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Pimple Cream: Can it increase teenagers' self esteem?

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    INTRODUCTION

    In todays world, where physical appearance plays a major role in everyones life, people

    are more conscious on how they look and appear. The slightest imperfection may give big

    impact to an individual and acne or also known as acne vulgaris, is one of the most common

    problems occurring especially among teenagers and adults.

    Though people perception towards pimple may be different, indirectly, appearance of

    pimple can affect ones self esteem, mainly teenagers. During this phase of life, teenagers are

    facing puberty which tends to aggravate this condition. Factors such as hormonal changes, diet,

    life style and sanitation are the reasons for pimple formation to occur.

    Based on the research done among teenagers and young adult, pimple problem does

    affect their confidence in turn influence their participation in social relations. Some may not be

    bothered over it because the pimple only comes once in a while but for those who are having

    serious pimple eruption, this condition initiate low self-esteem, shyness and insecurity.

    Basically, there are many methods can be used to treat pimple problem. One therapy is

    by using commercial pimple cream or those medicines prescribed by the doctor, examples oral

    and topical medicines. Commercial pimple creams are the topical drug that can be easily

    obtained from the pharmacy or retail shop which has specified dosage and instruction for

    application. In addition to that, most of the commercial pimple creams are safe to use without

    doctors prescription and monitoring. They are commonly used for minimal and normal pimple

    problems which are most of the time controllable.

    On the other hand, for those who are facing severe acne vulgaris and do not respond to

    the commercial brands, they require prescribed medications from the doctor to manage and

    overcome this problem. The therapy generally includes oral drugs such as anti-microbial or anti-

    fungal agents e.g. Tetracycline, Clindamycin and medicated pimple cream with higher doses.

    Generally, they have to follow the prescription strictly to maintain the effectiveness of the

    medications and control the pimple problem.

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    Accordingly, our studies include various aspects focusing mainly on how the treatment

    of acne improves the teenagers self esteem, followed by research regarding the contents plus

    efficacy of the commercial pimple cream and prescribed medicated treatment. Based on this,

    consumers, where the main target group are the teenagers, may able to choose the best

    solution to handle their pimple dilemma.

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    AIMS AND OBJECTIVES :

    1. To know the effects of pimple cream on teenagers self esteem. The changes theyexperience before and after using it.

    - Surveys were done to help us to understand how the appearance of pimples willaffect the social relationship of the teenagers. The correspondents also give

    feedbacks regarding the improvement they experience after applying pimple cream.

    2. Conduct studies regarding the contents used in pimple cream whether it is safe or not.- Certain consumers are not aware of the ingredients used by the manufacturers for

    production of pimple creams. Most of the pimple cream contains the same active

    ingredients, hence we do research to know the pros and cons of these ingredients.

    3. Understand the mechanism of action of pimple cream. How it acts in order to reducepimples.

    - Having the knowledge of one skin type can help us to investigate the cause ofpimple eruption which in turns gives indication on how the pimple cream works to

    eradicate pimple problem.

    4. Do a comparison between the commercial brands and medicated pimple cream.- Some people may not respond to the commercial brands and may need stronger

    formulations to overcome their pimple problem. This comparison helps us to know

    the advantages and disadvantages of the prescribed medications over the

    commercial one.

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    MATERIALS AND METHODS :

    1. Conduct series of survey (2 phase) : Test group : 20 students (Batch 24 student) Sample size : 180 students (Batch 25 and 26 student)

    2. Studies of journals, articles and literatures.3. Study site : Manipal, KMC Hospital and internet (journals, literature, etc)

    DATA MANAGEMENT AND STATISTIC ANALYSIS:

    1. Tabulate and graphing the data from the survey.2. Extracting information from the journals, articles and literatures available.3. Do an assessment from the whole research and evaluate how the usage of pimple

    cream gives impact to the teenagers confidence.

    The method we use to study about the teenagers self esteem was through Q & A survey.

    This method is better than individual interview is because it gives wider range of answers. Two

    phase of survey were done to ensure the questionnaire designed works adequately.

    The participants would be the students form MMMC, Manipal, from batch 26, 25 and 24.

    We chose them because they are easier to approach and they are in the range of 19-24year old,

    which is the target group for this research.

    The questions in the survey form allow us to understand more regarding the pimple cream,

    the self esteem of teenager and side effects the students faced after using or during the period

    they apply the pimple cream.

