Friday, 5 September 2014

Obesity Complication of Cellutitis

By Kyle J. Norton

Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB dailyThe Alan Hopkinson Daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in medical research, such as international journal pharma and Bio science, ISSN 0975-6299.


Obesity is defined as a medical condition of excess body fat accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

Cellutitis is defined as a condition of inflammation of the skin and the connected tissues just beneath the skin as a result of infection of certain types of bacteria.

 How do calculate your BMI index
BMI= weight (kg)/ height (m2)

 How Obesity associates with Cellutitis
1. In a study of "Risk factors for community-associated methicillin-resistant Staphylococcus aureus cellulitis--and the value of recognition" byKhawcharoenporn T, Tice AD, Grandinetti A, Chow D. (Source from John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii 96813, USA. thanak30@yahoo.com, Hawaii Med J. 2010 Oct;69(10):232-6.Hawaii Medical Journal Copyright 2010), posted in PubMed, researchers found that The presence of abscesses and obesity were significantly associated with CA-MRSA cellulitis. Empiric therapy with antibiotics active against MRSA should be guided by these risk factors.

2. According to the abstract of atudy of "Abdominal wall cellulitis in the morbidly obese" by Thorsteinsdottir B, Tleyjeh IM, Baddour LM. (Source from Department of Medicine, Mayo Clinic, 200 First Street SW, Rochester, MN 55902, USA. Thorsteinsdottir.bjorg@mayo.edu., Scand J Infect Dis. 2005;37(8):605-608), posted in PubMed, researchers indicated that Of the 260 cases of cellulitis identified, 24 (9.2%) had morbid obesity and abdominal wallcellulitis. The mean age of the 24 patients was 47 (range 22-70) y and over two-thirds of them were females. Their mean body mass index (BMI) was 62.3 (range 39.6-108.6). 17 (70.8%) had a remote history of abdominal surgery. 16 patients required 23 hospitalizations. Five patients developed cellulitis complications and 7 (29.1%) patients had recurrent bouts of cellulitis during the study period. Abdominal wall cellulitis is a unique infectious complication in patients with morbid obesity. Further study is needed to better define the pathogenesis of this illness to develop strategies in treatment and prevention.

3. In a study of "Obesity and dermatology" by Scheinfeld NS. (Source from Department of Dermatology, St. Luke's-Roosevelt Hospital Center and Beth Israel Medical Center, New York, New York, USA. scheinfeld@earthlink.net, ClinDermatol. 2004 Jul-Aug;22(4):303-9.), posted in PubMed, researchers indicated in abstract that Obesity is associated with a number of dermatoses. It affects cutaneous sensation, temperature regulation, foot shape, and vasculature.Acanthosis nigricans is the most common dermatological manifestation ofobesity. Skin tags are more commonly associated with diabetes than withobesity. Obesity increases the incidence of cutaneous infections that include:candidiasis, intertigo, candida folliculitis, furunculosis, erythrasma, tinea cruris, and folliculitis. Less common infections include cellulitis, necrotizing fasciitis, and gas gangrene. Leg ulcerations, lymphedema, plantar hyperkeratosis, and striae are more common with obesity. Hormonal abnormalities and genetic syndromes (Prader-Willi) are related to obesity and its dermatoses; however, cellulite is not related to obesity.

4. According to the study of "Dermatological complications of obesity" byGarcía Hidalgo L. (Source from Department of Dermatology, Salvador ZubiranNational Nutrition Institute, Mexico City, Mexico. lindagh@avantel.net, Am J ClinDermatol. 2002;3(7):497-506.), posted in PubMed, researcher found that This infection, most commonly candidiasis, is best treated with topical antifungalagents; systemic antifungal therapy may be required in some patients. Excess load on the feet can result in morphological changes that require careful diagnosis; insoles may offer some symptom relief while control of obesity is achieved. Obesity-related dermatoses associated with hospitalization, such as pressure ulcers, diminished wound healing, dermatoses secondary to respiratory conditions, and incontinence, must all be carefully managed with an emphasis on prevention where possible. Recognition and control of the dermatological complications of obesity play an important role in diminishing the morbidity ofobesity.

