As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacologic...As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.展开更多
Contact dermatitis-including allergic contact dermatitis(ACD)-n and results in over four million lost work days per year in the United States alone. ACD is a classic example of a type IV delayed hypersensitivity react...Contact dermatitis-including allergic contact dermatitis(ACD)-n and results in over four million lost work days per year in the United States alone. ACD is a classic example of a type IV delayed hypersensitivity reaction, and represents a significant burden on the health system, economy, and patient quality of life. Thorough history taking, clinical examination, histologic evaluation, and patch testing are keys to diagnosing contact dermatitis. Patch testing, especially with comprehensive and customized panels based on the patient's exposure history, is particularly useful in identifying potential allergens inthe case of allergic contact dermatitis. ACD management requires a combination of direct medical intervention, patient education, and appropriate environmental modification to prevent exposure to offending allergens in the home or workplace. Continuing advances in the study of ACD has led to an increased understanding of the disease processes, new methods for diagnosis, and improved management. This article reviews ACD-aiming to connect recent investigational data with the current clinical understanding of disease pathophysiology, diagnostic techniques, and management strategies.展开更多
The Baumann Skin Typing System diagnoses patients as having one of 16 skin types based on their answers to a validated questionnaire [i] known as the Baumann Skin Type Indicator [ii]. The BSTI questionnaire has been t...The Baumann Skin Typing System diagnoses patients as having one of 16 skin types based on their answers to a validated questionnaire [i] known as the Baumann Skin Type Indicator [ii]. The BSTI questionnaire has been tested over the last decade on over 200,000 people of various ages and ethnicities in different geographic locations around the world. In this study, data were collected from 52,862 patients to compare skin type prevalence between those who presented to doctor’s offices and those who took the quiz without supervision online. The most common skin types varied only slightly between patients that took the quiz online and those that completed the questionnaire in their doctor’s office. This indicates that the prevalence of skin types seen in the doctor’s office is similar to that in the general population and that supervision is not necessary to get an accurate result on the BSTI. [iii] In addition, comparison of data gathered in China, Korea, and the US did not show a significant difference in skin type prevalence between Asian and Caucasian skin types. [iv] This study demonstrates that the English version of the BSTI is valid for English speaking patients online, and in doctors’ offices in the US, China and Korea.展开更多
目的:采用不同酿造工艺技术对‘关口’葡萄进行干白葡萄酒的酿造,揭示不同果皮浸渍工艺对‘关口’葡萄干白葡萄酒的影响,以期最大程度地发挥‘关口’葡萄的深加工可能性。方法:分别对‘关口’葡萄进行发酵前的果皮浸渍(fermentation bef...目的:采用不同酿造工艺技术对‘关口’葡萄进行干白葡萄酒的酿造,揭示不同果皮浸渍工艺对‘关口’葡萄干白葡萄酒的影响,以期最大程度地发挥‘关口’葡萄的深加工可能性。方法:分别对‘关口’葡萄进行发酵前的果皮浸渍(fermentation before skin contact,FbSC)、带皮发酵(fermentation on skins,FoS),以澄清汁发酵作对照处理,测定各处理所得葡萄酒的基本理化指标、酚类物质、香气成分,并进行感官评价。结果:与对照组相比,采用FbSC和FoS工艺所得葡萄酒的pH值均增加,可滴定酸质量浓度均降低;对于采用FoS工艺所得的葡萄酒,其总酚、总黄酮、总黄烷醇、单体酚的质量浓度显著高于采用FbSC工艺所得的葡萄酒和对照组的葡萄酒(P<0.05),香气成分总质量浓度则显著低于FbSC组和对照组(P<0.05);与对照组相比,采用FbSC和FoS工艺所得葡萄酒的香气成分中的酸类和酯类物质质量浓度显著降低(P<0.05),醇类和萜烯类物质质量浓度显著增大(P<0.05)。另外,经过FbSC与FoS处理后,‘关口’葡萄干白葡萄酒的香气由以果香等香气为主转化为以果干、蜂蜜及成熟水果类香气为主;并且在澄清度、颜色、香气质量、口感纯正度、口感浓度、口感持久性、口感质量、整体平衡性等方面也均优于对照组。结论:果皮浸渍处理一定程度上提高了‘关口’葡萄干白葡萄酒的品质。展开更多
文摘As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.
