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PubMed1994

Thermoregulatory response to wearing encapsulated protective clothing during simulated work in various thermal environments.

This investigation assessed the thermoregulatory impact of performing simulated tasks normally encountered during chemical accident clean-up while wearing chemical protection clothing under various representative thermal loads. A Drager 500 (D) suit was worn with a self-contained breathing apparatus (SCBA) external to the suit, while both a Trelleborg Trellchem Super Extra (T) and a James North MZ500 (J) suit required the SCBA to be worn inside the suit. The D suit was unventilated, while the T and S suits were ventilated with the subject's exhaled air. The T suit also was ventilated via a 2 L/min flow of air from the SCBA. Subjects were six firefighters. Each simulation lasted for 30 minutes and involved tasks such as drum rolling, drum carrying, walking, and hose dragging. The trials were conducted at 11.3, 17.1, and 23.8 degrees C WBGT. The overall mean peak heart rate was 128.1 +/- 2.80 breaths/min and was elicited while performing lifting tasks. Nonsignificant differences (p > 0.05) were observed for both the average heart rate and sweat rate. Mean skin temperature, mean body temperature, and temperature within the suit cavity were significantly higher when wearing the D suit compared to wearing T or J suits; differences between the T and J suits were nonsignificant. Suit type did not significantly affect rectal temperature, which also failed to exceed the American Council of Governmental Industrial Hygienists' (ACGIH) standard of 38.0 degrees C.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1994

Responses to repeated days of light work at moderate temperatures in protective clothing.

This study assessed workers' ability to sustain work output over four consecutive workdays in encapsulating protective clothing (PC). Six subjects wearing a two-piece PC ensemble cycled at a work rate of 38 W in a 29/22 degrees C (dry/wet bulb) ambient temperature. Work continued until rectal temperature (Tre) reached 38.3 degrees C, or volitional fatigue. Subjects then rested without PC in a 21 degrees C room until Tre reached 38.0 degrees C to simulate micro- or macro-environmental cooling during rest. Work was alternated with rest for four hours total. Contrary to expectations, mean work time did not diminish on succeeding days. Subject responses to the repeated exposures was highly variable and in no case changed significantly (p > .05) from day one to day four. Subjects tolerated well repeated four-hour exposures with controlled elevations in Tre. There was no clear evidence of either increased or decreased tolerance of this work-rest paradigm across days.

Adaptation, Physiological↗
PubMed1996

Oral and tympanic temperatures as heat strain indicators for workers wearing chemical protective clothing.

Oral (Tor) and tympanic (Tty) temperatures were examined as alternatives for rectal temperature (Tre) as a heat strain indicator. Subjects were 20 male volunteers (age = 18-33 yr). A workload was determined in chemical protective clothing (CPC) by having the subject walk on a treadmill until a VO2 uptake of 1.33 (L/minute (approximately 650 W) was reached. At a second session subjects donned CPC and walked on the treadmill at the previously determined workload until Tre reached 39 degrees C, or heart rate reached 185 bpm, or volitional fatigue, i.e., one work cycle. Subjects then rested for 48 minutes. This cycle continued for 4 hours or until absolute fatigue at < 4 hours. Heart rate, Tor, Tty, Tre, and mean skin temperature were recorded every 10 minutes and at the end of work. A paired t-test was used to determine if a significant difference in the magnitude of temperature increase in Tor and Tty as compared with Tre existed. No significant difference (p > 0.05) was observed in delta Tor against delta Tre at 20, 30, 40, and 60 minutes of exercise, but delta Tor failed to display nonsignificant mean differences consistently throughout the test. However, delta Tty displayed no significant mean differences (p > 0.05) against delta Tre throughout the test. Tty significantly correlated with Tre at the 30- and 50-minute intervals (p < or = 0.05) and the end reading (p < or = 0.01). A repeated measures analysis of variance showed no significant difference between Tty and Tre over time. It was concluded that Tty has potential as a heat strain indicator for workers wearing CPC in the field, but Tor does not.

