Electric Blanket Research Articles

POSTOPERATIVE HYPOTHERMIA CONTROL: EFFECT OF ELECTRIC AND WOOLLEN BLANKET

Postoperative hypothermia is very common in elderly patients. It causes severe surgical complications resulting in depletion of reserves in total knee arthroplasty(TKA) patients. Normothermia should, therefore, be maintained in those patients. Purpose was to determine the effect of using both electric and woolen blankets on the management of postoperative hypothermia in TKA patients. This experimental study was conducted in a public hospital in Turkey. The study sample consisted of 46 patients equally divided into two groups. Experimental participants used both electric and wool blankets while control participants received routine care. Body temperature, feeling cold, and shivering were repeatedly measured before and after surgery. Control participants had significantly higher body temperatures in their rooms after surgery and in the first 15 minutes than experimental participants. Experimental participants showed a more rapid rise in body temperature than control participants. Using both wool and electric blankets increased body temperature.

Usability of personalized thermal control systems by people with intellectual disabilities in energy poverty

This study assessed the usability of three readily available Personalized Thermal Control Systems (PECS)—an electric blanket, a small personal fan, and a large pedestal fan—among individuals with intellectual disabilities living independently in energy poverty conditions in Chile. The research aimed to identify the primary usability challenges that affect the adoption and operational effectiveness of these technologies and, consequently, their potential to enhance thermal comfort. Results indicated that devices with more advanced control features, i.e. the large pedestal fan, presented the most significant usability challenges, followed by the electric blanket and the small personal fan. Key usability issues included poor visibility, inadequate material choice, ineffective communication, bad affordance, and inadequate levels of touch sensitivity of the control interface in these PECS. The study also showed a large variance in the level of adoption of the PECS among participants, thereby indicating that users have different individual attitudes, ranging from passive acceptance to proactive exploration and use. To conclude, this study advocates for the necessity of developing easily operable PECS that cater to the specific needs of individuals with intellectual disabilities, thereby supporting their autonomy and improving their quality of life in thermally comfortable environments.

The Causes of Platelet Aggregation in Version 6.4 Trima Accel Automated Blood Collection System and the Comparison of Two Intervention Measures

To explore the causes of platelet aggregation in version 6.4 Trima Accel automated blood collection system and the effect of 2 intervention measures. The data on platelet aggregation (n=61) and non-aggregation (n=323) of 61 donors in 2020 were collected and the causes of aggregation were analyzed. Then the 72 donors with platelet aggregation in 2021 were randomized into intervention group A (increasing the anticoagulant-to-blood ratio) and intervention group B (wrapping the donor's arm with an electric blanket to keep warm and improve the blood flow speed). The collection time, average blood flow speed, number of machine alarms, anticoagulant usage, deaggregation and citrate reaction of the two groups were compared. Platelet aggregation was negatively correlated with the average blood flow speed (r =-0.394) and positively correlated with the collection time (r =0.458). The equations for predicting aggregation and non-aggregation were constructed based on Bayesian and Fisher discriminant analysis, and the predicted accuracy was 77.1%. The comparison of the effects of two intervention measures showed that the average blood flow speed in group B was higher than that in group A; the collection time, number of machine alarms, anticoagulant usage and proportion of citrate reaction in blood donors in group B were all lower than those in Group A, all these differences were significant (P < 0.05). In the entire cohort in 2021, 90.28% of the products were immediately deaggregated after collection, and 9.72% of the products were deaggregated within 4 hours. There was no statistically significant difference in deaggregation between the two intervention groups (P >0.05). During apheresis platelet collection, the predictive equations for aggregation and non-aggregation can be used to predict the occurrence probability of aggregation, and the intervention can be made in advance. Both intervention measures are effective in reducing platelet aggregation, however, measure B has the advantages of improving the speed of blood collection, shortening the collection time, reducing the alarm frequency and the anticoagulant usage, and reducing the incidence of citrate reaction in blood donors.

