A numerical analysis of skin–PPE interaction to prevent facial tissue injury

Abstract The use of close-fitting PPE is essential to prevent exposure to dispersed airborne matter, including the COVID-19 virus. The current pandemic has increased pressure on healthcare systems around the world, leading to medical professionals using high-grade PPE for prolonged durations, resulting in device-induced skin injuries. This study focuses on computationally improving the interaction between skin and PPE to reduce the likelihood of discomfort and tissue damage. A finite element model is developed to simulate the movement of PPE against the face during day-to-day tasks. Due to limited available data on skin characteristics and how these vary interpersonally between sexes, races and ages, the main objective of this study was to establish the effects and trends that mask modifications have on the resulting subsurface strain energy density distribution in the skin. These modifications include the material, geometric and interfacial properties. Overall, the results show that skin injury can be reduced by using softer mask materials, whilst friction against the skin should be minimised, e.g. through use of micro-textures, humidity control and topical creams. Furthermore, the contact area between the mask and skin should be maximised, whilst the use of soft materials with incompressible behaviour (e.g. many elastomers) should be avoided

Effects of sebum properties on skin friction: Investigation using a bench test

The hydro lipid film is an emulsion of sweat and sebum that covers the surface of the human skin and affects the tribological properties of the human skin. This study investigates the effects of the composition of the sebum on the average coefficient of friction. A range of simplified sebums was developed and the friction behaviour was investigated. Five realistic sebums showed a strong variation in friction results, indicating that interpersonal differences in frictional behaviour might have their origin in differences in sebum composition. A more detailed investigation employing controlled variations of individual ingredients showed that friction is highly sensitive to the amount of squalene in the sebum. The amount of fatty acids in the sebum also showed some effects, whilst the amount of cholesterol does not appear to be relevant for the friction behaviour. The main new outcome from this study is that the composition of sebum has a significant effect on the friction response of skin in ways that are currently not yet fully understood

Biotribology of the ageing skin- why we should care

Ageing of populations has emerged as one of the most pressing societal, economic and healthcare challenges currently facing most nations across the globe. The ageing process itself results in degradation of physiological functions and biophysical properties of organs and tissues, and more particularly those of the skin. Moreover, in both developed and emerging economies, population ageing parallels concerning increases in lifestyle-associated conditions such as Type 2 diabetes, obesity and skin cancers. When considered together, these demographic trends call for even greater urgency to find clinical and engineering solutions for the numerous age-related deficits in skin function.From a tribological perspective, detrimental alterations of skin biophysical properties with age have fundamental consequences on how one interacts with the body’s inner and outer environments. This stems from the fact that, besides being the largest organ of the human body, and also nearly covering its entirety, the skin is a multifunctional interface which mediates these interactions.The aim of this paper is to present a focused review to discuss some of the consequences of skin ageing from the viewpoint of biotribology, and their implications on health, well-being and human activities. Current and future research questions/challenges associated with biotribology of the ageing skin are outlined. They provide the background and motivation for identifying future lines of research that could be taken up by the biotribology and biophysics communities