Comfort In Response Research Articles

Consideration of the importance of measuring thermal discomfort in biomedical research.

Core temperature stability is the result of a dynamically regulated balance of heat loss and gain, which is not reflected by a simple thermometer reading. One way in which these changes manifest is in perceived thermal comfort, 'feeling too cold' or 'feeling too hot', which can activate stress pathways. Unfortunately, there is surprisingly little preclinical research that tracks changes in perceived thermal comfort in response to either disease progression or various treatments. Without measuring this endpoint, there may be missed opportunities to evaluate disease and therapy outcomes in murine models of human disease. Here, we discuss the possibility that changes in thermal comfort in mice could be a useful and physiologically relevant measure of energy trade-offs required under various physiological or pathological conditions.

Thermal and energy performance evaluation of a full-scale test cabin equipped with PCM embedded radiant chilled ceiling

The escalating global demand for space cooling has led to the emergence of new cooling technologies, including the phase change material embedded radiant chilled ceiling (PCM-RCC) system. This technology improves energy efficiency and indoor environmental quality, while also offering demand-side flexibility. The present study experimentally evaluates the thermal efficiency and energy performance of a PCM-RCC system in a full-scale test cabin equipped with PCM panels. Here, the transient thermal behaviour of PCM ceiling panels besides the cooling energy delivered during charging-discharging cycles are examined. The indoor thermal comfort and peak electricity demand reduction enabled by the present PCM-RCC are also discussed. The results reveal that chilled water circulation for 4–5 h overnight was sufficient to fully recharge the PCM panels. Over 80% of the occupancy time was classified as “Class B″ thermal comfort according to ISO 7730. The system's daily electricity usage was mostly concentrated during off-peak hours, accounting for ∼70% of the total usage. While the controlling schedule used in this study responded to the transient thermal behaviour of the indoor space and PCM ceiling panels, a more dynamic, predictive schedule is necessary to improve the system's overall efficiency and further enhance indoor thermal comfort in response to the changing environmental conditions.

Feeling Safe and Nostalgia in Healthy Aging.

The population of older adults worldwide is growing, with an urgent need for approaches that develop and maintain intrinsic capacity consistent with healthy aging. Theory and empirical research converge on feeling safe as central to healthy aging. However, there has been limited attention to resources that cultivate feeling safe to support healthy aging. Nostalgia, “a sentimental longing for one’s past,” is established as a source of comfort in response to social threat, existential threat, and self-threat. Drawing from extant theory and research, we build on these findings to position nostalgia as a regulatory resource that cultivates feeling safe and contributes to intrinsic capacity to support healthy aging. Using a narrative review method, we: (a) characterize feeling safe as a distinct affective dimension, (b) summarize the character of nostalgia in alignment with feeling safe, (c) propose a theoretical account of the mechanisms through which nostalgia cultivates feeling safe, (d) highlight the contribution of nostalgia to feeling safe and emotional, physiological, and behavioral regulatory capabilities in healthy aging, and (e) offer conclusions and direction for research.

Human gut metatranscriptome changes induced by a fermented milk product are associated with improved tolerance to a flatulogenic diet

Healthy plant-based diets rich in fermentable residues may induce gas-related symptoms, possibly mediated by the gut microbiota. We previously showed that consumption of a fermented milk product (FMP) containing Bifidobacterium animalis subsp. lactis CNCM I-2494 and lactic acid bacteria improved gastrointestinal (GI) comfort in response to a flatulogenic dietary challenge in healthy individuals. To study the effects of the FMP on gut microbiota activity from those participants, we conducted a metatranscriptomic analysis of fecal samples (n = 262), which were collected during the ingestion of a habitual diet and two series of a 3-day high-residue challenge diet, before and following 28-days of FMP consumption.Most of the FMP species were detected or found enriched upon consumption of the product. FMP mitigated the effect of a flatulogenic diet on gas-related symptoms in several ways. First, FMP consumption was associated with the depletion of gas-producing bacteria and increased hydrogen to methane conversion. It also led to the upregulation of activities such as replication and downregulation of functions related to motility and chemotaxis. Furthermore, upon FMP intake, metabolic activities such as carbohydrate metabolism, attributed to B.animalis and S.thermophilus, were enriched; these activities were coincidentally found to be negatively associated with several GI symptoms. Finally, a more connected microbial ecosystem or mutualistic relationship among microbes was found in responders to the FMP intervention.Taken together, these findings suggest that consumption of the FMP improved the tolerance of a flatulogenic diet through active interactions with the resident gut microbiota.

