The Importance of Hydration in Wound Healing: Reinvigorating the clinical perspective

Balancing skin hydration levels is important as any disruption in skin integrity will result in disturbance of the dermal water balance. The discovery that a moist wound healing environment actively supports the healing response when compared to a dry environment highlights the importance of water and good hydration levels for optimal wound healing. The benefits of “wet” or “hyper-hydrated” wound healing appears to offer benefits that are similar to those offered by moist wound healing over wounds healing in a dry environment. This suggests that the presence of free water itself during wound healing may not be detrimental to healing but that any adverse effects of wound fluid on tissues is more likely related to the biological components contained within chronic wound exudate (e.g. elevated protease levels). Appropriate dressings applied to wounds must be able to absorb not only the exudate but also retain this excess fluid together with its protease solutes while concurrently preventing desiccation. This is particularly important in the case of chronic wounds where peri-wound skin barrier properties are compromised and there is increased permeation across the injured skin barrier. This review discusses the importance of appropriate levels of hydration in skin with a particular focus on the need for optimal hydration levels for effective healing

Wound healing and hyper-hydration - a counter intuitive model

Winters seminal work in the 1960s relating to providing an optimal level of moisture to aid wound healing (granulation and re-epithelialisation) has been the single most effective advance in wound care over many decades. As such the development of advanced wound dressings that manage the fluidic wound environment have provided significant benefits in terms of healing to both patient and clinician. Although moist wound healing provides the guiding management principle confusion may arise between what is deemed to be an adequate level of tissue hydration and the risk of developing maceration. In addition, the counter-intuitive model ‘hyper-hydration’ of tissue appears to frustrate the moist wound healing approach and advocate a course of intervention whereby tissue is hydrated beyond what is a normally acceptable therapeutic level. This paper discusses tissue hydration, the cause and effect of maceration and distinguishes these from hyper-hydration of tissue. The rationale is to provide the clinician with a knowledge base that allows optimisation of treatment and outcomes and explains the reasoning behind wound healing using hyper-hydration

A Benchmark for Geometric Facial Beauty Study

2nd International Conference on Medical Biometrics, ICMB 2010, Hong Kong, 28-30 June 2010This paper presents statistical analyses for facial beauty study. A large-scale database was built, containing 23412 frontal face images, 875 of them are marked as beautiful. We focus on the geometric feature defined by a set of landmarks on faces. A normalization approach is proposed to filter out the non-shape variations - translation, rotation, and scale. The normalized features are then mapped to its tangent space, in which we conduct statistical analyses: Hotelling's T2 test is applied for testing whether female and male mean faces have significant difference; Principal Component Analysis (PCA) is applied to summarize the main modes of shape variation and do dimension reduction; A criterion based on the Kullback-Leibler (KL) divergence is proposed to evaluate different hypotheses and models. The KL divergence measures the distribution difference between the beautiful group and the whole population. The results show that male and female faces come from different Gaussian distributions, but the two distributions overlap each other severely. By measuring the KL divergence, it shows that multivariate Gaussian model embodies much more beauty related information than the averageness hypothesis and the symmetry hypothesis. We hope the large-scale database and the proposed evaluation methods can serve as a benchmark for further studies.Department of Computin