The cost of keeping warm: a relationship between a rise in the cost of domestic energy and burn injuries caused by personal heating equipment

IntroductionDuring 2022–2023, the UK found itself in the midst of a domestic energy crisis, with the average domestic gas and electricity bill rising by 75% between 2019 and 2022. As a result, the use of hot water bottles, radiant heaters, and electric blankets increased. An unintended consequence of this may be an increase in burn injuries caused by misfortune, misuse, or the use of items in a state of disrepair. PurposeThe aim of this study was to explore any increase in referrals to a single burns centre in England for injuries caused by hot water bottles, radiant heaters, or electric blankets. MethodsThis was a retrospective study of a prospectively maintained database of referrals. All referrals between January 2022 and January 2023 were selected and compared with the same period from 2020–2021 (before the rise in energy prices). Referrals were screened for the terms “hot water bottle,” “electric heater,” “electric blanket,” and “heater.” Total referrals in each period, demographic data (age, gender), anatomical location and the mechanism of injury were compared between cohorts. ResultsWe found a statistically significant increase in the number of burns relating to heating implements between 2020/21 and 2022/23, rising from 54 to 81 (p = 0.03) – a 50% increase in injuries. Injuries in working age adults increased significantly (52% to 69%, p < 0.05). The most frequently injured area was the leg (30%) followed by the hand (18%). The commonest type of injury described was scald (72%). We found a moderately-strong correlation between the number of referrals and the average cost of energy in 2022–23. ConclusionThe number of injuries sustained by people using personal heating equipment is significantly increasing, which correlated with the rise in domestic energy prices. The most affected demographic appears to be working age adults, with wider implications around lost work-time yet to be explored. Further prospective, population-based work is indicated to assess the strength of the correlation seen in this study.

Usefulness of the Keystone Flap in Lower Extremity Reconstruction in Patients with Anterior Tibial Artery Variation: A Case Report

Reconstruction of lower extremity wounds in patients with abnormalities in vascular anatomy is often challenging. A 71-year-old man was admitted to our hospital after sustaining two contact burns on his right leg while sleeping on an electric blanket. Fourth-degree burns amounting to approximately 3% of total body surface area were confirmed, with eschar formation on the right instep and pretibial area. Both wounds on the lower leg required flap reconstruction. In addition, the patient had anterior tibial artery hypoplasia. We considered a two-flap reconstruction method that should leave the source artery and muscle intact and generally has a good prognosis. A peroneal artery perforator-based keystone flap was used on the right lower leg, and a right dorsalis pedis island flap on the foot dorsum. Surgery was performed successfully, and at 8 months postoperatively, the patient walked naturally and had no complaints of discomfort. Additionally, cosmetic results were satisfactory. Accordingly, we introduce a surgical method that is useful in cases similar to that described.

Effect of Blanket Warmer Use on Shivering Patients Post Regional Anesthesia: A Systematic Review

Shivering is closely related to hypothermy and is one of the serious problems in surgical patients and can adversely affect the patient's condition. In addition, shivering is also considered an important clinical problem to get attention to, especially since it affects the patient's comfort and increases metabolic needs that can cause problems and complications in the cardiovascular. One of the non-pharmacological interventions that can be applied is the use of a blanket warmer. Evidence related to the application of blanket warmers to treat shivering in post-regional anesthesia patients is still limited, therefore, the author is interested in further reviewing the effectiveness of the use of blanket warmers for shivering patients in the form of a systematic review. To identify the effectiveness of blanket warmers against shivering in post-regional anesthesia patients based on evidence-based research. This research is a literature study with the PRISMA approach. Systematic review using PICO. The search databases used are Google Schoolar, Pub Med, Scince Direct, Wiley Online Liberary with the keywords blanket warmer, shivering, and regional anesthesia. Result: Based on 8 research articles reviewed, it was found that blanket warmers were shown to be effective in treating shivering in post-regional anesthesia patients. The intervention technique is applied using a warm blanket increasing the body temperature. The intervention group gained an average time faster compared to the control group. Blanket warmer interventions such as electric blanket warmer, water warmer blanket, blanket blower warmer, warm blanket significantly improve body temperature in shivering post regional anesthesia patients.

