• Title/Summary/Keyword: 체온 조절

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The Effects of 30-Minutes of Pre-Warming on Core Body Temperature, Systolic Blood Pressure, Heart Rate, Postoperative Shivering, and Inflammation Response in Elderly Patients with Total Hip Replacement under Spinal Anesthesia: A Randomized Double-blind Controlled Trial (30분의 수술전 가온이 고관절 전치환술 노인 환자의 수술중 심부체온, 수축기압, 심박동수, 수술후 전율 및 염증반응에 미치는 효과)

  • Cheon, You Mi;Yoon, Haesang
    • Journal of Korean Academy of Nursing
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    • v.47 no.4
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    • pp.456-466
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    • 2017
  • Purpose: This study was designed to determine the effects of pre-warming on core body temperature (CBT) and hemodynamics from the induction of spinal anesthesia until 30 min postoperatively in surgical patients who undergo total hip replacement under spinal anesthesia. Our goal was to assess postoperative shivering and inflammatory response. Methods: Sixty-two surgical patients were recruited by informed notice. Data for this study were collected at a 1,300-bed university hospital in Incheon, South Korea from January 15 through November 15, 2013. Data on CBT, systemic blood pressure (SBP), and heart rate were measured from arrival in the pre-anesthesia room to 3 hours after the induction of spinal anesthesia. Shivering was measured for 30 minutes post-operatively. C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) were measured pre-operatively, and 1 and 2 days postoperatively. The 62 patients were randomly allocated to an experimental group (EG), which underwent pre-warming for 30 minutes, or a control group (CG), which did not undergo pre-warming. Results: Analysis of CBT from induction of spinal anesthesia to 3 hours after induction revealed significant interaction between group and time (F=3.85, p=.008). In addition, the incidence of shivering in the EG was lower than that in the CG ($x^2=6.15$, p=.013). However, analyses of SBP, heart rate, CRP, and ESR did not reveal significant interaction between time and group. Conclusion: Pre-warming for 30 minutes is effective in increasing CBT 2 and 3 hours after induction of spinal anesthesia. In addition, pre-warming is effective in decreasing post-operative shivering.

Effect of Preoperative Warming on Prevention of Hypothermia during Surgery in Patients with Total Hip Replacement Arthroplasty under Spinal Anesthesia (척추마취하 고관절 전치환술 환자의 수술 전 가온이 수술 중 저체온 예방에 미치는 효과)

  • Lee, Min Ji;Jeong, Jeong Hee
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.365-373
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    • 2020
  • Purpose: The purpose of this study was to evaluate the effect of preoperative warming to prevent hypothermia in surgery for patients undergoing total hip replacement arthroplasty under spinal anesthesia. Methods: A randomized experimental study was conducted. Data were collected at an S University hospital in Gyeonggido from December 3, 2019 to March 31, 2020. A random allocation program was used to randomize participants into intervention and control groups. A total of 90 participants were assigned to the study: 30 people were randomized to a pre-warming group using Bair Hugger forced-air warming blankets(Model 505) 30 minutes before surgery, 30 to a pre-warming group 15 minutes before surgery, or 30 to a control group. The findings from 88 participants were analyzed. For data analysis, χ2 test and ANOVA were used utilizing the SPSS 21.0 program. Results: The pre-warming group 30 minutes before surgery had significantly higher body temperature than the control group, from 30 minutes after inducing anesthesia to the end of anesthesia. Body temperature over anesthesia time showed significant differences among the three groups, but there were no statistically significant differences in interactions between time and groups. Conclusion: Warming patients' body for 30 minutes before surgery was effective in maintaining normal body temperature while preventing intraoperative hypothermia.

Temperature Regulation of the Young and the Aged during Hands and Feet Exposure to the Cold (한랭환경에서 손발노출에 의한 청년과 노인의 체온조절반응 비교)

  • ;W.L. Kenney
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.7
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    • pp.963-968
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    • 1998
  • A study was conducted to investigate the effect of cooling hands of feet on human thermoregulation in the cold. Eight young (22$\pm$1 yr) and eight aged (69$\pm$4 yr) men volun-teered as subjects They stayed at 1$0^{\circ}C$ in the supine posture during the experiment which included hands or feet exposure to the air for 20 minutes. Hand Exposure (HE) and Foot Exposure (FE) were conducted in radomized order and the baseline was kept before HE and FE. Core temperatures, limb skin temperatures adn thermal sensations were measured. Obtained data were analyze using t-test and correlation. Rectal and esophageal tem-peratures increased in the young (YG) and in aged (AG). Change rate of esophageal temperature (Tes) was maintained higher during FE than HE while rectal temperature showed no differences between YG and AG, and between HE and FE. Hand and foot skintemperature in YG and AG decreased similarly during HE and Fe. Forearm skin temperature during HE decreased while leg skin temperature during FE showed no change HE and Fe. It was concluded that the lower cooling. Furthermore, the increase of Tes was greater in young men than aged men. It is also suggested that the wearing behavior can be differently modified between young and aged men.

