Not so long ago, people like my Aunt Muriel thought of sunburn as a necessary evil on the way to a “good base tan.” She used to slather on the baby oil while using a large reflector to bake away. Aunt Muriel’s mantra when the inevitable burn and peel appeared: Beauty has its price.


Was she ever right about that price – but it was a lot higher than any of us at the time recognized. What sun addicts didn’t know then was that we were setting our skin up for damage to its structural proteins and DNA. Hello, wrinkles, liver spots, and cancers. No matter where your complexion falls on the Fitzpatrick Skin Type scale, ultraviolet (UV) radiation from the sun or tanning beds will damage your skin.

Today, recognition of the risks posed by UV rays has motivated scientists, myself included, to study what’s going on in our cells when they’re in the sun – and devise modern ways to ward off that damage.

UV light that affects our skin has a shorter wavelength than the parts of the electromagnetic spectrum we can see. Inductiveload, NASA, CC BY-SA

What happens when sun hits skin

Sunlight is composed of packets of energy called photons. The visible colors we can see by eye are relatively harmless to our skin; it’s the sun’s (UV) light photons that can cause skin damage. UV light can be broken down into two categories: UVA (in the wavelength range 320-400 nanometers) and UVB (in the wavelength range 280–320 nm).

Our skin contains molecules that are perfectly structured to absorb the energy of UVA and UVB photons. This puts the molecule into an energetically excited state. And as the saying goes, what goes up must come down. In order to release their acquired energy, these molecules undergo chemical reactions – and in the skin, that means there are biological consequences.

Interestingly, some of these effects used to be considered helpful adaptations – though we now recognize them as forms of damage. Tanning is due to the production of extra melanin pigment induced by UVA rays. Exposure to the sun also turns on the skin’s natural antioxidant network, which deactivates highly destructive reactive oxygen species (ROS) and free radicals; if left unchecked, these can cause cellular damage and oxidative stress within the skin.

We also know that UVA light penetrates deeper into the skin than UVB, destroying a structural protein called collagen. As collagen degrades, our skin loses its elasticity and smoothness, leading to wrinkles. UVA is responsible for many of the visible signs of aging while UVB light is considered the primary source of sunburn. Think “A” for aging and “B” for burning.

DNA itself can absorb both UVA and UVB rays, causing mutations which, if unrepaired, can lead to non-melanoma (basal cell carcinoma, squamous cell carcinoma) or melanoma skin cancers. Other skin molecules pass on absorbed UV energy to those highly reactive ROS and free radicals. The resulting oxidative stress can overload the skin’s built-in antioxidant network and cause cellular damage. ROS can react with DNA, forming mutations, and with collagen, leading to wrinkles. They can also interrupt cell signaling pathways and gene expression.

The end result of all of these photoreactions is photodamage that accumulates over the course of a lifetime from repeated exposure. And – this cannot be emphasized enough — this applies to all skin types, from Type I (like Nicole Kidman) to Type VI (like Jennifer Hudson). Regardless of how much melanin we have in our skin, we can develop UV-induced skin cancers, and we will all eventually see the signs of photo-induced aging in the mirror.

Filtering photons before the damage is done

The good news, of course, is that the risk of skin cancer and the visible signs of aging can be minimized by preventing overexposure to UV radiation. When you can’t avoid the sun altogether, today’s sunscreens have got your back (and all the rest of your skin too).

Sunscreens employ UV filters: molecules specifically designed to help reduce the amount of UV rays that reach through the skin surface. A film of these molecules forms a protective barrier either absorbing (chemical filters) or reflecting (physical blockers) UV photons before they can be absorbed by our DNA and other reactive molecules deeper in the skin.

In the United States, the Food and Drug Administration regulates sunscreens as drugs. Because we were historically most concerned with protecting against sunburn, 14 molecules that block sunburn-inducing UVB rays are approved for use. That we have just two UVA-blocking molecules available in the United States — avobenzone, a chemical filter, and zinc oxide, a physical blocker — is a testament to our more recent understanding that UVA causes trouble, not just tans.