Designing a Personal Wearable Device Technology for Mitigation of&amp;nbsp;&amp;nbsp; Limb Coldness: Participatory Workshops to Explore Design Issues

Limb coldness is a syndrome associated with a range of medical conditions in which poor blood circulation or body temperature control is a problem. People with limb coldness experience pain, discomfort, and negative impacts on their quality of life. In this paper we explore the potential of technology to support people with limb coldness, considering the case of people with Post-Polio syndrome in particular. Following a review of the literature on limb coldness, we present the results of two user-centered design workshops with eighteen polio survivors. The workshops explored the impact of limb coldness on quality of life; the strategies used by participants to manage limb coldness, and investigated issues surrounding the design of personal wearable technologies to support people with cold limbs.&#x0D; The workshops consisted of two phases; the first phase was an open discussion between participants concerning the impact on their quality of life of limb coldness, their coping strategies and the pros and cons of these strategies. In the second phase participants were invited to explore the issues surrounding the design of technology, and introduced a variety of props (clothing materials, straps, socks, gloves, different sizes and forms of device enclosure) to facilitate discussion. Additionally, a number of controllable heating pads (Soma heat)[1] designed to support prototyping of heat-based interactions were provided, along with examples of temperature sensors. Data was collected directly by audio, video recording and notes from participants and moderators. The data from the workshops were transcribed with the aid of software and checked against the audio files. Notes were recorded separately and stored in Atlas Cloud for later analysis. Thematic analysis was then carried out on the data collected. &#x0D; The workshop outcomes shed light on the impact of cold limb syndrome on participants’ quality of life, including pain, inability to do things, and lifestyle consequences. Participants used a range of technological and behavioural strategies such as electric blanket; avoiding sources of cold (e.g. air drafts) or performing exercise (e.g. swimming, keep standing, stimulate muscles) to cope with limb coldness. All of the strategies have advantages and disadvantages, and none are without disadvantages, users adopt strategies according to their changing needs and are not always successful. While participants were positive about the possibilities for technological supports, a range of requirements regarding designs was identified. Participants’ design requirements were mainly related to look and feel (e.g. material, position on the body, compatibility with clothing), design and control (e.g. Features related to long life batteries, remotely controllable) and physical properties (e.g. light material) of the wearable device. We discuss potential implications for the design of technology in this space, as well as an agenda for future studies in the field of wearables and sensors related to cold limb syndrome.

A methodology for indoor testing of solar radiation impact on vehicle cabin temperature

Air conditioning systems for automotive applications are always striving to attain optimal and effective solutions in order to fulfil diverse needs. Yet, to thoroughly evaluate their system performance, it is essential to account for the influence of solar irradiance on the overall thermal dynamic within vehicle cabin. This study presents an approach to simulate the impact of solar radiation on vehicle cabin thermal behaviour using electric blankets as a practical and cost-effective means to replicate solar effects. The methodology combines controlled experimental tests in a climatic chamber with outdoor tests under natural solar irradiance and ambient conditions. A thermal model of the cabin is calibrated and validated using the climatic chamber experiments, demonstrating maximum errors not exceeding 3.5 °C and mean absolute errors (MAEs) below 1.86 °C, showcasing the model's high precision. Based on the results obtained from the model, an exponential function was derived that links the vehicle cabin temperature to solar irradiance. Finally, a heating function is defined, which allows estimating the temperature profile of the electric blankets based on the irradiance values, obtaining results very similar to those of the model, with a coefficient of determination of 0.9486. This will allow to accurately predict and control the internal temperature of a vehicle cabin under varying solar irradiance levels.

Comparative effects of warming systems applied to different parts of the body on hypothermia in adults undergoing abdominal surgery: A systematic review and network meta-analysis of randomized controlled trials

