Peripheral Temperature Research Articles

Factors associated with postoperative shivering in patients with maintained core temperature after surgery.

Postoperative shivering is mainly associated with low body temperature. However, postoperative shivering can develop even at normal or high core temperatures. This study aimed to investigate the factors associated with postoperative shivering in patients with maintained core temperature after surgery. This retrospective study involved 537 patients who had undergone radical surgery for pancreatic cancer under general anesthesia from January 2013 to December 2023. The final analysis included 441 patients whose core temperatures after surgery were ≥ 36.5℃. Logistic regression analysis was performed to estimate the odds ratio (OR) of the incidence of postoperative shivering. Postoperative shivering occurred in 119 patients. After multivariable-adjusted logistic regression, postoperative shivering was significantly associated with patient age (per 1year increase; OR = 0.98; 95% confidence interval [CI]: 0.96-0.996; p = 0.02), operation time (per 30min increase; OR = 1.10; 95% CI: 1.01-1.19; p = 0.03), postoperative core temperature (restricted cubic spline, p = 0.001), postoperative peripheral temperature (restricted cubic spline, p = 0.001), effect site fentanyl concentration at extubation (OR = 0.66; 95% CI: 0.24-0.99; p = 0.049), and acetaminophen use (OR = 0.32; 95% CI: 0.18-0.58; p < 0.001). Low peripheral temperature was a risk factor for the occurrence of shivering, even if the core temperature was maintained postoperatively. Peripheral temperature monitoring could be utilized to prevent postoperative shivering. In addition, fentanyl and acetaminophen reduced the occurrence of shivering in patients with maintained core temperature after surgery.

Bridging the gap: examining circadian biology and fatigue alongside work schedules

We compared three different work schedules in a large oil company: 1) two days of 12 h of daytime shifts followed by two consecutive 12 h night shifts, followed by four work-free days (“2 x 2 x 4”), 2) four consecutive 12 h daytime shifts and four consecutive 12 h night shifts, flanked by four work-free days (“4 x 4 x 4”), 3) a non-rotating schedule involving continuous 12 h daytime shifts during 40 days (“fixed 12 h”). We measured wrist-actigraphy, peripheral temperature rhythms, and subjective self-reports regarding fatigue, somnolence, and psycho-affective features. Sleep duration on the resting period was significantly less than the recommended 7 h. The “2 x 2 x 4” schedule resulted in decreased sleep regularity and increased circadian disruption, higher levels of insomnia, increased fatigue impact, lower alertness levels, and heightened symptoms of depression associated with more nocturnal sleep time after diurnal work. Our findings indicate that health and safety vary depending on the type of schedule employed.

Legionella in Primary School Hot Water Systems from Two Municipalities in the Danish Capital Region.

Legionella contamination in public water systems poses significant health risks, particularly in schools where vulnerable populations, including children, regularly use these facilities. This study investigates the presence of Legionella in the hot water systems from 49 primary schools across two municipalities in the Danish capital region. Water samples were collected from taps in each school, and both first-flush and stabile temperature samples were analysed for Legionella contents. The findings revealed that 97% of schools in Municipality 1 and 100% in Municipality 2 had Legionella in their hot water systems. The content of Legionella colonies was significantly higher in schools in Municipality 1, which was probably because of overall lower water temperatures. At stabile temperatures, 76% and 50% of the schools in the two municipalities exceeded the European Union's recommended limit of 1000 CFU/L. Stabile peripheral water temperatures were achieved after 3 min. Tap water temperatures above 54 °C and central tank temperatures above 59 °C were associated with Legionella contents below 1000 CFU/L. This study highlights the need for more stringent Legionella control procedures in schools, including higher water temperatures and refining Legionella reducing interventions with the addition of regular flow and draining procedures.