The FDA also has enacted strict labeling requirements — most obviously about SPF (sun protection factor). On labels since 1971, SPF represents the relative time it takes for an individual to get sunburned by UVB radiation. For example, if it takes 10 minutes typically to burn, then, if used correctly, an SPF 30 sunscreen should provide 30 times that – 300 minutes of protection before sunburn.

“Used correctly” is the key phrase. Research shows that it takes about one ounce, or basically a shot glass-sized amount of sunscreen, to cover the exposed areas of the average adult body, and a nickel-sized amount for the face and neck (more or less, depending on your body size). The majority of people apply between a quarter to a half of the recommended amounts, placing their skin at risk for sunburn and photodamage.

In addition, sunscreen efficacy decreases in the water or with sweating. To help consumers, FDA now requires sunscreens labeled “water-resistant” or “very water-resistant” to last up to 40 minutes or 80 minutes, respectively, in the water, and the American Academy of Dermatology and other medical professional groups recommend reapplication immediately after any water sports. The general rule of thumb is to reapply about every two hours and certainly after water sports or sweating.

In the U.S., the FDA regulates sunscreens available to consumers. Sheila Fitzgerald via Shutterstock.com

To get high SPF values, multiple UVB UV filters are combined into a formulation based upon safety standards set by the FDA. However, the SPF doesn’t account for UVA protection. For a sunscreen to make a claim as having UVA and UVB protection and be labeled “broad spectrum,” it must pass FDA’s broad spectrum test, where the sunscreen is hit with a large dose of UVB and UVA light before its effectiveness is tested.

This pre-irradiation step was established in FDA’s 2012 sunscreen labeling rules and acknowledges something significant about UV-filters: Some can be photolabile, meaning they can degrade under UV irradiation. The most famous example may be PABA. This UVB-absorbing molecule is rarely used in sunscreens today because it forms photoproducts that elicit an allergic reaction in some people.

But the broad spectrum test really came into effect only once the UVA-absorbing molecule avobenzone came onto the market. Avobenzone can interact with octinoxate, a strong and widely used UVB absorber, in a way that makes avobenzone less effective against UVA photons. The UVB filter octocrylene, on the other hand, helps stabilize avobenzone so it lasts longer in its UVA-absorbing form. Additionally, you may notice on some sunscreen labels the molecule ethylhexyl methoxycrylene. It helps stabilize avobenzone even in the presence of octinoxate and provides us with longer-lasting protection against UVA rays.

Next up in sunscreen innovation is the broadening of their mission. Because even the highest SPF sunscreens don’t block 100% of UV rays, the addition of antioxidants can supply a second line of protection when the skin’s natural antioxidant defenses are overloaded. Some antioxidant ingredients my colleagues and I have worked with include tocopheral acetate (Vitamin E), sodium ascorbyl phosophate (Vitamin C), and DESM. And sunscreen researchers are beginning to investigate if the absorption of other colors of light, like infrared, by skin molecules has a role to play in photodamage.

As research continues, one thing we know for certain is that protecting our DNA from UV damage, for people of every color, is synonymous with preventing skin cancers. The Skin Cancer Foundation, American Cancer Society, and American Academy of Dermatology all stress that research shows regular use of an SPF 15 or higher sunscreen prevents sunburn and reduces the risk of non-melanoma cancers by 40% and melanoma by 50%.

We can still enjoy being in the sun. Unlike my Aunt Muriel and us kids in the 1980s, we just need to use the resources available to us, from long sleeves to shade to sunscreens, in order to protect the molecules in our skin, especially our DNA, from UV damage.

Kerry Hanson is a research chemist at the University of California, Riverside.

This article was originally published on The Conversation. Read the original article.

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  • Every dog has its day, but it’s not the Fourth of July
    Photo credit: Leigh Prather/Shutterstock.comDogs often react with great fear to July 4th celebrations. Border collies such as this dog are especially sensitive to loud noises.
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    Every dog has its day, but it’s not the Fourth of July

    How to protect anxious pups from holiday booms.

    The Fourth of July can be a miserable day for dogs. The fireworks make scaredy-cats out of many canines.