Study objectiveThe prevention of perioperative hypothermia after anesthesia induction is a critical concern in patients undergoing abdominal surgery. The effectiveness of various warming systems for preventing hypothermia and shivering when applied to specific areas of the body remains undetermined. DesignSystematic review and network meta-analysis. SettingOperating room. InterventionFive electronic databases were searched, including only randomized control trials (RCTs) reporting the effects of warming systems applied to specific body sites on the intraoperative core temperature and postoperative risk of shivering in adults undergoing abdominal surgery. A multivariate random-effects network meta-analysis with a frequentist framework was implemented for data analysis. MeasurementsThe primary outcome was the core body temperature 60 and 120 min after anesthesia induction for abdominal surgery. The secondary outcome was the incidence of postoperative shivering. ResultsThis review comprised a total of 24 RCTs including 1119 patients. At 60 and 120 min after anesthesia induction, a forced-air warming system applied to the upper body (0.3 °C and 95% confidence intervals = [0.3 to 0.4], 1.0 °C [0.7 to 1.3]), lower body (0.4 °C [0.3 to 0.5], 0.9 °C [0.5 to 1.2]), and underbody (0.5 °C [0.5 to 0.6], 1.2 °C [0.9 to 1.6]) was superior to passive insulation in terms of core body temperature regulation. Compared with passive insulation, the forced-air warming system applied to the lower body (odds ratio = 0.06) or underbody (0.44) and the electric heating blanket to the lower body (0.02) or the whole body (0.07) significantly reduced the risk of shivering. ConclusionsThe results of this NMA revealed that forced-air warming with an underbody blanket effectively elevates core body temperatures in 60 and 120 min after induction of anesthesia and prevents shivering in patients recovering from abdominal surgery.

Effects of heat stress on markers of skeletal muscle proteolysis in dairy cattle

Heat stress (HS) markedly affects postabsorptive energetics and protein metabolism. Circulating urea nitrogen increases in multiple species during HS and it has been traditionally presumed to stem from increased skeletal muscle proteolysis; however, this has not been empirically established. We hypothesized HS would increase activation of the calpain and proteasome systems as well as increase degradation of autophagosomes in skeletal muscle. To test this hypothesis, lactating dairy cows (~139 d in milk; parity ~2.4) were exposed to thermal neutral (TN) or HS conditions for 7 d (8 cows/environment). To induce HS, cattle were fitted with electric blankets for the duration of the heating period and the semitendinosus was biopsied on d 7. Heat stress increased rectal temperature (1.3°C) and respiratory rate (38 breaths per minute) while it decreased dry matter intake (34%) and milk yield (32%). Plasma urea nitrogen (PUN) peaked following 3 d (46%) and milk urea nitrogen (MUN) peaked following 4 d of environmental treatment and while both decreased thereafter, PUN and MUN remained elevated compared with TN (PUN: 20%; MUN: 27%) on d 7 of HS. Contrary to expectations, calpain I and II abundance and activation and calpain activity were similar between groups. Likewise, relative protein abundance of E3 ligases, muscle atrophy F-box protein/atrogin-1 and muscle ring-finger protein-1, total ubiquitinated proteins, and proteasome activity were similar between environmental treatments. Finally, autophagosome degradation was also unaltered by HS. Counter to our hypothesis, these results suggest skeletal muscle proteolysis is not increased following 7 d of HS and call into question the presumed dogma that elevated skeletal muscle proteolysis, per se, drives increased AA mobilization.

The acute effect of heat exposure on forearm macro- and microvascular function: Impact of measurement timing, heating modality and biological sex.

What is the central question of this study? Do measurement timing, heating modality and biological sex modulate the acute effect of heat exposure on brachial artery flow-mediated dilatation and postocclusion reactive hyperaemia? What is the main finding and its importance? The acute effect of heat exposure on brachial artery flow-mediated dilatation and postocclusion reactive hyperaemia is: (1) transient and short lasting; (2) different between forearm and whole-body heating; (3) unaffected by forearm heating during whole-body heating; and (4) not different but not always equivalent between males and females. These findings provide a useful basis for future studies to investigate the acute effect of heat exposure on vascular function. The aim of this study was to gain a better understanding of the acute effect of heat exposure on brachial artery flow-mediated dilatation (FMD) and postocclusion reactive hyperaemia (PORH) by: characterizing the time course of changes post-heating; comparing forearm and whole-body heating; determining the impact of forearm heating during whole-body heating; and comparing males and females. Twenty adults (11 males and nine females; 28±6years of age) underwent two forearm [10min electric blanket (EB) or 30min hot water immersion (WI)] and two whole-body [60min water-perfused suit with forearm covered (WBH-C) or uncovered (WBH-U)] heating modalities. The FMD and PORH were measured before and after (≤5, 30, 60, 90 and 120min) heating. The FMD increased from baseline 30min after EB, and 30 and 90min after WI. In contrast, FMD decreased from baseline immediately after both WBH modalities. Peak PORH increased immediately after WI and both WBH modalities. Total PORH did not differ after WI, whereas it decreased immediately after both WBH modalities. Covering the forearm during WBH did not alter acute changes in FMD or PORH. Changes in FMD and PORH did not differ statistically between males and females during each heating modality, although the observed differences could not always be considered equivalent. These results demonstrate that the acute effect of heat exposure on brachial artery FMD and PORH is: (1) transient and short lasting; (2) different between forearm heating and WBH; (3) unaffected by direct forearm heating during WBH; and (4) not different but not always equivalent between males and females.