    Moreover, our studies include the information from journals, articles and literatures. The

    external information gave us the guidance in constructing the questionnaire. The sources of

    journals, articles and literatures were either from KMC library or internet.

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    Our survey results were analyzed by using pie charts, tables and graph bars. We do believe

    that these methods will enable us to compare the results among the answers of under the

    same question.

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    REVIEW OF LITERATURE

    INGREDIENTS (CONTENTS) OF PIMPLE CREAMS

    Oxy Clearasil Clean n clear pimple

    cream

    Himalaya Acne-N-

    Pimple Cream

    Active ingredients :

    benzoyl peroxide 10%

    methylparaben 0.15%

    propylparaben 0.05%

    Active ingredients:

    Salicylic Acid 2% ,

    Benzoyl Peroxide10%;

    Resorcinol 2%

    Sulfur 8%

    Active ingredients :

    Salicylic Acid 2%

    (Acne Medication)

    Active ingredients :

    Lens culinaris (Lentil),

    Salmalia malabarica

    (Silk Cotton Tree),

    Surashtri (Alum),

    Aloe barbadensis

    (Aloe Vera),

    Vitex negundo (Five-

    leaved Chaste Tree)

    Inactive ingredients:

    Oil-Free Moisturisers,

    Hydroxybenzoates

    Inactive ingredients:

    Water,

    PPG-15 Stearyl Ether,

    Glycerin,

    Stearyl Alcohol, Cetyl

    Betaine,

    DistearyldimoniumChloride,

    Sodium Lauryl Sulfate,

    Oxidized

    Polyethylene, Cetyl

    Inactive Ingredients :

    Alcohol (14%),

    Ammonium

    Hydroxide,

    Benzalkonium

    Chloride, Butylene

    Glycol,C12-15 Alkyl Lactate,

    C13-14 Isoparaffin,

    Capryloyl Glycine,

    Cedrus Atlantica Bark

    Inactive ingredients:

    Andrographis

    paniculata,

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    Alcohol,

    Alcohol,

    Steareth-21, Sodium

    Chloride,

    Behenyl Alcohol,

    PPG-30,

    Steareth-2,

    Fragrance,

    Menthol,

    Disodium EDTA,

    BHT.

    Extract,

    Cetyl Lactate,

    Cinnamomum

    Zeylanicum Bark

    Extract,

    Cocamidopropyl PG-

    Cyclopentasiloxane,

    Dehydroxanthan

    Gum, Fragrance,

    Glycerin,

    PPG-2 Isoceteth-20 Acetate,

    Tetrasodium EDTA,

    Water

    CONTENTS AND MECHANISM OF ACTION OF PIMPLE CREAM

    BENZOYL PEROXIDE

    Benzoyl peroxide was the first organic peroxide prepared by intentional synthesis. It was

    prepared by treating

    WHAT IS BENZOYL PEROXIDE?

    benzoyl chloride with barium peroxide,[1]

    a reaction that probably follows

    this stoichiometry:

    2 C6H5C(O)Cl + BaO2 [C6H5C(O)]2O2 + BaCl2

    http://en.wikipedia.org/wiki/Benzoyl_chloridehttp://en.wikipedia.org/wiki/Benzoyl_chloridehttp://en.wikipedia.org/wiki/Barium_peroxidehttp://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-0http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-0http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-0http://en.wikipedia.org/wiki/Stoichiometryhttp://en.wikipedia.org/wiki/Stoichiometryhttp://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-0http://en.wikipedia.org/wiki/Barium_peroxidehttp://en.wikipedia.org/wiki/Benzoyl_chloride
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    Benzoyl peroxide is usually prepared by

    FORMATION OF BENZOLY PEROXIDE

    treating hydrogen peroxide with benzoyl chloride.

    The oxygen-oxygen bond in peroxides is weak. Thus benzoyl peroxide readily undergoes

    homolysis (symmetrical scission), forming free radicals:

    [C6H5C(O)]2O2 2 C6H5CO2

    (The symbol

    indicates that the products are radicals; i.e., they contain at least one unpaired

    electron. Such species are highly reactive.) The homolysis is usually induced by heating. The

    half-life of benzoyl peroxide is one hour at 92 C. At 131 C, the half-life is one minute.[2]

    i. Kills the causative organism that causes acne formation.

