Sun protection by umbrellas and walls

Solar protection is an important public health issue because solar UV exposure can cause acute and chronic damage to the skin. Seeking shade is a convenient and commonly practiced sun avoidance measure. Shade works by physically shielding the skin from direct UV rays; however UV rays can also reach the skin from other angles. It is not clear how protective the widely-used shade structures like umbrellas and walls are under actual use conditions. In this study, a sky view model was applied to systematically assess the influence of different factors to umbrellas and walls, including the transmission of the shade materials, the reflectivity of the ground or the wall, diffused UV to total UV irradiance ratios, shade geometry, a person's positions and orientations in the shade. We measured the sunburn protection factor (SPF) with a calibrated UV meter at different positions in the shades of an umbrella at different times of the day and compared the measurement results with the modeling. We found that shade structures like umbrellas and walls are more effective when the ratios of diffused UV to total UV irradiance are smaller (mid-day). The effectiveness increases with more coverage, less surface reflectance, and more centralized positions in the shade. The SPF value for a typical umbrella is probably between 3 and 7 in real-life. The low sun protection level offered by a typical shade highlights the importance of educating the public about how to properly protect the skin from the sun and the importance of applying a combination of sun protection measures during extended sun exposures.

Sun Protection by Beach Umbrella vs Sunscreen With a High Sun Protection Factor: A Randomized Clinical Trial

Importance

Sun-protective behavior affects skin cancer prevention. Shade works by physically shielding skin from direct harmful UV rays; however, skin may still remain exposed to reflected and indirect UV rays. There is no current standard metric to evaluate shade for its effectiveness in sun protection, and there is insufficient clinical evidence that a beach umbrella alone can provide adequate sun protection.

Objective

To directly measure sunburn protection offered by a standard beach umbrella compared with that provided by sunscreen with a high sun protection factor under actual use conditions.

Design, Setting, and Participants

A single-center, evaluator-blinded, randomized clinical study was conducted from August 13 to 15, 2014, in Lake Lewisville, Texas (elevation, 159 m above sea level), among 81 participants with Fitzpatrick skin types I (n = 1), II (n = 42), and III (n = 38). Participants were randomly assigned to 2 groups: 1 using only a beach umbrella, and the other using only sunscreen with a sun protection factor of 100. All participants remained at a sunny beach for 3½ hours at midday. Clinical sunburn evaluation of each individual for all exposed body sites was conducted 22 to 24 hours after sun exposure.

Interventions

The shade provided by a beach umbrella or protection provided by sunscreen with a sun protection factor of 100.

Main Outcomes and Measures

Sunburn on all exposed body sites 22 to 24 hours after sun exposure.

Results

Among the 81 participants (25 male and 56 female; mean [SD] age, 41 [16] years) for all body sites evaluated (face, back of neck, upper chest, arms, and legs), the umbrella group showed a statistically significant increase in clinical sunburn scores compared with baseline and had higher postexposure global scores than the sunscreen group (0.75 vs 0.05; P < .001). There was a total of 142 sunburn incidences in the umbrella group vs 17 in the sunscreen group. Thirty-two of the 41 participants (78%) in the umbrella group showed erythema in 1 or more sites vs 10 of the 40 participants (25%) in the sunscreen group (P < .001). Neither umbrella nor sunscreen alone completely prevented sunburn.

Conclusions and Relevance

A beach umbrella alone may not provide sufficient protection for extended UV exposure. It is important to educate the public that combining multiple sun protection measures may be needed to achieve optimal protection.

Trial Registration

isrctn.org Identifier: ISRCTN19177299.

Sunscreen formulations may serve as additional water barrier on skin surface: a clinical assessment

OBJECTIVES

Extended water exposure can cause stratum corneum swelling and a more porous skin barrier. People often wear water-resistant sunscreen formulations during extended period of water activities in the summer to protect skin from harmful UV rays. We wanted to evaluate whether sunscreen formulations can also serve as additional water barriers to help mitigate the disruption in stratum corneum caused by constant exposure to water.

METHODS

We conducted trans-epidermal water loss (TEWL) measurement in a controlled water patch (including salt and chlorine water) model and then applied this relevant model to study the effects of pre-treatments of sunscreen sprays and stick. We also conducted water sorption-desorption test in vivo with and without sunscreens. Finally, we studied the effect of constant water exposure combined with a known irritant, sodium lauryl sulphate (SLS), in a randomized clinical trial.