Does oxytocin shield against negative effects of ostracism? A replication and extension

Evidence collected in recent years suggests that OT can alleviate negative consequences of ostracism. However, it is unclear whether this effect requires favorable dispositions. Moreover, research is needed to replicate previous findings. We thus investigated whether a combination of OT and potentially leveraging traits shields against negative effects of ostracism in a direct and conceptual replication of previous work. Seventy-seven males, who varied on potential moderating features, were administered OT or a placebo, and were ostracized or included in the Cyberball paradigm. Results showed that OT tended to attenuate the drop in social comfort in response to ostracism, and induced participants, particularly those high in horizontal collectivism, to toss the ball more often toward an approaching co-player who had ostracized them earlier. Attachment avoidance did not moderate these effects. Thus, the study replicated OT’s relieving effects on ostracism, but provided only partial support for the leveraging influence of person factors.

Learning about COVID-19: a qualitative interview study of Australians\u2019 use of information sources

BackgroundA multitude of information sources are available to publics when novel infectious diseases first emerge. In this paper, we adopt a qualitative approach to investigate how Australians learnt about the novel coronavirus and COVID-19 and what sources of information they had found most useful and valuable during the early months of the pandemic.MethodsIn-depth semi-structured telephone interviews were conducted with a diverse group of 40 Australian adults in mid-2020 about their experiences of the COVID-19 crisis. Participants were recruited through Facebook advertising. Detailed case studies were created for each participant, providing the basis of a thematic analysis which focused on the participants’ responses to the questions about COVID-19-related information sources.ResultsDiverse sources of COVID-19-related information, including traditional media, online media and in-person interactions, were actively accessed, appraised and engaged with by participants. There was a high level of interest in COVID-19 information as people grappled with uncertainty, anxiety and feeling overwhelmed. Certain key events or experiences made people become aware that the outbreak was threatening Australia and potentially themselves. Most people demonstrated keen awareness that misinformation was rife in news outlets and social media sites and that they were taking steps to determine the accuracy of information. High trust was placed in health experts, scientists and government sources to provide reliable information. Also important to participants were informal discussions with friends and family members who were experts or working in relevant fields, as well as engaging in-person in interactions and hearing from friends and family who lived overseas about what COVID-19 conditions were like there.ConclusionA constantly changing news environment raises challenges for effective communication of risk and containment advice. People can become confused, distressed and overwhelmed by the plethora of information sources and fast-changing news environment. On the other hand, seeking out information can provide reassurance and comfort in response to anxiety and uncertainty. Clarity and consistency in risk messaging is important, as is responding quickly to changes in information and misinformation. Further research should seek to identify any changes in use of and trust in information sources as time goes by.

Neural Correlates of Interpersonal Space Permeability and Flexibility in Autism Spectrum Disorder.

Previous research indicates that the size of interpersonal space at which the other is perceived as intrusive (permeability) and the ability to adapt interpersonal distance based on contextual factors (flexibility) are altered in Autism Spectrum Disorder (ASD). However, the neurophysiological basis of these alterations remains poorly understood. To fill this gap, we used fMRI and assessed interpersonal space preferences of individuals with ASD before and after engaging in cooperative and non-cooperative social interactions. Compared to matched controls, ASDs showed lower comfort in response to an approaching confederate, indicating preference for larger interpersonal space in autism (altered permeability). This preference was accompanied by reduced activity in bilateral dorsal intraparietal sulcus (dIPS) and left fusiform face area (FFA), regions previously shown to be involved in interpersonal space regulation. Furthermore, we observed differences in effective connectivity among dIPS, FFA, and amygdala in ASDs compared to controls, depending on the level of experienced comfort. No differences between groups were observed in interpersonal space regulation after an experienced social interaction (flexibility). Taken together, the present findings suggest that a dysregulation of the activity and connectivity of brain areas involved in interpersonal space processing may contribute to avoidance of physical proximity and social impairments in ASD.

