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*The Beauty of skin neurobiology – C Pincelli & F Bonté – Journal of Cosmetic Dermatology – August 2014
journal of advanced research 在 調皮女醫皮膚專科林昀萱醫師 Facebook 的精選貼文
自從新冠肺炎的疫情以來,門診就有很多人因為『勤洗手』導致皮膚出問題來看醫生。手部清潔雖然不可避免,但洗手跟護手有什麼需要注意的事項呢?
用肥皂或合成清潔劑洗手:
1.用冷水或溫水洗20秒。(如果沒戴錶,生日快樂歌唱兩次也差不多是這時間)。不是用越熱的水細菌跟病毒就會被殺光光,用過熱的水(>40度)反而會讓皮脂液化,改變皮脂結構,讓皮膚的通透性上升,皮膚就更容易出現問題。
2.洗手完水分輕輕『拍』乾就好,不要『擦』乾。
3.洗完手趕快擦保濕霜。
4.抗菌產品對手部清潔不是必要的。
5.選購洗手產品最好要避免致敏的界面活性劑(Cocamidopropyl betaine, Cocamide diethanolamine, Decyl glucoside, Dimethylaminopropylamine, Oleamidopropyl dimethylamine)、防腐劑(Dimethyloldimethyl hydantoin, Diazolidinyl, Formaldehyde, Imidazolidinyl urea, Isothiazolinones, Quaternium-15)、色素、香料。
6.可選含有保濕成分的合成清潔劑。
用酒精乾洗手:
1.酒精濃度至少60%。
2.要避免致敏的界面活性劑、防腐劑、色素、香料。
3.可選含有保濕成分的酒精乾洗手。這種跟肥皂或是合成清潔劑比起來,比較不會引起過敏跟刺激。然而,酒精乾洗手不能完全取代洗手,因為手上的髒污、油垢還有菌量高的時候還是要靠肥皂跟水沖洗。
4.不需要在使用酒精乾洗手前、後再用肥皂跟清水洗手,這樣會增加手部濕疹的機率。
手部保養:
1.保濕霜或護手霜不要選裝在廣口瓶的,因為產品容易被污染。最好選條狀的。
2.晚上雙手擦完乳液後,可以帶棉質手套或是寬鬆的塑膠手套(像手扒雞手套)形成封閉式保護。
3.醫護人員也可以擦完乳液後再戴手套。清爽型的乳液(water-based)適用於任何手套 ; 油質的乳液(oil-base)會破壞乳膠手套跟橡膠手套,讓手套材質變脆弱,這要特別留意!
4.用了酒精乾洗手還是可以戴乳膠手套、PVC手套、丁腈手套,因為它們可抵擋酒精或異丙醇而不受到破壞。
5.洗完手或用了酒精乾洗手要確定手乾了才能戴手套,不然手套悶著會增加皮膚的刺激性。
6.乳液的量要擦多少才夠呢?一隻手的乳液使用量是兩個指節長度(單位)的量!
7.擦完乳液後等1~3分鐘再開始做事。
8.保濕霜或護手霜每3~4小時擦一次,或是洗完手就馬上擦!
9.美國皮膚科醫學會推薦無香料又含有凡士林或是礦物油的保濕霜是最有效、又最不容易引起過敏的護手產品。但要記得,用了這種油質(凡士林或是礦物油)的護手霜就不要再戴乳膠跟橡膠手套了!
手部濕疹變嚴重的危險因子:
洗手:
1.勤洗手。
2.用洗碗精洗手。
3.用太熱或太冷的水洗手。
4.用消毒濕紙巾擦手。
5.工作會接觸到刺激物質,像是漂白水。
接觸過敏原:
1.使用的產品含有外用抗生素(neomycin, bacitracin)
2.在龜裂和發炎的傷口使用組織膠(ethyl cyanoacrylate)幫助癒合。
3.用的OK繃含有bacitracin或是benzalkonium chloride。
手部密閉的時間:
1.手套戴太久,而且戴手套前沒擦護手霜。
2.戴手套前有用肥皂或清潔劑洗手,且戴手套前沒擦護手霜。
3.在手上使用自黏彈性繃。
本來手上就有濕疹:
1.之前有異位性皮膚炎。
2.去摳手上濕疹的屑屑!
