This study was performed to investigate the effect of kangaroo care on body weight, physiological responses and behavioral states in premature infants. The subjects were 32 premature infants, fifteen for the kangaroo care group and seventeen for the control group, who hospitalized in a neonatal intensive care unit at a university-affiliated hospital. The kangaroo care was applied 8 times during the twenty five days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a premature infant wearing a diaper and a hat is placed on its mother's chest. As for the measures, body weight was measured everyday. The levels of epinephrine, norepinephrine and 17-OHCS were measured twice, before beginning the first intervention and after finishing the last intervention. While each session of the care is undergoing, such physiological responses were measured periodically as heart rate, respiration rate, oxygen saturation, core temperature and skin temperature. The results were as follows : 1. The weight gain was significantly greater in the kangaroo care group than that in the control group during the period of performing the kangaroo care. 2. No significant difference was revealed between the two groups in heart rate, respiration rate, oxygen saturation and core temperature. The kangaroo care group also showed significant increases in the skin temperature. 3. The differences in the levels of epinephrine, norepinephrine and 17-OHCS were not significant between the kangaroo care and the control groups. The level of norepinephrine in the two groups was significantly increased over time. 4. Sleep pattern changed significantly in the kangaroo group from a very restless sleep to a very quiet sleep. These results suggest that kangaroo care is an effective nursing intervention for premature infants in gaining weight, achieving stable physiological responses and facilitating a quiet sleep.
Temperatures of blood and skin, respiratory rate and plasma cortisol concentration in sheep at a warm (average ambient temperature of $15.3^{\circ}C$) and a hot (average ambient temperature of $27.0^{\circ}C$ environment were measured to investigate the effect of hot environment on the physiological responses in ruminant. Temperatures of core, mean skin and mean body in sheep were tended to increase at day time and to decrease at night time at both warm and hot environment, while 24-hr average for those temperatures were significantly higher at hot environment than at warm environment (P<0.05). The calculated body heat content was higher in sheep at hot environment than at warm environment (P<0.05). Respiratory rate and plasma cortisol concentration had no significant differences between warm and hot environment, suggesting that sheep were not stress by the hot environment in this experiment. It is, therefore, suggested that sheep were well adopted to hot environment by increasing body heat content against heat stress.
Purpose: The study was conducted to identify factors affecting the intraoperative core body temperature (CBT) of surgical patients under general anesthesia. Methods: This study was performed through a prospective descriptive research design. The sample consisted of 138 patients who had undergone elective laparotomy surgery. Age, weight, height, the basal preoperative CBT, blood pressure, and heart rate were collected. CBT was again measured at induction of anesthesia, 1 hour, 2 hours, and 3 hours following induction of general anesthesia. Results: Factors affecting intraoperative hypothermia < $36^{\circ}C$ at 1 hour following induction, were CBT at induction and total body fat (TBF) ($R^2=.569$, p<.001); at 2 hours after induction, CBT at induction and TBF ($R^2=.507$, p<.001); at 3 hours after induction, CBT at induction (${\beta}=0.34$), TBF, age and the ambient temperature in the operating room ($R^2=.449$, p<.001). Conclusion: CBT at induction and TBF appear to be factors affecting intraoperative CBT within 2 hours after induction of anesthesia; CBT at induction, TBF, advanced age and the ambient temperature after 3 hours following induction. We recommend keeping surgical patients warm before induction of anesthesia and providing intraoperative warming for surgical patients of advanced age with low TBF and when the duration of general anesthesia will last more than 3 hours.
The Purpose of this study was to investigate the effect of body fat on thermophysiological responses and subjective sensations under hot environment. Fifteen female college students volunteered as subjects. Subjects were organized into three groups - low body fat group(L group : less than 20% of body fat), medium body fat group(M group : 20%~30% of body fat) and high body fat group(H group : More than 30% of Body fat). The experiment was carried out in a climate chamber of $32^{\circ}C$, 60%RH with the repeat of having 'Exercise' and 'Rest' period. The results of this study are as follows ; Rectal temperature maintained higher in M group and L group than in H group in the period of exercise 1. High body fat was so effective in keeping the core temperature, it seems that as was usually the case in cold environment. The mean skin temperature was the lowest value in H group but the ratio of mean skin temperature change was clearly high value in H group. The above facts indicated that thermophysiological response occurs rapidly in H group. Blood pressure, pulse rate and metabolic rate of H group showed the highest values and those of L group showed the lowest value in all period of experiment. Effective of sweating rate was higher in H group than other groups. In subjective sensations, The H group felt more pleasant and comfortable than M group. With these results in mind, people of H group responses more actively for thermal regulation in a hot environment, and these leads H group to feel more pleasant and comfortable.