RESULTS

We found that application of sunscreen formulations help mitigate water-induced barrier disruption by repelling water at skin surface. Pre-treatment of sunscreen also statistically decreased the irritation in an acute patch test model.

CONCLUSIONS

Hydrophobic sunscreen formulations can help protect skin from extended water exposure by serving as additional water barriers.

A broad spectrum high-SPF photostable sunscreen with a high UVA-PF can protect against cellular damage at high UV exposure doses

BACKGROUND

Advances in sunscreen technologies have yielded broad spectrum sunscreens at high-sun protection factor (SPF) and ultraviolet A protection factor (UVA-PF) levels that are photostable and powerful in protecting skin from erythema. Questions arise whether these sunscreens protect proportionally against cellular skin damage caused by high ultraviolet exposures.

OBJECTIVE

The objective of this study is to evaluate if high-SPF sunscreen can protect skin at a cellular level under UV exposure doses [>50 minimal erythema dose (MED)] similarly to the SPF value.

METHODS

Sunburn cells, Langerhans cells, thymine dimers, protein 53 (p53), and matrix metalloproteinase (MMP)-1 and MMP-9 endpoints were evaluated in biopsies from 12 subjects following four treatments: unprotected exposed to 0, 1 and 3 MED and sunscreen (SPF 55) protected exposed to 55 MED of UV radiation.

RESULTS

All the markers showed significantly more damage for the 3 MED-untreated sites when compared with non-irradiated control, and majority of the markers showed marked damage following unprotected 1 MED exposure. After 55 MEDs, sunscreen-protected sites showed significantly less p53 and MMP-9 (keratinocyte) staining than the 1 MED-exposed unprotected sites, while all the other biomarkers in sunscreen protected sites showed no statistical differences from 1 MED-exposed unprotected sites.

CONCLUSIONS

A high-SPF photostable sunscreen with high UVA-PF can provide proportionately high protection against multiple cellular damage markers.

The application of ultra-weak photon emission in dermatology

Ultra-weak photo emission (UPE) is a phenomenon closely associated with life and provides us a rare window to look into oxidative reactions in life directly without the aid of other agents. Dozens of independent studies have investigated UPE in skin in the last 2 decades. Skin serves as a convenient target for the application of UPE. As the outmost layer of our body, skin is also subjected to the influences from environmental factors such as ultraviolet light. Therefore UPE measurement can help us better understand the interaction between skin and the outside world. A variety of dermatological interventions may benefit from UPE studies. In particular, those treatments aiming to manage the oxidative status of the skin can be monitored directly by UPE measurements. In recent years, UPE has already been used as a valuable in vivo tool to assist the selection of better skin care ingredients and products. The knowledge gained by UPE studies of skin may also help generate new insights and new targets for future treatments. This review emphasizes in vivo and clinical measurement of UPE in skin. The applications of UPE in skin research related to antioxidants and sunscreens are discussed.

Impact of strain engineering on nanoscale strained III-V PMOSFETs

Stress distributions in the strained InGaAs PMOSFET with source/drain (S/D) stressors for various lengths and widths were studied with 3D stress simulations. The resulting mobility improvement was analyzed. Compressive stress along the transport direction was found to dominate the hole mobility improvement for the wide width devices. Stress along the vertical direction perpendicular to the gate oxide was found to affect the mobility the least, while stress along the width direction enhanced in the middle wide width region. The impact of channel width and length on performance improvements such as the mobility gain was analyzed using the Kubo-Greenwood formalism accounting for nonpolar hole-phonon scattering (acoustic and optical), surface roughness scattering, polar phonon scattering, alloy scattering and remote phonon scattering. The novelty of this paper is studying the impact of channel width and length on the performance of InGaAs PMOSFET such as mobility and exploring physical insight for scaling the future III-V CMOS devices.