    MECHANISM OF ACTION

    Benzoyl peroxide works in two ways for the treatment of acne :

    ii. It helps to exfoliate the skinKILLING OF CAUSATIVE ORGANISM

    Propionibacterium acnes or P.acnes are the bacteria responsible for acne breakouts. They

    cannot live in an aerobic (oxygen rich) environment. It will die upon introduction of oxygen into

    the pore.

    Benzoyl peroxide gets in contact with skin

    Breaks down producing benzoic acid and oxygen (neither of which is significantly toxic)[3]

    Kills P.acnes when exposed to oxygen

    When the population is reduced, the number of breakouts on the skin is reduced as well

    Hence : NO ACNE

    http://en.wikipedia.org/wiki/Chemical_reactionhttp://en.wikipedia.org/wiki/Chemical_reactionhttp://en.wikipedia.org/wiki/Hydrogen_peroxidehttp://en.wikipedia.org/wiki/Benzoyl_chloridehttp://en.wikipedia.org/wiki/Homolysishttp://en.wikipedia.org/wiki/Radical_(chemistry)http://en.wikipedia.org/wiki/Half-lifehttp://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-1http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-1http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-1http://en.wikipedia.org/wiki/Benzoic_acidhttp://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-2http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-2http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-2http://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-2http://en.wikipedia.org/wiki/Benzoic_acidhttp://en.wikipedia.org/wiki/Benzoyl_peroxide#cite_note-1http://en.wikipedia.org/wiki/Half-lifehttp://en.wikipedia.org/wiki/Radical_(chemistry)http://en.wikipedia.org/wiki/Homolysishttp://en.wikipedia.org/wiki/Benzoyl_chloridehttp://en.wikipedia.org/wiki/Hydrogen_peroxidehttp://en.wikipedia.org/wiki/Chemical_reaction
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    SKIN EXFOLIANT

    Benzoyl peroxide

    Acts on skin

    Get rid the excess follicles of dead skin

    Clearing the pore of cellular debris

    Prevent blockage of pores

    No breakouts

    Hence : NO ACNE

    Because of this action, benzoyl peroxide helps to prevent the breakouts before they start. The

    use of benzoyl peroxide must be continued, even after acne cleans up. Once treatment is

    stopped, bacterium population can increase and acne may return. This is because benzoyl

    peroxide does not give any resistance to the bacteria.

    SALICYLIC ACID

    WHAT IS SALICYLIC ACID?

    Salicylic acid is a colorless crystalline organic acid that is widely used in organic synthesis and

    can function as plant hormone[4]

    .

    The name is derived from Latin word for willow tree, salix.

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    Its hydroxyl (-OH) group is adjacent to its carboxyl (-COOH) group.

    CHEMICAL FORM

    Its compound is similar but not identical to the active component of aspirin[4]

    .

    o Removal of dead skin from the surface of the skin.

    USES

    Salicylic acid is generally used for :

    o Unclogging pores and permit oxygenation ( a process which helps to destroy acnecausing bacteria)

    [5]

    o Treating blackheads and whiteheads.Stronger preparations of salicylic acid are commonly used by dermatologist for a procedure

    known as chemical peel. It is done by removing the outer layer of damaged skin cells from the

    face[5]

    thus helps to trigger the growth of new healthier skin.

    i. It slows the shedding of skin

    MECHANISM OF ACTION

    Salicylic acid works in 2 ways for the treatment of acne :

    ii. It has keratolytic effect

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    SHEDDING OF SKIN

    Salicylic acid

    Acts on skin

    Slows the shedding of skin in hair follicles[6]

    Prevent blockage of pores

    Hence : NO ACNE

    KERATOLYTIC EFFECT

    Normally :

    Pores get clogged with plug of keratin and sebum (in hyperkeratotic epithelium) and lead to

    the formation of acne.

    Keratolytic effect :

    oSalicylic acid loosens the plug by softening the keratin

    [6]

    .o It has this specific effect at the concentration of 3% to 6%.

    Salicylic acid

    Acts on dead skin

    Cause the dissolution of intracellular cement of the cells, which is the keratin

    It causes the tissue to swell, soften, macerate and desquamate

    This leads to the sloughing off the dead cells and causing removal of the top layer of skin

    Helps to unclog pores

    Hence : NO ACNE

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    PHARMACOKINETICS DRUG INTERACTIONS INDICATIONS ADVERSE EFFECTS

    The absorption

    happens through

    percutaneous.

