. Furthermore, various factors are recognized as triggers for skin dysbiosis, including the use of certain cosmetics. Based on these arguments, we hypothesized that using photoprotective formulations could trigger dysbiosis and the occurrence of acne manifestations. To verify this assumption, six volunteers between 19 and 23 years of age, meeting all the inclusion criteria, received two applications a day of a non-commercial sunscreen formulation developed with the sun filters ethylhexyl methoxycinnamate, ethylhexyl salicylate, methyl anthranilate, and octocrylene dispersed in a base gel, with an estimated protection factor of 28.8. The pure base gel was used as a control. The samples were applied to an area delimited by a standard template (15 cm2) in an amount corresponding to 30mg (2mg cm2) for ten days. At two points in time, pre- and post-sample applications, the facial skin surface was swabbed to collect extracted DNA and processed to verify divergent degrees of 16S RNA coding sequences. The data obtained allowed us to determine the abundance of different bacterial entities at the genus and species levels. The results showed that critical species of the acne process, such as Cutibacterium acnes and Staphylococcus epidermidis, seem to tolerate the evaluated formulation well and are not significantly affected by the formulation, suggesting no interference of its use concerning dysbiosis induction. These findings refute the idea that photoprotectors may cause skin dysbiosis in men.

A Case of Severe Erythroderma in a Patient with Pustular Psoriasis

Case Presentation: A patient with a known history of pustular psoriasis presented with sub-acute development of diffuse erythema and scaling of the skin with areas of exfoliation consistent with erythroderma. She was ill appearing and required admission and aggressive treatment with steroid-impregnated wet dressings, topical emollients, analgesics and systemic immunosuppressants. Discussion: Erythroderma is a dermatologic emergency characterized by diffuse erythema and scaling spanning >90% of skin surfaces and is associated with a mortality rate as high as 64%. It is initially a clinical diagnosis and needs to be recognized and aggressively treated expeditiously to improve chances of a good outcome.

Ultraflexible Vertical Corbino Organic Electrochemical Transistors for Epidermal Signal Monitoring.

Skin-conformal organic electrochemical transistors (OECTs) have attracted significant attention for real-time physiological signal monitoring and are vital for health diagnostics and treatments. However, mechanical harmonization amid the inherent dynamic nature of the skin surface and the acquisition of intrinsic physiological signals are significant challenges that hinder the integration of the ultimate skin interface. Thus, this study proposes a novel 4-terminal (4-T) vertical Corbino OECT, exhibiting high transconductance (>400 mS) and offering remarkable resilience and operational stability at an extremely low voltage of 10mV (1.9% of minimal current change after 104 biasing cycles and endurance up to 103 cycles of repetitive deformation with a 5µm bending radius). Consequently, ultralow-power, motion-resistant epidermal electrocardiogram, electromyogram, and electrooculogram sensors are developed with an exceptional signal-to-noise ratio of 40.1dB. The results of this study present a significant stride in non-invasive, skin-interfaced health-monitoring technologies and herald a new era in integrative health technologies.

Characteristics of R2019 Processing of MODIS Sea Surface Temperature at High Latitudes

Satellite remote sensing is the best way to derive sea surface skin temperature (SSTskin) in the Arctic. However, as surface temperature retrieval algorithms in the infrared (IR) part of the electromagnetic spectrum are designed to compensate for atmospheric effects mainly due to water vapor, MODIS SSTskin retrievals have larger uncertainties at high latitudes where the atmosphere is very dry and cold, which is an extreme in the distribution of global conditions. MODIS R2019 SSTskin fields are currently derived using latitudinally and monthly dependent algorithm coefficients, including an additional band above 60°N to better represent the effects of Arctic atmospheres. However, the R2019 processing of MODIS SSTskin still has some unrevealed error characteristics. This study uses 21 years (2002–2022) of collocated, simultaneous satellite brightness temperature (BT) data from Aqua MODIS and in situ buoy-measured subsurface temperature data from iQuam for validation. Unlike elsewhere over the oceans, the 11 μm and 12 μm BT differences are poorly related to the column water vapor at high latitudes, resulting in poor atmospheric water vapor correction. Anomalous BT difference signals are identified, caused by the temperature and humidity inversions in the lower troposphere, which are especially significant during the summer. Although the existence of negative BT differences is physically reasonable, this makes the retrieval algorithm lose its effectiveness. Moreover, the statistics of the MODIS SSTskin data when compared with the iQuam buoy temperature data show large differences (in terms of mean and standard deviation) for the matchups at the Northern Atlantic and Pacific sides of the Arctic due to the disparity of in situ measurements and distinct surface and vertical atmospheric conditions. Therefore, it is necessary to further improve the retrieval algorithms to obtain more accurate MODIS SSTskin data to study surface ocean processes and climate change in the Arctic.