5. In a study of "Obesity and the skin: skin physiology and skin manifestations of obesity" by Yosipovitch G, DeVore A, Dawn A. (Source from Departments of Dermatology, Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. gyosipov@wfubmc.edu,J Am Acad Dermatol. 2007 Jun;56(6):901-16; quiz 917-20.), posted in PubMed, researchers found that obesity is implicated in a wide spectrum of dermatologicdiseases, including acanthosis nigricans, acrochordons, keratosis pilaris,hyperandrogenism and hirsutism, striae distensae, adiposis dolorosa, and fat redistribution, lymphedema, chronic venous insufficiency, plantar hyperkeratosis,cellulitis, skin infections, hidradenitis suppurativa, psoriasis, insulin resistance syndrome, and tophaceous gout. We review the clinical features, evidence for association with obesity, and management of these various dermatoses and highlight the profound impact of obesity in clinical dermatology. LEARNING OBJECTIVE: After completing this learning activity, participants should be aware of obesity-associated changes in skin physiology, skin manifestations of obesity, and dermatologic diseases aggravated by obesity, and be able to formulate apathophysiology-based treatment strategy for obesity-associated dermatoses.

6. Etc.

Treatments of Obesity and Cellutitis
1. According to the study of "Critical care of the morbidly obese in disaster" by Geiling J. (Source from Veterans Affairs Medical Center, 215 North Main Street, White River Junction, VT 05009, USA. james.geiling@dartmouth.edu, CritCare Clin. 2010 Oct;26(4):703-14. Epub 2010 Aug 8.Published by Elsevier Inc.), posted in PubMed, researchers indicated in abstract that The prevalence ofobesity in the United States is increasing, with extreme morbid obesity of body mass index greater than 40 increasing twice as fast as obesity in general. With the increased weight comes an increased risk of comorbidities, including type 2 diabetes mellitus, cardiovascular disease, respiratory problems such as obstructive sleep apnea or restrictive lung disease, skin disorders such asintertrigo and cellulitis, and urinary incontinence. Thus, patients exposed to a variety of disasters not only are increasingly overweight but also have an associated number of coexistent medical conditions that require increased support with medical devices and medications. This article focuses on management of the morbidly obese patients during disasters.

2. In a study of "Serum piperacillin/tazobactam pharmacokinetics in a morbidly obese individual" by Newman D, Scheetz MH, Adeyemi OA,Montevecchi M, Nicolau DP, Noskin GA, Postelnick MJ. (Source from Department of Pharmacy, Northwestern Memorial Hospital, Chicago, IL, AnnPharmacother. 60611, USA. 2007 Oct;41(10):1734-9. Epub 2007 Aug 28), posted in PubMed, researchers found that Pathogens with elevated MICs may require altered dosing schemes with piperacillin/tazobactam. Future studies are warranted to assess increased dosages, more frequent dosing intervals, or continuous infusion dosing schemes for obese individuals with serious infections.

3. In abstract of the study of "Pharmacokinetics and pharmacodynamics oflinezolid in obese patients with cellulitis" by Stein GE, Schooley SL, PeloquinCA, Kak V, Havlichek DH, Citron DM, Tyrrell KL, Goldstein EJ. (Source from Department of Medicine, Michigan State University, B320 Life Sciences Building, East Lansing, MI 48824-1317, USA. steing@msu.edu, Ann Pharmacother. 2005 Mar;39(3):427-32. Epub 2005 Feb 8), posted in PubMed, researchers found that Serum concentrations of oral linezolid in this patient population were diminished compared with those of healthy volunteers, but still provided prolonged serum inhibitory activity against common pathogens associated with skin/soft tissue infections. One treatment concern would be an obese patient receiving orallinezolid who was infected with a less susceptible (MIC > or =4.0 microg/mL) strain of S. aureus. Bactericidal activity was also observed against selective pathogens.

4. Etc.
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The best of Snack: Crispy Parmesan Pita Crackers

Recipe contributed by Quick and easy family favorites by Vickie and JoAnn)These is great salad and dips. For added flavor, sprinkle with garlic powder herbs before baking.
5 pita round
non-stick vegetable spray
1/2 c. grated Parmesan cheese
Split pitas and cut each half into wedges. Arrange on a baking sheet; spray lightly with non- stick vegetable spray and sprinkle with grated Parmesan. bake at 450 degrees for 8 to 10 minutes or until crisp.
make 5 dozen.

Laura Fuller
Fort Wayne, IN

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Thursday, 4 September 2014

The Causes of Endometriosis (revised edition with references)

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in research, such as international journal pharma and Bio science, ISSN 0975-6299.


