• Journal of Korean Academy of Nursing
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• v.29 no.4
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• pp.903-916
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• 1999

The purpose of this study was to compare the ear-based rectal temperature measured with a tympanic thermometer with the rectal temperature measured with a glass mercury thermometer in order to test the accuracy of tympanic thermometer and to determine relationship among rectal, axilla, and abdominal temperature in neonates. The samples consisted of thirty four neonates admitted to the neonatal intensive care unit and nursery at an university affiliated hospital. The mean age of the subjects was 4.9 days. The ear-based rectal temperatures were taken with a tympanic thermometer in rectal mode (First Temp Genius 3000). Rectal and axilla temperatures were taken with a glass mercury thermometer, Abdominal temperature was continuously monitored with the probe connected to the servo controller of incubator. The results of the study can be summarized as follows : 1. Intrarater comparison : Agreement between the first and the second ear-based rectal temperature was 97% within 0.1$^{\circ}C$. 2. Comparison of ear-based rectal temperature and the rectal temperature from a glass mercury thermometer : ear-based rectal temperature ranged from 36.95$^{\circ}C$d to 37.95$^{\circ}C$, with a mean of 37.58$^{\circ}C$(SD＝0.22$^{\circ}C$). Rectal temperature from a glass mercury thermometer ranged from 36.2$0^{\circ}C$ to 37.2$0^{\circ}C$, with a mean 36.75$^{\circ}C$(SD＝0.29). The mean difference between both temperatures was 0.84$^{\circ}C$. The correlation coefficient between both temperatures was r＝0.77(p＝0.00). 3. Comparison of rectal and axilla temperature : Axilla temperature ranged from 35.8$0^{\circ}C$ to 37.1$0^{\circ}C$, with a mean of 36.55$^{\circ}C$. The mean absolute difference between the rectal and axilla temperature was 0.23$^{\circ}C$. The correlation coefficient between rectal and axilla was r＝0.67. 4. Comparison of axilla and abdominal temperature : Abdominal temperature ranged from 36.2$0^{\circ}C$ to 37.0$0^{\circ}C$, with a mean of 36.58$^{\circ}C$. The mean absolute difference between axilla and abdominal temperature was only -0.03$^{\circ}C$. Findings of this study suggest that ear-based rectal temperature overestimates the actual rectal temperatures in neonates. Therefore, the interchangeble use of both temperatures in clinics seems problematic. The site offset(adjustment value) programmed in rectal mode of the tympanic thermometer needs to be readjusted. Choosing one optimal site for temperature measurement for each patient, and using the specific site consistently would result in more consistent measurements of changes in body temperature, and thus can be more effective in diagnosing fever or hypothermia.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.4 no.2
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• pp.351-358
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• 1997

Body temperature should be measured accurately to assess neonate's condition for proper care. Temperatures measured in rectal, axillary and tympanic site were compared in 129 normal neonates to find out proper nursing time for measuring temperature and the validity of fever detection. The results were as follows : 1. Mean temperatures of axillary and tympanic site($36.85^{\circ}C,\;37.12^{\circ}C$) were significantly lower than those of rectal site($37.19^{\circ}C$). 2. Mean nursing time for measuring body temperature was significantly higher and lower in axillary and tympanic temperatures(159.49 seconds, 11.07 seconds) than in rectal temperature(105.62 seconds). 3. Tympanic and axillary temperatures were significantly correlated with rectal temperature (r=0.85, r=0.78) and the significant correlation was demonstrated between tympanic and axillary temperatures(r=0.76). 4. Sensitivity, specificity, positive and negative predictive values were 0.87, 0.90, 0.72, 0.96 for detecting fever respectively. The above findings indicated that the tympanic thermometer offers a useful alternative to conventional methods.

• Journal of Chest Surgery
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• v.34 no.6
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• pp.465-471
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• 2001