High-SPF sunscreens (SPF ≥ 70) may provide ultraviolet protection above minimal recommended levels by adequately compensating for lower sunscreen user application amounts

BACKGROUND

The manner in which consumers apply sunscreens is often inadequate for ultraviolet protection according to the labeled sun protection factor (SPF). Although sunscreen SPFs are labeled by testing at an application density of 2 mg/cm(2), the actual protection received is often substantially less because of consumer application densities ranging from 0.5 to 1 mg/cm(2). High-SPF sunscreens may provide more adequate protection even when applied by consumers at inadequate amounts.

OBJECTIVE

We sought to measure the actual SPF values of various sunscreens (labeled SPF 30-100) applied in amounts typical of those used by consumers.

METHODS

Actual SPF values were measured on human volunteers for 6 sunscreen products with labeled SPF values ranging from 30 to 100, applied at 0.5, 1.0, 1.5, and 2.0 mg/cm(2).

RESULTS

There was a linear relationship between application density and the actual SPF; sunscreens with labeled SPF values of 70 and above provided significant protection, even at the low application densities typically applied by consumers. Sunscreens labeled SPF 70 and 100 applied at 0.5 mg/cm(2) provided an actual SPF value of, respectively, 19 and 27.

LIMITATIONS

The study was conducted in a laboratory setting under standardized conditions and results are extrapolated to actual in-use situations.

CONCLUSION

Sunscreens with SPF 70 and above add additional clinical benefits when applied by consumers at typically used amounts, by delivering an actual SPF that meets the minimum SPF levels recommended for skin cancer and photodamage prevention. In contrast, sunscreens with SPF 30 or 50 may not produce sufficient protection at actual consumer usage levels.

A chemiluminescence study of UVA-induced oxidative stress in human skin in vivo

Oxidative stress is defined as an imbalance between pro-oxidants and antioxidants in favor of pro-oxidants. Photon emission (also called chemiluminescence) has been widely used to study oxidative stress in biological systems in vitro. In vivo chemiluminescence has been proposed as a non-invasive method to assess oxidative stress in the skin. UVA (320-400 nm part of the ultraviolet radiation) exposure is generally accepted as a source of oxidative stress in the skin. In this study, UVA-induced oxidative stress was studied by using an in vivo chemiluminescence detection method. First, the dose response and the fluence rate response of the UVA-induced oxidative stress in human skin were investigated by examining the decay kinetics of the chemiluminescence signal following UVA exposure. A kinetic model was proposed to help differentiate these two responses. We found that the initial burst of the chemiluminescence signal depended on the UVA fluence rate, whereas the decay of the signal following exposure can be related to the UVA dose involved. Second, a significant reduction of UVA-induced chemiluminescence signal was observed after tape-stripping, indicating that stratum corneum is a major source of UVA-induced oxidative stress in the skin. Furthermore, the oxygen dependence of UVA-induced chemiluminescence signal was also confirmed by application of a pressure cuff, implying that some of the oxidative stress occurs in the deeper layers of the skin. Finally, topical application of vitamin C before exposure significantly reduced the UVA-induced chemiluminescence signal. We thus conclude that chemiluminescence is an effective method to assess the oxidative stress induced by UVA in human skin in vivo.

Rapid, accurate genotyping of the common -alpha(4.2) thalassaemia deletion based on the use of denaturing HPLC

AIMS

To develop an alternative assay for specific genotyping of the -alpha(4.2) thalassaemia deletion based on the DNA sequence features surrounding the breakpoint.

METHODS

The 5' and 3' ends of the breakpoint regions of the -alpha(4.2) allele and the normal homologous segments were sequenced in Chinese individuals. A sequence haplotype composed of four single nucleotide variations within the X2/X1 box of the -alpha(4.2) breakpoint region was found in all of the 10 Chinese -alpha(4.2) thalassaemia alleles studied. Based on these findings, a novel polymerase chain reaction (PCR)/denaturing high performance liquid chromatography (DHPLC) assay was developed for rapid genotyping of the -alpha(4.2) allele instead of traditional Southern blotting or Gap-PCR. This method involves amplification of the alpha globin target sequence encompassing these four polymorphic sites, followed by a partially denaturing HPLC analysis using the transgenomic WAVE DNA fragment analysis system.

RESULTS

The three major genotypes (-alpha4.2/alphaalpha, -alpha(4.2)/--SEA, and alphaalpha/alphaalpha) could be distinguished through the characteristic chromatograms generated by the WAVE system. The accuracy of this technique was evaluated blindly, and the results were 100% (40 of 40) concordant with the genotypes previously characterised by Southern blotting or Gap-PCR.

