Background: The use of cosmeceuticals, cosmetics that are medically proven to improve certain skin qualities, has been generalized to the public. While they were invented to selectively enhance targeted biophysical skin qualities, product selection is highly dependent on subjective perceptions rather than objective assessments. Objective: To evaluate whether subjective perceptions can accurately characterize one’s skin condition, especially in the Korean population, which shows a high interest in cosmetics and skin conditions. Methods: Biophysical parameter measurements were obtained from the 2018 International Skin Characteristics Data Bank Project conducted by the Foundation of the Korea Cosmetic Industry Institute. Participants were 220 healthy South Korean adults. Each participant was asked to evaluate their own skin type in terms of sensitivity, hydration, oiliness, roughness, and thickness. The same subjects were objectively examined using bioengineering devices for the related biophysical parameters. Significance was evaluated using the chi-squared test. Results: Oiliness showed a significant correlation between subjective and objective skin assessments. Although sensitivity, hydration, roughness, and thickness showed positive relationships, none were statistically significant. Interestingly, self-perceived skin texture was highly dependent on pore-induced bumpiness rather than intricate skin surface topology. Also, uneven skin texture tended to be perceived as thick skin. Conclusion Subjectively assessed skin types may limit the precise characterization of the skin’s properties. Therefore, biophysical measurements should be used to assess skin types, particularly with regard to sensitivity, hydration, roughness, and thickness. This Korean population showed no superiority at perceiving skin types compared to subjects of previous studies.

Tight junction (TJ) is recognized as a second barrier of the skin. Altered expression of TJ proteins in various skin diseases characterized by the abnormal permeability barrier such as psoriasis suggests that TJ could be affected by stratum corneum (SC) barrier status. However, the physiological relationship between SC and TJ barrier remains to be investigated. Therefore, we examined the effect of SC barrier disruption on the expression of TJ proteins, claudin (Cldn)-1 and Cldn-4, and TJ barrier function in hairless mouse skin. We also investigated whether the alterations in epidermal Ca2+ affected TJ proteins expression in vivo. Repeated tape-stripping induced a sequential change of the expression and function of TJ. As early as 15-30 minutes after tape-stripping, downregulation of Cldn-1 and Cldn-4 immunoreactivity and protein level without change in mRNA level was found. This was accompanied by the abnormal leakage of lanthanum. However, by 1 hour Cldn-1 and Cldn-4 immunolocalization recovered along with normalized lanthanum permeation pattern. Moreover, the mRNA and protein levels of Cldn-1 and Cldn-4 were increased by 1 to 6 hours after tape-stripping. Inhibition of calcium loss by immersion of barrier-disrupted skin into a high Ca2+ solution prevented the dislocation of Cldn-1 and Cldn-4. Occlusion of barrier-disrupted skin delayed the restoration of Cldn-1 and Cldn-4. Our results suggest that the alteration of epidermal Ca2+ gradient caused by SC barrier perturbation affects the TJ structure and function and the faster recovery of TJ as compared to the SC barrier may imply the protective homeostatic mechanism of skin barrier.
Animals ; Calcium/*metabolism ; Claudin-1/genetics/*metabolism ; Claudin-4/genetics/*metabolism ; Epidermis/metabolism/*physiology ; Female ; Gene Expression Regulation ; Mice ; Mice, Hairless ; Permeability ; RNA, Messenger/metabolism ; Tight Junctions/metabolism/*physiology

BACKGROUND/AIMS: Endoscopic resection (ER) of superficial esophageal neoplasm (SEN) is a technically difficult procedure. We investigated the clinical outcomes of ER for SEN to determine its feasibility and effectiveness. METHODS: Subjects who underwent ER for SEN at Asan Medical Center between December 1996 and December 2010 were eligible. The clinical features of patients and tumors, histopathological characteristics, adverse events, ER results and survival were investigated. RESULTS: A total of 129 patients underwent ER for 147 SENs. En bloc resection (EnR) was performed in 118 lesions (80.3%). Complete resection (CR) was accomplished in 128 lesions (86.5%), and curative resection (CuR) was performed in 118 lesions (79.7%). The EnR, CR, and CuR rates were significantly greater in the endoscopic submucosal dissection group when compared to those in the endoscopic resection group. Adverse events occurred in 22 patients (17.1%), including bleeding (n=2, 1.6%), perforation (n=12, 9.3%), and stricture (n=8, 6.2%). Local tumor recurrence occurred in 2.0% of patients during a median follow-up of 34.8 months. The 5-year overall and disease-specific survival rates were 94.0% and 97.5%, respectively. CONCLUSIONS: ER is a feasible and effective method for the treatment of SEN as indicated by favorable clinical outcomes.
Aged ; Aged, 80 and over ; Disease-Free Survival ; Dissection/*adverse effects/methods ; Esophageal Neoplasms/pathology/*surgery ; Esophageal Perforation/epidemiology/etiology ; Esophageal Stenosis/epidemiology/etiology ; Esophagoscopy/*adverse effects/methods ; Female ; Gastric Mucosa/surgery ; Humans ; Male ; Middle Aged ; Neoplasm Recurrence, Local/epidemiology ; Postoperative Hemorrhage/epidemiology/etiology ; Retrospective Studies ; Treatment Outcome