文摘Contact dermatitis-including allergic contact dermatitis(ACD)-n and results in over four million lost work days per year in the United States alone. ACD is a classic example of a type IV delayed hypersensitivity reaction, and represents a significant burden on the health system, economy, and patient quality of life. Thorough history taking, clinical examination, histologic evaluation, and patch testing are keys to diagnosing contact dermatitis. Patch testing, especially with comprehensive and customized panels based on the patient's exposure history, is particularly useful in identifying potential allergens inthe case of allergic contact dermatitis. ACD management requires a combination of direct medical intervention, patient education, and appropriate environmental modification to prevent exposure to offending allergens in the home or workplace. Continuing advances in the study of ACD has led to an increased understanding of the disease processes, new methods for diagnosis, and improved management. This article reviews ACD-aiming to connect recent investigational data with the current clinical understanding of disease pathophysiology, diagnostic techniques, and management strategies.
文摘The Baumann Skin Typing System diagnoses patients as having one of 16 skin types based on their answers to a validated questionnaire [i] known as the Baumann Skin Type Indicator [ii]. The BSTI questionnaire has been tested over the last decade on over 200,000 people of various ages and ethnicities in different geographic locations around the world. In this study, data were collected from 52,862 patients to compare skin type prevalence between those who presented to doctor’s offices and those who took the quiz without supervision online. The most common skin types varied only slightly between patients that took the quiz online and those that completed the questionnaire in their doctor’s office. This indicates that the prevalence of skin types seen in the doctor’s office is similar to that in the general population and that supervision is not necessary to get an accurate result on the BSTI. [iii] In addition, comparison of data gathered in China, Korea, and the US did not show a significant difference in skin type prevalence between Asian and Caucasian skin types. [iv] This study demonstrates that the English version of the BSTI is valid for English speaking patients online, and in doctors’ offices in the US, China and Korea.
文摘目的:采用不同酿造工艺技术对‘关口’葡萄进行干白葡萄酒的酿造,揭示不同果皮浸渍工艺对‘关口’葡萄干白葡萄酒的影响,以期最大程度地发挥‘关口’葡萄的深加工可能性。方法:分别对‘关口’葡萄进行发酵前的果皮浸渍(fermentation before skin contact,FbSC)、带皮发酵(fermentation on skins,FoS),以澄清汁发酵作对照处理,测定各处理所得葡萄酒的基本理化指标、酚类物质、香气成分,并进行感官评价。结果:与对照组相比,采用FbSC和FoS工艺所得葡萄酒的pH值均增加,可滴定酸质量浓度均降低;对于采用FoS工艺所得的葡萄酒,其总酚、总黄酮、总黄烷醇、单体酚的质量浓度显著高于采用FbSC工艺所得的葡萄酒和对照组的葡萄酒(P<0.05),香气成分总质量浓度则显著低于FbSC组和对照组(P<0.05);与对照组相比,采用FbSC和FoS工艺所得葡萄酒的香气成分中的酸类和酯类物质质量浓度显著降低(P<0.05),醇类和萜烯类物质质量浓度显著增大(P<0.05)。另外,经过FbSC与FoS处理后,‘关口’葡萄干白葡萄酒的香气由以果香等香气为主转化为以果干、蜂蜜及成熟水果类香气为主;并且在澄清度、颜色、香气质量、口感纯正度、口感浓度、口感持久性、口感质量、整体平衡性等方面也均优于对照组。结论:果皮浸渍处理一定程度上提高了‘关口’葡萄干白葡萄酒的品质。