Adolescent↗
PubMed2004

Active versus passive cooling during work in warm environments while wearing firefighting protective clothing.

This study examined whether active or passive cooling during intermittent work reduced the heat strain associated with wearing firefighting protective clothing (FPC) and self-contained breathing apparatus (SCBA) in the heat (35 degrees Celsius, 50% relative humidity). Fifteen male Toronto firefighters participated in the heat-stress trials. Subjects walked at 4.5 km.h(-1) with 0% elevation on an intermittent work (50 min) and rest (30 min) schedule. Work continued until rectal temperature (T(re)) reached 39.5 degrees Celsius, or heart rate (HR) reached 95% of maximum or exhaustion. One of three cooling strategies, forearm submersion (FS), mister (M), and passive cooling (PC) were employed during the rest phases. Tolerance time (TT) and total work time (WT) (min) were significantly increased during FS (178.7 +/- 13.0 and 124.7 +/- 7.94, respectively) and M (139.1 +/- 8.28 and 95.1 +/- 4.96, respectively), compared with PC (108.0 +/- 3.59 and 78.0 +/- 3.59). Furthermore, TT and WT were significantly greater in FS compared with M. Rates of T(re) increase, HR and T-(sk) were significantly lower during active compared with passive cooling. In addition, HR and T(re) values in FS were significantly lower compared with M after the first rest phase. During the first rest phase, T(re) dropped significantly during FS (approximately 0.4 degree Celsius) compared with M (approximately 0.08 degree Celsius) while PC increased (approximately 0.2 degree Celsius). By the end of the second rest period T(re) was 0.9 degree Celsius lower in FS compared with M. The current findings suggest that there is a definite advantage when utilizing forearm submersion compared with other methods of active or passive cooling while wearing FPC and SCBA in the heat.

Adult↗
PubMed2000

The effects of skin pressure by clothing on circadian rhythms of core temperature and salivary melatonin.

The present experiment investigated the effects of skin pressure by foundation garments (girdle and brassiere) on the circadian rhythms of core temperature and salivary melatonin. Ten healthy females (18-23 years) maintained regular sleep-wake cycles for a week prior to participation in the experiment. The experiments were performed from June to August 1999 using a bioclimatic chamber controlled at 26.5 degrees C +/- 0.2 degrees C and 62% +/- 3% RH. Ambient light intensity was controlled at 500 lux from 07:30 to 17:30, 100 lux from 17:30 to 19:30, 20 lux from 19:30 to 23:30; there was total darkness from 23:30 to 07:30. The experiment lasted for 58h over three nights. The participants arose at 07:30 on the first full day and retired at 23:30, adhering to a set schedule for 24h, but without wearing foundation garments. For the final 24h of the second full day, the subjects wore foundation garments. Rectal and leg skin temperatures were measured continuously throughout the experiment. Saliva and urine were collected every 4h for the analysis of melatonin and catecholamines, respectively. Skin pressure applied by the foundation garments was in the range 11-17 gf/cm2 at the regions of the abdomen, hip, chest, and back. The main results were as follows: (1) Rectal temperatures were significantly higher throughout the day and night when wearing foundation garments. (2) The nocturnal level of salivary melatonin measured at 03:30 was 115.2 +/- 40.4 pg/mL (mean +/- SEM, N = 10) without and 51.3 +/- 18.4 pg/mL (mean +/- SEM, N = 10) with foundation garments. (3) Mean urinary noradrenaline excretion was significantly lower throughout the day and night when wearing foundation garments (p < .05), but mean urinary adrenaline excretion was not different. The results suggest that skin pressure by clothing could markedly suppress the nocturnal elevation of salivary melatonin, resulting in an increase of rectal temperature.

Adolescent↗
PubMed2003

Intelligent biomedical clothing for personal health and disease management: state of the art and future vision.