Effects of dietary antioxidant supplementation on metabolism and inflammatory biomarkers in heat-stressed dairy cows

Heat-stress-induced inflammation may be ameliorated by antioxidant supplementation due to the purported effects of increased production of reactive oxygen species or oxidative stress on the gastrointestinal tract barrier. Thus, study objectives were to evaluate whether antioxidant supplementation [AGRADO Plus 2.0 (AP); EW Nutrition] affects metabolism and inflammatory biomarkers in heat-stressed lactating dairy cows. Thirty-two mid-lactation multiparous Holstein cows were assigned to 1 of 4 dietary-environmental treatments: (1) thermoneutral (TN) conditions and fed a control diet (TN-CON; n = 8), (2) TN and fed a diet with AP (10 g antioxidant; n = 8), (3) heat stress (HS) and fed a control diet (HS-CON; n = 8), or (4) HS and fed a diet with AP (HS-AP; n = 8). The trial consisted of a 23-d prefeeding phase and 2 experimental periods (P). Respective dietary treatments were top-dressed starting on d 1 of the prefeeding period and continued daily throughout the duration of the experiment. During P1 (4 d), baseline data were collected. During P2 (7 d), HS was artificially induced using an electric heat blanket (Thermotex Therapy Systems Ltd.). During P2, the effects of treatment, day, and treatment-by-day interaction were assessed using PROC MIXED of SAS (SAS Institute Inc.). Heat stress (treatments 3 and 4) increased rectal, vaginal, and skin temperatures (1.2°C, 1.1°C, and 2.0°C, respectively) and respiration rate (33 breaths per minute) relative to TN cows. As expected, HS decreased dry matter intake, milk yield, and energy-corrected milk yield (32%, 28%, and 28% from d 4 to 7, respectively) relative to TN. There were no effects of AP on body temperature indices or production. Milk fat, protein, and lactose concentrations remained unaltered by HS or AP; however, milk urea nitrogen was increased during HS regardless of AP supplementation (26% relative to TN). Circulating glucose remained unchanged by HS, AP, or time. Additionally, HS decreased circulating glucagon (29% from d 3 to 7 relative to TN), but there was no additional effect of AP. There was a tendency for nonesterified fatty acid concentrations to be increased in HS-AP cows throughout P2 (60% relative to TN-CON), whereas it remained similar in all other treatments. Blood urea nitrogen increased for both HS treatments from d 1 to 3 before steadily decreasing from d 5 to 7, with the overall increase being most pronounced in HS-CON cows (27% relative to TN-CON). Further, supplementing AP decreased blood urea nitrogen in HS-AP on d 3 relative to HS-CON (15%). Circulating serum amyloid A tended to be and lipopolysaccharide binding protein was increased by HS, but neither acute-phase protein was affected by AP. Overall, AP supplementation appeared to marginally alter metabolism but did not meaningfully alter inflammation during HS.

Extrinsic factors of pressure injuries in patients during surgery: A frequency matched retrospective study.

