This study intended to find out the most substantial items in cold and heat pattern identification(CHPI) questionnaire based on usual symptoms through CHPI diagnosis and evaluation by experts. 120 participants, faculties of OO university, filled out CHPI questionnaire based on usual symptoms by the way of self-reporting. Then 2 Korean Medicine doctors independently diagnosed them whether they belonged to cold pattern identification(PI) or heat PI, and scored the result of it. Pearson correlation of 2 experts was 0.649 in cold PI and 0.605 in heat PI. Agreement was 75.8%(Kappa value 0.516) in cold PI and 74.2%(Kappa value 0.465) in heat PI. Pearson correlation of 2 experts was 0.649 in cold PI and 0.605 in heat PI. Agreement between two experts was 75.8%(Kappa value 0.516) in cold PI and 74.2%(Kappa value 0.465) in heat PI. Items of high correlation with experts' evaluation followed next: "do not usually like the cold", "usually like the warm", "usually feel cold" in cold PI and "do not usually like the hot", "usually feel hot", "usually feel burning sensation in the body" in heat PI. We could infer from that facts that experts give weight on 'subjective feeling of cold or heat in participants body' and 'preference on sensation of cold and heat'. We also expect this study to be an epidemiological foundation to disclose correlation between usual CHPI and diseases.
This study analyzed the self-identified cold tolerance and wearing behavior of teenagers inside and outside the classroom during winter, considering recent climate changes. A questionnaire was divided into four parts-general information, thermal and comfort sensation inside and outside classroom, self-identified cold tolerance, and wearing behavior to collect data from 322 students. Over several years, changes were noted in respondents' wearing behavior during winter outings, with the biggest being the purchase of a "long padded jacket" for warmth while outside. Most respondents showed similar wearing behavior, such as no difference between the number of clothes worn in a classroom maintained at 20℃ (girls: 8.0±3.1 layer, boys: 6.5±2.1 layer) and outside (girls: 8.8±3.4 layer, boys: 7.1±3.0 layer), despite feeling differently about the thermal sensation inside and outside the classroom. This difference may due to a teenager's lack of knowledge about temperature and their tendency to follow clothing trends. Female students were more sensitive to the cold and wore more garments inside and outside the classroom. Gender-related differences should be considered when educating teenagers about safe and healthy clothing.
This study evaluated the thermal physiological and psychological responses elicited when wearing cold protective jackets with aerogel fillings in two cold environments, one without air velocities and one with air velocities (2.3 m·s-1), at an air temperature of 10℃. The participants were five healthy young males. Measures were taken of physiological parameters, blood pressure (BP), heart rate (HR), core temperature, oxygen uptake (Vo2), and microclimate (temperature and humidity). The psychological parameters evaluated were thermal and wetness sensation. No differences were observed in systolic blood pressure, heart rate, and oxygen intake between the conditions. At tympanic temperature, a significant difference was observed between the conditions during exercise (p<.05); . A significant difference was observed in the microclimate temperature of the clothing according to the airflow, and temperature changes in the chest and back revealed different patterns. Significant differences were observed in thermal sensation (whole body (p<.05), chest (p<.05), back (p<.01)) between airflow conditions. The results therefore indicate that cold protective jackets with an aerogel filling are suitable for people operating in low-temperature and airflow environments.
We analyzed the effects of regular Jjimjilbang (Korean sauna) exposure on the cold tolerance in young and elderly females. Subjects were young (n=7) and elderly (n=7) females who had never had Jjimjilbang exposure experience. The Jjimjil training group was exposured in the Jjimjilbang 19 times per week. Jjimjibang exposure was limited to three times per day. Jjimjil activity was taken freely. To prove the effects of the cold tolerance, subjects were exposed to cold air ($12{\pm}1^{\circ}C,\;60{\pm}10%$RH). In these conditions, subjects were exposed for 30 minutes at which time rectal temperature, skin temperatures, clothing microclimate, energy expenditure, blood pressure and subjective sensation were measured. To prove the effects of the local cold tolerance, vascular hunting reaction was observed measuring the finger skin temperature while the left middle finger tip was immersed in cold water of $0^{\circ}C$ for 30 minutes. The results are as follows. According to repeated Jjimjil exposure, rectal temperature changes, peripheral temperature and energy expenditure were increased gradually in the cold climate chamber. Blood pressure, subjective sensation and vascular hunting reactions did not show any significant difference. In conclusion, regular Jjimjilbang exposure has negative effects on the ability of the body to improve its regulation of temperature especially in cold tolerance.