Ref :
1.J Am Acad Dermatol 2020;83:1730-7
2.Journal of Advanced Oral Research 11(2) 137-142, 2020
圖片來源:迪士尼卡通小美人魚
#勤洗手
#勤護手
#手部保養
#林政賢皮膚科
journal of advanced research 在 王可言-普惠金融與生態圈經濟 Facebook 的最讚貼文
恭喜林蔚君 榮獲 INFORMS 2020 George E. Kimball Medal!
Congratulations to Prof. Grace Lin for getting the prestigious INFORMS 2020 George E. Kimball Medal!
https://www.youtube.com/watch?v=dZQ2PSbiuxQ
「運籌與管理科學學會頒發了2020年喬治·E·金博爾獎章給Grace Lin,以表彰並衷心感謝其對INFORMS以及運籌學,管理科學和分析專業的傑出貢獻。」
「For exemplary and distinguished service to INFORMS and the profession of operations research, management science, and analytics, the Institute for Operations Research and Management Sciences expresses its sincere appreciation to Grace Lin by awarding her the 2020 George E. Kimball Medal.」
Award Citation:
"Grace Lin is vice president, director of the Big Data Research Center, and chair professor in the Department of Business Administration at Asia University in Taichung, Taiwan since 2016. She recently founded the United Financial Intelligence Corp. (UFI) to support digital transformation and care quality improvement of aging care organizations. From 2011 to 2016, Dr. Lin was the founder and VP of the Data Analytics Technology and Applications (DATA) Institute and VP for the Advanced Research Institute (ARI) at the Institute for Information Industry (III). At III, she initiated key industry-government R&D programs including Smart Living and Smart Commerce Strategy Plan, Big Data Analytics, Smart Healthcare, Smart Tourism, FinTech, and Smart Agriculture. Previously, Dr. Lin worked for IBM US for more than 16 years as the Global Sense-and-Respond Value-Net Leader and CTO & director for Innovation and Emerging Solutions at IBM Global Business Services, and as a research staff member, manager, and senior manager at the IBM T.J. Watson Research Center. She was an elected member of the IBM Academy of Technology, an IBM Distinguished Engineer, and Relationship Manager for IBM's Integrated Supply Chain.
Her background and experience have positioned Dr. Lin at the intersection of technology, innovation, business consulting, and management as well as the intersection of academia and industry. Referred to by Forrester as one of the six supply chain gurus, Dr. Lin has published more than 80 technical papers, book chapters, and articles, and co-authored 10 U.S. patents and nine Taiwan patents. In 2006, she was named an INFORMS Fellow.
Dr. Lin's service to INFORMS and the profession has been substantial. She has been twice elected INFORMS VP Practice and VP International Activities, she has chaired the INFORMS Fellow Selection Committee and several INFORMS and IEEE conferences. Additionally, she has been active in the Edelman Award Competition, having served multiple years as judge and as a member of the selection committee. Active in WORMS, she has been a strong supporter of women in O.R. Passionate about bridging the gap between academia and industry, she has served on a number of university advisory boards. She has also served on National Science Foundation panels in the U.S., Canada, and Ireland, and editorial boards including Manufacturing & Service Operations Management (M&SOM), Operations Research, INFORMS Journal on Applied Analytics, and Service Science. She is a frequent keynote speaker at global conferences and industry events.
Dr Lin's awards include the INFORMS Franz Edelman Award, IBM Outstanding Technical Achievement Award, IBM Corporate Logistics Award, IBM Research Division Award, IIE Doctoral Dissertation Award, the Purdue Outstanding Industrial Engineer Award, and the Distinguished Alumni Award from the School of Science, National Tsing Hua University, Hsin-Chu, Taiwan.
For exemplary and distinguished service to INFORMS and the profession of operations research, management science, and analytics, the Institute for Operations Research and the Management Sciences expresses its sincere appreciation to Grace Lin by awarding her the 2020 George E. Kimball Medal."
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