Journal of Korean Academy of Fundamentals of Nursing
/
v.7
no.1
/
pp.86-96
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2000
The purpose of the study was to investigate the effects of Warming Therapy used with patients consistantly before and during surgery to on changes in their body temperatures. The data were collected from patients in a university hospital in Taegu between December 1, 1998 and May 31, 1999. The subjects were selected from patients who were hospitalized for total hip replacement surgery. Thirty participants were assigned to two groups : experimental(Warming Therapy) group and control group. Each group consisted of 15 patients. The research design was a repeated measurement design, using a nonequivalent control group. The Warming Therapy, using a forced-air warming blanket, that is a, 'Bair Hugger' was applied to subjects in the experimental group. The subjects in the group were treated with the 'Bair Hugger' to warm up the whole body for 40 minutes before surgery and upper body and face during the operation. The core temperature was measured using a tympanic thermometer. The body temperature of the patients was measured 13 times every 15 minutes during the surgery. After the operation the body temperature of the patients was measured 4 times every 15 minutes, from the time of arrivial in the recovery room to the time of leaving the recovery room. The SPSS Win 9.0 program was used for data analysis. Specific methods tested were done using ${\chi}^2-test$, t-test, repeated measures ANOVA. The findings of the study are as follows. 1. The first hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group during the operation', was supported (F=32.16, p=.000). 2. The second hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group after the operation', was supported.(F=33.36, p=.000) 3. During recovery, shivering was observed one patient in the experimental group and seven patients in the control group. In summary, the findings of the study suggest that the 'Warming Therapy' applied before and during the surgery was a very effective treatment for surgical patients in maintaining the core temperature during surgery
Purpose: This study aimed to identify factors influencing intra-operative core body temperature (CBT), and to develop a predictive model for intra-operative CBT in laparoscopic abdominal surgery. Methods: The prospective observational study involved 161 subjects, whose age, weight, and height were collected. The basal pre-operative CBT, pre-operative blood pressure, and heartbeat were measured. CBT was measured 1 hour and 2 hours after pneumoperitoneum. Results: Explanatory factors of intra-operative hypothermia (< $36^{\circ}C$) were weight (${\beta}=.361$, p< .001) and pre-operative CBT (${\beta}=.280$, p= .001) 1 hour after pneumoperitoneum (Adjusted $R^2=.198$, F= 7.56, p< .001). Weight was (${\beta}=.423$, p< .001) and pre-operative CBT was (${\beta}=.206$, p= .011) 2 hours after pneumoperitoneum (Adjusted $R^2=.177$, F= 5.93, p< .001). The researchers developed a predictive model for intra-operative CBT ($^{\circ}C$) by observing intra-operative CBT, body weight, and pre-operative CBT. The predictive model revealed that intra-operative CBT was positively correlated with body weight and pre-operative CBT. Conclusion: Influence of weight on intra-operative hypothermia increased over time from 1 hour to 2 hours after pneumoperitoneum, whereas influence of pre-operative CBT on intraoperative hypothermia decreased over time from 1 hour to 2 hours after pneumoperitoneum. The research recommends pre-warming for laparoscopic surgical patients to guard against intra-operative hypothermia.