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Influences of Wearing Different Thermal Insulated Clothings on Thermoregulatory Responses from $25^{\circ}C$ Environment to 18$^{\circ}C$ Environment ($25^{\circ}C$환경에서 $18^{\circ}C$환경으로 노출시 보온력이 상이한 의복의 착용이 체온조절 반응에 미치는 영향)

  • 이종민
    • Journal of the Korean Society of Clothing and Textiles
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    • v.22 no.7
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    • pp.826-832
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    • 1998
  • In order to understand the influences of wearing clothings with different thermal insula-tions when men were exposed from $25^{\circ}C$ environment to 18$^{\circ}C$ environment, thermoregulatory responses were measured on 4 healthy female college students. Subjects rested wearing T-shirts, trousers, and socks called LC(total weight 541g) at 25$\pm$1$^{\circ}C$, 50$\pm$5% R.H. and then exposed to the room conditioned in 18$\pm$1$^{\circ}C$, 50$\pm$5$^{\circ}C$ R.H. with LC as it was(LC Type) or with T-shirts, trousers, socks, training wear upper garment, the training wear lower garment called HC (total weight 1368g)(HC Type) for 120 min. The results can be summarized as follows: 1) When subjects were exposed from $25^{\circ}C$ environment to 18$^{\circ}C$ environment, decrease of rectal temperature was significantly smaller in LC Type than in HC Type. 2)Increase of heat production and weight loss had no significant difference between two types of clothing. 3)Internal thermal conductance was higher in HC Type and external thermal conductance was higher in LC Type. Therefore total thermal conductance was higher in LC Type than in HC Type. 4)Decrease of skin temperature was greater in LC Type than in HC Type. 5)Subjects felt colder with LC Type than with HC Type, but did not feel differently in comfort sensation between two types of clothing. It was suggested that less decrease of rectal temperature in LC type inspite of more dry heat loss from body might be ascribed to a shift of blood from the shell area to the core area originating in the vasoconstriction and the lowered internal thermal conductance. In conclu-sion, the importance of the state of internal heat distribution in the homeostasis seemed to be reaffirmed.

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A Study of Thermal Physiology for Different Garment Types in the Lower Extremity (하지부 의복형태에 따른 체온조절반응 연구 - 하지부(下肢部) 의복형태(衣服形態)에 따른 체온조절반응연구(體溫調節反應硏究)-)

  • Choi, Young Hee;Lee, Soon Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.17 no.1
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    • pp.77-88
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    • 1993
  • The changes in body temperatures of students in physical trained and untrained colleges have been studied as a funtion of garment styles under three different environmental conditions ($13{\pm}1$, $21{\pm}1$, $31{\pm}1^{\circ}C$, $60{\pm}5%$ RH, 0.25m/sec). Since exposures of the extremities of body affect the regulation of body temperature, two types of garments, i.e., the skirt and the slacks, were used in order to observe the effects of the garment styles on the regulation of body temperatures. The skirt exposed the calf of the leg, while the slacks did not. Because the body temperature is regulated better for healtier people, the subjects were divided into two groups. one group was consisted of 2 untrained female students, and the other of 2 healthier female physical college students. 1. The rectal temperatures for those in skirt were $0.3^{\circ}C$ higher than for the ones in slacks at $13^{\circ}C$ regardless of the groups. The untrained group showed $0.3^{\circ}C$ higher rectal temperatures in skirt and $0.2^{\circ}C$ higher in slacks compared to the physical trained group. 2. The skin temperatures rose with the environmental temperatures, and the skirt gave larger mean skin temperature by $0.5^{\circ}C$ at $21^{\circ}C$. 3. At $13^{\circ}C$, the untrained group felt colder, more wet, and slightly more uncomfortable for both skirt and slacks. It is concluded that the skirt is more effective in physiological defense against cold stimuli than the slacks at $13^{\circ}C$, and that the regulation of body temperature takes place more efficiently to the physical trained students.