During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

1. Retrograde menstruation
The retrograde menstruation theory suggests that during menstruation the blood flows backward instead of outward causing menstrual blood to go through the fallopian tubes to the pelvic and abdominal cavity, resulting in blood embedding on the outside of the uterus into other tissues and organs causing endometriosis(1)(2).
2. Weakening of immune system
Normally, the immune will destroy endometrial cells which are located outside the uterus. If the immune system is weakened and no longer functions normally, it will allow the endometrial cells that shed to attach and grow elsewhere in the body(3)(4).
3. Stress and emotion
During stress and emotion, the adrenal glands produce cortisol which affects the function of the body to cleanse toxins resulting in stimulating the growth of endometriosis(5)(6)(7).
4. Embryonic theory
This theory suggests during the embryonic stage, some endometrial cells which normally grow in the womb instead develops in the abdomen(10).
5. Hormone imbalance
Endometriosis happens during reproductive years of women when estrogen and progesterone are most active. In each stage of the menstrual cycle, estrogen and progesterone must be balanced for women to conceive. Any imbalance of hormones during the menstrual cycle causes conversion of estrogen into bad estrogen and over-production of prostaglandin causing the cervix to contract resulting in no escaping of the menstrual period, causing menstrual cramps and endometriosis. Nutritional deficiency is also one of the causes of hormone imbalance(10)(11).
6. Hereditary
Endometriosis may be genetics passing through from generation to generation or it may result from genetic errors, causing some women to become more likely than others to develop the condition. Study shows that women are 5 times more likely to develop endometriosis if her sister has it. It is wise for these women to have children in their early reproductive years(12)(13).
7. Toxic environment
Study shows that exposing our body to toxins found in pesticides and some harmful waste products may have some hormonal and chemical influence causing activation of endometriosis at the time of menstrual cycle resulting in proliferating of endo-tissues to the abnormal area in our body(5)(8).
8. Xenoestrogen
Interaction of our body with certain chemicals causes a disruption of the body's hormones as resulting of over-production of estrogen converting to xenoestrogen to stimulate the growth of endometriosis(14).
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References
(1) Retrograde menstruation in healthy women and in patients withendometriosis. by Halme J, Hammond MG, Hulka JF, Raj SG, Talbert LM.(PubMed)
(2) Endometriosis, retrograde menstruation and peritoneal inflammation in women and in baboons. by D'Hooghe TM1, Debrock S.(PubMed)
(3) Immune aspects of endometriosis: relevance of the uterine mucosalimmune system by Rier SE1, Yeaman GR.(PubMed)
(4) Pathogenesis by Witz CA1, Schenken RS.(PubMed)
(5) Serum markers of oxidative stress and endometriosis by Rosa e Silva JC, do Amara VF, Mendonça JL, Rosa e Silva AC, Nakao LS, Poli Neto OB, Ferriani RA.(PubMed)
(6)Stress Management Affects Outcomes in the Pathophysiology of anEndometriosis Model by Appleyard CB1, Cruz ML2, Hernández S2, Thompson KJ2, Bayona M3, Flores I4.(PubMed)
(7)Stress exacerbates endometriosis manifestations and inflammatory parameters in an animal model. by Cuevas M1, Flores I, Thompson KJ, Ramos-Ortolaza DL, Torres-Reveron A, Appleyard CB.(pubMed)
(8)The expression and role of oxidative stress markers in the serum and follicular fluid of patients with endometriosis.by Liu F1, He L, Liu Y, Shi Y, Du H.(PubMed)
(9)[Stasis-toxin theory for pathogenesis of endometriosis].[Article in Chinese] by Lian F.(PubMed)
(10) [Risk factors associated, diagnostic methods and treatment forendometriosis, used in clinical service endometriosis gynecology Hospital General de Mexico (2009-2011)].[Article in Spanish] by Guerrero Hernández A1, Oropeza Rechy G, Gómez García E. (PubMed)
(11)Pharmacologic management of endometriosis.by Saltiel E1, Garabedian-Ruffalo SM.(PubMed)
(12|)Endometriosis. IV. Hereditary tendency. by Ranney B.(PubMed)
(13) [Familial endometriosis, a hereditary condition?].[Article in Dutch] by van der VELDEN W.(PubMed)
(14)Urinary bisphenol-A concentration in infertile Japanese women and its association with endometriosis: A cross-sectional study.by Itoh H1, Iwasaki M, Hanaoka T, Sasaki H, Tanaka T, Tsugane S.(PubMed)



The best recipe for Chicken Bites

Recipe contributed by Quick and easy family favorites by Vickie and JoAnn

Once your kids get a taste of these crispy bites, they'll forgo the fast-food version!