This study was to clarify the connection between extrinsic factors and the risk of perioperative pressure injuries (PIs) through the case-control approach, which involved making the intrinsic factors of the patients in the control group with no PIs consistent with those of the case group with PIs. We collected samples from a teaching hospital in Taiwan. We found a total of 132 patients deemed to have developed perioperative PIs. Using 1:2 frequency matching, we matched these cases with patients who had not developed PIs by gender, age, and BMI. Binary logistic regression analysis of the odds ratios of the extrinsic factors and PI risk revealed that the independent variables with statistical significance included duration of anaesthesia 3h, amount of blood loss, use of electric blankets, diastolic blood pressure below 60 mmHg during surgery, and oxyhemoglobin saturation by pulse oximetry (SPO2 ) below 93% during surgery. Emphasis should be placed on cooperation among the medical team during surgery, less use of electric blankets, control over the duration of anaesthesia and blood loss, continuous monitoring of the patient during surgery for any emergencies, and the maintenance of patient diastolic blood pressure and blood oxygen levels to reduce the risk of PIs.

A comparison of drying methods on the quality for bryophyte molecular specimens collected in the field.

A major challenge in extracting high-quality DNA from bryophytes is the treatment of bryophyte material in the field. The existing and commonly used treatment methods in the field have several shortcomings. Natural drying methods can lead to DNA breaks. In addition, it is highly cumbersome to carry large quantities of silica gel in the field due to its weight and high risk of contamination among samples. In this study, we explored more convenient drying methods to treat bryophyte specimens and promote more efficient DNA recovery. The quantity and quality of genomic DNA extracted from every bryophyte species using different drying methods, including hot-air drying methods (150°C, 80°C, and 40°C), natural drying method, and silica gel drying method, were measured. Spectrophotometry, electrophoresis, and PCR amplification were performed to assess the effects of different drying methods. The results of total DNA purity, total DNA concentration, PCR success, and OD 260/230 ratios suggested that the hot-air drying (40-80°C) was the best method. The morphological comparison revealed that hot-air drying at 40°C and 80°C exerted no significant adverse effects on plant morphology and taxonomic studies. Thus, this method prevents rapid DNA degradation and silica gel pollution and saves the workforce from carrying large amounts of silica gel to the field. Several inexpensive devices, such as portable hairdryers, fan heaters, and electric blankets, are available that can be easily carried to the field for drying molecular specimens.

Rumen-protected methionine during heat stress alters mTOR, insulin signaling, and 1-carbon metabolism protein abundance in liver, and whole-blood transsulfuration pathway genes in Holstein cows

We investigated effects of rumen-protected Met (RPM) during a heat stress (HS) challenge on (1) hepatic abundance of mTOR, insulin, and antioxidant signaling proteins, (2) enzymes in 1-carbon metabolism, and (3) innate immunity. Holstein cows (n = 32; mean ± standard deviation, 184 ± 59 d in milk) were randomly assigned to 1 of 2 environmental groups, and 1 of 2 diets [total mixed ration (TMR) with RPM (Smartamine M; 0.105% dry matter as top-dress) or TMR without (CON); n = 16/diet] in a split-plot crossover design. There were 2 periods with 2 phases. During phase 1 (9 d), all cows were in thermoneutral conditions (TN; temperature-humidity index = 60 ± 3) and fed ad libitum. During phase 2 (9 d), half the cows (n = 8/diet) were exposed to HS using electric heat blankets. The other half (n = 8/diet) remained in TN, but was pair-fed to HS counterparts. After a 14-d washout and 7-d adaptation period, the study was repeated (period 2) and environmental treatments were inverted relative to phase 2, but dietary treatments were the same. Blood was collected on d 6 of each phase 2 to measure immune function and isolate whole-blood RNA. Liver biopsies were performed at the end of each period for cystathione β-synthase (CBS) and methionine adenosyltransferase activity, glutathione concentration, and protein abundance. Data were analyzed using PROC MIXED in SAS. Abundance of CUL3, inhibitor of antioxidant responses, tended to be downregulated by HS suggesting increased oxidative stress. Heat-shock protein 70 abundance was upregulated by HS. Phosphorylated mTOR abundance was greater overall with RPM, suggesting an increase in pathway activity. An environment × diet (E × D) effect was observed for protein kinase B (AKT), whereas there was a tendency for an interaction for phosphorylated AKT. Abundance of AKT was upregulated in CON cows during HS versus TN, this was not observed in RPM cows. For phosphorylated AKT, tissue from HS cows fed CON had greater abundance compared with all other treatments. The same effect was observed for EIF2A (translation initiation) and SLC2A4 (insulin-induced glucose uptake). An E × D effect was observed for INSR due to upregulation in CON cows during HS versus TN cows fed CON or RPM. There was an E × D effect for CBS, with lower activity in RPM versus CON cows during HS. The CON cows tended to have greater CBS during HS versus TN. An E × D effect was observed for methionine adenosyltransferase, with lower activity in RPM versus CON during HS. Although activity increased in CON during HS versus TN, RPM cows tended to have greater activity during TN. Neutrophil and monocyte oxidative burst and monocyte phagocytosis decreased with HS. An (E × D) effect was observed for whole-blood mRNA abundance of CBS, SOD1 and CSAD; RPM led to upregulation during TN versus HS. Regardless of diet, CDO1, CTH, and SOD1 decreased with HS. Although HS increased hepatic HSP70 and seemed to alter antioxidant signaling, feeding RPM may help cows maintain homeostasis in mTOR, insulin signaling, and 1-carbon metabolism. Feeding RPM also may help maintain whole-blood antioxidant response during HS, which is an important aspect of innate immune function.