Telemedicine has been introduced to overcome distance in order to get prompt access to medical knowledge and appropriate health care. More recently, work in telemedicine has aimed at developing solutions to support the management of chronic diseases such as diabetes, and lung and heart diseases, as well as to provide support for home care services. Telemedicine is also entering the fields of health promotion/prevention disease, life style management, and well-being. The evolution and broadening of telemedicine gives birth to a nomenclature that includes "e-health," "telehealth," and "telecare." The latest developments in microsystems and nanotechnologies as well as in information processing and communication technologies allow miniaturization and non-invasive smart monitoring of physiological and physical data. Ongoing cutting-edge multidisciplinary research in textile fibers, biomedical sensors, and wireless and mobile telecommunications integrated with telemedicine, aims at developing intelligent biomedical clothing (IBC) that could pave the way to support personalized management of health and diseases at the point of need and at any time. In this study, we aim to describe the current status of multidisciplinary research and development of IBC, based on bibliographic research and reports from seminars, workshops, conferences, and working groups. A further aim is to inform the developers, the decision makers, and users in the health and healthcare sector regarding future solutions to support personalized health care and disease management. Both the textile sector and healthcare sector are looking with great interest at the innovative products and applications that could result from the integration of microsystems, nanotechnologies, biomedical sensors, textiles, and mobile telecommunications. For health monitoring, disease prevention and management, rehabilitation, and sport medicine, IBC may offer, in the mid-term future, a unique, wearable non-obtrusive telemedicine platform for individualized services that is readily accessible and of good quality.

Biomedical Technology↗
PubMed1996

Sudden infant death syndrome: insulation from bedding and clothing and its effect modifiers. The National Cot Death Study Group.

BACKGROUND: Thermal stress related to excessive insulation from bedding and clothing has been postulated to be associated with sudden infant death syndrome (SIDS). METHODS: The parents of 393 (81%) of the infants who died of SIDS in the post neonatal period were interviewed at home. Interviews were also completed with the parents of 1592 (88.4% of total) controls, a representative sample of all hospital births. The study was conducted in regions of the North and South Island of New Zealand in which 78% of all New Zealand births occurred in 1987-1990. Temperatures for the infant's bedroom estimated from the outside temperature and a model were used to predict the appropriate insulation for lower critical temperature (temperature below which the metabolic rate is likely to increase). RESULTS: Sudden infant death syndrome was associated with extra thermal insulation of > 2 tog above the lower critical value, the odds ratio (OR) was 1.70 (95% confidence interval [Cl] : 1.3-2.20) after adjusting for season. After adjusting for a number of confounding factors the CR was reduced to 1.35 (95% Cl: 0.97-1.87). Also associated with SIDS was too little thermal insulation OR = 1.67(95% Cl: 1.13-2.48; and 2.63 (95% Cl: 1.61-4.30) when adjustments were made for the confounding factors. The interaction effect between infants sleeping prone and >2 tog extra thermal insulation was significant (OR = 6.07, 95% Cl: 3.83-9.60). Infants with too little thermal insulation were at increased risk if they were not tightly wrapped (OR = 3.81, 95% Cl: 2.04-7.09). There were also small additive interaction effects if the mother smoked and the infants had > 2 tog extra thermal insulation, or they were ill and had > 4 tog extra insulation. Interaction effects between thermal insulation and other factors were not significant. CONCLUSION: More thermal insulation than was necessary to maintain the lower critical temperature increased the risk of SIDS primarily among infants in the prone sleep position, and to a lesser degree in infants whose mothers smoked and in infants who were unwell.

Bedding and Linens↗
PubMed2005

Subclinical vitamin D deficiency is increased in adolescent girls who wear concealing clothing.