Background: Hypothermia protects the brain by suppressing the cerebral metabolism and it is performed well enough before the total circulatory arrest(TCA) in the operation of aortic disease. Generally, TCA has been performed depending on the rectal or nasopharyngeal temperatures; however, there is no definite range of optimal temperature for TCA or an objective indicator determining the temperature for safe TCA. In this study, we tried to determine the optimal range of temperature for safe hypothermic circulatory arrest by using the intraoperative electroencephalogram(EEG), and studied the role of EEG as an indicator of optimal hypothermia. Material and Method: Between March, 1999 and August 31, 2000, 27 patients underwent graft replacement of the part of thoracic aorta using hypothermia and TCA with intraoperative EEG. The rectal and nasopharyngeal temperatures were monitored continuously from the time of anesthetic induction and the EEG was recorded with a ten-channel portable electroencephalography from the time of anesthetic induction to electrocerebral silence(ECS). Result: On ECS, the rectal and nasopharyngeal temperatures were not consistent but variable(rectal 11$^{\circ}C$ -$25^{\circ}C$, nasopharynx 7.7$^{\circ}C$ -23$^{\circ}C$). The correlation between two temperatures was not significant(p=0.171). The cooling time from the start of cardiopulmonary bypass to ECS was also variable(25-127min), but correlated with the body surface area(p=0.027). Conclusion: We have found that ECS appeared at various body temperatures, and thus, the use of rectal or nasopharyngeal temperature were not useful in identifying ECS. Conclusively, we can not fully assure cerebral protection during hypothermic circulatory arrest in regards to the body temperatures, and therefore, the intraoperative EEG is one of the necessary methods for determining the range of optimal hypothermia for safe circulatory arrest. :

• Journal of Chest Surgery
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• v.30 no.8
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• pp.752-759
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• 1997

Profound hypothermia protects . cerebral function during total circulatory arrest(TCA) in the surgical treatment of a variety of cardiac and aortic diseases. Despite its importance, there is no ideal technique to monitor the brain injury from ischemia. Since 1994, we have developed compressed spectral array(CSA) of electroencephalography(EEG) and monitored cerebral activity to reduce ischemic injury. The purposes of this study are to analyse the efficacy of CSA and to establish objective criteria to consistently identify the safe level of temperature and arrest time. We studied 6 patients with aortic dissection(AD, n=3) or aortic arch aneurysm(n=3, ruptured in 2). Body temperatures from rectum and esophagus and the EEG were monitored continuously during cooling and rewarming period. TCA with cerebral ischemia was performed in 3 patients and TCA with selective cerebral perfusion was performed in 3 patients. Total ischemic time was 30, 36 and 56 minutes respectively for TCA group and selective perfusion time was 41, 56 and 92 minutes respectively for selective perfusion group. The rectal temperatures for flat EEG were between 16.1 and 22. $1^{\circ}C$ (mean: 18.4 $\pm$ 2.0): the esophageal temperatures between 12.7 and $16.4^{\circ}C$ (mean $14.7\pm1.6).$ The temperatures at which EEG reappeared $5~15.4^{\circ}C$ for esophagus. There was no neurological defic t and no surgical mortality in this series. In summary, the electrical cerebral activity Teappeared within 23 minutes at the temperature less than $16^{\circ}C$ for rectum. It seemed that $15^{\circ}C$ of esophageal temperature was not safe for 20 minutes of TCA and continuous monitoring the EEG with CSA to identify the electrocerebral silence was useful.

• Journal of Animal Science and Technology
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• v.45 no.2
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• pp.163-168
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• 2003

This study was carried out to estimate the effects of environmental factors on the activities and rectal temperatures(heat tolerance) of Holstein dairy cows in a summer season. An activity-meter(Alpro system$^{\circledR}$) was used to record activities of 77 cows for 24 hours. The feeding standards for milking and dry cow were formulated with concentrates and corn silages based on the NRC(1998). Cows to check temperature were kept in stanchions and temperature was checked in rectum. Ambient temperature was $29.0^{\circ}C$ between 1 p.m. and 3 p.m. of the day. The rectal temperatures were affected by parities and status of milking or dry(p<0.01). The activities recorded between 9 a.m. and 12 a.m., and between 1 p.m. and 4 p.m. were not effected by the status of lactating and dry. The rectal temperature of lactating cow was 39.0${\pm}0.03^{\circ}C$, it was higher than dry cow(38.6${\pm}0.04^{\circ}C$). A higher activity of cow under third parity at 1 p.m. to 4 p.m. was observed comparing with fourth and above. The activities were tended to decrease with an increase of parity. Rectal temperature was negatively correlated with milk compositions, which were fat, protein, solid-not-fat and total solid except lactose.

• Journal of Chest Surgery
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• v.30 no.2
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• pp.125-130
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• 1997