Living-Skin Detection Based on Spatio-Temporal Analysis of Structured Light Pattern.

Living-skin detection is an important step for imaging photoplethysmography and biometric anti-spoofing. In this paper, we propose a new approach that exploits spatio-temporal characteristics of structured light patterns projected on the skin surface for living-skin detection. We observed that due to the interactions between laser photons and tissues inside a multi-layer skin structure, the frequency-domain sharpness feature of laser spots on skin and non-skin surfaces exhibits clear difference. Additionally, the subtle physiological motion of living-skin causes laser interference, leading to brightness fluctuations of laser spots projected on the skin surface. Based on these two observations, we designed a new living-skin detection algorithm to distinguish skin from non-skin using spatio-temporal features of structured laser spots. Experiments in the dark chamber and Neonatal Intensive Care Unit (NICU) demonstrated that the proposed setup and method performed well, achieving a precision of 85.32%, recall of 83.87%, and F1-score of 83.03% averaged over these two scenes. Compared to the approach that only leverages the property of multilayer skin structure, the hybrid approach obtains an averaged improvement of 8.18% in precision, 3.93% in recall, and 8.64% in F1-score. These results validate the efficacy of using frequency domain sharpness and brightness fluctuations to augment the features of living-skin tissues irradiated by structured light, providing a solid basis for structured light based physiological imaging.

Non-invasive SARS-CoV-2 RNA detection and human transcriptome analysis using skin surface lipids

There have been several reports of skin manifestations in patients with coronavirus disease 2019 (COVID-19). However, it is unclear whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA can be detected on the skin surface, including the sebum, of these patients. In this study, SARS-CoV-2 RNA was detected using real-time reverse-transcription polymerase chain reaction (RT-PCR) assay of skin surface lipids (SSLs) collected using an oil-blotting film from the faces of hospitalized patients with COVID-19. Human transcriptome analysis was also performed using the same samples. In facial SSLs of patients with COVID-19, the RT-PCR positivity rate was 84.6% (11/13 samples) within 5 days and 30.4% (7/23 samples) by 6–10 days of symptom onset. In the transcriptome analysis, the most characteristic SSL-RNA profile was the upregulation of interferon-stimulated gene (ISG)-related genes, such as ISG15, IFITM1, and MX1. This study presents an alternative technique using SSLs for non-invasive SARS-CoV-2 RNA detection and simultaneous analysis of human molecular pathogenesis in patients with COVID-19.

Geometric feature extraction and its profile accuracy evaluation for pockets on curved aircraft skin from scanned point clouds

Abstract Dimension inspection is crucial for aircraft skin manufacturing and assembly. To meet weight loss and other functional requirements, large numbers of shallow pockets are distributed on the surface of thin-walled aircraft skin. It is difficult to evaluate the profile accuracy of the pockets, as the aircraft skin is composed of curved surfaces and its actual geometry is inconsistent with the nominal model. This study proposes a method to evaluate the profile and position accuracy for the pockets on aircraft skin utilizing point clouds obtained by 3D scanners. Firstly, the feature contour lines are identified and extracted from the scanned aircraft skin surface point clouds by adopting the local curvature-aware method and minimum bounding rectangle algorithm. Then, an algorithm is proposed to mitigate the contour identification deviations of the segmented area by employing the shortest geodesic distance and transition zone section projection, so as to enhance the measurement accuracy. Finally, the viability of the proposed method for evaluating pockets on aircraft skin is verified by the simulation, and the reliability and robustness of the proposed method are verified by the simulation and experiment. Experimental results show that the measurement accuracy of the pocket can be improved from 0.5mm to 0.0505mm, compared with traditional specialized conformation fixture methods.