Understanding wrist skin temperature changes to hormone variations across the menstrual cycle

Consumer devices are increasingly used to monitor peripheral body temperature (PBT) for menstrual cycle tracking, but the link between PBT and hormone variations remains underexplored. This study examines the relationship between these variables with a focus on nightly wrist skin temperature (WST). Fifty participants provided physiological and self-reported data, including WST, daily step counts, glucose levels, hormone levels (E3G, LH), and diary entries. Results show a negative correlation between WST and hormone levels when E3G and LH are below average, and this trend was robust to demographics and self-reported stress. Increased variance between mid-cycle hormonal peaks and WST fluctuations may stem from differences between basal body temperature (BBT) and WST. This research suggests that algorithms reliant on body temperature for tracking hormonal changes or other aspects of the menstrual cycle may need to account for increased variance in WST trends if they are meant to be deployed on wearable devices.

Flexible modular strategy for tailored, human–machine fusion wearable electronics

Over the past three decades, the field of wearable electronics has experienced significant growth, with future developments expected to lead to more seamless integration and a profound symbiosis between humans and electronic systems. However, current developments in wearable technology are constrained by traditional integrated circuit (IC) design paradigms and a limited range of form factors, predominantly manifesting as watches, glasses, and rings with fixed functionalities and performance capabilities. This study proposes a modular design method that leverages flexible electronics for tailoring wearable devices according to specific needs. This approach disperses and reinterprets the integrated device forms through the guidance of human body morphology and conformal design principles. The functional units within these wearable devices are constructed as physically isolated, flexible modules within a robust bus structure. These modules can be easily integrated using magnetic attachments and connectors, which allows for the creation of unconventional wearable devices with customised functionalities and forms. To validate this approach, a series of flexible functional modules were designed and prototyped. Demonstrations of some of these integrated wearable forms, including watches, headbands, and gloves, highlight the versatility of this approach. These devices can be rapidly assembled with selected flexible modules capable of monitoring vital signs, such as heart rate, peripheral capillary oxygen saturation (SpO2), barometric pressure, humidity, and temperature. The results suggest that the proposed modular method holds significant potential for advancing the development of future human–machine fusion wearable electronics.

Preoperative [18F]fluoro-PEG-folate PET/CT in advanced stage epithelial ovarian cancer: A safety and feasibility study

PurposeThe selection for either primary or interval cytoreductive surgery (CRS) in patients with epithelial ovarian cancer (EOC) is currently based on imaging techniques like computed tomography (CT), [18F]fluorodeoxyglucose-positron emission tomography ([18F]FDG-PET), diffusion-weighted magnetic resonance imaging (DW-MRI) and/or diagnostic laparoscopy, but these have limitations. Folate receptor (FR)-targeted PET/CT imaging, using [18F]fluoro-PEG-folate, could improve preoperative assessment, potentially reducing unnecessary laparotomies. This paper presents the first experience with [18F]fluoro-PEG-folate PET/CT imaging in advanced stage EOC, focusing on safety, tolerability, and feasibility for reflecting the extent of disease. MethodsTolerability and safety were monitored after administration of the [18F]fluoro-PEG-folate tracer by measurements of vital function parameters (blood pressure, heart rate, peripheral oxygen saturation, respiratory rate, and temperature). In addition, (serious) adverse events were recorded. Disease burden was quantified using the Peritoneal Cancer Index (PCI) score on preoperative [18F]fluoro-PEG-folate PET/CT and during surgery. PCI scores were compared with intraoperative findings, considering histopathologic results as the gold standard. Tissue specimens were stained for FRα and FRβ. Relative uptake of the radiotracer by EOC lesions and other tissues was quantified using body weighted standardized uptake values (SUV). ResultsThe study was terminated prematurely during the interim analysis after inclusion of eight patients of whom five had completed the study protocol. Although [18F]fluoro-PEG-folate demonstrated safety, efficacy for tumor-specific imaging was limited. Despite clear FRα overexpression, low tracer uptake was observed in EOC lesions, contrasting with high uptake in healthy tissues, posing challenges in specificity and accurately assessing tumor burden. ConclusionsOverall, while [18F]fluoro-PEG-folate was well-tolerated, its clinical utility in the preoperative assessment of the extent of disease in EOC was limited. This highlights the need for further research in developing targeted imaging agents for optimal detection of EOC metastases.Trial registration: Clinicaltrials.gov, NCT05215496. Registered 31 January 2022.