    That’s because dogs, like humans, are hardwired to be afraid of sudden, loud noises. It is what keeps them safe. Some dogs, though, take that fear to the extreme with panting, howling, pacing, whining, hiding, trembling and even self-injury or escape. And, unlike humans, they don’t know that the fanfare on the Fourth is not a threat. Dogs hear the fireworks and process it as if their world is under siege.

    How a dog responds to noises may be influenced by breed, with German shepherd dogs more likely to pace, while border collies or Australian cattle dogs are more likely to show their fear by hiding.

    While we veterinarians don’t know exactly why some dogs are afraid of fireworks and others not, many dogs that react to one noise often react to others. Therefore, early intervention and treatment are essential in protecting the welfare of these terrified dogs. Here’s how you can protect your dog from fireworks.

    • Take your pet to the vet. If your dog is afraid of fireworks, the first step is to have your veterinarian evaluate him or her, especially if your dog’s noise sensitivity is relatively new. One 2018 study found a link between pain and noise sensitivities in older dogs, indicating that muscle tension or sudden movements in response to a loud noise may aggravate a tender area on the body and thus create an association between the loud noise and pain, causing fear of that particular noise to develop or escalate.
    • Create a “safe haven” in your home with a secure door or gate, preferably away from outside windows or doors. Close the blinds or curtains to reduce outside noises, and play some classical music to help reduce stress by creating a relaxing environment for your dog during the show. A white noise machine or box fan may also help reduce anxiety, along with a pheromone like Adaptil sprayed on bedding, a bandanna, a collar or from a diffuser plugged into the wall.
    • Consider noise-canceling headphones such as Mutt Muffs to muffle the sounds and further reduce noise sensitivities.
    • Find a food your pet will love. This could be cut pieces of boiled chicken or squeeze cheese. Sit with your pet and feed him with each boom. You can also use a long-lasting food-dispensing or puzzle toy to release food continuously during the show. This is to help your dog make a positive association with the noises for the future.
    • Consider anxiety wraps, fabric wraps that exert a gentle pressure on your dog’s body. These may help to lower heart rate and other clinical signs of fear and anxiety, operating on the belief that they swaddle a scared animal and thus calm its fears. These work best, however, in conjunction with a complete behavior treatment plan including medication or behavior modification, or both.
    • When it comes to comforting your dog, the jury is still out. It is difficult, however, to reinforce an emotional response with comfort. Therefore, it is OK to pet your dog when frightened by a noise event so long as the dog appears to be comforted and not more distressed by the attention.

    This article originally appeared on The Conversation. You can read it here.

  • Pollen is getting worse, but you can make things better with these tips from an allergist
    Photo credit: Alex Cofaru/Shutterstock.comA girl in a field of flowers.

    Blooming flowers signal the beginning of spring, but for millions of people, they also signal the onset of the misery: allergy and asthma season. Itchy, watery eyes; sneezing, runny nose; cough and wheezing are triggered by an overreaction of the body to pollen.

    Every spring, trees and grasses release billions of buoyant pollen granules into the air, using the wind to disperse across the countryside in an effort to reproduce. It’s all about survival; plants that release more pollen have the survival advantage.

    As an adult and pediatric allergist-immunologist in the Midwest, the onset of spring signals my busy season treating hundreds of patients for their seasonal allergy and asthma symptoms. If you suffer through the season, know that you are not alone. Throughout history, pollen has taken the fun out of spring for many. In modern times, however, medical science has identified practices and treatments that help.

    Older than the dinosaurs, as wide as the world

    Fossilized specimens of pollen granules have been found predating dinosaurs and alongside Neanderthals.

    And, sinus and asthma symptoms and treatments are documented throughout history and across the globe. People just didn’t know exactly how to treat the symptoms, or exactly what was causing them.

    For example, over 5,000 years ago, the Chinese used the berries of the horse tail plant, ma huang (Ephedra distachya), to relieve congestion and decrease mucous production associated with “plant fever” – a condition affecting people during the fall.

    In Egypt, the “Papyrus Ebers,” written around 1650 B.C., recommended over 20 treatments for cough or difficulty breathing, including honey, dates, juniper and beer.