Dual-Action Psoriasis Therapy: Antiproliferative and Immunomodulatory Effects via Self-Locking Microneedles.

Psoriasis is a chronic, immune-mediated disorder characterized by immune regulation disorders and abnormal keratinocyte proliferation. Deucravacitinib (Deu), a selective oral Tyrosine Kinase 2 (TYK2) inhibitor, shows promise in treating psoriasis but may cause systemic side effects and fail to address persistent localized thickened lesions. Herein, a self-locking microneedle (MN) patch with a polyvinyl alcohol (PVA) inner ring loaded with Deu is developed, designed to penetrate the transdermal barriers and dissolve rapidly, downregulating the IL-23/IL-17 pathway and serve as the first line of defense against the spread of skin-originated inflammation. Additionally, Calcipotriol (Cal), a vitamin D derivative, is incorporated into a methacrylated hyaluronic acid (HAMA) backing layer and outer ring that mimics occlusive administration, maintaining localized skin surface retention for prolonged anti-proliferative therapy. The Deu@Cal MN demonstrates satisfactory adhesiveness due to swelling-mediated mechanical interlocking via the outer ring, ensuring targeted drug release at lesion site. Besides its effectiveness in alleviating both skin inflammation and proliferation, it inhibits the differentiation of Th17 cells in the spleen, suggesting potential to reduce systemic inflammation. These findings offer a new therapeutic approach for treating psoriasis and other autoimmune and inflammatory conditions.

Research to reduce pain and increase comfort using skin cleaning materials

During her nursing career, Professor Emeritus Hiroko Shimizu focused on the need for nursing care to promote and support patient recovery and found that the use of steam cloths helped relax patients and reduce their physical and mental pain. Shimizu is affiliated with Kagawa University and has been working to investigate the impact of skin cleaning materials on the brain waves of patients. Shimizu and her collaborators set out to create something that could warm people affected by disasters and relieve the pain of cancer patients. The researchers were the first to employ a method invented by Professor Ichirou Ishimaru to measure moisture using near-infrared two-dimensional Fourier spectrometry. They measured moisture smearing on the skin and found a softening and smoothing effect on the skin. This led them to develop a steam-generating cleaning tool that induces relaxation without a towel or cloth. Part of Shimizu’s work concentrates on developing new techniques and measurement methods needed to verify her findings. The researchers also used text analysis of the subjects’ statements and psychological images to project their thoughts and attitudes towards the care provided, as well as an electroencephalogram analysis by a neurologist, Visiting Professor Tetsuo Toge, to correlate the results. Shimizu plans to incorporate an analysis of steam volume and moisture or images with temperature and humidity into her considerations. In one study, Professor Hidekuni Takao, who shared Professor Shimizu's research, is working as the representative of a Japan Science and Technology Agency (JST)-CREST project to develop a rare device to measure the shape of the skin surface. The goal is that the integrated semiconductor tactile sensor the researchers are developing will have equal or even greater sensitivity and performance than that of a human fingerprint.

A clinical comparison of a digital versus conventional design methodology for transtibial prosthetic interfaces

A transtibial prosthetic interface typically comprises a compliant liner and an outer rigid socket. The preponderance of today’s conventional liners are mass produced in standard sizes, and conventional socket design is labor-intensive and artisanal, lacking clear scientific rationale. This work tests the clinical efficacy of a novel, physics-based digital design framework to create custom prosthetic liner-socket interfaces. In this investigation, we hypothesize that the novel digital approach will improve comfort outcomes compared to a conventional method of liner-socket design. The digital design framework generates custom transtibial prosthetic interfaces starting from MRI or CT image scans of the residual limb. The interface design employs FEA to simulate limb deformation under load. Interfaces are fabricated for 9 limbs from 8 amputees (1 bilateral). Testing compares novel and conventional interfaces across four assessments: 5-min walking trial, thermal imaging, 90-s standing pressure trial, and an evaluation questionnaire. Outcome measures include antalgic gait criterion, skin surface pressures, skin temperature changes, and direct questionnaire feedback. Antalgic gait is compared via a repeated measures linear mixed model while the other assessments are compared via a non-parametric Wilcoxon sign-rank test. A statistically significant (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$P=0.032$$\\end{document}) decrease in pain is demonstrated when walking on the novel interfaces compared to the conventional. Standing pressure data show a significant decrease in pressure on novel interfaces at the anterior distal tibia (\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$P = 0.012$$\\end{document}), with no significant difference at other measured locations. Thermal results show no statistically significant difference related to skin temperature. Questionnaire feedback shows improved comfort on novel interfaces on posterior and medial sides while standing and the medial side while walking. Study results support the hypothesis that the novel digital approach improves comfort outcomes compared to the evaluated conventional method. The digital interface design methodology also has the potential to provide benefits in design time, repeatability, and cost.

