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Wang Y, Niu Y, Ye C, He X, Frederique L, Zhang Z, Hsu K, Lin X, Andrew S, Zhang X, Frederic F, Wu Y. Efficacy of a moisturizing cream and facial mask for alleviating skin problems associated with medical mask use: A half-face, randomized controlled study. J Cosmet Dermatol 2024; 23:2097-2102. [PMID: 38400600 DOI: 10.1111/jocd.16226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2023] [Revised: 12/25/2023] [Accepted: 02/04/2024] [Indexed: 02/25/2024]
Abstract
BACKGROUND Prolonged use of medical masks has increased skin-related issues. AIM To evaluate the efficacy of a facial cream and facial mask in mitigating medical mask related skin symptoms. METHODS Healthy women were randomly assigned to apply a facial cream (n = 32) or a facial mask plus a facial cream (n = 32) on half-faces after wearing medical masks for 4 h (Tb). Transepidermal water loss (TEWL), dryness score, and redness area were assessed at Tb and 10 min after using the cream (T1) in the facial cream group, and at Tb, 1 h after using the facial mask (T2), and 10 min after using the cream (T3) in the combined use group. RESULTS In the facial cream group, the treated half-face showed significantly better improvements from Tb to T1 in TEWL (-2.95 ± 0.38 vs. -0.68 ± 0.35 g/h·cm2, p < 0.001) and skin dryness score (-1.00 ± 0.12 vs. 0.00 ± 0.00, p < 0.001). In the combined use group, the treated half-face showed significantly better improvements from Tb to T2 and T3 in TEWL (T2, -3.46 ± 0.33 vs. -0.09 ± 0.13 g/h·cm2; T3, -4.67 ± 0.31 vs. -0.28 ± 0.22 g/h·cm2) and skin dryness score (T2, -0.63 ± 0.13 vs. 0.03 ± 0.03; T3, -0.94 ± 0.17 vs. 0.19 ± 0.07) (all p < 0.001) then the untreated half-face. The combined use group had significantly lower TEWL at T3 than T2 (p < 0.05). The reduction in redness area was similar between the treated and untreated half-faces in both groups. CONCLUSIONS The test facial cream and mask significantly improved skin barrier function and alleviated dryness symptoms associated with medical mask use, with the combined use offering superior benefits.
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Affiliation(s)
- Yang Wang
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Yueqing Niu
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Chengda Ye
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Xiaofeng He
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | | | - Zhongxing Zhang
- L'Oreal Dermatological Beauty, L'Oréal China, Shanghai, China
| | - Kungchi Hsu
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Xinrong Lin
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Steel Andrew
- Research and Innovation Center, L'Oréal China, Shanghai, China
| | - Xianghua Zhang
- L'Oreal Dermatological Beauty, L'Oréal China, Shanghai, China
| | - Flament Frederic
- Research and Innovation Center, L'Oréal France, Chevilly-Larue, France
| | - Yan Wu
- Peking University First Hospital, Beijing, China
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Oblea PN, Nguyen-Wu ED, Siaki LA, Cho S, Romito KJ, Chan W. Impact of Hydrocolloid Dressing and Moisturizing Cream as Facial Skin Protectants Among Health Care Workers. Mil Med 2024:usae202. [PMID: 38771104 DOI: 10.1093/milmed/usae202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2024] [Revised: 03/09/2024] [Accepted: 04/04/2024] [Indexed: 05/22/2024] Open
Abstract
INTRODUCTION During the novel coronavirus disease 2019 pandemic, health care workers experienced facial problems from prolonged use of N95 masks, including skin irritation, pigmentation changes, and contact dermatitis. We assessed the use of hydrocolloid dressing versus dimethicone cream to prevent skin breakdown among military health care workers while wearing an N95. MATERIALS AND METHODS Participants were recruited using convenience and snowball sampling in this nonblinded, randomized, cross-over study with 2 active treatments, hydrocolloid dressing and dimethicone cream, across 3 time points. The skin was assessed using photographs and subepidermal moisture scanner (SEM). N95 seal integrity was assessed using qualitative fit test. Institutional review board approval was obtained from the Madigan Army Medical Center Institutional Review Board. RESULTS Among the 73 participants, wearing an N95 alone versus with dimethicone cream or hydrocolloid dressing caused more adverse skin reactions. There were no significant differences in qualitative fit test failure rate between groups. Participants experienced minimal to no dizziness, loss of energy/tiredness/fatigue, claustrophobia, shortness of breath, difficulty breathing, and dry or itchy eyes. For all interventions, wearing an N95 did not interfere with participants' concentration, verbal communication, hearing, vision, and, importantly, delivery of care. CONCLUSIONS Using a skin protectant with an N95 may prevent adverse skin reactions while preserving health care workers' ability to safely and competently care for patients in routine and pandemic conditions.