    Systemic toxicity is

    unlikely with normal

    use.

    There are no known

    significant

    interactions

    Salicylic acid is used

    twice daily when

    there is presence of

    pimple;

    At the same time, use

    In morning : sun block

    spf 30

    at night : gentle

    moisturizer

    Sun block andmoisturizer are used

    because salicylic acid

    makes skin more

    sensitive to UV lights

    so they help to

    prevent penetration

    of the damaging UV

    rays[6]

    .

    i.Pregnancy s factor: hypersensitivity

    to salicylic acid

    ii.Precaution topeople who are

    having diabetesand poor

    circulation

    iii.Use onlyEXTERNALLY.

    Hence it cant be

    applied to areathat are irritated,

    infected,

    reddened, genital

    or facial warts,

    eyes and mucous

    membrane.

    iv.CNS : dizziness,mental confusion

    and head ache

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    v.Local : burningsensation and

    irritation at the

    site of exposure on

    normal tissue,

    peeling scar.

    vi.Otic : tinnitus

    vii.Respiratory :hyperventilation

    HIMALAYA : LENTIL, SILK COTTON TREE, ALUM, ALOE VERA & FIVE-LEAVED CHASTE TREE

    Himalaya Acne-N-Pimple Cream basically composes of natural sources. Based on

    Himalayahealthcare.com, Himalaya Acne-N-Pimple Cream consist list of herbs include Lens

    culinaris (Lentil), Salmalia malabarica (Silk Cotton Tree), Surashtri (Alum), Aloe barbadensis

    (Aloe Vera), Vitex negundo (Five-leaved Chaste Tree), andAndrographis paniculata[7]

    .

    Himalaya Acne-N-Pimple Cream contains natural ingredients consists of herb extract

    that is believed safe for human skin.

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    LENTIL (lens culinaris)

    PROPERTIES AND MECHANISM OF ACTIONS

    Lens culinaris or Lentil, contains proanthocyanidins, a group of polyphenols. The major

    monoveric flavans are catechin and epicatechin[8]

    .

    Mechanism of actions : Proancthocyanidins is a powerful antioxidant, and can be used as a

    treatment of pimple. Moreover, it is believed that proanchocyanidinss antioxidant activity is 20

    times and 50 times greater than produced by Vitamin C and Vitamin E respectively[9]

    .

    ALUM

    PROPERTIES AND MECHANISM OF ACTION

    Alum or Aluminum sulfate comes from Surashtri acts as a potent stringent and antiseptic. As an

    antiseptic, it is very useful to removeAcne vulgaris thus treat acne and pimple problem.

    ALOE VERA (aloe barbadensis)

    i. caffeoyl aloesin

    PROPERTIES AND MECHANISM OF ACTIONS

    Aloe Vera or aloe barbadensis has its own antioxidant and anti-inflammatory properties. At the

    same time contain several antioxidant compounds such as :

    ii. Ttyrosine hydroxylase

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    The antioxidant properties ofAloe barbadensis have been well stated in many researches[10]

    .

    Hu et al. (2003) demonstrated the antioxidant activity of polysaccharide and flavonoid

    concentrations of Aloe barbadensis is greater and can be demonstrated with alpha-tocopherol.

    The anti-inflammatory action of Aloe Vera on the other hand, is showed by the inhibition of

    bradykinin activity[11]

    FIVE-LEAVED CHASTE TREE (Vitex negundo)

    PROPERTIES AND MECHANISM OF ACTION

    Five-leaved chaste tree is a medicinal shrub commonly found in tropical, subtropical and also

    warm temperate regions throughout the world. The seed make a cooling medicine for skin

    disease.

    Mechanism of actions : It has few functions as an astringent, anti-inflammatory, antihistaminic,

    membrane stabilizing and antioxidant activities. It is also believed to have analgesic properties,

    possibly mediated via prostaglandin synthesis inhibition[12]

    .

    In one study by Bhargava (1989), proved that the flavonoid-rich fraction (5,7,3'-trihydroxy,

    6,8,4'-trimethoxy flavones) ofVitex negundo[13]

    was found to antagonize the androgenic action

    of exogenous testosterone propionate thus decreasing the effect of hormone towards creating

    pimple problem.