Perspective: Materials and Electronics Gaps in Transdermal Drug Delivery Patches

Abstract Transdermal drug delivery systems offer a noninvasive method of delivering drugs through the skin surface, which circumvents problems associated with metabolic breakdown, uncontrollable biodistribution after initial drug administration, and limited patient compliance. The most common implement for transdermal drug delivery is the transdermal patch (TDP), which are flexible, medicated adhesive patches that can be placed on any available skin surface for targeted delivery. In this perspective, we summarize the most recent advancements in transdermal drug delivery patches and highlight gaps that can be filled with advanced sensor development.

Sporadic hypertrophic and nodular port-wine stain: a study of 27 cases with emphasis on histological features and novel mutation type

AimsTo investigate the clinicopathological features and molecular characteristics of sporadic hypertrophic and nodular port-wine stains (PWS).MethodsWe analysed the clinicopathological and molecular characteristics of 27 sporadic hypertrophic and nodular PWS retrieved...

Characterization of brass mesh bolus for electron beam therapy

Purpose. Bolus is often required for targets close to or on skin surface, however, standard bolus on complex surfaces can result in air gaps that compromise dosimetry. Brass mesh boluses (RPD, Inc., Albertville, MN) are designed to conform to the patient's surface and reduce air gaps. While they have been well characterized for their use with photons, minimal characterization exists in literature for their use with electrons.Methods and materials.Dosimetric characteristics of brass mesh bolus was investigated for use with 6, 9 and 12 MeV electrons using a 10×10 cm2applicator on standard multi-energy LINAC. Measurements for bolus equivalence and percentage depth doses (PDDs) under brass mesh, as well as surface dose measurements were performed on solid water and a 3D printed resin breast phantom (Anycubic Photon MonoX, Shenzhen, China) using Markus®parallel-plate ionization chamber (Model 34045, PTW Freiburg, Germany), thermoluminescent detectors (TLD) and EBRT film. After obtaining surface dose measurements, these were compared to dose calculated on the Pinnacle3 treatment planning system (TPS, 16.2, Koninklijke Philips N.V.).Results. Measurements of surface dose under brass mesh showed consistently higher dose than without bolus, confirming that brass mesh can increase the PDD at surface up to ∼ 94% of dose at dmax, depending on incident electron energy. This increase is equivalent to using ∼ 7.2 mm water equivalent bolus for 6 MeV, ∼ 3.6 mm for 9 MeV and ∼ 2.2 mm bolus for 12 MeV electrons. TPS results showed close agreement within-vivomeasurements, confirming the potential for brass mesh as bolus for electron irradiation, provided blousing effect is correctly modelled.Conclusions. To increase electron surface dose, a brass mesh can be used with equivalent effect of water-density bolus varying with electron energy. Proper implementation could allow for ease of treatment, as well as increase bolus conformality in electron-only plans.

Sudden improvement of alopecia universalis and psoriatic arthritis while receiving upadacitinib: a case-based review.

Alopecia universalis (AU), an advanced form of alopecia areata (AA), is a condition characterized by the complete loss of hair over the entire skin surface. Recent progress has significantly enhanced our understanding of the pathogenesis of AU. In particular, interferon-γ (IFN-γ) and interleukin (IL)-15 seem to play a pivotal role in the pathogenesis of the disease. Nonetheless, a variety of medications has been used to treat the disease with frequently inconsistent results. Given the broad modulation of the immune system and inhibition of key molecules, including IFN-γ and IL-15, oral janus kinase (JAK) inhibitors represent a treatment option for moderate to severe cases of AA, as demonstrated in case reports supporting their efficacy and tolerability. We present the case of a patient suffering from psoriatic arthritis and AU who experienced a sudden improvement in peripheral arthritis and AU while receiving JAK1 selective treatment with upadacitinib. So far, there are very limited case reports of successful upadacitinib treatment for patients with AA, mostly in patients also suffering from atopic dermatitis. Thus, we provide evidence for the efficacy of upadacitinib in managing AU in adults, also in the context of an inflammatory arthritis such as psoriatic arthritis.