4 boneless skinless chicken breasts, cubed
1/2 cup mayonnaise
1 sleeve round butter crackers crushed
Toss chicken cubes in mayonnaise, roll in crushed crackers. Place on an aluminum foil lined baking sheet and bake at 350 degrees for 10 minutes. Turn lined another 10 minutes or until juices run clear, when chicken is pierced with a fork. make 4 dozen appetizers

Twila Heohn
Fruitland, ID

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Wednesday, 3 September 2014

The Symptoms of Endometriosis

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in research, such as international journal pharma and Bio science, ISSN 0975-6299.


During the last stage of the menstrual cycle, normally a layer of endometriosis lining on the inside of the uterus is expelled, known as menstruation blood, instead some of the endometriosis tissues grow somewhere in the body to cause endometriosis. Endometriosis also react to hormone signals of the monthly menstrual cycle, by building and breaking up tissues and eliminating them through menstrual period.

1. Severe period pain
It normally happens with over-production of prostaglandins and leukotrient causing the cervix to contract resulting in no escape for the menstrual period(1)(2).
2. Difficult to get pregnant
If the cyst is presented in the ovary, it will respond to hormone changes in the menstrual cycle causing the cysts to get large every month blocking the normal function of ovaries resulting in infertility(3)(4).
3. Affects patients physically, psychologically and sexually
If endometrosis occurs at the region that is stimulated during sex it may cause excessive pain such as uterosacral ligament and cervical region(5)(6).
4. Chronical pelvic pain and Pain elevate to ward the end of period.
Endometriosis located somewhere other than in the uterus rupturing during menstruation. Since the blood cannot escape, it retents in our body causing damage to the organs or any part of the body hosting the endometriosis resulting in severe pain toward the end of the period(7)(8). Pain on one side of the pelvic during menstrual cycle may be caused by endometrial implants or adhesion to that side of the pelvic.
5. Constipation
Constipation is caused by endometrial implants or adhesion attaching to the organ of excretion. It makes it extremely painful to urinate and defecate(9)
6. Premenstrual dysphoric syndrome
Premenstrual dysphoric syndrome, a severe type of PMS, is defined to have menstrual cramps before and during menstrual cycle. If the pain is more severe than before than it may be caused by endometrial implants or adhesion to more sensitive areas.(10).
7. Heavy period
Heavy period is either caused by menorrhagia or endometriosis. Any women who has never experience heavy period before, the sudden change of heavy period may be caused by the rupturing of the endometrial lining embedded on the inner wall of the uterus(11).
8. Irritable bowel syndrome
Women with endometriosis in the bowel region frequently have abdominal and bowel symptoms, specially during the menstrual cycle. Bowel symptoms may be attributed to irritable bowel symptoms or caused by intestinal involvement from endometriosis.(9).

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References
(1) Dysmenorrhea, Absenteeism from School, and Symptoms Suspicious forEndometriosis in Adolescents.by Zannoni L1, Giorgi M2, Spagnolo E2, Montanari G2, Villa G2, Seracchioli R2(PubMed).
(2) Prevalence and impact of dysmenorrhea on Hispanic female adolescents.by Banikarim C1, Chacko MR, Kelder SH(PubMed)
(3) WITHDRAWN: Laparoscopic surgery for subfertility associated withendometriosis.by Jacobson TZ1, Duffy JM, Barlow DH, Farquhar C, Koninckx PR, Olive D.(PubMed)
(4) Endometriosis and pregnancy outcome: are pregnancies complicated byendometriosis a high-risk group? by Mekaru K1, Masamoto H2, Sugiyama H2, Asato K2, Heshiki C2, Kinjyo T2, Aoki Y2.(PubMed)
(5) Do women with endometriosis have to worry about sex? by Di Donato N1, Montanari G2, Benfenati A2, Monti G2, Bertoldo V2, Mauloni M3, Seracchioli R2.(PubMed)
(6) Women with deep infiltrating endometriosis: sexual satisfaction, desire, orgasm, and pelvic problem interference with sex by Montanari G1, Di Donato N, Benfenati A, Giovanardi G, Zannoni L, Vicenzi C, Solfrini S, Mignemi G, Villa G,Mabrouk M, Schioppa C, Venturoli S, Seracchioli R.(PubMed)
(7)Menstrual patterns, pain symptoms, body mass index and smoking habits in women with endometriosis by Montanino G1, Montanino Oliva M, Gulemí L, Boninfante M, Cosmi EV.(PubMed)
(8) Endometriosis and pelvic pain: epidemiological evidence of the relationship and implications by Fauconnier A1, Chapron C.(PubMed)
(9) Irritable bowel syndrome and chronic constipation in patients withendometriosis. by Meurs-Szojda MM1, Mijatovic V, Felt-Bersma RJ, Hompes PG.(PubMed)
(10) Potential strategies to avoid progestogen induced premenstrual disorders by Baker LJ1, O'Brien PM.(PubMed)
(11) Polypoid endometriosis of the cervix: a case report and review of the literature by Jaiman S1, Gundabattula SR, Pochiraju M, Sangireddy JR.(PubMed)