CONCLUSIONS

This study validates the PCR/DHPLC approach as a simple, rapid, highly accurate, and cost effective method, potentially adaptable for use in epidemiological surveys, genetic screening, and diagnosis of silent alpha+ thalassaemia and Hb H disease.

Spectral Responses of Melanin to Ultraviolet A Irradiation

The purpose of this investigation was to study the ultraviolet A-induced effects on melanin pigmentation both in an in vitro model system and in vivo. Ultraviolet-Vis absorbance spectra of L-3,4-dihydroxyphenylalanine-melanin solutions at different concentrations were measured before and after ultraviolet A exposure (10-120 J per cm2). The difference spectra reveal that following ultraviolet A exposure the absorbance increases exponentially from 800 nm to 450 nm accompanied by a prominent decrease of absorbance in the ultraviolet A range. This change of spectral features depends on both ultraviolet A doses and melanin concentrations. The photo-bleaching effect observed in the ultraviolet A range also depends on oxygen. Human subjects were irradiated with ultraviolet A (40-80 J per cm2) on their back and diffuse reflectance spectra were collected at both irradiated and untreated sites. The absorption spectra of ultraviolet A-induced pigment were calculated as the difference of the two. The ultraviolet A-induced pigment in vivo has similar spectral characteristics and dose dependency as the in vitro system. Photo-oxidation of pheomelanin solutions presents distinctively different spectral and dose-response characteristics from eumelanin. After ultraviolet A irradiation pheomelanin absorbance decreases both in the visible and the ultraviolet A range. We conclude that irradiation with ultraviolet A induces significant photochemical alterations in the skin witnessed by increased photoprotection in the visible spectral range and reduced protection in the ultraviolet A range. We suggest that soluble melanin plays an important part in ultraviolet A-induced pigment in skin and two distinct absorption mechanisms of melanin may be involved in ultraviolet A photo-oxidation. We also propose that eumelanin and pheomelanin could be differentiated according to their spectral responses to ultraviolet A irradiation.

Diurnal and seasonal variations of the UV cut-off wavelength and most erythemally effective wavelength of solar spectra

BACKGROUND

Biologically effective solar ultraviolet radiation is defined as the product of the intensity of the solar spectrum and the erythema action spectrum at each wavelength. In this way we may arrive at the weighted effectiveness of each wavelength of solar radiation to produce a sunburn reaction. There have been many measurements of the variation of the solar spectrum with the time of the day and the time of the year, but questions remain as to the variation of the quality of the spectrum and the contribution of the shortest wavelengths of solar terrestrial radiation. The purpose of the present study was to determine the variation of the biologically effective solar spectrum with the time of the day and the time of the year and to determine the variation of the shortest wavelength that contributes to the sunburn reaction with the time of the day and the time of the year.

METHODS

Spectroradiometric measurements were made at ground level over the period of one year (1988-1989) and at different times of the day at latitude 29.5 degrees north. The measured spectral irradiance was multiplied wavelength by wavelength by the erythema action spectra.

RESULTS

We determined that the biologically effective solar spectrum remains essentially the same over the times of the day that sunburn may be experienced. The maximally effective wavelength of biologically effective solar radiation was determined to be 308 nm. The cut-off wavelength for biologically effective solar radiation (defined as the wavelength at which the biologically effective solar radiation is at 1% of its maximum) varied from 291 to 295 nm over the time of the year and from 292 to 296 nm over the day.

CONCLUSION

For all practical purposes the biologically effective spectrum of solar ultraviolet radiation may be considered to remain constant over the period when sunburn may occur and the minimal wavelength of sunlight that contributes to sunburn is in the range of 291-296 nm.