    Although Homer’s “Iliad” describes the loud noise of breathing in battle as “asthma,” Aretaeus of Cappadocia of the second century A.D. is credited with the first clinical description more consistent with modern understanding of this condition. He wrote of those who suffered that:

    “They open the mouth since no house is sufficient for their respiration, they breathily standing, as if desiring to draw in all the air which they possibly can inhale… the neck swells with the inflation of the breath, the precordia (chest wall) retracted, the pulse becomes small and dense,” and if the symptoms persist, the patient “may produce suffocation after the form of epilepsy.”

    Tobacco leaves
    Tobacco leaves were exported to Europe for experimentation in treating the symptoms of spring time coughing and sneezing. Jeep 2499/Shutterstock.com

    By the time Columbus landed, indigenous populations in Central and South American were utilizing ipecacuanha, a root found in Brazil with expectorant and emetic properties and balsam, which is still used in some cold remedies today. Coca and tobacco leaves, used medicinally by the Incas, were later exported to Europe for additional experimentation for the treatment of rhinitis and asthma.

    Aside from the “plant fever” described in China, the first written description of seasonal respiratory symptoms is credited to Rhazes, a Persian scholar, around 900 A.D. He described the nasal congestion that coincided with the blooming of roses, termed “rose fever.”

    Symptoms noticed, but no cause identified

    As scientific advancement was stifled during the Middle Ages, in large part due to the plague, it wasn’t until 900 years later, in 1819, that Dr. John Bostock published a description of his own seasonal allergies. But he didn’t know what was causing them.

    Having suffered from “summer catarrh” since childhood, Bostock persisted in his study of the condition, despite an initial lackluster response from the medical community.

    In the nine years between his first and second publications, he found only 28 additional cases consistent with his own seasonal allergy symptoms, which perhaps demonstrates the lower prevalence of the condition at the time. He noted that nobility and the privileged classes were more often afflicted by seasonal allergies. This was thought to be the consequence of wealth, culture and an indoor life.

    Societal changes with their roots in the Industrial Revolution, including increased exposure to air pollution, less time spent outdoors, increased pollen counts and improved hygiene, all likely contributed to the increased prevalence of allergies that we continue to see today. They also helped form the hygiene hypothesis, which states that in part decreased exposure to particular bacteria and infections could be leading to the increase in allergic and autoimmune diseases.

    The source of seasonal symptoms at the time was also thought to be caused by the smell of new hay. This led to the coining of the term “hay fever.”

    Bostock instead suspected the recurring symptoms were triggered by the summer heat, since his symptoms improved when he spent the summer on the coast. It would later became common for nobility and aristocrats to spend allergy season in coastal or mountain resorts to avoid bothersome symptoms.

    Identifying the true culprit

    Through methodical study and self-experimentation, Dr. Charles Blackley identified that pollen was to blame for allergy symptoms. He collected, identified, and described various pollens and then determined their allergic properties by rubbing them into his eyes or scratching them on his skin. He then noted which ones resulted in redness and itching. This same technique is used in skin prick testing by allergists today.

    Inspired by discoveries related to vaccination, Dr. Leonard Noon and John Freeman prepared doses of pollen extracts for injection in an effort to desensitize patients with allergic rhinitis in the early 1900s. This effective treatment, called allergy immunotherapy, also known as allergy shots, is still used today.

    Antihistamines first became available in the 1940s, but they caused significant sedation. The formulations with fewer side effects that are used today have only been available since the 1980s.

    Pollen counts likely to grow

    Pollen on a street in Atlanta
    Pollen on a street in Atlanta, March 31, 2019. Lynne Anderson, CC BY-SA

    Though recognized by ancient civilizations, seasonal allergic rhinitis and allergic asthma have only increased in prevalence in recent history and are on the rise, now affecting 10 to 30 percent of the world’s population.

    Fueled by warmer temperatures and increased carbon dioxide levels, pollen seasons are longer, and pollen counts are higher. Many experts believe this will worsen in the coming years due in large part to climate change.