Separating the patient from hypothermic cardiopulmonary bypass(CPB) before achieving adequate rewarming often results in afterdrop, which can predispose to electrolyte disturbances, arrhythmia, hemodynamic alterations, and shivering-induced increase of oxygen consumption. In an attempt to find an adequate end point temperature of rewarming after hypothermic CPB, 50 pediatric cardiac surgical patients were r ndomly assigned for end point temperature of rewarming of 35.5$^{\circ}C$ (Group 1) or 37t (Group 2), rectal temperature. Thereafter the rectal temperature was measured half, one, four, eight, and 16 hour after arrival to the intensive care unit(ICU), with heart rate and blood pressure. Additionally the rectal temperature was compared with esophageal temperature during CPB, and axillary temperature luring stay in the ICU. Nonpulsatile perfusion with a roller pump was used in all patients and a membrane or bubble oxygenator was used for oxygenation. Both groups were comparable with respect to age, sex, body surface area, total bypass time, and rewarming time. There was no afterdrop in both groups, and there were no statistical differences in the rectal temperatures between two groups. There were also no statistical dilyerences with respect to the heart rate and blood pressure between two groups. At the end of rewarming the esophageal temperature was higher than the rectal temperature. The axil ary temperature measured in ICU was always lower than the rectal temperature. No shivering was noted in all patients. In conclusion, with restoration of rectal temperature above 35.5$^{\circ}C$ at the end of CPB in pediatric patients, we did not observe an afterdrop.

• 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.

• Journal of the Korean Society of Clothing and Textiles
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• v.29 no.12 s.148
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• pp.1527-1534
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• 2005

In order to clarify the characteristics of the thermo-physiological responses of the child and to understand the influence of the country where the child has grown up on the responses, the thermo-physiological responses of the Japanese children(J group) and the Korean children(K group) were examined. The subject wearing shorts was exposed first to a thermo neutral room$(Ta=28.5^{\circ}C)$ for 1 hour, then transferred to a cold$(Ta=22^{\circ}C)$ or a hot$(Ta=37^{\circ}C)$ room for 1 hour. The experiment was done in the climate chamber of Bunka Women's University in the summer of 1997 for Japan, and in the climate chamber in the Keimyung University in the summer of 1998 for Korea. The subjects consisted of 5 boys and 5 girls aged 7-9 years in Japan and 4 boys and 4 girls aged 7-9 years in Korea. As a result: 1) The rectal temperature increased slightly with a rise in air temperature. K group showed a slightly higher rectal temperature. 2) The skin temperature of the hand and foot decreased conspicuously during cold exposure. It was more in the K group than in the J group. 3) Relative local sweat rates were similar in the two groups at $22^{\circ}C\;and\;28.5^{\circ}C$, while they were considerably different at $37^{\circ}C$. Even perspiration was observed over the whole body in the J group but the perspiration was large in the trunk and low in the extremity in the K group. 4) The heart rate was higher in the J group than in the K group but it increased with the rise of the air temperature in both groups.

• Journal of the Korean Home Economics Association
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• v.39 no.5
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• pp.39-47
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• 2001

The purpose of this study was to investigate two different kinds of t-shirts on thermal responses at air temperature of $23{\pm}2^{\circ}C$, relative humidity of $70{\pm}5%$ and wind velocity not more than 0.5 m/sec. Five healthy men wearing boxy type t-shirts or fitted type t-shirts, participated as the subjects. Rectal temperature, skin temperatures, heart rate, clothing microclimate and subjective sensation were measured every 2 minute during experiment(rest, walking, recovery each 20 min.) and compared between two experimental garments(boxy type and fitted type t-shirts). Rectal temperature was lower in recovery phase at wearing fitted type t-shirts. Chest skin temperature was higher at wearing fitted type t-shirts and thigh and leg skin temperature were higher at wearing boxy type t-shirts.

• The Korean Journal of Pharmacology
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• v.21 no.2
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• pp.99-110
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• 1985

Majarine that was isolated from Berberis Koreasra Palibin (Berberidaceae) is the isoquinoline alkaloid. The effects of dopaminergic and serotonergic antagonists on majarine induced changes in body temperature were studied in the mouse. Intraperitoneal administration of majarine produced dose-dependent hypothermia. At a dose of 0.1 mg/kg, majarine caused a slight increase in body temperature. Majarine-induced hyperthermia was attenuated by the 5-HT antagonist, cyproheptadine However, it caused hyothermia in mice pretreated with the DA antagonist, haloperidol, and hyperthermia in mice pretreated with haloperidol and cyproheptadine in comparision with haloperidol pretreatment. At a dose of 2.0 mg/kg, majarine-induced hypothermia was attenuated by haloperidol and cyproheptadine, respectively. In reserpine pretreated mice, majarine produced dose-dependent hypothermia. At a dose of 0.1 mg/kg, majarine pretreated with haloperidol caused no significant effect in body temperature. At a dose of 2.0 mg/kg, majarine-induced hypothermia was attenuated by haloperidol pretreatment in mice treated with reserpine and ${\alpha}$-methyl-p-tyrosine. These data suppose that both dopaminergic and serotonergic mechanisms in the brain mediate the effects of majarine on body temperature. We propose that majarine directly stimulate DA receptor, which secondarilly activate 5-HT neurons to cause changes in body temperature.