From the environmental adaptation point of view, the clothing habits made by the thermal sensation and clothing weight of elderly women have changed according to the thermal sensation and health condition. The purpose of this study was to obtain the basic data for developing healthy and comfortable clothing for elderly women. Clothing weight, thermal sensation, clothing microclimate, resistance to cold and heat of 198 elderly women in Taejeon were surveyed from October 9, 2007 to October 19, 2007. 1. Clothing weight per body surface area was $830.4g/m^2$ of total clothing weight, $242.8g/m^2$ of underwear clothing weight, $617.3g/m^2$ of outerwear clothing weight, $419.8g/m^2$ of upper clothing weight, and $420.4g/m^2$ of lower clothing weight. 2. More than 90% of the respondents replied that they felt comfortable when the temperature inside the clothing was $33.5^{\circ}C$ and humidity inside the clothing was 30.2%. 3. The elderly women were more sensible to cold than to hot, those who felt cold had a tendency to wear heavier clothing. 4. The appeal rate for physical pain of older and lower income people, especially those with an income under 1,000,000 won, was higher than that of others. On the other hand, the lower the subjective economic level, the younger they were, and the more the monthly average income was, the higher the rate of mental pain. 5. The heavier the total clothing weight was, the higher the appeal rate for general pain.
Objectives : This study was designed to analyze basic data for cold hypersensitivity patients with a questionnaire and investigate correlation between cold hypersensitivity and Heart Rate Variability(HRV). Methods : 49 patients who complain of cold hypersensitivity on hands and feet in ambulatory care were investigated in Oriental Gynecology, Kyunghee Oriental Medical Center and Women medical center, Kangnam Koreana hospital from May 1, 2006 to October 20, 2006. All patients were asked to answer a questionnaire. After careful I examination to rule out other disease which may affect Digital Infrared Thermal Imaging(DITI) and HRV data, patients were taken thermography for the diagnosis of cold hypersensitivity Based on the result of thermography, the patients were divided into two groups(Objective cold hypersensitivity and Subjective cold hypersensitivity). Then, these two groups were compared using HRV data which was measured in the supine position for 5 minutes. Results: 1. For most patients, cold hypersensitivity first developed during puberty. 2. The parts of the body that felt cold first time were hands and feet. 3. The cold sensation was increased in winter or at bedtime Showing that the sensation can be changed according to the level of coldness. 4. Among women who sufferfrom cold hypersensitivity, very few of them were treated. 5. More than half of cold hypersensitivity patients's family member also had a cold hypersensitivity. 6. The decrease in mean values of LF/HF ratio was observed in objective cold hypersensitivity group than subjective cold hypersensitivity group and the decrease was significant(P=0.014) when examined by Student t-test. Conclusions : It is necessary that the cold hypersensitivity patients should be treated carefully considering the facts mentioned above. And it can be suggested that dysautinomia be related with cold hypersensitivity and be evaluated by HRV.
Purpose : The keeping warm and avoidance of cold are one of important Korean traditional postpartum care, but sometimes overwarm for example over-bundling, an overheated room or a steam bath cause heavy sweats. I observed and treated three patients complained of heavy sweats, chills, fatigue, malaise, cold sensation and pain caused by keeping overwarm for postpartum care. Although the symptoms have aggravated, they have maintained keeping overwarm because of a belief of Korean traditional postpartum care. The purpose of these cases studies are to report postpartum hyperhidrosis caused by keeping overwarm and to make a point of keeping the appropriate room temperature and humidity during puerperium. Methods : I observed and treated three patients complained of heavy sweats, chills, fatigue, malaise, cold sensation and pain caused by keeping overwarm for postpartum care. I found that a cause of the symptoms was hyperhidrosis by keeping overwarm, and administered herbal medicine and was to keep the appropriate room temperature. Results : After medication of Herbal medicine(補中益氣湯加味方) and keeping the appropriate room temperature, they were improved. Conclusion : Postpartum care is not to keep overwarm but to keep the appropriate room temperature and humidity.
