• Journal of Dental Anesthesia and Pain Medicine
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• 제15권4호
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• pp.229-233
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• 2015

Background: Although water chambers are often used as surrogate blood-warming devices to facilitate rapid warming of red blood cells (RBCs), these cells may be damaged if overheated. Moreover, filtered and irradiated RBCs may be damaged during the warming process, resulting in excessive hemolysis and extracellular potassium release. Methods: Using hand-held syringes, each unit of irradiated and leukocyte-filtered RBCs was rapidly passed through a water chamber set to different temperatures (baseline before blood warming, $50^{\circ}C$, $60^{\circ}C$, and $70^{\circ}C$). The resulting plasma potassium and free hemoglobin levels were then measured. Results: Warming RBCs to $60^{\circ}C$ and $70^{\circ}C$ induced significant increases in free hemoglobin (median [interquartile ranges] = 60.5 mg/dl [34.9-101.4] and 570.2 mg/dl [115.6-2289.7], respectively). Potassium levels after warming to $70^{\circ}C$ ($31.4{\pm}7.6mEq/L$) were significantly higher compared with baseline ($29.7{\pm}7.1mEq/L$; P = 0.029). Potassium levels were significantly correlated with storage duration after warming to $50^{\circ}C$ and $60^{\circ}C$ (r = 0.450 and P = 0.001; r = 0.351 and P = 0.015, respectively). Conclusions: Rapid warming of irradiated leukoreduced RBCs to $50^{\circ}C$ may not further increase the extracellular release of hemoglobin or potassium. However, irradiated leukoreduced RBCs that have been in storage for long periods of time and contain higher levels of potassium should be infused with caution.

• Clinical and Experimental Reproductive Medicine
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• 제47권2호
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• pp.140-146
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• 2020

Objective: To investigate whether the degree of post-warming embryo or blastocyst development is associated with clinical pregnancy in vitrified embryo or blastocyst transfer cycles. Methods: Ninety-six vitrified cleavage-stage embryos and 58 vitrified blastocyst transfer cycles were selected. All transfer cycles were performed from February 2011 to March 2019, and all vitrified embryos or blastocysts were warmed from 4 PM to 6 PM and then transferred the next morning from 9 AM to 10 AM. The scores of the cleavage-stage embryos and blastocysts were assessed at warming and at transfer using the modified Steer method and the Gardner method, respectively. The mean embryo or blastocyst score, score of the single top-quality embryo or blastocyst, and the difference in the score between warming and transfer were compared between nonpregnant and pregnant women. Results: In the cleavage-stage embryo transfer cycles, both the top-quality embryo score at transfer and the difference in the score between warming and transfer were significantly associated with clinical pregnancy. A top-quality embryo score at transfer of ≥ 60.0 (area under the curve [AUC], 0.673; 95% confidence interval [CI], 0.531-0.815) and a difference in the score between warming and transfer of ≥ 23.0 (AUC, 0.675; 95% CI, 0.514-0.835) were significant predictors of clinical pregnancy. In blastocyst transfer cycles, the top-quality blastocyst score at transfer was the only significant factor associated with clinical pregnancy. A top-quality blastocyst score at transfer of ≥ 38.3 was a significant predictor of clinical pregnancy (AUC, 0.666; 95% CI, 0.525-0.807). Conclusion: The top-quality embryo score at transfer and the degree of post-warming embryo development were associated with clinical pregnancy in vitrified cleavage-stage embryo transfer cycles. In vitrified blastocyst transfer cycles, the top-quality blastocyst score at transfer was the only significant factor affecting clinical pregnancy.

• 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.

• 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.

• 한국산림과학회지
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• 제105권4호
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• pp.510-516
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• 2016