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Development and Evaluation of Functional Lab Gowns in Point of Thermoregulation and Thermal Comfort (기능성 실험 가운의 개발 및 평가 -체온조절 및 온열 쾌적성을 중심으로-)

  • 최정화;이주영;김소영
    • Journal of the Korean Society of Clothing and Textiles
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    • v.28 no.2
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    • pp.292-302
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    • 2004
  • The purpose of this study was to evaluate thermal properties of lab gowns developed from the point of safety and work efficiency. We evaluated thermal and subjective responses of subjects wearing functional new lab gowns (Type B, C, D) and a popular lab gown on the market (Type A). Type B was a new lab gown made of woven fabric with functional cuffs. Type C was a new apron made of woven fabric with arm protectors. Type D was a new lab gown made of non-woven material with functional cuffs and openings around the armpits. Temperature in the climatic chamber was set at 19$^{\circ}$C as an indoor temperature in winter and at 24$^{\circ}$C in summer. There were no significant differences in rectal temperature and heart rate among four types of gowns and between two air temperatures for 120 min. Mean skin temperature was much higher in the type A and B than in He type C and D (p .05). In the 19$^{\circ}$C air, clothing microclimate temperature on the back was the highest in the type B and was the lowest in the type C (p .05). Clothing microclimate humidity was not significant differences among gowns. In subjective .esponses, subjects perceived that Type B was the warmest gown in the 19$^{\circ}$C and the hottest and more humid in the 24$^{\circ}$C than other gowns. Inversely, type C was the coolest gown among four gowns. Both in the 19$^{\circ}$C and in the 24$^{\circ}$C, the Type D had gained most responses of being comfortable. In conclusion, the temperature difference of 5$^{\circ}$C was more of an influencing factor than the difference from four types of lab gowns. Secondly, we recommend the manufacturers to make lab gowns with functional cuffs for safety purposes. Thirdly, the spread of the type of apron with arm protector will contribute to increase of the frequency of wearing in summer. Fourthly, it is necessary to study continuously about lab gowns with non-woven materials for researchers exposed to toxic chemical and biological materials.

Numerical analysis for optimal pipe arrangement in nutrient solution cooling system (양액냉각시스템의 배관 배치 최적화를 위한 수치해석 연구)

  • 김문기;김기성;한진희;심상원
    • Proceedings of the Korean Society for Bio-Environment Control Conference
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    • 2003.04a
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    • pp.166-169
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    • 2003
  • 최근 시설원예에서 많이 도입되고 있는 양액재배의 경우 여름철 고온으로 인해 양액온도가 상승하고 그로 인해 양액중 용존산소량이 저하되어 작물생육에 저해를 가져오며 동시에 병원균에 대한 저항정도가 저하하므로 양액냉각법에 의한 생육 촉진효과가 크고 과채류나 엽채류모두 $25^{\circ}C$를 고액온 한계온도로 하여 냉각을 하는 것이 좋은 것으로 보고되었다(교, 1986. 고전, 1987). 또한, 3$0^{\circ}C$의 양액을 24$^{\circ}C$로 냉각해 준 경우 최대 $1.5^{\circ}C$의 작물체온 강하효과가 있는 것으로 보고되고 있다.(남 등, 1992) (중략)

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Rectal Temperature Maintenance Using a Heat Exchanger of Cardioplegic System in Cardiopulmonary Bypass Model for Rats (쥐 심폐바이패스 모델에서 심정지액 주입용 열교환기를 이용한 직장체온 유지)

  • Choi Se-Hoon;Kim Hwa-Ryong;Paik In-Hyuck;Moon Hyun-Jong;Kim Won-Gon
    • Journal of Chest Surgery
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    • v.39 no.7 s.264
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    • pp.505-510
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    • 2006
  • Background: Small animal cardiopulmonary bypass (CPB) model would be a valuable tool for investigating path-ophysiological and therapeutic strategies on bypass. The main advantages of a small animal model include the reduced cost and time, and the fact that it does not require a full scale operating environment. However the rat CPB models have a number of technical limitations. Effective maintenance and control of core temperature by a heat exchanger is among them. The purpose of this study is to confirm the effect of rectal temperature maintenance using a heat exchanger of cardioplegia system in cardiopulmonary bypass model for rats. Material and Method: The miniature circuit consisted of a reservoir, heat exchanger, membrane oxygenator, roller pump, and static priming volume was 40 cc, Ten male Sprague-Dawley rats (mean weight 530 gram) were divided into two groups, and heat exchanger (HE) group was subjected to CPB with HE from a cardioplegia system, and control group was subjected to CPB with warm water circulating around the reservoir. Partial CPB was conducted at a flow rate of 40 mg/kg/min for 20 min after venous cannulation (via the internal juglar vein) and arterial cannulation (via the femoral artery). Rectal temperature were measured after anesthetic induction, a ter cannulation, 5, 10, 15, 20 min after CPB. Arterial blood gas with hematocrit was also analysed, 5 and 15 min after CPB. Result: Rectal temperature change differed between the two groups (p<0.01). The temperatures of HE group were well maintained during CPB, whereas control group was under progressive hypothermia, Rectal temperature 20 min after CPB was $36.16{\pm}0.32^{\circ}C$ in the HE group and $34.22{\pm}0.36^{\circ}C$ in the control group. Conclusion: We confirmed the effect of rectal temperature maintenance using a heat exchanger of cardioplegia system in cardiopulmonary bypass model for rats. This model would be a valuable tool for further use in hypothermic CPB experiment in rats.