The Tasty and healthy Spinach salad


Recipe attributed to Company Coming salads by Jean Pare

Not the usual spinach salad. Different and tastier.
Dressing
1/2 cup (125 ml) salad dressing (or mayonnaise)
1/4 cup (60 ml) commercial coleslaw dressing
1/4 tsp. (1 ml) dill weed

Salad
6 cups (1.5 ml) spinach leaves, torn and lightly packed
1/4 cups (60 ml) grated Swiss cheese
1 cup (250 ml) fresh sliced mushrooms
6 bacon slice, cooked and crumbled
2. hard- boiled eggs, chopped

Dressing: Combined all 3 ingredients in a small bowl. Stir. Set aside.
salad: Place spinach in a large bowl. Add about 3/4 dressing. Toss to coat. pile onto 4 to 6sald plates
Sprinkle Swiss cheese over top. Sprinkle with mushrooms, bacon and egg. Drizzle remaining dressing over top. Serve immediately. Serve 4 to 6.

Variation: Swiss cheese may be omitted. Double amount of Cheddar for equally good results.

Romaine salad: substitute Romaine lettuce for spinach leaves. Delicious and easier to obtain at time than spinach.

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Tuesday, 2 September 2014

Obesity Complication of Skin Diseases

By Kyle J. Norton
Health article writer and researcher; Over 10.000 articles and research papers have been written and published on line, including
world wide health, ezine articles, article base, healthblogs, selfgrowth, best before it's news, the karate GB daily, etc,.
Named TOP 50 MEDICAL ESSAYS FOR ARTISTS & AUTHORS TO READ by Disilgold.com
Named 50 of the best health Tweeters Canada - Huffington Post
Nominated for shorty award over last 4 years
Some articles have been used as references in research, such as international journal pharma and Bio science, ISSN 0975-6299.


Obesity is defined as a medical condition of excess body fat accumulated overtime, while overweight is a condition of excess body weight relatively to the height. According to the Body Mass Index(BMI), a BMI between 25 to 29.9 is considered over weight, while a BMI of over 30 is an indication of obesity. According to the statistic, 68% of American population are either overweight or obese.

Skin infection is defined as a condition caused by certain bacteria, including Impetigo (a highly contagious bacterial skin infection), Erysipelas (an acute streptococcus bacterial infection), Cellulitis (a diffuse inflammation, etc. ,fungal skin infections of the skin, hair, and/or nails, parasitic infestations and viral related infections

How do calculate your BMI index
BMI= weight (kg)/ height (m2)

How Obesity associates with Skin Diseases
1. According to the study of "Skin manifestations of obesity: a comparative study" by Boza JC, Trindade EN, Peruzzo J, Sachett L, Rech L, Cestari TF.(Source from Department of Dermatology, Federal University of Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Porto Alegre, Brazil, © 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology), posted in PubMed, researchers concluded that Obesity is strongly related to several skin alterations that could be considered as markers of excessive weight.Skin care of obese patients deserves particular attention, not only because of the high prevalence of cutaneous alteration but mainly because many of these disorders are preventable and could be treated, improving patient's quality of life.