본 연구는 실외 실험적 온난화 시스템 내에서 적외선등을 이용하여 온난화 처리를 한 다음 발아 당년의 활엽수 4개 수종(물푸레나무, 느티나무, 거제수나무, 굴참나무) 묘목의 생리적 반응을 알아보고자 수행되었다. 적외선등은 2015년 4월부터 가동되었으며, 온난화 처리구 내의 묘목들은 대조구에 비해 $2.7^{\circ}C$ 높은 대기온도 하에서 생육되었다. 기공전도도, 증산속도 및 순광합성률은 동년 7월과 9월에, 엽록소 함량은 7월과 10월에 각각 측정하였다. 온도 증가에 대한 묘목의 생리적 반응은 수종과 측정 시기에 따라 다른 결과를 나타내었다. 즉 기공전도도($mmol{\cdot}m^{-2}{\cdot}s^{-1}$)는 물푸레나무(대조구:$158.97{\pm}42.76$; 온난화 처리구:$42.07{\pm}8.24$), 느티나무(대조구:$170.53{\pm}27.22$; 온난화 처리구: $101.17{\pm}42.27$), 거제수나무(대조구:$249.93{\pm}47.39$; 온난화 처리구:$150.73{\pm}26.52$)에서 온난화 처리에 의해 감소하였다. 그리고 증산속도($mmol{\cdot}m^{-2}{\cdot}s^{-1}$)도 물푸레나무(대조구:$4.08{\pm}0.62$; 온난화 처리구:$1.74{\pm}0.39$), 느티나무(대조구:$4.32{\pm}0.44$; 온난화 처리구:$3.24{\pm}1.14$), 거제수나무(대조구:$6.21{\pm}0.38$; 온난화 처리구:$4.66{\pm}0.28$)에서 대조구에 비해 온난화 처리구에서 낮은 값을 나타내었다. 한편, 굴참나무의 경우 기공전도도와 증산속도의 처리 간 차이가 유의하지 않았다. 엽록소 함량은 대부분의 수종에서 온난화 처리에 의해 증가하였으나, 순광합성률은 모든 수종에서 처리 간의 차이가 통계적으로 유의하지 않았다. 이는 온난화 처리의 영향이 미미하여 순광합성률의 변화에까지 영향을 미치지 못하였기 때문인 것으로 판단된다.

• 임상간호연구
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• 제16권1호
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• pp.71-82
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• 2010

Purpose: The study was aimed to investigate the effects of warm fluid used during surgery on the patients' hypothermia prophylaxis and recovery after surgery. Methods: This data were collected from Jul. 13 to Nov. 31. 2009 at S hospital in M City. 60 patients who met the selection criteria were recruited in the study and divided into two groups. The warmed fluids were used for 30 patients in the experimental group, and the fluids in room air temperature were used for the others in the control group. Collected data were statistically analyzed using SPSS/win 18.0. Results: The body temperatures of the control group were significantly lower during surgery than those of the experimental group (p<.001). Shivering was significantly less occurred in the experimental group than the control group (p=.018). The experimental group used warmed fluids recovered faster than the control group. Conclusion: Warming fluid for the patients with general anesthesia was revealed to be effective in decreasing hypothermia during surgery, reducing shivering, helping recovery from the anesthesia. Further research is warranted to refine and apply this evidence in nursing practice.

• 한국산림과학회지
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• 제109권1호
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• pp.31-40
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• 2020

본 연구는 기후변화와 관련하여 양묘과정에서 온도와 강수 변화에 따른 주요 침엽수의 생존 및 생장 특성 변화를 알아보고자 수행하였다. 소나무와 낙엽송 노지묘(1-0)를 대상으로 대조구 기준 3℃의 온도를 상승시키거나 ±40%의 강수를 조절한 6처리 생육환경[온도 2처리(대조: TC, 증가: TW) × 강수 3처리(대조: PC, 감소: PD, 증가: PI)] 실외 실험구를 조성하였으며, 생존율, 근원경, 묘고, 물질생산량 및 묘목품질지수 변화를 조사하여 이원분산분석을 수행하였다. 소나무는 온도와 강수 처리에 따른 생존율 차이가 없었지만, 강수가 증가할수록 묘목품질지수가 낮아지는 경향을 보였다. 낙엽송은 온도 상승과 강수 감소에 따라 고사율이 증가하였으며, 묘목품질지수는 두 요인 간 상호작용을 보이면서 온도대조-강수증가 처리구에서 가장 낮게 나타났다. 따라서 양묘과정에서 소나무는 강수 증가, 낙엽송은 온도 증가 또는 강수 감소에서 낮은 묘목 생산량과 품질이 예상되며, 기후변화에 따른 두 수종의 특이적 민감도를 확인할 수 있었다. 향후 지구온난화와 가뭄·폭우 등의 강수 변화에 의해 수종별 묘목 생존과 품질의 변화가 예상되기 때문에 각 수종의 생육 반응 특성에 따른 적합한 양묘시업 대응 전략이 필요할 것으로 판단된다.