Wet Military Uniforms Pose Low Risk of Hypothermia while Static in Mild Cold Air.

Wet clothing is less insulative than dry clothing and increases heat loss in cold air. Tactical necessity can render removal of wet clothing impossible and/or require Warfighters to remain static to avoid detection, limiting heat production and posing a threat of hypothermia (core temperature <35°C). This study aimed to characterize body temperatures and evaluate hypothermia risk while statically exposed to 5°C air wearing three wet military uniforms. Further, low-speed loaded walking was evaluated as a strategy to raise end-static temperatures. Twelve adults (11M, 1F) randomly completed three wet-cold trials wearing either the Improved Hot Weather Combat Uniform (IHWCU), Army Combat Uniform (ACU), or ACU with silk-weight base layer (ACU+). Each trial involved 180 minutes of cold air (5.3±0.3°C, 0.8 m·s-1) exposure after a clothed 2-minute head-out immersion (34.0 ± 0.2°C). Volunteers were static for 60 minutes followed by 120 minutes of loaded walking. Rectal temperature (Tre) area under the curve did not differ among the three wet uniforms when static (p=0.431) with Tre increasing, rather than decreasing, across the 60 minutes (IHWCU: +0.26±0.19°C, ACU: +0.37±0.21°C, ACU+: +0.36±0.20°C). Hypothermia risk with 60-minute static wet-cold exposure therefore appears minimal, regardless of the military uniform worn. End-static finger temperatures (IHWCU: 9.48±2.30°C, ACU: 9.99±1.82°C, ACU+: 9.27±1.66°C, p >0.999) were reduced by ~20-23°C posing a considerable dexterity concern. Heat production of ~210 W·m2 appeared sufficient to begin to reverse negative cumulative heat storage and initiate slight elevation of rectal and peripheral temperatures, although finger temperatures increased < 2°C after 120 minutes. ClinicalTrials.gov ID:NCT05409937.

Analysis of the Effects of Epidural Anesthesia on the Nociception Level Index (NOL®) during Abdominal Surgery.

Background: The NOL® system (PMD-200™ Nociception Level Monitor; Medasense Ltd., Ramat Gan, Israel) is used for the real-time detection of physiological nociception in anesthetized patients by assessing the parameters indicative of sympathetic activity, such as photoplethysmography, skin conductance, peripheral temperature, and accelerometry, which are quantified into the NOL®-Index. This index is more sensitive than traditional clinical parameters in estimating pain and stress responses. While its effectiveness in general anesthesia is well documented, its efficacy in epidural anesthesia needs further investigation. Methods: This retrospective study analyzed NOL®-Index dynamics compared to conventional parameters after epidural administration of bupivacaine. Following ethics committee approval, 119 NOL® measurements were retrospectively analyzed after thoracic epidural catheter administration in 40 patients undergoing abdominal and urological surgery. The NOL-Index® was assessed at 0, 1, 3, and 5 min post application and compared to heart rate, blood pressure, and bispectral index dynamics. Results: This study showed a significant decrease in the NOL®-Index post-local-anesthetic administration with better sensitivity than classical clinical parameters (0 min = 38 ± 11; 1 min = 22 ± 13*; 3 min = 17 ± 11*; 5 min = 12 ± 10*). Higher doses of local anesthetics led to a significant, dose-dependent decrease in NOL®-Index (low dose, 5 min = 15 ± 10*; high dose, 5 min = 8 ± 8*). Conclusions: This study is the first to demonstrate the effectiveness of the NOL®-Index in measuring nociceptive effects following epidural administration, highlighting its potential superiority over conventional parameters and its sensitivity to dose variations.

