Background: Recommending comprehensive personalized photoprotection requires an accurate assessment of the patient's skin, including phototype, lifestyle, exposure conditions, environmental factors, and concomitant cutaneous conditions as well as deep knowledge of the available options: sunscreen ingredients (type of filters, spectrum coverage, sun protection factor, enhanced active ingredients), oral photoprotection, and other methods of sun protection and avoidance.
Objectives: To establish consensus-based recommendations endorsed by an international panel of experts for personalized medical photoprotection recommendations that are applicable globally.
Methods: A two-round Delphi study was designed to determine the degree of agreement and relevance of aspects related to personalized medical photoprotection.
As the rubber industry seeks sustainable alternatives to mitigate its environmental impact, this study introduces a biobased approach using polyfarnesene rubber reinforced with plasma-modified cellulose nanocrystals (MCNC) and nanofibers (MCNF). The nanocellulose was modified by plasma-induced polymerization using trans-β-farnesene and was characterized by FTIR, XPS, XRD, TGA, and SEM to confirm the grafting of farnesene-derived polymer chains onto the cellulose surface, demonstrating the successful modification and integration of the nanoparticles. Polyfarnesene bio-based rubbers were synthesized through two different polymerization techniques: solution-based coordination polymerization (PFA1) and emulsion-based free radical polymerization (PFA2).
View Article and Find Full Text PDFThe integration of environmental health (EH) into routine clinical care for children is in its early stages. The vision of pediatric EH is that all clinicians caring for children are aware of and able to help connect families to needed resources to reduce harmful environmental exposures and increase health-enhancing ones. Environmental exposures include air pollution, substandard housing, lead, mercury, pesticides, consumer products chemicals, drinking water contaminants, industrial facility emissions and, increasingly, climate change-related extreme weather and heat events.
View Article and Find Full Text PDFBackground And Objective: Direct-acting antivirals have greatly simplified the treatment of hepatitis C virus (HCV), yet circuits that bring diagnosis and treatment closer to people who inject drugs (PWID) are needed to achieve the elimination targets of the WHO. With this purpose we have established an externalized nurse-driven circuit among former and active PWID in an addiction centre (AC) and a harm reduction centre (HRC).
Methods And Settings: The nursing staff offered HCV screening, diagnosis and treatment to the AC and HRC users, administered medication after the hepatologist's remote prescription to those with an active infection who accepted being treated, and implemented educational and harm reduction interventions.