Ultra-Thin Highly Sensitive Electronic Skin for Temperature Monitoring

Electronic skin capable of reliable monitoring of human skin temperature is crucial for the advancement of non-invasive clinical biomonitoring, disease diagnosis, and health surveillance. Ultra-thin temperature sensors, with excellent mechanical flexibility and robustness, can conformably adhere to uneven skin surfaces, making them ideal candidates. However, achieving high sensitivity often demands sacrificing flexibility, rendering the development of temperature sensors combining both qualities a challenging task. In this study, we utilized a low-cost drop-casting technique to print ultra-thin and lightweight (thickness: approximately 3 µm, weight: 0.61 mg) temperature sensors based on a combination of vanadium dioxide and PEDOT:PSS at room temperature and atmospheric conditions. These sensors exhibit high sensitivity (temperature coefficient of resistance: −5.11%/°C), rapid response and recovery times (0.36 s), and high-temperature accuracy (0.031 °C). Furthermore, they showcased remarkable durability in extreme bending conditions (bending radius = 400 µm), along with stable electrical performance over approximately 2400 bending cycles. This work offers a low-cost, simple, and scalable method for manufacturing ultra-thin and lightweight electronic skins for temperature monitoring, which seamlessly integrate exceptional temperature-measuring capabilities with optimal flexibility.

Preliminary study on the effects of boysenberry juice intake on brown adipose tissue activity in healthy adults

Brown adipose tissue (BAT) plays an important role in energy metabolism because it uses fatty acids for thermogenesis during cold exposure. Preclinical studies found that boysenberry anthocyanins (BoyACs) activate BAT. Therefore, the aim of this preliminary study was to evaluate how BoyAC intake affects BAT in humans. We performed an open-label single-arm nonrandomized study in healthy volunteers. Before and after 4 weeks of daily consumption of 100 ml boysenberry juice (BoyJ) containing 61 mg of BoyACs, participants were assessed at 24 °C and then after 1 h of mild cold exposure (18 °C). An infrared thermography camera was used to measure skin surface temperatures in the supraclavicular BAT region (Tscv) and the non-BAT region of the upper chest (Tch). Energy metabolism was measured by indirect calorimetry. For each endpoint, we calculated Δ as the difference between values before and after cold exposure and compared the values before and after BoyJ intake. 10 volunteers participated (age: 36.1 ± 4.1, body mass index (BMI): 20.9 ± 0.6). After BoyJ intake, ΔTscv-ch was significantly higher (p = 0.029), but Δ energy expenditure, Δ fat oxidation, and Δ carbohydrate oxidation were not significantly different. We found a significant positive correlation between BMI and Δfat oxidation with BoyJ intake. The results indicate that 4 weeks of BoyJ intake activates cold-induced thermogenesis in the scv-BAT but does not have a significant effect on energy metabolism. BoyJ intake may increase fat oxidation during cold exposure in individuals with higher BMI.Trial registry number: UMIN000043476, 05/03/2021.

Infrared-A to improve mood: an exploratory study of water-filtered infrared-A (wIRA) exposure.

Diurnal preference to eveningness might predispose to depression. There is preliminary evidence of infrared-A (IR-A) induced whole-body hyperthermia (WBH) in the treatment of depression. In this exploratory study with 19 adults, we investigated the effects of a 20-min exposure of water-filtered IR-A (wIRA) to the skin of back and buttock area, without inducing WBH, on mood and assessed the outcome by diurnal preference (#R19047, approval on 7 May 2019). The skin received irradiation with an integrated power of 102.4W in the wavelength region of 550-1350nm and a total dose of 123kJ over the total area of 0.0483m2. The diurnal preference was assessed with a 6-item version of the Morningness-Eveningness Questionnaire (mMEQ). The 40-item Profile of Mood States (POMS) questionnaire was used to assess total mood disturbance (TMD). Core temperature was measured 30min before, during and 30min after the irradiation. Skin surface temperature was measured on baseline and every two minutes during the irradiation. The TMD improved immediately after the exposure, and this positive effect lasted for 24h (p = 0.001) as well as for 2weeks (p = 0.02). Concerning the diurnal preference, the positive effect on mood was immediate and lasted for 24h in evening types (p = 0.02) and for 2weeks in morning types (p = 0.04). During the exposure, core body temperature was constantly lower in morning types compared to evening types. This study gives us new information on the effects of near-infrared radiation, without inducing WBH, through the skin on mood.