Vitamin D deficiency continues to be a worldwide problem, especially in developing countries. The aim of this study was to investigate potential risk factors for vitamin D deficiency. Girls (n = 89) aged 13 to 17 y were enrolled in the study. Study subjects were stratified into 3 groups: Group I included girls living in a suburban area; Group II girls lived in an urban area, and Group III girls lived in an urban area and wore concealing clothes for religious reasons. At the end of winter (in April) serum 25-hydroxyvitamin D [25(OH)D] levels were measured and dietary data were collected using questionnaires. Vitamin D deficiency was defined as a serum 25(OH)D concentration < 25 nmol/L, and insufficiency as a 25(OH)D concentration between 25 and 50 nmol/L. The lumbar and femur neck bone mineral densities (BMD) were measured using dual X-ray absorptiometry (DEXA). Overall, 39 girls (43.8%) had vitamin D insufficiency and 19 (21.3%) had vitamin D deficiency. In group III (wearing covered dress) the serum 25(OH)D concentrations (28.13 +/- 12.53 nmol/L) were significantly lower than in the other 2 groups, and within this group, 50% of girls were vitamin D deficient. The lumbar and femur neck BMD of girls with lower 25(OH)D levels did not differ from those with adequate vitamin D levels. We conclude that vitamin D deficiency is an important problem in Turkish adolescent girls, especially in those who follow a religious dress code; therefore, vitamin D supplementation appears to be necessary for adolescent girls.

Absorptiometry, Photon↗
PubMed1994

Ultraviolet radiation protection factors for clothing.

There has been considerable interest and activity in Australia during recent years in providing ultraviolet radiation protection for the public and the work force. Many requests from the public and manufacturers have been received by the Australian Radiation Laboratory for the quantification of the protection provided by different articles of clothing. The laboratory has been making spectral measurements of the ultraviolet radiation transmission of materials and fabrics for a number of years and, to this date, have tested and rated > 2,000 samples. The laboratory test methods for making spectral transmission measurements of both dry and wet fabric samples are described along with the radiometric test methods to determine ultraviolet radiation transmission. A scheme to designate the amount of ultraviolet radiation protection of materials using ultraviolet protection factors is outlined and used to compare the results obtained by different test methods. Some typical measurement results are also summarized and presented.

Clothing↗
PubMed1988

Cloth ballistic vest alters response to blast.

Ballistic wounds have been and will remain the principal cause of casualties in combat. Cloth ballistic vests (CBV) play an important role in limiting critical wounds from fragments and small-arms fire. There is an increased risk of primary blast injury on the modern battlefield. In a previous study, volunteers were exposed to short-duration blast waves of low peak pressure (18.6 +/- 0.8 kPa). Pressure measurements made in the distal esophagus as an estimate of intrathoracic pressure (ITP) were significantly higher (p less than 0.05) when the standard U.S. Army ballistic jacket was worn (8.7 +/- 1.2 kPa) than when fatigues alone were worn (7.4 +/- 0.7 kPa). In this study 58 sheep were exposed to nominal blast levels of 115, 230, 295, and 420 kPa peak pressure in groups of 12, 18, 16, and 12, respectively. Half of each group was fitted with a CBV. Lung weight index (LWI), lung weight expressed as a percentage of body weight, was used as a measure of blast injury. Use of the CBV was associated with a significant increase in LWI (p less than 0.05) which averaged 21% for the two middle exposure groups. At the 420 kPa level, two of six non-CBV animals died as opposed to five of six animals wearing the CBV. Intrathoracic pressure was generally higher in the CBV group. Likely mechanisms of injury enhancement include an increase in target surface area and an alteration of the effective loading function on the thorax. This information may be useful in the triage and treatment of casualties exposed to intense blast environments.

Animals↗
PubMed2002

Effects of clothing on accuracy and reliability of air displacement plethysmography.