Purpose: The purpose of this study was to compare the effects of $21^{\circ}C\;CO_2$ and $37^{\circ}C\;CO_2$ pneumoperitoneum on body temperature, blood pressure, heart rate, and acid-base balance. Methods: Data were collected at a 1300-bed university hospital in Incheon, from February through September 2012. A total of 74 patients who underwent laparoscopic colectomy under general anesthesia with desflurane were randomly allocated to either a control group or an experimental group. The control group received $21^{\circ}C\;CO_2$ pneumoperitoneum; the experimental group received $37^{\circ}C\;CO_2$ pneumoperitoneum. The pneumoperitoneum of the two groups was under abdominal pressure 15 mmHg. Body temperature, systolic blood pressure, heart rate and acid-base balance were assessed at 30 minutes and 90 minutes after pneumoperitoneum, and again at 30 minutes after arriving at the Post Anesthesia Care Unit. Results: Body temperature in the $37^{\circ}C\;CO_2$ pneumoperitoneum group was significantly higher (F= 9.43, p< .001) compared to the $21^{\circ}C\;CO_2$ group. However, there were no statistically significant differences in systolic blood pressure (p= .895), heart rate (p= .340), pH (p= .231), PaCO2 (p= .490) and HCO3- (p= .768) between the two groups. Conclusion: Pneumoperitoneum of $37^{\circ}C\;CO_2$ is effective for the increase of body temperature compared to pneumoperitonium of $21^{\circ}C\;CO_2$, and it does not result in a decrease of blood pressure, heart rate or acid-base imbalance.
Rectal temperature, skin temperature and oxygen consumption were measured in five women divers during diving under two conditions a) wearing a cotton bathing suit and b) wearing a diving suit and the following results were obtained. 1. The duration of the diving period was 30 min with the cotton bathing suit whereas it was above 120 min with the diving suit. 2. The average rectal temperature fell to $34.5^{\circ}C$ after 30 min of diving with the cotton bathing suit. On the other hand, with the diving suit, immediately after submersion, the rectal temperature rose about $3^{\circ}C$ and remained at about $39^{\circ}C$ throughout the diving period of 120 min. 3. Average mean skin temperature during diving was $11^{\circ}C$ and $21^{\circ}C$ with cotton bathing suit and with the diving suit, respectively. The mean body temperature fell to $25^{\circ}C$ with the cotton bathing suit while it reached $32^{\circ}C$ with the diving suit at the end of each diving period. 4. Oxygen consumption during diving was three fold of the pre-dive level with the cotton bathing suit but it was two fold with the diving suit. 5. Total extra heat loss was 323 kcal during 120 min of diving with the diving suit. On the contrary, with the cotton bathing suit, it was 528 kcal for 30 min, These results may suggest that the prolongation of the diving period with the diving suit is primarily due to maintenance of core temperature at more or less physiological level as a result of reduction in conductive heat loss from the body surface to the water and the Preferential distribution of blood in the core area.
Kim, Jung-Hun;Park, Ji-Eun;Park, Yu-Jin;Won, Chul-Ho;Ji, In-Hee;Kim, Ji-In;Lee, Jong-Min
Journal of Biomedical Engineering Research
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v.38
no.4
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pp.163-167
/
2017
The purpose of this study is to perform integrated body temperature cooling of the arteriovenous anastomosis site. In the arteriovenous anastomosis site, heart cooling was performed using the palm of the hand, Cooling was achieved by using Peltier and copper plates to cool the palm of the hand with the heat transferred. The control range of the conducted heat is adjustable from 25 degrees to 30 degrees. The experimental environment was to place the treadmill in the house, The temperature in the house was set at 40 degrees and the experimenter treadmill at a speed of 5 Km. The subjects were exercised until the body temperature reached about $39^{\circ}C$. As a method to lower the body temperature after the experiment, the data of the body temperature was obtained by the general rest, onehand cooling, two-hand cooling. Experiment result better than normal rest when Two hands cooling and an average decrease of 0.66 degrees. if you develop a cooling glove with Peltier, it will be an epoch-making athletic assistant to achieve thermal fatigue.
In the development of high temperature superconducting (HTS) power machines, HTS bushing is one of core technologies. In particular, the insulation body with sheds and electrical insulation at cryogenic temperature have attracted a great deal of interest from the view point of the size, weight and efficiency of bushing. In this study, the electrical and mechanical characteristics of various insulators for body in liquid nitrogen ($LN_2$) were investigated. And the surface discharge distance, collar length of GFRP sheds were studied. To emit bubbles between sheds, the shape and arrangement of shed were studied. The shed structure for 60 kV class HTS bushing were designed with regular arrangement.
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