    To keep you and your loved ones safe from pollen, close windows and change out of clothes exposed to pollen as soon as you come indoors.
    To keep you and your loved ones safe from pollen, close windows and change out of clothes exposed to pollen as soon as you come indoors. Monkey Business Images/Shutterstock.com

    What can you do? Often, those who are allergic need a multifaceted approach.

    • Find out what allergens are causing your symptoms. Take note of when your symptoms start by making a note in a calendar or planner.
    • Minimize exposure to allergens. Track pollen counts. When pollen counts are high, keep the windows closed at home and in the car. After spending time outdoors, shower and change clothing to prevent ongoing exposure to pollen.
    • Take a pro-active approach to treating symptoms. Starting medications before symptoms develop can prevent symptoms from getting out of control. This can also decrease the amount of medication needed overall. Long acting non-sedating antihistamines are helpful for itching and sneezing. Nasal corticosteroid sprays are more helpful for stuffy noses.
    • Consider a visit to see a board certified allergist/immunologist. She or he can help you determine which particular pollens maybe the source of your symptoms.
    • Explore the role of immunotherapy with your doctor. Immunotherapy changes the immune response through administration of small regimented doses of allergens over time. This induces a state of tolerance, eventually helping people become less allergic over time.

    While pollen season is coming, taking a multifaceted approach can provide much needed relief from the symptoms that have plagued humankind throughout the millennia.

    This article originally appeared on The Conversation. You can read it here.

  • 22-year-old gives out toothy smiles by providing free 3D-printed dentures to those in need
    Photo credit: Canva3D printing can help dental patients.

    Much like anything else, the cost of dental care has risen as need grows. A report from the American Dental Association found that, in 2024, dental spending grew by $7 billion from 2023. A young engineer is making a difference, though. He has helped put a smile back on the faces of folks in need by providing free dentures made with 3D printers.

    Connor Gibson isn’t a dentist or even an expert on 3D printers. He’s a Tennessee community college student who wants to help people. While studying engineering at Walters State Community College, Gibson volunteered with Remote Area Medical (RAM). RAM is a nonprofit that provides mobile clinics offering free medical, vision, and dental care through volunteers. 

    An issue that bites

    A common issue the clinics found was that many people needed dentures. The cost of dentures can be very pricey, ranging from $452 dollars to over $6,500 depending on the patient’s needs and their insurance coverage. Another issue was availability. Even if a patient could afford dentures, it could take weeks or even months before they could be delivered. 

    But Gibson had an idea. He thought that if he could 3D print pairs of dentures, it would save money and time. After all, having a 3D printer on-site would allow the dentures to be made within hours rather than weeks. A patient could get a free set of dentures the same day as their visit.

    Great idea…but how?

    There was a setback: Gibson had no experience in dentistry or 3D printing at all. In spite of his inexperience, Gibson used his engineering and design skills to teach himself how to use a 3D printer. He also got dental experts to teach him how to make dentures the old fashioned way. This way, he was sure to accurately recreate every detail via 3D printing. After taking an impression, Gibson was then able to design specific dentures per patient.

    “Honestly, if you told me three years ago this is what I would be doing, I would have called you crazy,” Gibson said to CNN. “I made it my mission and studied up like I was doing a test, studying up on videos and documents — anything I could find on how to make a denture using this specific software and how to 3D print it.”

    After Gibson successfully completed a pair of 3D-printed dentures for the first time, he knew it was something special. Seeing the tears of joy on the patient’s face was enough to confirm he was doing the right thing.

    “That first delivery was really a huge eureka moment,” Gibson said. “To see that raw, human emotion and just know that I played a change in this person’s life… it’s very humbling, and I’m beyond blessed.”

    Gibson has since been helping RAM develop more denture mobile clinics that can quickly develop dentures for patients who drop in.

    How to find low-cost dental care near you

    If you or someone you know needs low-cost to free dental care, there are options. In addition to Medicare, Medicaid, and CHIP, you can find local and state programs online. You can also dial 2-1-1 for information.

    Another option dental schools and dental hygiene schools that provide supervised, low-cost care from their students.

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