No abstract

Surgical excision of both nonmelanoma and melanoma skin cancersremains the most effective method for the treatment of cancers on the trunk and extremities and for select cases on the head and neck regions.The use of gloves during cutaneous surgery to protect both the physicians and the patients has become standard practice. While sterile gloves (SG) are typically used during standard excisions, recent studies have shown that the infection rate is not increased with the use of clean/nonsterile gloves (NSG) during both minor surgeries and repair of wounds after Mohs Micrographic Surgery (MMS). [1][2][3][4][5][6] However, there is minimal prospective data from the dermatology community demonstrating that SG are superior to NSG in reducing postoperative infections during simple skin cancer excisions. The objective of this prospective, subject blinded, randomized study was to determine whether the incidence of infection rates was affected when using NSG instead of SG gloves during standard excisions in Summary Background: Standard surgical skin excision is a routine outpatient procedure commonly performed in Dermatology practice to treat nonmelanoma and melanoma skin cancer. Use of sterile gloves during this procedure has been the standard of care in most Dermatology offices. Objective: To determine whether the incidence of infection rates was affected when using nonsterile gloves (NSG) instead of sterile gloves (SG) during standard skin excisions in an outpatient Dermatology clinic setting.Methods: This prospective, subject-blinded, single-center trial randomized 93 patients presenting for routine skin cancer excisions into two groups. In the first group, 53 excisions were performed with NSG and in the second group 53 excisions were performed with sterile gloves. Degree of wound inflammation and wound infection at 48-72 hours postprocedure was measured. Results:One hundred and six total wounds were included. Zero of 53 were infected in the NSG group, and 0/53 were infected in the SG at the initial screening 48-72 hours postexcision procedure (P = 0.99). The average wound inflammation score was 0.321 for the NSG group and 0.245 for the SG group. Conclusions:Our study suggests that NSG are safe to use for simple excisions of cutaneous skin cancers in an outpatient dermatology clinic setting. K E Y W O R D S clean gloves, infection rates, sterile gloves, surgery How to cite this article: Michener M, Xia Y, Larrymore D, McGraw T, McCarthy S. A comparison of infection rates during skin cancer excisions using nonsterile vs sterile gloves: A prospective randomized pilot study. J Cosmet Dermatol.

Dermatologic illnesses have historically been a significant source of morbidity and resource utilization in fielded military forces. The impact of cutaneous diseases during U.S. military conflicts is reviewed, and recent data from Craig Joint Theater Hospital at Bagram Air Field in Afghanistan are presented, confirming previous experience. A discussion of the difficulties of diagnosing and treating dermatologic conditions for deployed primary care providers is provided, including recommendations to improve patient care and military unit readiness.

USAID has been shaping innovations in agriculture and advancing development in agribusiness and rural communities since its inception in 1961 (USAID, 2013, 2019). In 1968, USAID Administrator William Gaud announced a €œgreen revolution€ with the inception of high yield varieties, driven by Norman Borlaug's research with wheat, inputs and better policies in the developing world. Today, we are at the forefront of a fourth agricultural €œrevolution€ to support a growing population with new knowledge and digital innovations. USAID supports research to enhance agriculture with better seeds, capacity building and technology transfers affecting the value chain, from smallholder farmers through to processors. The USAID Feed the Future Innovation Labs draw on top U.S. universities and research institutions to overcome the world's greatest challenges in food security. As an example, oilseeds are playing an important role in the 4th agricultural revolution; the global oilseed market expanded over 220% in the short 20 years from 1990-2010. Soybean and palm oil production increased 300% in the same period (Byerlee, 2017). Oilseeds can make significant contributions to enhance livelihoods and food security, however Africa makes up less than 1% of global soybean production and holds 24% of palm cultivated land area (Goldsmith, 2019, Ordway, 2019). Africa has the highest rate of stunting in the world at 33% for children under 5 (UNICEF, 2018). Nutrient dense crops like soybean have the potential to alleviate malnutrition, particularly when processed at scale. Unlike the green revolution of the late 1960's however, USAID supports initiatives that alleviate the dynamic tension between environmental concerns, smallholder livelihoods and food security. This new agricultural revolution will be "greener" because it synthesizes criticisms of intensive industrial agriculture while applying past lessons learned. We must work together, as one team of development and industry professionals, to sustain the planet and all of its people.