    SILK COTTON TREE (Salmalia malabarica)

    PROPERTIES AND MECHANISM OF ACTIONS

    Salmania malabarica has antibacterial and antifungal activity to overcome Acne vulgaris that

    cause pimple[14]

    . It was suggested that Salmania malabarica has flavonol C-glycoside, which has

    antioxidant activity such as flavans in proanthocyanidins.

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    Based on an evaluation of this cream by Ravichandran, Shivaram Bharadwaj and Kolhapure

    (2004), they conclude that Himalaya Acne-N-Pimple Cream :

    i. Heals pimples and acne problem without scar as it has exfoliation, moisturizing andsoothing effects.

    ii. Is clinically effective and safe in management of acne and pimples.iii. Works effectively in reducing the number of blackhead and whiteheads, at the same

    time number of inflamed pustules and overall inflammation.[15]

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    COMPARISON BETWEEN COMMERCIAL PIMPLE CREAM & PRESCRIBED PIMPLE MEDICATION

    TYPES COMMERCIAL PIMPLE CREAM PRESCRIBED PIMPLE

    MEDICATION

    EXAMPLES Oxy, Clean & Clear, Himalaya Oral antibiotics

    Topical antimicrobials

    Topical retinoids

    ACTIVE

    INGREDIENTS

    OXY :Benzoyl peroxide 10%

    Methylparaben 0.15%

    Propylparaben 0.05%

    Clean & Clear : Salicylic acid

    Himalaya : Lentil, Silk cotton

    tree, Aloe vera

    Oral antibiotics :

    Tetracycline and its

    congeners, erythromycin

    Topical antimicrobials :

    Benzoyl peroxide,

    Clindamycin, Azelaic acid

    Topical retinoids : Adapalene,

    Tazarotene, Tretinoin

    MECHANISM OF

    ACTION

    BENZOYL PEROXIDE

    -kills the P.acne.-helps to dry up excessive oil.-help to unblock pores which

    have

    -become clogged withblackheads

    and oily secretions

    ORAL ANTIBIOTICS

    Erythromycin:

    Act by reducing the P.acne

    population which in turn

    reduces the inflammation.

    Tetracycline :

    Reduce the papules and

    pustules of acne.

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    TOPICAL ANTIMICROBIALS

    Azelaic acid

    - treat mild to moderateinflammatory and non

    inflammatory acne.

    :

    -reduce population of P.acne-decrease the abnormal

    shedding of skin cells

    - treat the dark spots thatdevelop in some acne

    patients.

    Erythromycin

    - anti-inflammatory:

    TOPICAL RETINOIDS

    Adapalene :

    - unclog pores- moderate to potent anti

    inflammatory abilities.

    Tazarotene :

    - keep the skins pores clear

    Tretinoin- unclog pores and keep them

    unplugged

    :

    DOSAGE For adolescent and adult For prescribed patients

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    Topical formulations :

    Apply sparingly once daily,

    gradually increase to 2-3

    times/day if needed.

    Tetracycline :

    Moderate to severe acne :

    500 1000 mg/day,

    decreased if improvement

    occur.

    SIDE EFFECT Skin irritation

    Potential to bleach hair and

    fabrics

    Allergic reactions

    Irritation, itching,

    Skin dryness, redness,

    Scaling, burning

    CONTRAINDICATION Pregnancy and breast- feeding :

    Consult the doctor first

    Tetracycline:

    In children younger than 8

    years of age :

    Affect growth and stain teeth

    Pregnancy and breast feeding :

    Development of childs bone

    and teeth

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    RESULTS & DISCUSSION (PART 1)

    Question 1 : Do you have pimple problem?

    Based on the survey done to 180 correspondents, 58% of them are facing and have experienced

    pimple problem. This problem mainly occurs during puberty phase though some still suffer

    from this condition up until 20+ years of age. However, these comparison is considered low

    because the difference between the two percentages are low.

    58 420

    10

    20

    30

    40

    50

    60

    70

    Yes No

    Pimple Problem Percentage

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    Question 2 : What is your skin type?

    As depicted in the chart, majority of the correspondents are having oily skin, 46%, followed by

    dry, 12%, sensitive, 11% and acne prone skin 10%. According to the research, one factor that

    induces pimple eruption is skin types. Certain skin type such as oily skin is more prone for acne

    formation than the others because increase sebum secretion can clog the facial pores. Also,

    knowing the skin type helps in deciding which medication is best to use to overcome the

    pimples.

