Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)
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Clinical Trial
A reliable, non-invasive measurement tool for anisotropy in normal skin and scar tissue.
Anisotropy of the skin varies depending on different locations and pathological conditions. Currently, no reliable non-invasive measurement tool is available for tissue anisotropy. The Reviscometer is an anisotropy measurement tool that measures the resonance running time (RRT) of a shock wave. This study was initiated to establish the reliability of the Reviscometer on normal skin and scars, and to provide basic information on tissue alignment in normal skin and scars. ⋯ Reviscometer measurements were reliable for normal skin and scars. In addition, clear differences between scars and normal skin but also within different locations on normal skin were identified. The Reviscometer can be considered for the evaluation of the efficacy of different treatments.
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Clinical Trial
Melanin and facial skin fluorescence as markers of yellowish discoloration with aging.
Although one clinical sign of aging and/or photoaging is a yellowish discoloration of the facial skin, little is known about the cause of this change. In addition to the increase in the epidermal melanin content, it has been suggested that advanced glycation end products (AGEs), which are known to accumulate in photoaged skin, may affect this discoloration. ⋯ The AGEs index does not appear to be influenced by the amount of melanin and may be utilized as an indicator of the amount of AGEs in the skin. AGEs are likely to play a role in the yellowish discoloration of skin with aging.
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Comparative Study Clinical Trial
Measuring transepidermal water loss: a comparative in vivo study of condenser-chamber, unventilated-chamber and open-chamber systems.
Two main systems have been utilized for measuring transepidermal water loss (TEWL): open chamber and closed chamber. Yet, further validation and standardization studies may be necessary to reveal the sensitivity, precision, and robustness of these instruments. ⋯ Our results highlight the differences between two closed-chamber TEWL measurement instruments, which are designed based on different measurement principles. This may provide insights to find the best practice to improve the quality, precision and sensitivity of the measurements.
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Understanding the two-photon excitation spectral characteristics and microscopic morphology of cutaneous collagen and elastic tissue components is important for applying multiphoton microscopy (MPM) in basic skin biology research and for clinical diagnosis. ⋯ This study, using the EEM spectroscopic approach, confirmed a previous imaging study inference that in the dermis, TPEF predominantly originates from elastic fibers, while SHG originates solely from collagen fibers. The EEM data and SHG excitation spectra obtained in this study can be used to guide the selection of excitation wavelengths for MPM applications in basic skin biology research and for clinical diagnosis.
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This overview critically compares subjective assessment tools and available objective measurement tools with potential devices becoming available. Our goal is to lay out the benefits of each scar assessment scale in order to propose good management skills for scars along with strong metric skills. ⋯ There remains still no ideal objective measurement out there despite promise seen in subjective evaluation. Method refinement will however accelerate our knowledge and interventions - based on increasing study power with enhanced metrics.