Evaluating the relaxation effects of Shikuwasa (Citrus depressa Hayata) essential oil inhalation in young female adults: Study protocol for a randomised controlled trial

IntroductionThe essential oil of Shikuwasa (Citrus depressa Hayata) primarily contains limonene and γ-terpinene, which have potential applications in stress management and relaxation. However, the psychological or physiological relaxation effects of Shikuwasa essential oil on humans are still unknown. This study aims to investigate the short-term relaxation effects of Shikuwasa essential oil, one of the less-studied varieties, compared to inhaling odour-free air in young female adults. Methodsand analysis: This study is a two-arm, parallel-group, open-label, randomised controlled superiority trial. Forty young female adults will be assigned with a 1:1 allocation ratio to either the Shikuwasa essential oil inhalation group or the odour-free air inhalation group. The primary outcome measure will be subjective tense arousal (subscale of the Japanese version of the University of Wales Institute of Science and Technology Mood Adjective Checklist). Secondary outcomes include objective measures: miosis rate and peripheral skin temperature for evaluating autonomic nervous activity, and cerebral blood flow (assessed using near-infrared spectroscopy) for evaluating central nervous activity. Since these objective outcome measures cannot be performed at the same time, we divide our experiment into three phases and participants will inhale sample vials for 2 min in each experiment. We will also evaluate individual preferences/impressions regarding inhaled samples and any adverse events. Ethics and disseminationThe study protocol has been reviewed and approved by the Research Ethics Committee of the Faculty of Medicine, University of Miyazaki (reference no: I-0074). The findings of this study will be disseminated to academic and professional audiences via publications in peer-reviewed journals and presentations at academic conferences, and to the broader public via public talks and media/press releases. All study findings, whether negative or positive, will be reported. Trial registrationUMIN Clinical Trials Registry (UMIN-CTR), UMIN000053914. Prospectively registered on March 20, 2024.

The effect of food timing on torpor propensity and characteristics in laboratory mice during a common food restriction paradigm

Background Many behavioural, pharmacological, and metabolic studies in mice require fasting, yet the possibility of fasting-induced torpor affecting the data is rarely considered. Torpor is a state characterised by depressed metabolism and profound alterations to physiology and behaviour. In this study we aimed to determine how the effects of torpor on experimental outcomes could be mitigated. Methods To this end, timing and characteristics of fasting-induced torpor in response to feeding in the morning versus feeding in the night were compared using non-invasive monitoring of peripheral body temperature. Results Night-fed mice entered significantly more torpor bouts per day compared to morning-fed mice (Morning: 2.79±0.197 (mean ± SEM); Night: 4.79±0.533 (mean ± SEM); p=0.0125), but these bouts were shorter on average by ~1.5h. Latency to the first torpor bout following feeding tended to be shorter during night feeding (Morning: 9.57±0.8h (mean ± SEM); Night: 6.66±1.2h (mean ± SEM); p=0.0928). Moreover, torpor bouts typically occurred during the dark phase in the morning-fed group, whilst night feeding resulted in a shift of torpor occurrence to earlier in the day (Morning: 14.2±0.4 ZT h (mean ± SEM); Night: 12.2±0.9 ZT h (mean ± SEM); p=0.0933). There was a high degree of variation in torpor occurrence within and between animals in each group. Conclusions We recommend that feeding time is kept consistent between days and the same across animals to minimise variation in torpor occurrence. Moreover, the timing of food provision may be optimised to allow measurements to be taken during euthermia, to mitigate the effects of torpor on the variables investigated. Finally, we recommend that body temperature is monitored non-invasively to determine when torpor is occurring, and that testing, or sample collection is conducted when the torpor history is comparable between animals.

Momentary physiological indices related to eating disorders: A systematic and methodological review.

Eating disorders (ED) are serious psychiatric illnesses, with no everyday support to intervene on the high rates of relapse. Understanding physiological indices that can be measured by wearable sensor technologies may provide new momentary interventions for individuals with ED. This systematic review, searching large databases, synthesises studies investigating peripheral physiological (PP) indices commonly included in wearable wristbands (heart rate [HR], heart rate variability [HRV], electrodermal activity [EDA], peripheral skin temperature [PST], and acceleration) in ED. Inclusion criteria included: (a) full peer-reviewed empirical articles in English; (b) human participants with active ED; and (c) containing one of five wearable physiological measures. Kmet risk of bias was assessed. Ninety-four studies were included (Anorexia nervosa [AN; N=4418], bulimia nervosa [BN; N=916], binge eating disorder [BED; N=1604], other specified feeding and eating disorders [OSFED; N=424], and transdiagnostic [N=47]). Participants with AN displayed lower HR and EDA and higher HRV compared to healthy individuals. Those with BN showed higher HRV, and lower EDA and PST compared to healthy individuals. Other ED and Transdiagnostic samples showed mixed results. PP differences are indicated through various assessments in ED, which may suggest diagnostic associations, although more studies are needed to validate observed patterns. Results suggest important therapeutic potential for PP in ED, and larger studies including diverse participants and diagnostic groups are needed to fully uncover their role in ED.

