Sun Protection: Current Management Strategies Addressing UV Exposure

Green-Engineered Barrier Creams with Montmorillonite-Chlorophyll Clays as Adsorbents for Benzene, Toluene, and Xylene

Dermal exposures to hazardous environmental chemicals in water can significantly affect the morphology and integrity of skin structure, leading to enhanced and deeper penetration. Organic solvents, such as benzene, toluene, and xylene (BTX), have been detected in humans following skin exposure. In this study, novel barrier cream formulations (EVB™) engineered with either montmorillonite (CM and SM) or chlorophyll-amended montmorillonite (CMCH and SMCH) clays were tested for their binding efficacy for BTX mixtures in water. The physicochemical properties of all sorbents and barrier creams were characterized and were shown to be suitable for topical application. In vitro adsorption results indicated that EVB-SMCH was the most effective and favorable barrier for BTX, as supported by the high binding percentage (29-59% at 0.05 g and 0.1 g), stable binding at equilibrium, low desorption rates, and high binding affinity. Pseudo-second-order and the Freundlich models best fit the adsorption kinetics and isotherms, and the adsorption was an exothermic reaction. Ecotoxicological models using L. minor and H. vulgaris that were submersed in aqueous culture media showed that the inclusion of 0.05% and 0.2% EVB-SMCH reduced BTX concentration. This result was further supported by the significant and dose-dependent increase in multiple growth endpoints, including plant frond number, surface area, chlorophyll content, growth rate, inhibition rate, and hydra morphology. The in vitro adsorption results and in vivo plant and animal models indicated that green-engineered EVB-SMCH can be used as an effective barrier to bind BTX mixtures and interrupt their diffusion and dermal contact.

Inclusion of Montmorillonite Clays in Environmental Barrier Formulations to Reduce Skin Exposure to Water-Soluble Chemicals from Polluted Water

Dermal exposures to environmental chemicals can significantly affect the morphology and integrity of skin structure, leading to enhanced and deeper penetration of toxic chemicals. This problem can be magnified during disasters where hazardous water-soluble chemicals are readily mobilized and redistributed in the environment, threatening the health of vulnerable populations at the impacted sites. To address this issue, barrier emulsion formulations (EVB) have been developed consisting of materials that are generally recognized as safe, with the inclusion of medical grade carbon or calcium and sodium montmorillonite clays (CM and SM). In this study, the adsorption efficacy of five highly toxic and commonly occurring contaminants of concern, including important hydrophilic pesticides (glyphosate, acrolein, and paraquat) and per- and polyfluoroalkyl substances were characterized. EVB showed properties such as high stability, spreadability, low rupture strength, and neutral pH that were suitable for topical application on the skin. The in vitro adsorption results indicated that EVB and EVB-SM were effective, economically feasible, and favorable barrier formulations for hazardous chemical adsorption, as supported by high binding percentage, low desorption rates for an extended period of time, and high binding affinity. A pseudo-second-order kinetic model was best fitted for the adsorption process and the Freundlich model fit the adsorption isotherms with negative enthalpy values indicating spontaneous reactions that involve physisorption. The study, with varying temperatures and pH, showed that the adsorption reaction was exothermic and persistent. The results indicated that EVB and EVB-SM can be used as effective barriers to block dermal contact from water-soluble toxic pollutants during disasters.

What's New in Photoprotection: A Review of New Concepts and Controversies

Cumulative ultraviolet exposure plays a critical role in photodamage. Recent advancements in photomedicine have resulted in a more thorough understanding of these mechanisms. Despite this, the adoption of routine sun protective practices is commonly not undertaken regularly by a large proportion of the public. Various obstacles exist that contribute to the public's nonadherence to these practices. Sunscreens, which are an integral component in all photoprotective regimens, have been questioned recently in terms of their safety. The aim of this article is to provide an overview of new concepts in photoprotection and also address current controversies pertaining to sunscreens.

