2010
DOI: 10.1111/j.1600-0536.2010.01706.x
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Non‐invasive bioengineering methods in an intervention study in 1020 male metal workers: results and implications for occupational dermatology

Abstract: Dermatological examinations at the workplace cannot be replaced by bioengineering techniques. The supplementary benefit is apparently low, possibly because of difficulties in achieving standardized measurement conditions and other technical reasons.

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Cited by 21 publications
(19 citation statements)
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“…The only significant predictor of high TEWL levels on the hands was frequent daily hand washing, and this parameter was also related to self-reported skin symptoms and dry skin, confirming the importance of wet conditions for the development of skin changes (8,14). In this study, TEWL levels should be interpreted with caution, owing to the variable and high ambient temperature in the school rooms during measurements, which can affect the TEWL results (26). The observed skin symptoms were associated with a history of self-reported hand eczema and/or urticaria and dry skin on the hands, which were reported by 35% and 37% of study participants, respectively.…”
Section: Discussionsupporting
confidence: 54%
“…The only significant predictor of high TEWL levels on the hands was frequent daily hand washing, and this parameter was also related to self-reported skin symptoms and dry skin, confirming the importance of wet conditions for the development of skin changes (8,14). In this study, TEWL levels should be interpreted with caution, owing to the variable and high ambient temperature in the school rooms during measurements, which can affect the TEWL results (26). The observed skin symptoms were associated with a history of self-reported hand eczema and/or urticaria and dry skin on the hands, which were reported by 35% and 37% of study participants, respectively.…”
Section: Discussionsupporting
confidence: 54%
“…Because skin temperature influences water evaporation we statistically adjusted the TEWL to 30 C. Although a generally accepted conversion formula does not exist [44] the approach introduced by Mathias et al [35] was chosen, because it is the most established one in the literature [45,46]. After adjustment we still observed a substantial TEWL increase at the heels whereas the TEWL seemed not to change at the sacral skin.…”
Section: Discussionmentioning
confidence: 97%
“…Several of these methods are supposed to enable a standardized qualitative and quantitative evaluation of skin diseases or follow‐up evaluation of therapeutic success . However, the comparisons of bioengineering methods such as TEWL and colorimetry during occupational screenings with the Hand Eczema Score for Occupational Screenings (HEROS) revealed only moderate accuracy concerning the estimation of disease severity, especially in the early stages of hand eczema …”
Section: Introductionmentioning
confidence: 99%