Self-Learning Algorithm to Predict Indoor Temperature and Cooling Demand from Smart WiFi Thermostat in a Residential Building

Smart WiFi thermostats have moved well beyond the function they were originally designed for; namely, controlling heating and cooling comfort in buildings. They are now also learning from occupant behaviors and permit occupants to control their comfort remotely. This research seeks to go beyond this state of the art by utilizing smart WiFi thermostat data in residences to develop dynamic predictive models for room temperature and cooling/heating demand. These models can then be used to estimate the energy savings from new thermostat temperature schedules and estimate peak load reduction achievable from maintaining a residence in a minimum thermal comfort condition. Back Propagation Neural Network (BPNN), Long-Short Term Memory (LSTM), and Encoder-Decoder LSTM dynamic models are explored. Results demonstrate that LSTM outperforms BPNN and Encoder-Decoder LSTM approach, yielding and a MAE error of 0.5 °C, equal to the resolution error of the measured temperature. Additionally, the models developed are shown to be highly accurate in predicting savings from aggressive thermostat set point schedules, yielding deep reduction of up to 14.3% for heating and cooling, as well as significant energy reduction from curtailed thermal comfort in response to a high demand event.

How Much Transparency is Too Much? A Moment-to-Moment Analysis of Viewer Comfort in Response to Animal Slaughter Videos

How Much Transparency is Too Much? A Moment-to-Moment Analysis of Viewer Comfort in Response to Animal Slaughter Videos

Changes of gait pattern, muscle activity, and perceived comfort in response to variations of height-elevating insoles in young adults.

The purpose of this study was to investigate changes of gait pattern, muscle activity, and perceived comfort in response to variations of height-elevating insoles (HEIs) in young adults. The subjects of this study were 30 young adults who voluntarily consented to participate in this experiment after listening to its purpose and method. They were divided into 3 groups who wore HEIs height (0, 3, and 7 cm). Each group consisted of 10 young adults and wore the HEIs for 4 hr a day. Electromyographic signals were collected from the tibialis anterior, the gastrocnemius, the hamstring, and the right and the left erector spinae (ES) before and after walking with the HEI. Gait pattern was measured before and after walking with the HEI. Perceived comfort was measured after a subject wore the insoles for 4 hr. The activities of ES showed significant differences among the three groups. The activity of the left ES was significantly different between groups 1 (0 cm) and 2 (3 cm) and groups 1 and 3 (7 cm). The activity of the right ES was significantly different between groups 1 and 3. The left stride length and the left step length showed significant differences between groups 1 and 3. Perceived comfort was significantly different among the three groups. As the HEIs increased, the activities of ES were gradually increased and the left step length and stride were decreased. Using of higher HEIs over 4 hr may be occurred excessive activities of the ES, abnormal gait patterns, and perceived discomfort.

Diurnal variations of heart rate, urine flow and catecholamine excretion in subjects wearing clothing that provides different thermal insulation

This study investigated the effects of clothing providing different Clo values upon the circadian rhythm of sympathetic nervous activity, as inferred from urinary catecholamine excretion and heart rate, in a thermoneutral environment. Seven health female subjects were studied for 37.5 h, from 21:00 h on the first day to 10:30 h on the third day, in an isolated climatic chamber controlled at 23.8 ± 0.2 °C and 60 ± 5% RH. Light intensity was 500 lux from 06:30 to 19:30 h, 100 lux from 19:30 to 22:30 h and 0 lux from 22:30 to 06:30 h. Subjects were tested while wearing two different types of clothing: Type L, offering 1.048 Clo of thermal insulation and with the subjects’ extremities covered; and Type H, 0.744 Clo of thermal insulation and the subjects’ extremities exposed. Urine samples were collected every 4 h, their volumes were measured and they were later assayed for their contents of adrenaline and noradrenaline; the mean heart rate for each of these 4-h periods was also calculated. The daily profiles of the variables were assessed by ANOVA, which indicated that the amplitudes and phases of the daily rhythms differed between the clothing types. This result was examined in more detail by assessing the profiles by single and group cosinor analysis (period = 24 h). All four physiological variables showed clear and statistically significant group cosinor rhythms with both types of clothing. The mean amplitudes of urine flow, the excretion rate of urinary adrenaline and heart rate were greater when wearing Type H rather than Type L clothing (p = 0.01 for urine flow and heart rate; p = 0.072 for rate of excretion of adrenaline). Also, the acrophase of the rate of urinary adrenaline excretion was earlier in all subjects wearing Type H rather than Type L clothing (p = 0.048), and the acrophases of urine flow and urinary noradrenaline excretion rate were earlier in six and five of the subjects, respectively. These results show that clothing which is worn in an environment of moderate temperature (23.8 °C) and which offers a lower Clo value (especially if the distal extremities are exposed) might induce an increase in amplitude and/or an advance of acrophase in circadian rhythms of urine flow, excretion of urinary catecholamines and heart rate. It is suggested that these rhythmic changes, which imply changes in the daily profile of sympathetic nervous system activity, might be important when daily thermoregulation and comfort in response to the type of clothing being worn in daily life are considered.