    Oily, 46

    Dry, 12

    Acne prone,

    10

    Sensitive, 11

    Skin Types Percentage

    Oily

    Acne prone

    Sensitive

    Normal

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    Question 3: From your point of view, why pimples appear on your skin?

    As mentioned earlier, there are a lot of factors that cause pimple. It is seen that most people

    agree that one of the main cause of pimple is oily food. Puberty, which is often connected to

    hormonal changes and instability, also plays an important role in progression of pimple. Other

    factors such as hygiene, allergies to food and beauty products may worsen this problem.

    Erratically, genetic although seems vague to cause pimple has been.

    Genetic, 11

    Puberty, 63

    Oily Food, 89

    Allergy, 10Others, 27

    Causes of Pimple

    Genetic

    Puberty

    Oily Food

    Allergy

    Others

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    Question 4: How pimple problems affect your psychology or emotion towards relationship?

    The main objective of this research is to investigate how pimple problem can affect teenagers

    self esteem during the phase of puberty. The correspondents include those having pimple

    problem and those who are not. As depicted in the graph, 104 people feel neutral over the

    appearance of pimple on their faces. This value doesnt correlate to the focus of the research as

    these correspondents might not be having serious problem. However, the second group shows

    that about 62 people agree that pimple problem do trigger the feeling of shyness and low self

    esteem. Hence we could conclude that pimple does affect ones emotion.

    62 21 104 4 80

    20

    40

    60

    80

    100

    120

    Shy, Low self

    esteem

    depressed neutral happy other

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    Question 5: In your point of view, which is more effective product to control pimples?

    Most of the respondents (149 out of 200 i.e. 74.5%) agreed that medicated pimple cream is

    more effective to control pimples than commercial brands (51 out of 200, i.e. 25.5%). In spite of

    this, every individual may choose any of the products suitable for them providing they know

    what are their skin type and the severity of their pimple problem.

    Commercial

    brand, 51

    Medicated Pimple

    Cream, 149

    Commercial brand

    Medicated Pimple Cream

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    Question 6: Do you ever experience any side effects after using any pimple cream?

    Question 6 records that 96 correspondents experienced no side effect during the application of

    pimple cream. About 41 correspondents experience peeling of skin, 25 correspondents

    reported they encounter irritation, dryness and worsening pimple problem while using themedications. Again, the variability of skin types may be the underlying reason for these

    conditions.

    Achyness and

    Redness, 13

    Irritation and

    Dryness, 25

    Peeling of

    Skin, 41

    Worsen Pimple

    Problem, 25

    No Side Effect, 96

    Side effects

    Achyness and Redness

    Irritation and Dryness

    Peeling of Skin

    Worsen Pimple Problem

    No Side Effect

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    Question 7: What type (product) of pimple cream you use frequently?

    Product No. of Respondent

    Himalaya 19

    Oxy 49

    Clearasil 1

    Clean and Clear 37

    Others or Not using 94

    Other products include: Garnier, Nivea, Biore, Bioessence, Loreal Paris, and prescribed

    (medicated) by dermatologist.

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    Question 8 : How often did you use pimple cream?

    The usage of pimple cream may differ from person to person depends on the severity of the

    problem. More than half of the correspondents choose to use pimple cream only when there is

    pimple. The second largest group, recorded with 43 correspondents (others) chooses not to use

    any medications for their pimple problems. This is followed by twice a day, 25 correspondents,once daily, 17 correspondents and more than three times a day, 16 correspondents. We can

    conclude that people who are more conscious about the problem will certainly opt for pimple

    cream.

    0 20 40 60 80 100 120

    Once a day

    Twice a day

    >3 times a day

    Only when there is pimple

    Others

    Once a day Twice a day >3 times a dayOnly when there is

    pimpleOthers

    Correspondent 17 25 16 99 43

    Usage of pimple cream

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    Question 9 : What are the improvements in emotion that you feel after using pimple cream?

    As we could see earlier from question 4, about one third of correspondents feel shy and

    reserved due to the pimple problems they have. Question 6 depicts the emotional transition

    experienced by these users after a period of treatment using pimple cream. About 22% of the

    correspondents feel they are more confident and have better self esteem after their pimple

    eruption resides. The first group, which records 44% of the correspondents, is not taken into

    consideration because as mentioned, most of the correspondents might not be having pimple

    problem.