Utilizing big data to determine the temperature dependency of Legionella in hot water systems

ABSTRACT Domestic hot water installations provide an ideal habitat for Legionella spp. and pose a potential risk of human infection. Heating the water is considered the major preventive measure against Legionella contamination. Our study aimed to understand better the relationships between hot water temperatures and Legionella spp. occurrence within such systems. We utilized routine monitoring data from public and apartment buildings, comprising 292,937 data sets. We employed the analysis of variance, receiver operating characteristic analysis, and relative probability of occurrence to quantitatively assess statistical relationships. In the case of supply flow (SF) and return flow (RF), i.e. near the water heater, water temperature strongly regulates Legionella spp. growth. Below calculated tipping points (SF: 56 °C, RF: 53 °C), the relative probability of Legionella spp. occurrence is 18.7 and 7.5 times higher, respectively. For peripheral samples, the relationship between temperature and Legionella spp. occurrence is less pronounced. Additionally, statistical relationships between central and peripheral temperatures, as well as between central temperatures and peripheral Legionella spp. concentrations within one system, were weak or zero, respectively. Thus, the central temperature regime of hot water systems alone is insufficient to control the occurrence of Legionella spp. in the periphery.

Cold Habituation Does Not Alter Thermal Responses or Manual Dexterity During Prolonged Cold Air Exposure

Background: Habituation is a pattern of cold acclimatization characterized by attenuated cold defense responses, including a reduction in peripheral vasoconstriction and subsequent increase in skin temperature (TSk) as well as a decrease in shivering thermogenesis. Habituation is achieved through repeated reductions in TSk, rather than deep body core temperature (TC), via exposure to prolonged cold air or brief cold-water immersion. Due to improvements in TSk, enhanced manual dexterity and peripheral cold injury risk reduction are purported benefits of cold habituation. Warfighters frequently operate in cold climates and experience decrements in manual dexterity and strength. These functional losses can negatively impact mission critical tasks and training exercises; however, the effectiveness of cold habituation as a potential countermeasure to alleviate the deleterious effects of prolonged cold exposure on peripheral temperatures, thermal comfort, and hand function is unclear. Purpose: To evaluate the influence of eight consecutive cold air exposures on the thermal (TC and TSk), perceptual (thermal comfort and sensation), and functional (manual dexterity and strength) responses to cold air. We hypothesized that TSk would be higher and perceptual responses and manual dexterity improved, following repeated cold exposure. Methods: Eight young adults (6 M/1 F/1 FTM; 21 ± 2 years; %BF 24.5 ± 7.0) underwent a 2-h cold air exposure (8 °C, ~50% RH) on 8 consecutive days wearing minimal clothing. On Day 0 (baseline exposure ~1 week prior) and Days 1 and 8 of repeated exposure, TC was recorded continuously via a telemetry pill used as a rectal suppository. Extremity (Thand and Tfinger) and mean weighted TSk (MWTSk) from 8 skin sites were recorded continuously. Thermal comfort (TC) and thermal sensation (TS) were recorded at 20 min intervals. Expired gases were collected at 20 min intervals and used to calculate metabolic heat production (MHP). Manual dexterity was assessed using the Purdue Pegboard and Minnesota Manual Dexterity Test (MMDT), and hand strength were measured before and at the end of cold exposure. Results: TC changed across time ( p &lt; 0.05) but did not differ between days ( p &gt; 0.05). MWTSk, Thand, and Tfinger decreased across time ( p &lt; 0.05) but also did not differ between days ( p &gt; 0.05). Mean and minimum whole-body TS and TC were not different between days ( p &gt; 0.05). MHP increased across time ( p &lt; 0.05) but did not differ between days ( p &gt; 0.05). Purdue Pegboard, MMDT task performance, and hand strength did not differ between days ( p &gt; 0.05). Conclusion: Eight consecutive days of cold air exposure does not augment extremity skin temperature, thermal comfort, or manual performance during prolonged cold conditions. Supported by U.S. Army Medical Research and Development Command, Military Operational Medicine Research Program; author views not offcial US Army or DoD policy. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.