• 대한한방부인과학회지
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• 제20권2호
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• pp.124-138
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• 2007

Purpose: This study was conducted to investigate the antimicrobial effects of the interior warming herbs on vaginal microbes. Methods: Staphylococcus aureus, Methicillin-resistant Staphylococcus aureus, Candida albicans and Gardnerella vaginalis were used for vaginitis-induced microbes. Lactobacillus gasseri, Streptococcus spp. and Escherichia coli HB101 were used for normal vaginal florae. And herbs for warming the interior (Zingiberis Rhizoma, Alpiniae Officinari Rhizoma, Aconiti Tuber, Anethi Fructus, Evodiae Fructus, Cinnamomi Cortex Spissus, Caryophylli Flos, Aconiti Tube, Zanthoxyli Pericarpium, Piperis Longi Fructus, Piperis Nigri Fructus) were used in this study. Antimicrobial activities were tested by the change of optical densities (OD) and colony test in vitro. Results: In the results of vaginitis-induced microbes, Anethi Fructus was decreased the OD values on MRSA and Gardnerella vaginalis and Aconiti Tuber was decreased on MRSA. There were no viable MRSA and Gardnerella vaginalis colony forming against Evodiae Fructus, Staphylococcus aureus and MRSA colony forming against Piperis Longi Fructus, Staphylococcus aureus colony forming against Piperis Nigri Fructus and MRSA colony forming against Zanthoxyli Pericarpium. In the results of normal vaginal florae, Zingiberis Rhizoma was decreased the OD values on Streptococcus spp. and all normal vaginal florae were showed viable colony forming against all experimental herbs. Conclusion: According to these results, we can suggest that some kinds of interior warming herbs have antimicrobial effects on vaginal microbes. So there might be needed to make furthermore studies to seek the herbs which have selective antimicrobial effect on pathologic vaginal microbes.

• 한국의류학회지
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• 제41권4호
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• pp.687-697
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• 2017

To figure out an appropriate pressure level for a body warming base layer, human responses were observed when the pattern reduction of base layers varied. Under the condition of $2^{\circ}C$, 60% RH, 0.1m/s, ten male subjects participated in the experiment with four sizes of experimental vests where heating pads were attached. The subjective evaluations of the heating vests with different sizes were reported using 7 or 9 point scales. We simultaneously observed chest, abdomen and scapula skin temperatures and microclimate humidity. It was found that the tight pattern as in the case of A or B provided a warmer subjective sensation and skin temperature than C or D; however, there were no differences in skin temperature at the chest. Eventually, the chest temperature decreased after about 30 mins of heating; however, temperature of abdomen increased and indicated that heating with two commercial pads used was inadequate for whole body warming. The pressure sensation of 'tight' was improved after warming the abdomen in a cold environment. Overall, the gaps beyond the original circumference of the abdomen, as in C or D, were not desirable for the local heating of abdomen under the conditions of this experiment where walking was included in the protocol. The experiment garment B with nude waist circumference was the best, and D with the largest ease, was the worst for a comfortable warming vest.

• Clinical and Experimental Reproductive Medicine
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• 제47권4호
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• pp.312-318
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• 2020

Objective: The objective of the study was to compare the effects of long-term and short-term embryo culture to assess whether there is a correlation between culture duration and clinical outcomes. Methods: Embryos were divided into two study groups depending on whether their post-warming culture period was long-term (20-24 hours) or short-term (2-4 hours). Embryo morphology was analyzed with a time-lapse monitoring device to estimate the appropriate timing and parameters for evaluating embryos with high implantation potency in both groups. Propensity score matching was performed to adjust the confounding factors across groups. The grades of embryos and blastocoels, morphokinetic parameters, implantation rate, and ongoing pregnancy rate were compared. Results: No significant differences were observed in the implantation rate or ongoing pregnancy rate between the two groups (long-term culture group vs. short-term culture group: 56.3% vs. 67.9%, p=0.182; 47.3% vs. 53.6%, p=0.513). After warming, there were more expanded and hatching/hatched blastocysts in the long-term culture group than in the short-term culture group, but there was no significant between-group difference in embryo grade. Regarding pregnancy outcomes, the time to complete blastocyst re-expansion after warming is shorter in women who became pregnant than in those who did not in both culture groups (long-term: 2.19±0.63 vs. 4.11±0.81 hours, p=0.003; short-term: 1.17±0.29 vs. 1.94±0.76 hours, p=0.018, respectively). Conclusion: The outcomes of short-term culture and long-term culture were not significantly different in vitrified-warmed blastocyst transfer. Regardless of the post-warming culture time, the degree of blastocyst re-expansion 3-4 hours after warming is an important marker for embryo selection.