Effect of Wear Training on Temperature Adaptability of the Obese Children (비만아동의 온도적응성에 대한 착의훈련 효과)

  • Jeong, Woon-Seon
    • Journal of the Korean Society of Clothing and Textiles
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    • v.30 no.3 s.151
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    • pp.407-411
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    • 2006
  • This study was carried out to investigate the physiological responses of obese children after a short-term wear training and education. A ten-week program was conducted on thirteen obese elementary school children of six boys and seven girls in the 4th to the 6th grade. During the program, the children were instructed to measure daily ambient temperature and weight of their clothing. Physiological responses of the sedentary children in 100$\%$ cotton short sleeved t-shirt (0.13clo) and T/C short pants(0.09clo) were observed in the climatic chamber of 23.0$\pm$0.5$^{circ}C$ and 50$\pm$5$\%$RH before and after program. During the experiment, internal ear temperature ($T_{ear}$), seven site skin temperatures, systolic blood pressure, diastolic blood pressure, heart rate, and subjective responses of thermal comfort and thermal sensation were measured every 5minutes. Mean skin temperature($T_{sk}$) and mean arterial pressure(MAP) were calculated. Obtained data are statistically analyzed and main results are as follows. There was highly significant correlation between the ambient temperature and the total clothing weight. $T_{ear}$ and MAP were reduced in the post-program compared to the pre-program. The obese girls felt slightly warmer than the obese boys and the girls were likely to prefer lower ambient temperature in the post-program than the pre-program. It was concluded that the 10 week wear training is apt to be more applicable to the obese girls than the obese boys. However, a more comprehensive study including. diverse measurements of deep body temperature with a long-term training would be needed to clarify the improvement of temperature adaptability in the obese children.

A Study on Daily Torpor in the Korean Striped Field Mouse (Apodemus agrarius) (등줄쥐(Apodemus agrarius)의 일중휴면에 관한 연구)

  • Yoon, Myung-Hee;Han, Chang-Wook
    • Journal of Life Science
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    • v.16 no.4
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    • pp.618-625
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    • 2006
  • Patterns of induced daily torpor were measured in the striped field mouse, Apodemus agrarius, in response to low temperature, food deprivation and various photoperiods using implanted data loggers. A total of 8 of 21 females entered daily torpor in response to low outside ambient temperature (Ta) during winter and spring, constant low Ta $(4^{\circ}C)$ or food deprivation $(23^{\circ}C)$ during summer, but 2 of 23 males did only in response to low outside Ta during winter. This fact indicates that torpor is an adaptive hypothermia to unpredictable environment in both some males and females, as well as that torpor was inhibited in males in the reproductive season as in other mammals, which is regarded as a strategy not to reduce the chance of copulation. As for females, however, torpor was employed in response to unpredictable environment even in the reproductive season, suggesting that alternative strategies other than keeping the chance of copulation maybe hired by females to keep the population. Torpor bout generally began at $6{\sim}12$ AM, but the decrease of body temperature $(T_b)$ began mainly at $4{\sim}6$ AM at any conditions, the time when Ta is lowest. This strategy might be also adopted for reducing heat loss to unpredictable environment. Minimum $T_b$ of both males and females during torpor did not fall below $16.5^{\circ}C$. Photoperiod had no influence on the incidence and timing of daily torpor in either males and females. The similar timing of torpor bout in response to the 3 different photoperiods (24D, 16L:8D or 8L:16D) under the constant temperatures $(4^{\circ}C\;or\;23{\pm}2^{\circ}C)$ suggests that entering time of torpor might be controlled by the circadian rhythm of the mice rather than by the photoperiod.