Agreement between three noninvasive temperature monitoring devices during spinal anaesthesia for caesarean delivery: a prospective observational study

Hypothermia during obstetric spinal anaesthesia is a common and important problem, yet temperature monitoring is often not performed due to the lack of a suitable, cost-effective monitor. This study aimed to compare a noninvasive core temperature monitor with two readily available peripheral temperature monitors during obstetric spinal anaesthesia. We undertook a prospective observational study including elective and emergency caesarean deliveries, to determine the agreement between affordable reusable surface temperature monitors (Welch Allyn SureTemp® Plus oral thermometer and the Braun 3-in-1 No Touch infrared thermometer) and the Dräger T-core© (using dual-sensor heat flux technology), in detecting thermoregulatory changes during obstetric spinal anaesthesia. Predetermined clinically relevant limits of agreement (LOA) were set at ± 0.5 °C. We included 166 patients in our analysis. Hypothermia (heat flux temperature < 36 °C) occurred in 67% (95% CI 49 to 78%). There was poor agreement between devices. In the Bland-Altman analysis, LOA for the heat flux monitor vs. oral thermometer were 1.8 °C (CI 1.7 to 2.0 °C; bias 0.5 °C), for heat flux monitor vs. infrared thermometer LOA were 2.3 °C (CI 2.1 to 2.4 °C; bias 0.4 °C) and for infrared vs. oral thermometer, LOA were 2.0 °C (CI 1.9 to 2.2 °C; bias 0.1 °C). Error grid analysis highlighted a large amount of clinical disagreement between methods. While monitoring of core temperature during obstetric spinal anaesthesia is clinically important, agreement between monitors was below clinically acceptable limits. Future research with gold-standard temperature monitors and exploration of causes of sensor divergence is needed.

Increased Psychological Symptoms and Autonomic Arousal in Patients with Subclinical Hypothyroidism: A Case–Control Study

(1) Background: Subclinical hypothyroidism (SHT) is a condition that has been a subject of controversy in the literature due to its association with psychological and psychiatric symptoms as well as autonomic imbalances. To gain a better understanding of the effects of SHT on patients, a research study has been undertaken to investigate the presence of psychological symptoms and autonomic imbalances in a group of individuals diagnosed with SHT. (2) Methods: In this case–control study, 50 patients diagnosed with SHT who accessed the Department of Endocrinology of the University of Pisa were consecutively recruited. Psychological symptoms were measured through the Crown–Crisp Experiential Index (CCEI), whereas autonomic imbalance was described using the Psychophysiological Stress Profile (PSP), with simultaneous recording of the following psychophysiological parameters: Surface Electromyogram (sEMG), Skin Conductance Level (SCL), heart rate (HR), and peripheral temperature (PT). The patients’ values were compared to those of 50 healthy control subjects. (3) Results: The comparison between groups highlighted significant differences in the CCEI and PSP. In particular, patients reported higher rates of psychological symptoms (anxiety, depression, somatic complaints, and hysteria behavior). Significantly higher levels of autonomic arousal were also recorded. More specifically, the sEMG, SCL, HR, and PT values were different between the two groups. (4) Conclusions: The study has confirmed the presence of autonomic hyperarousal in patients diagnosed with subclinical hypothyroidism. This is likely due to the body’s attempt to compensate for a general lack of energy by accelerating the autonomic activity. The findings also underline the significance of a comprehensive assessment approach that takes into account various dimensions such as psychological and psychophysical well-being. Such an approach helps in evaluating the impact of subclinical diseases on overall health and well-being.