    More

    confident, better

    self esteem

    22%

    Happy

    16%

    No changes at all

    44%

    Others

    18%

    Improvement in Emotions

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    Question 10: My pimple cream is:

    Correspondents were asked whether their pimple cream is effective and more than half

    opinioned that they are uncertain if the medications worked, as majority of people choose not

    to do anything with their pimple when they appear. As for the frequent users, 70 people agreed

    that pimple cream does help in managing their problem.

    Effective, 70

    Uncertain, 109

    Not effective, 21

    Effectiveness

    Effective

    Uncertain

    Not effective

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    Question 11 : I am concern about the ingredients of the cream before I buy it :-

    88 correspondents agreed that it is important to know the ingredients contained in a pimple

    cream before purchasing it. The same number also recorded uncertain and about 24 people

    disagree with this question. However, it is advisable to know the contents in any products,

    might it be pimple cream or other beauty regimen, before buying it.

    Agree Uncertain Disagree

    Correspondent 88 88 24

    Ingredient Conscious

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    Question 12 : I choose my pimple cream based on :-

    As shown in this graph, 37% correspondents choose their pimple cream based on their friends

    testimonial. Real changes and improvements undergone by previous users do increase ones

    confidence in purchasing the products. 27.5% more use the concept of try and error in

    choosing their pimple cream while 35.5% of the correspondents may hear it from the

    advertisement or pamphlet.

    37%

    13%

    27.5%

    22.5%

    How Do You Choose Your Pimple Cream?

    Friend testimonial

    Advertisement

    Try and error

    Others

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    RESULTS & DISCUSSION (PART 2)

    Question 13 : Ways of managing pimple:

    i. Using pimple cream

    ii. Squeezing the pimple in order to get rid of it

    20 18 52 66 440

    10

    20

    30

    40

    50

    60

    70

    Strongly Disagree Disagree Uncertain Agree Strongly Agree

    Question 13 (i)

    87 26 49 15 560

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100

    Strongly Disagree Disagree Uncertain Agree Strongly Agree

    Question 13 (ii)

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    iii. Wash your face twice a day

    iv. Eat less oily food

    11 15 21 52 1010

    20

    40

    60

    80

    100

    120

    Strongly Disagree Disagree Uncertain Agree Strongly Agree

    Question 13 (iii)

    19 13 37 52 560

    10

    20

    30

    40

    50

    60

    Strongly disagree Disagree Uncertain Agree Strongly Agree

    Question 13 (iv)

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    v. Consults dermatologist and use medicated pimple cream

    Question 13 basically asked for the correspondents opinion regarding the correct way in

    managing pimple problem.

    i. Using pimple creamii. Squeezing the pimple in order to get rid of itiii. Wash your face twice a dayiv. Eat less oily foodv. Consults dermatologist and use medicated pimple cream

    For all 5 questions, most of the correspondents either vote for strongly agree and agree as their

    choice of action except Question 2, where they vote for STRONGLY DISAGREE. This concludes

    that the users are aware of the correct way in managing pimple problem.

    15 11 34 54 560

    10

    20

    30

    40

    50

    60

    Strongly Disagree Disagree Uncertain Agree Strongly Agree

    Question 13 (v)

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    CONCLUSION

    Through the course of study, we have aimed to investigate the effectiveness of pimple

    cream to eradicate pimple problem among teenagers, at the same time evaluate how this

    action helps to improve their self esteem.

    Based on our studies, we realized that acne treatment plays an important role for

    people suffering from this embarrassing skin disease. Its effect is mainly on ones emotion; such

    as crisis of confidence or the feeling of insecurity and depression.

    Having acne will have an impact on interactions or social relations environment, where

    teens become insecure and feel unconfident thus will lead to low self-esteem. The conscious

    feeling of one self-image is often disturbed by the rise of acne, in turn, affect their social

    interactions ability because for teenagers, the physical focus of an individual is more prominent

    than in other life periods.

    Basically, there are arrays of solutions the teenagers can take in order treat acne,

    examples; topical creams, face wash or medicated prescription, which can improve the physical

    appearance and indirectly, their self-esteem.

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