Thermal neutrality is not enough to achieve thermal comfort. The temperature level can be the optimal, and still people may complain. This situation is often explained by the problem of local discomfort. Local discomfort can be caused by radiant asymmetry, local air velocities, too warm and too cold floor temperature and vertical temperature difference. This temperature difference may generate thermal discomfort due to different thermal sensation in different body parts. Therefore, thermal comfort can not be correctly evaluated without considering these differences. This study investigates thermal discomfort sensations of different body parts and its effect on overall thermal sensation and comfort in air-heating room. Experimental results of evaluating thermal discomfort at different body parts in an air-heating room showed that thermal sensation on the shoulder was significantly related to the overall thermal sensation and discomfort. Although it is known that cool-head, warm-foot condition is good for comfort living, cool temperature around the head generated discomfort.
This study focusses on how the skirt or slacks wearing habit affects the female physiology in her daily life. The healthy female college students have been trained to wear either skirt (group A) or slacks (group B) from late August to early January in order to study the effects of clothing habit on thermoregulatory responses. Also, the themoregulatory responses have been compared the healthy students groups with a physical trained students group (group C) to examine the effects of clothing habit. The changes in body temperatures of students have been studied under the cool environmental condition (15$\pm$1$^{\circ}C$, 60$\pm$5% RH, 0.25 m/sec). The results were as follows: 1. Rectal temperature of the group A was 0.4$^{\circ}C$ lower at 36.9$^{\circ}C$ than that of the group B The groups A and B were found identical before the training, while the groups A and C were identical after the training. 2. Mean skin temperature of the group A was 1.2$^{\circ}C$ lower than that of the group B. The groups A and C were identical after the training. 3. The thermal sensation was reflected to be cool by the group A and to be cold by the group B. As for the humidity sensation, the group A felt average, whereas the group B reported between average and slightly humid. In the case of comfort sensation, the group A felt average, while the group B felt between average and slightly uncomfortable. In summary, the 18 weeks of training has provided the skirt group an improved acclimatization to the cold environment . This group also showed an insulative-hypothermic adapta lion in a cold ambient temperature, as was the case for the physical trained group. It is concluded that wearing a skirt for a long period of time can be helpful to human body through gaining of thermoregulatory abilities.
This study investigated the relation between seasonal variation of clothing weight and its resting metabolic rate to determine the relation between proper living temperature and cold/heat tolerance. Thirty six subjects(18 males and females twenties) were composed to obtain the clothing weight(Total clothing weight) and resting metabolic rate for a year and grouped four seasons : spring (Mar-May) Summer(Jun-Aug) Fall(Sep-Nov) and Winter(Dec-Feb). The data of males and females were respectively divided into three groups by cluster analysis with clothing weight. 1. The resting metabolic rate of male(41.1kcal/m2/hr) was higher than that of female(33.2kcal/m2/hr). It is suggested there is gender difference in the resting metabolic rate(p<.001) 2. The resting metabolic rate of male and female was the highest in Winter. It is suggested there is seasonal variation in the resting metabolic rate(p<.001) 3. It was found that there was relation between clothing weight and resting metabolic rate. The difference of resting metabolic rate between Summer and Winter which is profitable to adaptation to living temperature was significant in light clothing weight in male as well as in female. 4. In comfortable sensation most subjects responded that he/she felt 'comfortable' except Winter. However the heavy clothing weight group felt 'a little uncomfortable' throughout all seasons. l In thermal sensation most subjects responded that he/she felt 'neutral' And then the heavy clothing weight group responded warmer in summer and cooler in winter than light clothing weight group. From the results it was confirmed that male and female showed seasonal variations in clothing weight and resting metabolic rate. Also the resting metabolic rate of male and female was influenced by the clothing weight. In short seasonal variation of resting metabolic rate was larger in light clothing weight group than in heavy clothing weight group. Therefore light clothing weight group is advantgeous in living temperature to improve cold/heat tolerance and it also shows that living with the light clothing weight may enhance the degree of adaptation to change of living environment
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