Effects of seat structural dynamics on current ride comfort criteria

The ISO 2631-1 (1997) provides methodologies for assessment of the seated human body comfort in response to vibrations. The standard covers various conditions such as frequency content, direction and location of the transmission of the vibration to the human body. However, the effects of seat structural dynamics mode shapes and corresponding resonances have not been discussed. This study provides important knowledge about the effects of vehicle seat structural vibration modes on discomfort assessment. The occupied seat resonant frequencies and corresponding vibration modes were measured and comfort test was carried out based on the paired comparison test method. The results show that the ISO 2631-1 (1997) method significantly underestimates the vibration discomfort level around the occupied seat twisting resonant frequencies. This underestimation is mainly due to the ISO suggested location of the accelerometer pad on the seatback. The centre of the seatback is a nodal point at the seat twisting mode. Therefore, it underestimates the total vibration transferred to the occupant body from the seatback.

Ventilator Settings Can Substantially Impact Patients’ Comfort

With increasing realization that sedatives may complicate care of mechanically ventilated patients, greater emphasis might turn to promoting comfort by titration of ventilator settings. Patients with acute on chronic respiratory failure (ACRF) with underlying chronic obstructive pulmonary disease (COPD) demonstrate different levels of comfort in response to varying ventilator settings compared to those with underlying obesity hypoventilation syndrome (OHS). Patients recovering from ACRF with underlying COPD or OHS were randomized to varying combinations of ventilator modes (assist control and pressure support), tidal volumes, and inspiratory flows for 3 minutes/setting. For each ventilator setting, physiologic variables were recorded and patients indicated their level of comfort using a 10-point Borg scale. In all, 20 patients, aged 68 ± 13 years (standard deviation) and ventilated for 4.9 days, were enrolled. Of 20 patients, 13 had COPD and 7 had OHS. No ventilator mode, flow, or tidal volume provided consistently greater comfort between the groups, but patients reported substantial ranges of comfort (up to 8 Borg points) across the ventilator settings studied. There were no significant differences in heart rate, blood pressure, or airway pressures within patients across ventilator settings or between the groups, but patients with OHS were more tachypneic compared to patients with COPD while breathing on assist control of 6 mL/kg (constant flow 60 L/min) and 8 mL/kg (decelerating flow 40 L/min). There was no correlation between comfort and systolic blood pressure, heart rate, or respiratory rate. Ventilator parameters may impact patients' comfort substantially. Future studies may help identify evidence-based methodology for gauging comfort following changes in ventilator settings and the settings that are most likely to positively impact various groups of patients.

Discerning Heat Transfer in Building Materials

The function of a building is to ensure safety and thermal comfort for healthy living conditions. Buildings primarily comprise an envelope, which acts as an interface separating the external environment from the indoors environment. The building envelope is primarily responsible for regulating indoor thermal comfort in response to external climatic conditions. It usually comprises a configuration of building materials to thus far provide requisite structural performance. However, studies into building-envelope configurations to provide a particular thermal performance are limited. As the building envelope is exposed to the external environment there will be heat and moisture transfer to the indoor environment through it. The overall phenomenon of heat and moisture transfer depends on the microstructure and configuration within the building material. Further, thermal property of a material is generally dependent on its microstructure, which comprises a network of pores and particles arranged in a definite structure. Thermal behaviour of a building material thus depends on the thermal conductivities of the solid particles, pore micro-structure and its constituent fluid (air and/or moisture). The thermal response of a building envelope is determined by the thermal characteristics of the individual building materials and its configuration. Understanding the heat transfer influenced by the complex networks of pores and particles is a relatively new study in the area of building climatic-response. The current study reviews the heat-transfer mechanisms that determine the thermal performance of a building material attributed to its micro-structure. A theoretical basis for the same is being evolved and its relevance in regulating heat- transfer through building envelopes, walls in particular, is reviewed in this paper.