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Affiliation(s)
- Pedro N Oblea
- Department of Clinical Inpatient Services, Center for Nursing Science & Clinical Inquiry, Tripler Army Medical Center, Honolulu, HI 96859, USA
| | | | - Leilani A Siaki
- Department of Clinical Inpatient Services, Center for Nursing Science & Clinical Inquiry, Tripler Army Medical Center, Honolulu, HI 96859, USA
| | - Sunghun Cho
- School of Medicine, Dermatology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
| | - Kenneth J Romito
- Graduate School of Nursing, Adult Gerontology Clinical Nurse Specialist Program, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA
| | - Wenyaw Chan
- Biostatistics and Data Science, University of Texas Health Sciences Center, Houston, TX 77030, USA
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Zhu J, Hu Q, He X, Wang L, Xu H, Benjamin Oduro N. 8-hour performance of loose-fitting powered air-purifying respirators in simulated hospital and coal mine environments. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2023; 20:598-609. [PMID: 37682703 DOI: 10.1080/15459624.2023.2256809] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/10/2023]
Abstract
Loose-fitting powered air-purifying respirators (LF-PAPRs) are increasingly used in hospitals and coal mines because of their high comfort and protection level, but the utilization faces the challenges of 8-hr continuous high protection requirements in the hospital environment and the coupling effects of high temperature, high humidity, high dust concentration in coal mines. Based on the self-developed powered air-purifying respirator simulation test system, this study explores the 8-hr changes of supplied airflow, the relative air pressure inside the inlet covering (ΔP), and total inward leakage (TIL) of four models of LF-PAPRs in simulated hospital and coal mine environments. Results show that: (1) In a simulated hospital environment, all four LF-PAPRs showed filter cartridge blockage within 5 ∼ 6 hr of continuous operation; while in the simulated coal mine, three models of LF-PAPRs showed filter cartridge blockage within 3 hr. (2) In both the hospital and coal mine environments, there are cases where the supplied airflow of LF-PAPRs dropped below 170 L/min within 3 hr. (3) In a simulated hospital environment, the ΔP of all LF-PAPRs maintained positive within 5-6 hr; while in the simulated coal mine, the ΔP of two LF-PAPRs, respectively, appeared negative after 1 hr and 1.6 hr operation. (4) The maximum TIL of the tested LF-PAPRs, respectively ranged from 0.5-0.9% and 1.4-3% in simulated hospital and coal mine environments. (5) In both hospital and coal mine environments, the supplied airflow and ΔP of each LF-PAPR showed a decreasing trend with increasing test duration, while the TIL significantly increased with testing time. (6) The supplied airflow, ΔP, and TIL of each LF-PAPR in the simulated hospital environment performed better than those in the coal mine. This study evaluated the performance of PAPR under the most severe operating conditions, and respirator performance may differ under in-situ conditions.
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Affiliation(s)
- Jintuo Zhu
- Key Laboratory of Coal Methane and Fire Control, Ministry of Education, China University of Mining and Technology, Xuzhou, Jiangsu, China
- National Professional Laboratory for Fundamental Research of Mine Gas and Dust Control Technology, School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
- School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
| | - Qi Hu
- Key Laboratory of Coal Methane and Fire Control, Ministry of Education, China University of Mining and Technology, Xuzhou, Jiangsu, China
- National Professional Laboratory for Fundamental Research of Mine Gas and Dust Control Technology, School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
- School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
| | - Xinjian He
- Key Laboratory of Coal Methane and Fire Control, Ministry of Education, China University of Mining and Technology, Xuzhou, Jiangsu, China
- National Professional Laboratory for Fundamental Research of Mine Gas and Dust Control Technology, School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
- School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
| | - Liang Wang
- Key Laboratory of Coal Methane and Fire Control, Ministry of Education, China University of Mining and Technology, Xuzhou, Jiangsu, China
- National Professional Laboratory for Fundamental Research of Mine Gas and Dust Control Technology, School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
- School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
| | - Huan Xu
- School of Materials Science and Physics, China University of Mining and Technology, Xuzhou, Jiangsu, China
| | - Nkansah Benjamin Oduro
- Key Laboratory of Coal Methane and Fire Control, Ministry of Education, China University of Mining and Technology, Xuzhou, Jiangsu, China
- National Professional Laboratory for Fundamental Research of Mine Gas and Dust Control Technology, School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
- School of Safety Engineering, China University of Mining and Technology, Xuzhou, Jiangsu, China
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Abduljabbar M, Kalthoum DE, Bakarman M, Wahby Salem I, Alsulaimani Z, Alharbi W, Shawish S, Alsobhi R. The Correlation Between Wearing Face Masks and Skin Damage in Adults During the COVID-19 Pandemic: A Cross-Sectional Study in Jeddah, Saudi Arabia. Cureus 2022; 14:e31521. [DOI: 10.7759/cureus.31521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/15/2022] [Indexed: 11/16/2022] Open
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