농촌 지역 독거노인의 사회안전망 구축을 위한 생활반응형 정보의 상호 보완성에 관한 연구

The use of IoT devices was needed for the elderly living alone in the rural areas. First of all, we analyzed how to collect research trends and related technologies in the field of the elderly and smart healthcare, and approach the life reaction of the elderly as an effective method as a research subject. The contents of the research are as follows. First, we analyzed the housing life process of the elderly who participated in research and behavior patterns used in energy devices to acquire valid information. Second, we analyzed the characteristics of the elderly and extracted data that can properly select and consider different information data. Behavioral analysis was performed through motion sensors to identify behavioral patterns. Energy consumption was analyzed by group by examining the amount of energy available for behavioral analysis such as TV, electric rice cooker, and electric blanket. Third, by analyzing the restrictions and improvements of IoT -based elderly health care, we will prepare an efficient management plan in consideration of the convenience of various sensors, users, and managers.

Combination of Warm Infusion Fluid and Warm Electric Blanket on the Body Temperature of Patients Post-Sectio Caesarea

Sectio Caesarea has various complications during the postoperative period, one of which is a decrease in body temperature, if not handled properly it can cause hypothermia and cause discomfort to the patient. This study aims to determine the effectiveness of the combination of warm infusion fluids and warm electric blankets on the body temperature of post-sectio caesarea patients in the recovery room. This research is a true-experimental study with pretest and post-test with control group design approach. The research sample was divided into 4 groups, each group was given treatment for 60 minutes. The results showed that warm infusion fluids and warm electric blankets were adequate compared to other groups, with p-value = 0.000 (p&lt;0.05). Based on this study, it can be concluded that the combination of warm infusion fluids and warm electric blankets effectively increases the body temperature of post-sectio caesarea patients.

Hydrotherapeutic Heat Application as Support in Febrile Patients: A Scoping Review.

Background: Most often, fever is still treated by lowering body temperature with medication. In complementary and integrative health care, patients are supported during illness to use the positive effects of fever. Accompanying applications from the field of hydrotherapy are often used for gentle cooling, but there are references that warming in fever can also be used as a support. The aim of this scoping review was to identify available evidence on how, when, and why patients with fever are treated with heat application. Methods: The MEDLINE, CINAHL, EMBASE, COCHRANE, Google, and Google Scholar databases as well as references of identified literature were searched. As sources of evidence, publications studying patients who received heat application or were kept warm in febrile condition, regardless of medical situation, type of health care setting, and geographical background, were taken into consideration. Results: The literature search identified 1698 publications, of which only 7 were included. Methods of applying heat were the use of electric warming blankets, hot packs, hot-water bottles, or hot water footbaths. Most of the studies on heat application used temperatures of about 40°C and reported significantly lower body temperature after heat application. Conclusions: The literature suggests that hydrotherapeutic heat application is a common and well-appreciated method in Middle Eastern and Asian regions to support febrile patients. Using heat to support the energy-intensive and uncomfortable phase of rising fever may improve comfort, prevent unnecessarily high fever, and save biological energy. Therefore, high-quality studies on the role of heat application in fever are expected to be of high relevance for future fever management guidelines and integrative health care in general.