Designing for pedestrian comfort in response to local climate

The paper describes methodologies for microclimate assessment and provides strategies for master planners and building designers to create pedestrian comfort conditions that are more responsive to the local climate. The development of these strategies always starts with a detailed analysis of local meteorological data, focusing on the correlation between wind and other weather parameters. The influences of wind conditions on other microclimate issues are illustrated by selected case studies. In these case studies, scale-model wind tunnel testing and CFD modeling are used to predict the wind flow fields around the built environment, as well as the associated outdoor thermal comfort, air ventilation, snow accumulation, rain infiltration and other microclimate conditions.

Personal space in virtual reality

Improving the sense of “presence” is a common goal of three-dimensional (3D) display technology for film, television, and virtual reality. However, there are instances in which 3D presentations may elicit unanticipated negative responses. For example, it is well established that violations of interpersonal space cause discomfort in real-world situations. Here we ask if people respond similarly when viewing life-sized stereoscopic images. Observers rated their level of comfort in response to animate and inanimate objects in live and virtual (stereoscopic projection) viewing conditions. Electrodermal activity was also recorded to monitor their physiological response to these stimuli. Observers exhibited significant negative reactions to violations of interpersonal space in stereoscopic 3D displays, which were equivalent to those experienced in the natural environment. These data have important implications for the creation of 3D media and the use of virtual reality systems.

Birth Plans: The Good, the Bad, and the Future

A written birth plan encourages women to clarify desires and expectations and communicate with their providers to make a realistic plan for care during labor. Tension between health professionals and patients caused by birth plans reflects the larger problems with contemporary maternity care: conflicting beliefs about birth, what constitutes safe, effective care, and ethical issues related to informed consent and informed refusal. The focus of birth plans should be to answer three patient-focused questions: What will I do to stay confident and feel safe? What will I do to find comfort in response to my contractions? Who will support me through labor, and what will I need from them? In this article, the history and purposes of birth plans and approaches to resolving tensions will be discussed.

Religious Struggle and Religious Comfort in Response to Illness: Health Outcomes among Stem Cell Transplant Patients

Growing interest has focused on relationships between health and religious coping among cancer patients. However, little is known about the health correlates of negative or conflicted religious responses. The current study examined general religiousness and two modes of cancer-specific religious coping, drawing closer to faith (positive) and struggling with faith (negative), among 213 multiple myeloma patients evaluated at the same point in treatment, during their initial work-up for autologous stem cell transplantation. The outcomes assessed included standardized measures and clinician ratings of depression, general distress, physical functioning, mental health functioning, pain, and fatigue. Results indicated that, after adjusting for relevant control variables, negative religious coping was associated with significantly poorer functioning on all outcomes but one: depression, distress, mental health, pain, and fatigue. Neither general religiousness nor positive religious coping was significantly related to any of the outcomes measured. Results highlight the role of negative or ambivalent religious responses to illness.

Personal Space in Virtual Reality

Improving the sense of ‘presence’ is a common goal of 3D display technology for film, television and virtual reality. However, there are instances in which 3D presentation may elicit unanticipated negative responses. For example, it is well established that violations of interpersonal space cause discomfort in real-world situations. Here we ask if people respond similarly when viewing life-sized stereoscopic images. Observers rated their level of comfort in response to animate and inanimate objects in live and virtual (stereoscopic projection) viewing conditions. Electrodermal activity was also recorded to monitor their physiological response to these stimuli. Subjects exhibited significant negative reactions to violations of interpersonal space in stereoscopic 3D displays, which were equivalent to those experienced in the natural environment. These data have important implications for the creation of 3D media and the use of virtual reality systems.

Back to the future: trusting birth.

Research over the past 30 years provides support for once again trusting birth. This is a paradigm shift in thinking about birth and requires a dramatic change in the practice of nursing. Confidence in a woman's ability to give birth, the freedom to find comfort in response to pain, and the support of family, friends, and professionals facilitate normal, natural birth. Hospital policies and routine care practices that decrease confidence, restrict freedom and support, and separate mothers from their infants sabotage natural birth and breastfeeding. The goal of the perinatal nurse is to promote, protect, and support women's efforts to give birth naturally and breastfeed their children.