• 대한간호학회지
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• 제47권4호
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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.

• 임상간호연구
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• 제26권3호
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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.

• 한국의류학회지
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• 제22권7호
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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.

• 한국의류학회지
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• 제22권7호
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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.

• 한국의류학회지
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• 제17권1호
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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.

• 한국의류학회지
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• 제28권2호
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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.

• 한국생물환경조절학회:학술대회논문집
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• 한국생물환경조절학회 2003년도 춘계 학술대회 논문집
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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)

• Journal of Chest Surgery
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• 제39권7호
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• pp.505-510
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• 2006

배경: 쥐를 이용한 심폐바이패스 모델은 시간 및 비용의 절감, 관리의 용이, 큰 실험실의 불필요, 그리고 반복실험의 용이 등 많은 장점이 있으나 기술적인 어려움 또한 크다. 열교환기를 이용한 효율적인 중심체온 유지 및 조절 역시 이러한 문제점 중의 하나이다. 이에 본 연구에서는 쥐 심폐바이패스 모델을 위해 기존의 상용화된 산화기를 소동물용으로 개조한 뒤 심정지액 주입용 소형 열교환기를 이용하여 충전액을 최소화한 상태에서 인공심폐기에 의한 효율적인 체온 유지가 가능한지를 보고자 하였다. 대상 및 방법: 수컷 쥐(Sprague-Dawley,평균 530 g) 10마리를 각 5예씩 나누어 열교환기를 사용한 군과 사용하지 않은 군으로 구분하였다. 열교환기는 심정지액 주입용 열교환기를 개조하여 사용하였으며 산화기를 포함한 전체 정지 충전용량은 40 cc였다. 열교환기를 사용하지 않은 군에서는 저혈조 주위에 온수를 순환시켰다. 실험동물 마취 후 동맥 삽관은 대퇴동맥 및 내경동맥에 정맥 삽관은 외경정맥에 시행하고 부분 심폐바이패스(40 ml/kg/min)를 20분간 유지하였다. 두 군간의 비교 분석을 위해 직장 체온을 각각 마취 직후, 동정맥 삽관 후, 심폐바이패스 후 5, 10, 15, 20분에 측정하였다. 심폐바이패스 후 5, 15분에는 헤모글로빈 및 동맥혈 가스분석을 동시에 측정하였다. 결과: 쥐에서의 심폐바이패스 운용은 안정적으로 유지되었으며, 심폐바이패스 후 5분부터 두 군간의 체온 차이는 유의하였다(p<0.01). 20분 후 체온은 각각 $36.16{\pm}0.32^{\circ}C$ 및 $34.22{\pm}0.36^{\circ}C$였다. 결론: 본 연구는 소동물 심폐바이패스 모델에서 심정지액 주입용 열교환기를 이용하여 충전액에 대한 영향을 최소화하면서 효율적인 체온유지가 가능함을 증명하였다. 이러한 실험 결과는 향후 저체온 심폐바이패스 운용에 관한 실험 모델로 쥐를 폭넓게 이용할 수 있다는 가능성을 제시한다는 점에서 그 의의가 크다.

• 한국의류학회지
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• 제30권3호
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• pp.407-411
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• 2006

본 연구에서는 비만아동의 온도적응능력을 향상시키기 위해 초등학교 4학년$\∼$6학년에 재학 중인 비만아동 13명(남자 6명, 여자 7명)을 대상으로 하여, 10주간의 단기 의복착용훈련 프로그램을 시행한 후 프로그램의 효과를 알아보았다. 프로그램 시행기간 중 아동이 매일 직접 측정한 주택 내 실내온도는 평균 25.1$^{circ}C$였고, 아동이 착용한 체표면적당 의복의 무게(착의량)는 평균 300g/$m^{2}$였으며, 실내온도와 착의량 간에는 유의한 상관이 있었다(p < .01). 프로그램의 시행효과를 구체적으로 알아보기 위해, 23.0$\pm$0.5$^{circ}C$, 50$\pm$5$\%$RH로 조절된 인공기후실에서 실험을 실시하여, 반소매 면 티셔츠(0.13clo)와 T/C 반바지(0.09c1o)를 착용하고 안정상태에 있는 아동의 체온, 피부온, 혈압 및 맥박 등의 생리반응과 쾌적감 및 온랭감의 주관적 감각반응을 프로그램 시행 전후에 측정한 후 얻은 주요 결과는 다음과 같다. 평균피부온은 프로그램 시행전후에 유의한 차이가 없었으나, 전반적으로 체온과 평균혈압은 프로그램 시행 후에 내려갔다(p < .01). 주관적 감각반응에서는 프로그램 시행 후에 여아가 남아에 비해 약간 더 따뜻하게 느꼈고(p < .05), 이에 따라 아동자신이 선택한 쾌적온도는 더 낮은 경향을 나타내었다(p < .1). 이와 같은 연구결과는 비만아동의 행동성 및 자율성 체온조절연구에 유익할 것이나, 보다 명확한 자료를 얻기 위해서는 종합적이고 장기적인 훈련프로그램의 시행이 요구된다.

• 생명과학회지
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• 제16권4호
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• pp.618-625
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• 2006

등줄쥐에서 일중휴면이 어떤 요인에 의하여 유발되는지를 알기 위하여, 온도, 먹이 및 광주기를 조절하여 등줄쥐의 체온변화를 자동온도기록장치를 이용하여 조사하였다. 등줄쥐 암컷에서는 21개체 중 8개체가 겨울철 및 봄철 실외환경, 저온실$(4^{\circ}C)$과 절식상태$(23^{\circ}C)$에서, 등줄쥐 수컷에서는 23개체 중 2개체가 겨울철 실외환경에서 휴면을 하는 점으로부터, 일중휴면은 일부 암 수 등줄쥐에서 저온이나 먹이결핍 등 갑작스런 환경변화에 대처하기 위한 에너지 절약대책으로 채택되고 있음이 시사되었다. 그러나 수컷에서는 번식기에는 번식 기회를 줄이지 않기 위하여 휴면을 억제하지만 암컷에서는 번식기에도 휴면을 하는 점으로부터 암 수가 서로 다른 전략으로 집단을 유지하고 있다고 생각되었다. 일중휴면은 오전 6시${\sim}$낮 12시 사이에 가장 빈번하게 관찰되었으며, 휴면시의 체온의 하강은 어떠한 조건에서도 주위온도가 가장 낮은 오전 4시${\sim}$6시경에 시작되었는데, 이러한 점은 일중휴면이 열 손실의 억제를 위한 전략임을 시사하고 있다. 휴면시 최저체온은 $16.5^{\circ}C$이었다. 광주기의 영향은 없었으며, 일정온도 하에서 항상 암기$(24D,\;4^{\circ}C)$에 두거나, 절식$(23^{\circ}C)$ 하에 광주기를 변화시켜도(16L:8D 또는 8L:16D) 서로 유사한 시각에 일중휴면이 일어나고 있어, 일중휴면 시각이 광주기에 의해서 조절되지 않으며 활동일주기의 영향을 받고 있다고 생각되었다.