Design of a Remote Multiparametric Tool to Assess Mental Well-Being and Distress in Young People (mHealth Methods in Mental Health Research Project): Protocol for an Observational Study.

Mental health conditions have become a substantial cause of disability worldwide, resulting in economic burden and strain on the public health system. Incorporating cognitive and physiological biomarkers using noninvasive sensors combined with self-reported questionnaires can provide a more accurate characterization of the individual's well-being. Biomarkers such as heart rate variability or those extracted from the electrodermal activity signal are commonly considered as indices of autonomic nervous system functioning, providing objective indicators of stress response. A model combining a set of these biomarkers can constitute a comprehensive tool to remotely assess mental well-being and distress. This study aims to design and validate a remote multiparametric tool, including physiological and cognitive variables, to objectively assess mental well-being and distress. This ongoing observational study pursues to enroll 60 young participants (aged 18-34 years) in 3 groups, including participants with high mental well-being, participants with mild to moderate psychological distress, and participants diagnosed with depression or anxiety disorder. The inclusion and exclusion criteria are being evaluated through a web-based questionnaire, and for those with a mental health condition, the criteria are identified by psychologists. The assessment consists of collecting mental health self-reported measures and physiological data during a baseline state, the Stroop Color and Word Test as a stress-inducing stage, and a final recovery period. Several variables related to heart rate variability, pulse arrival time, breathing, electrodermal activity, and peripheral temperature are collected using medical and wearable devices. A second assessment is carried out after 1 month. The assessment tool will be developed using self-reported questionnaires assessing well-being (short version of Warwick-Edinburgh Mental Well-being Scale), anxiety (Generalized Anxiety Disorder-7), and depression (Patient Health Questionnaire-9) as the reference. We will perform correlation and principal component analysis to reduce the number of variables, followed by the calculation of multiple regression models. Test-retest reliability, known-group validity, and predictive validity will be assessed. Participant recruitment is being carried out on a university campus and in mental health services. Recruitment commenced in October 2022 and is expected to be completed by June 2024. As of July 2023, we have recruited 41 participants. Most participants correspond to the group with mild to moderate psychological distress (n=20, 49%), followed by the high mental well-being group (n=13, 32%) and those diagnosed with a mental health condition (n=8, 20%). Data preprocessing is currently ongoing, and publication of the first results is expected by September 2024. This study will establish an initial framework for a comprehensive mental health assessment tool, taking measurements from sophisticated devices, with the goal of progressing toward a remotely accessible and objectively measured approach that maintains an acceptable level of accuracy in clinical practice and epidemiological studies. OSF Registries N3GCH; https://doi.org/10.17605/OSF.IO/N3GCH. DERR1-10.2196/51298.

Effect of Different Control Strategies on the Heat Transfer Mechanism of Helical Energy Piles

In this paper, numerical simulations of a special energy pile, which constitutes a spiral-injected pipe and one straight discharge pile for Geothermal Heat Pump Systems (SGHEs-P(parallel)), were conducted by Fluent software. The effects of the spiral pitches on the heat transfer rate based on the G-function method and peripheral soil temperature of the pile were investigated under continuous and intermittent operation strategies. The impact of spiral tube sizing on the surface heat transfer coefficients was studied. The results indicated that SGHEs-P may be preferred for office buildings under intermittent operation conditions. For a short period, the temperature profiles and heat transfer efficiency of SGHEs-P were mainly influenced by the fluid type, length of the spiral tube, and spiral pitch. The smaller the spiral pitch, the more uniform the temperature distribution, and the better the heat transfer effect, but the heat transfer per unit depth of pile decreased. The average temperature variation curve of the soil around the energy pile with different spiral pitches was simulated and obtained over time. Meanwhile, the impact of spiral radius, spiral pitch, and spiral tube radius on the convective heat transfer coefficient was also presented. Through data fitting, the formulas for the correction coefficients of spiral radius, spiral pitch, and spiral tube radius on convective heat transfer coefficient were obtained, respectively.