Ultrafast sonochemistry-based approach to coat TiO2 commercial particles for sunscreen formulation

TiO₂ is a common inorganic filter used in sunscreens due to its photoprotective effect on the skin against UV radiation. However, the use of this kind of material in cosmetics is limited by its inherent photocatalytic activity. It is known that coating on TiO₂ surface can improve some features. Although, many of the methodologies used for this purpose are still laborious and time-consuming. Thus, this work reports a novel, easy, cheap and fast strategy to coat TiO₂ particles by using a sonochemistry approach, aiming to decrease photocatalytic activity and to enhance colloidal stability. For this proposal, SiO₂, Al₂O₃, ZrO₂ and sodium polyacrylate (PAANa) were used to tune the surface of commercial TiO₂ particles and they were applied in a sunscreen formulation. The samples were characterized by XRPD, FT-IR, DLS, EDS, SEM and TEM. The photocatalytic activity and UV-shielding ability were also evaluated. The sunscreen formulations were prepared and characterized by zeta potential, DLS, and Sun Protection Factor (SPF). FT-IR, EDS, and charge surface of the particles confirmed the success of the sonochemistry coating. Additionally, TiO₂@Al₂O₃, TiO₂@SiO₂ and TiO₂@PAANa show a lower photocatalytic activity than original TiO₂ with similar UV-shielding ability. The sunscreens produced with the coated TiO₂ have similar SPF to the one with commercial TiO₂. Specifically, the sunscreen with TiO₂@PAANa shows an increase in colloidal stability. Herein, the incorporation of the sonochemical-coated TiO₂ particles in sunscreen formulations may produce sunscreens with better aesthetic appearance and a greater health security due to its lower free radicals production.

Optimizing Postsurgical Scars: A Systematic Review on Best Practices in Preventative Scar Management

BACKGROUND

Scar management is critical for every plastic surgeon's practice and, ultimately, the patient's satisfaction with his or her aesthetic result. Despite the critical nature of this component of routine postoperative care, there has yet to be a comprehensive analysis of the available literature over the past decade to assess the best algorithmic approach to scar care. To this end, a systematic review of best practices in preventative scar management was conducted to elucidate the highest level of evidence available on this subject to date.

METHODS

A computerized MEDLINE search was performed for clinical studies addressing scar management. The resulting publications were screened randomized clinical trials that met the authors' specified inclusion/exclusion criteria.

RESULTS

This systematic review was performed in May of 2016. The initial search for the Medical Subject Headings term "cicatrix" and modifiers "therapy, radiotherapy, surgery, drug therapy, prevention, and control" yielded 13,101 initial articles. Applying the authors' inclusion/exclusion criteria resulted in 12 relevant articles. All included articles are randomized, controlled, clinical trials.

CONCLUSIONS

Optimal scar care requires taking into account factors such as incisional tension, anatomical location, and Fitzpatrick skin type. The authors present a streamlined algorithm for scar prophylaxis based on contemporary level I and II evidence to guide clinical practice.

Melanoma Chemoprevention: Current Status and Future Prospects

The incidence of skin cancers, both nonmelanoma and melanoma, is increasing in the United States. The ultraviolet radiation, mainly from sun, is considered the major cause for these neoplasms. While nonmelanoma skin cancers are far more numerous, melanoma remains the most challenging. This is because melanoma can become extremely aggressive and its incidence is increasing worldwide due to lack of effective early detection, as well as disease recurrence, following both surgery and chemotherapy. Therefore, in addition to better treatment options, newer means are required to prevent melanomas from developing. Chemoprevention is a reasonable cost-effective approach to prevent carcinogenesis by inhibiting the processes of tumor initiation, promotion and progression. Melanoma is a progressive disease, which makes it very suitable for chemopreventive interventions, by targeting the processes and molecular pathways involved in the progression of melanoma. This review discusses the roles of various chemopreventive agents such as NSAIDs, statins, vitamins and dietary agents in melanoma and highlights current advancements and our perspective on future of melanoma chemoprevention. Although considerable preclinical data suggest that melanoma may be prevented or delayed by a numerous chemopreventive agents, we realize there are insufficient clinical studies evaluating their efficacy and long-term safety for human use.