2. In the abstract of the study of " The impact of obesity on skin disease and epidermal permeability barrier status" by Guida B, Nino M, Perrino NR, Laccetti R, Trio R, Labella S, Balato N. (Source from Department of Neuroscience, Physiology Nutrition Unit, University Federico II, Naples, Italy. bguida@unina.it, J Eur Acad Dermatol Venereol. 2010 Feb;24(2):191-5. Epub 2009 Nov 19), posted in PubMed. researchers found that Specific dermatoses asskin tags, striae distensae and plantar hyperkeratosis, could be considered as a cutaneous stigma of severe obesity. The low permeability of the skin to evaporative water loss is observed in obese subjects compared with normal weight control. Although the physiological mechanisms are still unknown, this finding has not been previously described and we believe that this may constitute a new field in the research on obesity.

3. In a study of "The influence of body mass index on skin susceptibility to sodium lauryl sulphate" by Löffler H, Aramaki JU, Effendy I. (Source from Department of Dermatology, University of Marburg, Germany. Harald.Loeffler@mailer.uni-marburg.de, Skin Res Technol. 2002 Feb;8(1):19-22.), posted in PubMed, researchers indicated that Basal biophysical parameters of the skin are primarily correlated with the BMI. This may be caused by obesity-induced physiological changes, e.g. increased sweat gland activity, high blood pressure and physiological temperature-regulating system. The epidermal barrier function, as evaluated after SLS patch testing is, however, not correlated with a high BMI, indicating a normal skin barrier.

4. In a study of "An overview of dermatological conditions commonly associated with the obese patient" by Hahler B. (Source from St. Vincent Mercy Medical Center, 2213 Cherry Street, Toledo, OH 43608, USA. hahlb@buckeye-access.com, Ostomy Wound Manage. 2006 Jun;52(6):34-6, 38, 40 passim), posted in PubMed, researchers found that with the continuing increase in the incidence of obesity, investigation into the specific care needs of this population is needed. In clinical practice, measures to reduce friction and shear and improve devices to move the obese patient would enhance care provision. Studies of the incidence of dermatological problems and the best treatments for these conditions are warranted.

5. Etc.

Treatments of Obesity and Skin Diseases
1. In a study of "[Skin manifestations, treatment and rehabilitation in overweight and obesity].

[Article in Hungarian] by Wenczl E. (Source from Fovárosi Onkormányzat Egyesített Szent István és Szent László Kórház és Rendelointézet Borgyógyászati és Lymphológiai Rehabilitációs Osztály Budapest Nagyvárad tér 1. 1095, Orv Hetil. 2009 Sep 13;150(37):1731-8), researchers found that Draw patients' attention to the preventive importance of skin care. In case of an obese patient the usual dosage of most local and systemic drugs should be modified. It must be kept in mind that obesity directly or indirectly starts unfavorable processes in almost all organ systems. Therefore, only a multidisciplinary care may secure treatment and rehabilitation of obese patients. Dermatological and lymphological care is often part of the rehabilitation.


2. According to the study of "Dermatological complications of obesity" by García Hidalgo L. (Source from Department of Dermatology, Salvador Zubiran National Nutrition Institute, Mexico City, Mexico. lindagh@avantel.net, Am J Clin Dermatol. 2002;3(7):497-506.), posted in PubMed, researchers found that Excess load on the feet can result in morphological changes that require careful diagnosis; insoles may offer some symptom relief while control of obesity is achieved. Obesity-related dermatoses associated with hospitalization, such as pressure ulcers, diminished wound healing, dermatoses secondary to respiratory conditions, and incontinence, must all be carefully managed with an emphasis on prevention where possible. Recognition and control of the dermatological complications of obesity play an important role in diminishing the morbidity ofobesity.

3. In an abstract of the studt of "Obesity and the skin: skin physiology andskin manifestations of obesity" by Yosipovitch G, DeVore A, Dawn A. (Source from Departments of Dermatology, Regenerative Medicine, Wake Forest University School of Medicine, Winston-Salem, NC 27157, USA. gyosipov@wfubmc.edu, J Am Acad Dermatol. 2007 Jun;56(6):901-16; quiz 917-20.) posyed in PubMed, researchers indicated that evidence for association withobesity, and management of these various dermatoses and highlight the profound impact of obesity in clinical dermatology. LEARNING OBJECTIVE: After completing this learning activity, participants should be aware of obesity-associated changes in skin physiology, skin manifestations of obesity, and dermatologic diseases aggravated by obesity, and be able to formulate a pathophysiology-based treatment strategy for obesity-associated dermatoses.

4. Etc.

3. Etc.
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