PURPOSE: The purpose of this investigation was to quantify the effects of different attire on the accuracy and reliability of estimating percent body fat (%fat) by using air displacement plethysmography (ADP). METHODS: Fifteen adults were tested four times on four separate occasions. Each session consisted of estimating %fat with ADP wearing a swimsuit (ADP(SS)), a hospital gown (ADP(HG)), and in the nude (ADP(N)), plus assessment by hydrostatic weighing (HW). RESULTS: An ANOVA revealed no significant differences within any of the four methods over the 4 days. Intraclass correlation coefficients revealed a strong relationship for repeated measures in ADP(SS) (r = 0.981), ADP(HG) (r = 0.993), ADP(N) (r = 0.989), and HW (r = 0.976). Mean data for each condition indicated a significant underestimation (P < 0.05) of %fat while wearing a hospital gown (13.8 +/- 7.7%) compared with ADP(SS) (22.0 +/- 7.8%), ADP(N) (23.5 +/- 7.5%), and HW (22.6 +/- 6.8%). CONCLUSION: Reliability of ADP does not appear to be compromised by clothing; however, wearing a hospital gown significantly affects accuracy, reducing %fat estimations by approximately 9% compared with the recommended swimsuit. Measurement in the nude does not provide more reliable or accurate measures than wearing a swimsuit.

Adolescent↗
PubMed1978

Physiological effects on word performance of vapor-barrier clothing and full-face respirator.

Work performance with impervious clothing and full-face respirator was investigated during maximal and submaximal (40-60%) bicycle ergometer efforts. Such levels may be dictated by the requirements of emergency decontamination tasks while most studies have been concerned with lower levels of activity. Five different exercise protocols were administered. Heart rate (HR), oxygen consumption (Vo2), skin (Ts) and rectal (Tr) temperatures were monitored. The impervious suits resulted in decreased work performance, aerobic metabolism, and tolerance time. Stress indices of HR and mean Ts were found to be correlated with these differences. The study is being expanded for the purpose of establishing safe physiological guidelines for work tolerances at higher energy levels in impermeable suits.

Adult↗
PubMed2005

Development of electronic textiles to support networks, communications, and medical applications in future U.S. military protective clothing systems.

The focus of this paper is on the development of textile-based wearable electronics that can be integrated into military protective clothing. A materials and manufacturing survey was conducted to determine the best performing and most durable materials to withstand the rigors of textile manufacturing and potential military use. Narrow woven technology was selected as one of the most promising textile manufacturing methods. A working wearable narrow fabric version of the Universal Serial Bus (USB), as well as a radiating conductor, were successfully developed and fabricated. A circular knit T-shirt with an integrated spiral bus was also developed. Military products developed include components of a personal area network providing data and power transport, and a body-borne antenna integrated into a load-bearing vest.

Computer Communication Networks↗
PubMed1979

Implementation of a personalized clothing policy for long stay psychiatric patients: a study of communication.

This study raises the following question. Should the policy maker be responsible for ensuring adequate monitoring of policy implementation? A policy lays down a course of action for achieving a particular end. Implementation of a policy implies adherence to the course of action stated in the policy. This study was concerned with the relationship between a policy of personalized clothing and the implementation of a particular scheme. Divergence from the original policy occurred because of inadequate communication between those who formulated the policy, those who implemented the policy and the staff who were responsible for day-to-day management associated with the policy. The finding of this study was that the way policy was implemented did not relate to the original objective of the policy. Policy relating to a particular area of health cannot progress scientifically unless evaluation of the implementation of formulated policy occurs. This research therefore advocates that the policy maker should be responsible for ensuring adequate monitoring of the policy when it is implemented.

Activities of Daily Living↗
PubMed1993

Contact allergy to disperse blue 106 and blue 124 in black "velvet" clothes.

9 cases of allergic contact dermatitis due to black "velvet" fabrics, mostly leggings, are reported. In all cases, the 2 disperse dyes Blue 106 and 124 were shown to be the responsible contact sensitizers. Preparation of a chloroform extract and separation of the different disperse dyes by analytical and preparative thin-layer chromatography showed that 8 of the 9 black "velvet" clothes contained the same composition, namely Disperse Blue 1, 106, and 124, Disperse Red 1 and Disperse Yellow 3. In experimental studies performed previously, Disperse Blue 124 has been demonstrated to be a moderate sensitizer while Disperse Blue 106 proved to be the strongest sensitizer found so far among the azo disperse dyes.