Measurement of Solar UVB Variations by Polysulphone Film¶

Sheets of polysulphone film have been extensively used as detectors to monitor solar UVB radiation. The advantages of polysulphone detectors are that they are small in size, they have good thermal stability and they are sensitive to UVB radiation. The principal disadvantage of polysulphone detectors is that their spectral sensitivity includes part of the short-wavelength UVA. In this study, we investigate the spectral sensitivity of the polysulphone detector with a series of monochromatic (+/- 2 nm) excitations. We then compare the polysulphone-effective solar radiation with the erythemally effective solar radiation by comparing solar UVB data obtained with polysulphone films with those obtained with a spectroradiometer. From polysulphone data on the seasonal variation of solar UVB radiation, we estimate the corresponding fluctuations of the absorption of the ozone layer. We show that the spectral sensitivity of the polysulphone film is closer to the erythema action spectrum than that indicated by earlier data and that polysulphone detectors can be used to predict the erythema risk of solar UVB. Measurements on solar UVB with polysulphone films and with a spectroradiometer were found to be strongly correlated (R2 > 0.95). Finally, polysulphone-based measurements provide a good measure of the fluctuations of the stratospheric ozone layer.

Infrared microscopic imaging of bone: spatial distribution of CO3(2-)

This article describes a novel technology for quantitative determination of the spatial distribution of CO3(2-) substitution in bone mineral using infrared (IR) imaging at approximately 6 microm spatial resolution. This novel technology consists of an IR array detector of 64 x 64 elements mapped to a 400 microm x 400 microm spot at the focal plane of an IR microscope. During each scan, a complete IR spectrum is acquired from each element in the array. The variation of any IR parameter across the array may be mapped. In the current study, a linear relationship was observed between the band area or the peak height ratio of the CO3(2-) v3 contour at 1415 cm(-1) to the PO4(3-) v1,v3 contour in a series of synthetic carbonated apatites. The correlation coefficient between the spectroscopically and analytically determined ratios (R2 = 0.989) attests to the practical utility of this IR area ratio for determination of bone CO3(2-) levels. The relationship forms the basis for the determination of CO3(2-) in tissue sections using IR imaging. In four images of trabecular bone the average CO3(2-) levels were 5.95 wt% (2298 data points), 6.67% (2040 data points), 6.66% (1176 data points), and 6.73% (2256 data points) with an overall average of 6.38+/-0.14% (7770 data points). The highest levels of CO3(2-) were found at the edge of the trabeculae and immediately adjacent to the Haversian canal. Examination of parameters derived from the phosphate v1,v3 contour of the synthetic apatites revealed that the crystallinity/perfection of the hydroxyapatite (HA) crystals was diminished as CO3(2-) levels increased. The methodology described will permit evaluation of the spatial distribution of CO3(2-) levels in diseased and normal mineralized tissues.

Two-dimensional vibrational correlation spectroscopy of in vitro hydroxyapatite maturation

Two-dimensional (2-D) Raman and 2-D IR correlation spectroscopy are applied to analyze changes in the nu(4) region of the IR spectrum and in the nu(1) region of the Raman spectrum during the maturation of hydroxyapatite (HA) following the solution-mediated conversion of amorphous calcium phosphate (ACP) to HA. The nu(1) region of the Raman spectrum exhibits a frequency shift and sharpening during the maturation. Comparison of the experimental and simulated 2-D plots for this process suggests that the shift of a single peak, rather than a change in the relative intensity of two overlapped bands, is responsible for the observed spectral changes. The nu(4) mode of the PO(3-)(4) ion (T(2) symmetry in the free species) splits into a triplet with components near 563, 575, and 603 cm(-1) in HA. In addition, broad features appear at 540 and 617 cm(-1). During the latest stages of the maturation, an OH(-) librational mode develops at approximately 632 cm(-1). Changes in the relative intensities of three components of the nu(4) mode are not all correlated with each other. The synchronous 2-D plots reveal that the 563 and 603 cm(-1) pair are positively correlated while the feature at 575 cm(-1) is absent. A 587 cm(-1) mode arising from ACP is negatively correlated with the 563 and 603 cm(-1) pair and is both synchronously (positively) and asynchronously correlated with the 540 cm(-1) feature during the early stages of the maturation but is absent from 2-D plots of the later stages of the maturation. Cross correlations between the nu(4) mode and the nu(1),nu(3) contour generally confirm and extend previous assignments for the latter spectral region. Finally, the suitability of the 2-D approach for analysis of IR spectral images is examined through studies of HA crystallinity in a human iliac crest biopsy sample. Trabecular bone contains a fraction of HA that is more crystalline and mature than could be achieved in vitro during the room temperature ACP --> HA interconversion.