Effects of trigeminal neurostimulation on heart rate variability: comparing cutaneous (Tragus) and tongue (Antero-Dorsal mucosa) stimulation

BackgroundTrigeminal neurostimulation of the dorsal anterior mucosal surface of the tongue has been proposed to treat a variety of pathologies and to promote neuro-muscular coordination and rehabilitation. Dental ULFTENS can also be considered a form of trigeminal neurostimulation applied to the skin surface bilaterally at the level of the tragus. It has been used for years in dentistry for practical and diagnostic purposes. Previous work has combined the two stimulation techniques showing an efficacy in improving HRV in healthy young women of dental ULFTENS applied to the mucosal surface of the tongue. This work sought to assess whether there is a difference in HRV in relation to the site of application of dental ULFTENS (tragus vs. tongue). If effective in reducing the activity of arousal circuits, this tongue-level stimulation technique could have new clinical applications.Material and methodA new intraoral device allowed electrical stimulation of the dorsal anterior mucosa of the tongue in 80 healthy young women divided into two groups: TUD group (ULFTENS stimulation on the mucosa of the tongue) and Tragus group (stimulation with ULFTENS bilaterally in the area of the tragus). The effects on HRV were monitored by photoplethysmographic wave (PPG). The HRV parameters studied were RMSSD, HF, LF, LF/HF.ResultsOnly the TUD group showed a significant change in selected HRV parameters that was maintained even in the epoch after the end of electrical stimulation. This effect can be considered as a vagal activation and an increased of HRV parameter. The Tragus group did not show significant change in the direction of increased HRV but showed an opposite trend. There were no undesirable or annoying effects of stimulation.ConclusionStimulation of the dorsal anterior (trigeminal) mucosal surface of the tongue with ULFTENS applied with an intraoral device was shown to be able to increase HRV while the same stimulation on tragus area, according to traditional dental ULFTENS procedure, did not show the same effects.Clinical implicationsThis stimulation technique could be an aid in the diagnosis and treatment of disorders characterized by autonomic disequilibrium such as, in the dental field, TMDs.Trial registration“Effects of Trigeminal Neurostimulation on Heart Rate Variability: Comparing Tragus and Tongue Stimulation”. ID number: NCT06549205. Date of first registration: August 1st 2024. https://clinicaltrials.gov/study/NCT06549205?id=%09NCT06549205&rank=1.

Method for determination of gamma oryzanol in dietary supplement by high performance liquid chromatography

Gamma oryzanol (GO), a phytosterol found most abundantly in rice bran oil as well as corn, barley, rye, vegetable oils and wheat bran. Thanks to its ability to slow down the development of melanin pigments, prevent the effects and spread of ultraviolet rays on the skin's surface, limiting freckles and darkening of the skin, in recent years, GO has been added to dietary supplements to help reduce melasma, brighten and smooth the skin. For the purpose of evaluating and controlling product quality, the GO analysis method was developed and validated. GO was analyzed by HPLC using a PDA detector with a C18 chromatography column (250 mm × 4.6 mm, 5 µm) and a mobile phase consisting of methanol and acetonitrile in isocratic mode 35: 65 (v/v). The test sample was extracted with a mixture of n-hexane and ethanol at a ratio of 2: 5 (v/v). The method was evaluated for system suitability, specificity, calibration curve, precision and accuracy with limit of detection and limit of quantification were 15.0 µg/g and 50.0 µg/g, respectively. The analysis results of 10 real samples including 03 pellet samples and 07 powder samples showed that the method is suitable for analyzing samples with different concentration ranges.