Study on Thermal Insulation Measures for Construction of Reinforcement Sleeve Grouting Connection in Winter

In this paper, the feasibility of winter construction of steel sleeve grouting connection is studied, and two technical schemes of thermal insulation measures for winter construction are provided. This paper mainly introduces the experimental research work of sleeve grouting by simulating winter construction, including test scheme, test operation flow, test equipment and test data collection and analysis. It is concluded that the thermal insulation measures of prefabricated wall panel covering electric heating blanket, XPS insulation board and sleeve outer wall winding electric companion heat preservation are feasible. Finally, according to the actual project case to verify the feasibility of thermal insulation measures, so that the project can progress smoothly, for similar projects in winter construction to provide reference and reference.

Increased supply of methionine during a heat-stress challenge in lactating holstein cows alters mammary tissue mTOR signaling and its response to lipopolysaccharide.

The first objective was to investigate the effects of feeding rumen-protected methionine (RPM) during a heat stress (HS) challenge on abundance and phosphorylation of mechanistic target of rapamycin (mTOR)-related signaling proteins in mammary gland. The second objective was to investigate how HS and RPM may modulate the response of mammary gland explants to an inflammatory challenge using lipopolysaccharide (LPS). Thirty-two multiparous, lactating Holstein cows (184 ± 59 DIM) were randomly assigned to 1 of 2 environmental treatment groups, and 1 of 2 dietary treatments [TMR with RPM (Smartamine M; Adisseo Inc.; 0.105% DM as top dress) or TMR without RPM (CON)] in a crossover design. There were two periods with two phases per period. In phase 1 (9 d), all cows were in thermoneutral conditions (TN) and fed ad libitum. During phase 2 (9 d), group 1 (n = 16) cows were exposed to HS using electric heat blankets, whereas group 2 cows (n = 16) remained in TN but were pair-fed to HS counterparts to control for DMI decreases associated with HS. After a washout period (14 d), the study was repeated (period 2). Environmental treatments were inverted in period 2 (sequence), whereas dietary treatments remained the same. Mammary tissue was harvested via biopsy at the end of both periods. Tissue was used for protein abundance analysis and also for incubation with 0 or 3 μg/mL of LPS for 2 h and subsequently used for mRNA abundance. Data were analyzed using PROC MIXED in SAS. Analysis of protein abundance data included the effects of diet, environment and their interaction, and period and sequence to account for the crossover design. The explant data model also included the effect of LPS and its interaction with environment and diet. Abundance of phosphorylated mTOR and ratio of phosphorylated eukaryotic translation elongation factor 2 (p-EEF2) to total EEF2 in non-challenged tissue was greater with RPM supplementation (P = 0.04 for both) and in both cases tended to be greater with HS (P = 0.08 for both). Regardless of RPM supplementation, incubation with LPS upregulated mRNA abundance of IL8, IL6, IL1B, CXCL2, TNF, NFKB1, and TLR2 (P < 0.05). An environment × LPS interaction was observed for NFKB1 (P = 0.03); abundance was greater in LPS-treated explants from non-HS compared with HS cows. Abundance of CXCL2, NFKB1, NOS2, NOS1, and SOD2 was lower with HS (P < 0.05). Although LPS did not alter mRNA abundance of the antioxidant transcription factor NFE2L2 (P = 0.59), explants from HS cows had lower abundance of NFE2L2 (P < 0.001) and CUL3 (P = 0.04). Overall, RPM supplementation may alter mTOR activation in mammary tissue. Additionally, although HS reduced explant immune and antioxidant responses, RPM did not attenuate the inflammatory response induced by LPS in vitro.