[Aspects of esthetic dermatology on skin of color]. / Aspekte der ästhetischen Dermatologie auf nicht-weißer Haut.

Skin of Fitzpatrick types IV-VI has a physiology and pathophysiology that is different from lighter skin in some aspects. This entails specific reaction patterns and thus special requirements with regard to diagnostics and therapy. In all medical interventions, the risk of color shifts and the tendency to form hypertrophic scars and keloids should be considered. In addition, culture-related characteristics such as the desire for lighter skin or straight hair must be taken into account.

A Study on Consumers' Perceptions of Museum Cultural and Creative Products through Online Textual Reviews: An Example from Palace Museum's Cultural and Creative Flagship Store.

The digital transformation and innovative development of museums have led consumers to increasingly prefer purchasing museum cultural and creative products through e-commerce platforms. Although this trend shows potential for market growth, the lack of distinct cultural identity and insufficient product differentiation hinder its stable development. Therefore, this study aims to explore consumers' perceptions on Palace Museum's cultural and creative products using cultural hierarchy theory. Taking the Palace Museum's Cultural and Creative Flagship Store on Tmall.com as a case study, the employed evaluation method involves constructing a lexicon of cultural features using Word2vec model and then analyzing online textual reviews to identify these features. Results reveal that among the various cultural features of the products, consumers placed the greatest emphasis on "Materials used" and the least on "Specialty craft". With regards to the cultural features of inner "intangible" level, consumers tend to have a limited comprehension and familiarity with the cultural heritage and histories behind the products. This study provides suggestions to museum professionals to optimize the use of traditional cultural resources and develop a product development plan.

Cultural Features Influencing Eating, Overweight, and Obesity in the Roma People of South Bohemia.

This article describes the important cultural specifics that impact on treatment of overweight and obesity for the Roma people of South Bohemia. METHODS: Data on health and nutrition were collected using a semi-structured interview of 302 Roma adults (quantitative phase). A further 25 participants received in-depth interviews regarding their eating and lifestyle habits and perceptions about obesity and overweight (qualitative phase). Height and weight were measured with calibrated scales and stadiometer. Qualitative data were analyzed with the “grounded theory” method. RESULTS: The participants reported a relatively high consumption of high-sugar drinks and foods compared to fruits and vegetables. Lifestyle factors increasing risk of overweight identified from the qualitative interview included unemployment, socially isolating housing, poor transport, poverty, inactivity, tobacco smoking, and for women weight gain after childbirth. Also identified was the need for better health literacy. CONCLUSIONS: Effective health education may help to address risk factors for overweight and obesity in Roma peoples. Other measures include improved socioeconomic status and housing security, and improved health literacy of the Roma people.

Socio-cultural features and help-seeking preferences for leprosy and turbeculosis: a cultural epidemiological study in a tribal district of Maharashtra, India.

BACKGROUND: India is a major contributor to the global burden of leprosy and tuberculosis (TB), which adversely affects the poorest tribal communities. Despite prioritisation by disease control programmes, programme performance for leprosy and TB in tribal communities continues to be a challenge. In addition to access to services and infrastructural limitations, socio-cultural concepts of illness causation and related help seeking (HS) rooted in distinct features of tribal culture need to be addressed to improve programme outcomes. METHODS: A cultural epidemiological survey of leprosy and TB patients was carried out using a locally adapted, semi-structured explanatory model interviews. A total of 100 leprosy and 50 TB patients registered for treatment at government health facilities were selected randomly from tribal dominant blocks of the Thane district, Maharashtra state. The perceived causes (PCs) of leprosy and TB in patients were compared based on prominence categories. The relationship between PCs as predictors, and disease conditions and HS preferences as outcome variables were assessed using multivariate logistic regression. RESULTS: In the multivariate logistic regression model with disease conditions as outcome variables, TB patients were significantly more likely to report PCs in the categories of ingestion; health, illness and injury; and traditional, cultural and supernatural. Tuberculosis patients more frequently first sought help from private facilities as compared to leprosy patients who preferred government health facilities. In a combined analysis of leprosy and TB patients employing multivariate logistic regression, it was found that patients who reported PCs in the environmental and contact-related categories were more likely to visit traditional rather than non-traditional practitioners. In another multivariate combined model, it was found that patients who reported PCs in the traditional, cultural and supernatural category were significantly more likely to visit private rather than public health facilities. CONCLUSION: Cultural concepts about illness causation and associated HS behaviours should be considered as priorities for action, which in turn would provide the necessary impetus to ensure that tribal patients seek help in a timely and appropriate manner, and could facilitate improvement in programme performance in general.