Adult↗
PubMed2005

Transfer of transdermally applied testosterone to clothing: a comparison of a testosterone patch versus a testosterone gel.

AIM: To assess the amount of testosterone transferred from the abdominal application sites of a transdermal testosterone patch and a transdermal testosterone gel to cotton T-shirts worn for 24 hours during each treatment. METHODS: During a crossover study comparing the pharmacokinetics of a testosterone patch versus a testosterone gel in 28 hypogonadal men, subjects wore fresh cotton T-shirts for 24 hours on the seventh and fourteenth days of each treatment and during a 24-hour baseline period. At the end of each evaluation, the abdominal section of the shirt was carefully cut out, extracted in alcohol, and analyzed for testosterone by a direct radioimmunoassay. The minimum quantifiable amount of testosterone was 0.03 microg per T-shirt sample. RESULTS: The median amounts of extracted testosterone were 0.44 microg for the baseline samples, 25.4 microg for the average of the two patch samples, and 6,762.7 microg for the average of the two gel samples (all comparisons P < 0.0001). Significant correlations were observed between the day 7 and day 14 data for both the patch (R = 0.4982; P < 0.01) and the gel (R = 0.8383; P < 0.0001). No significant correlations were found between the baseline, patch, or gel data, or between these and any demographic or pharmacokinetic parameters. A quantitative interpretation of the findings suggests that the baseline results are consistent with the transfer of testosterone in sweat; the patch results are probably due to the transfer of a small amount of residual testosterone left on the abdominal skin from the prior day's patches; and the gel results reflect the desquamation of stratum corneum containing a portion of the abdominally applied testosterone. CONCLUSIONS: There are large differences in the amount of testosterone that can be transferred from the application sites of transdermal patches and gels. The latter should be covered with clothing to minimize transfer through intimate skin-to-skin contact.

Abdomen↗
PubMed1986

24-h evaporative and sensible heat losses in relation to ambient humidity at 24 degrees C in clothed human subjects.

The effect of ambient humidity on the energy expenditure of clothed subjects was investigated. Fifty-six healthy men and women, weighing about 65 kg, spent 24 h in a large human calorimeter at 24 degrees C and performed either of two fixed activity programmes. The ambient humidity varied between experiments from 3 to 11 g m-3. The sensible heat output did not vary significantly with humidity but the evaporative heat loss decreased by about 1.5 W for each g m-3 increase in humidity.

Adolescent↗
PubMed1992

Sunglasses and clothing--an unhealthy correlation?

Increasing awareness of health effects of solar ultraviolet radiation has focused attention on protection measures, including sunglasses. Sunglasses, or fashion glasses with tinted lenses, may be associated with some risks, and quality is not evident from casual inspection. This study investigates one possible 'hazard' of sunglasses--that they may induce behavioural changes which reduce the wearer's tendency to use adequate sun protection for the rest of the body. Findings consistent with such a proposition were shown in a photographic survey of 373 people in the summer of 1991 in Perth, Western Australia. This revealed maladaptive associations between the wearing of sunglasses and a high degree of leg or arm exposure as recorded by length of sleeves or trouser legs. This was significant for the arms and the legs in males (P less than 0.05), but approached significance only for the arms in females (P less than 0.10). There was no significant association between degrees of arm and leg exposure in either sex. The health implications of these maladaptive behaviours, and some advantages and disadvantages of the survey technique, are discussed. The results suggest that promotion of sun-protective behaviour should encourage the use of both sunglasses and protective clothing, as subjects' behaviours with respect to these do not appear to be correlated in a rational manner. If public awareness of links between skin cancer and eye disease could be increased, promotion of sunglasses might lead to a reduction in the incidence of skin cancers in general, not just those in the periorbital area.

Adult↗