Comparison of effect of inhaled anaesthetic (Sevoflurane) versus intravenous (Propofol) anaesthetic on core and peripheral body temperature during general anaesthesia: A randomised control study

: The fall in core body temperature and peripheral body temperature following the administration of anaesthetic agent has been studied and demonstrated so far, along with the comparison of the same parameters following induction with propofol in contrast to that with sevoflurane. But no study so far, has compared the effects of TCI-propofol based anaesthesia with that of sevoflurane based anaesthesia for induction and maintenance, on core and peripheral body temperature and the gradient of temperature between the agents. The studies conducted so far, has shown more fall in core and peripheral body temperature from their respective baseline values when propofol was used for induction of anaesthesia in comparison to the use of sevoflurane. A total of 60 adults were randomized into two groups of 30 each; Group 1 were induced with TCI- propofol at 8mcg/ml plasma concentration and maintaind with TCI-propofol at 2-3mcg/ml plasma concentration and 66% nitrous oxide and 33% oxygen gas mixture. Group 2 were induced with intravenous thiopentone at 3-5mg/kg body weight and maintained with 1-1.5MAC sevoflurane, 66% nitrous oxide and 33% oxygen gas mixture. Core body temperature was measured inserting the temperature probe into nasophraynx and peripheral temperature was measured with the temperature probe inserted onto thenar eminence of either hand. We observed that both anaesthetic agents have caused similar fall in core temperature. However, peripheral temperature fell more with sevoflurane compared to TCI-propofol. In parallel with these observations, the increase in temperature gradient was higher in magnitude for sevoflurane based anaesthesia. The core temperature was comparable between the groups from their respective baseline values. But, the fall in peripheral temperature was more in sevoflurane group, so was the temperature gradient. Thus, TCI-propofol when used in appropriate plasma concentration for induction and maintenance of anaesthesia causes less hypothermia in contrast to sevoflurane.

USING SHEEP FACIAL GRIMACE SCALE, INFRARED THERMOGRAPHY AND CORTISOL HORMONE TO MEASURE PAIN IN SHEEP INFECTED WITH MASTITIS DISEASE

The purpose of this study was to apply sheep pain facial expression scales (SPFES) to sheep infected with mastitis, measuring peripheral temperatures and serum cortisol hormone. Twenty-three healthy ewes and 23 infected ewes with clinical mastitis were included in this research from January 2022 to April 2023. Images were taken from each ewe to detect facial grimace scales of ewes. Nasal, eye and ear temperatures were collected using infrared thermal imaging camera. Moreover, serum cortisol hormone was collected from the blood. It was found that there was a significant decrease (p&lt;0.01) in nasal, eye and ear temperatures of infected ewes in comparison to healthy ewes. Additionally, cortisol hormone was found significantly (p&lt;0.01) higher in infected ewes at day 1 and day 7 compared to non-infected animals. The changes in facial expressions for all the determined five regions were significantly (p&lt;0.01) different than healthy ewes. The total pain score was significantly (p&lt;0.05) higher on day 1 and day 7, compared to healthy ewes. It was concluded that sheep facial grimace scale was a useful and practical tool for measuring pain in sheep. In addition, cortisol from the serum and peripheral temperatures were found to be useful pain indicators.

Stress Inoculation in Police Officers Using Virtual Reality: A Controlled Study.

Policing is a highly demanding and stressful profession. Virtual reality (VR) has emerged as a promising tool for enhancing stress management programs, including for police officers. The use of VR in combination with biosensors enables measurement of psychophysiological responses such as peripheral temperature (PT) and skin conductance level (SCL). This study investigated the psychophysiological responses of police officers exposed to a VR scenario simulating a car accident. The study included a total of 63 police officers from the Public Security Police. Participants were divided into three groups based on their police divisions: the Investigation Brigade of Traffic Accidents, the Traffic Surveillance Squad (TSS), and a control group from the Lisbon Metropolitan Command. The results indicated that the VR environment effectively induced psychophysiological arousal, particularly in less experienced officers (TSS), that is, there were significant group differences in mean SCL and PT, showing this group with higher SCL and lower PT during the VR exposure. These results support the potential of VR as a stress inoculation strategy for training police officers and highlight the complex nature of stress responses that are influenced by individual factors and psychopathology.