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Clothing evaporative heat resistance--proposal for improved representation in standards and models.

Clothing heat and vapour resistance are important inputs for standards and models dealing with thermal comfort, heat- and cold-stress. A vast database of static clothing heat resistance values is available, and this was recently expanded with correction equations to account for effects of movement and wind on the static value of heat resistance in order to obtain the dynamic heat resistance of clothing ensembles. For clothing vapour resistance, few data were available so far. Indices for vapour permeability (im) and reduction factors for vapour transfer (Fpcl) of clothing were used instead, using a relation between heat and vapour resistance to derive the clothing vapour resistance from the value for clothing heat resistance. This paper reviews the two commonly used approaches (im and Fpcl), as well as five alternative approaches to the problem. The different approaches were evaluated for their accuracy and their usability. The present paper shows that the currently used relations are not adequate when the wearer of the clothing starts moving, or is exposed to wind. Alternative approaches are shown to improve the determination of dynamic clothing vapour resistance, though some are thought to be too complex. An empirical description of the relation between the clothing permeability index (im) and the changes in clothing heat resistance due to wind and movement was selected as the most promising method for deriving clothing vapour resistance. For this method the user needs to know the static heat resistance, the static im value of the clothing and the wind- and movement-speed of the wearer. This method results in a predicted maximal decrease in clothing vapour resistance by 78%, when clothing heat resistance is reduced by 50%, which is consistent with theoretical expectations and available data.

Bias↗

Exposure to mite and cat allergens on a range of clothing items at home and the transfer of cat allergen in the workplace.

BACKGROUND: Clothing has been proposed as an additional source of exposure to mite and cat allergens. Dispersal of allergen into public places has also been attributed to clothing. OBJECTIVES: We sought to study the contribution of various types of clothing on mite and cat exposure in a domestic environment. Also, we studied the ability of clothing to transfer allergen in a workplace. METHODS: Personal exposure to mite and cat allergen from a range of clothing was measured by using intranasal air samplers in 11 homes. Five categories of clothing were tested. Wearing no upper clothing was the sixth category tested to distinguish the contribution of clothing over ambient background exposure. An adhesive tape was used to sample allergen from the surface of clothing, and reservoir dust samples were also collected. The above techniques were also used in the workplace to examine the amount of cat allergen transferred from cat owners to non-cat owners. RESULTS: The amount of mite and cat allergen inhaled differed among the clothing types worn and whether they had been washed recently. Wearing a woolen sweater increased personal allergen exposure to cat and mite allergen by a mean of 11 and 10 times, respectively. Clothing items that were less frequently washed carried more allergen whether assessed by vacuuming or sampled with adhesive tape. This corresponded to the amount of allergen inhaled. We also found that cat levels on non-cat owners' clothing increased significantly at the end of a working day, which lead to the increase in their personal allergen exposure to cat. CONCLUSIONS: These studies strongly support the emerging model that personal clothing is an important source of both mite and cat allergen exposure. This article also demonstrates the importance of clothing as a means of distributing cat allergen into cat-free environments.

Allergens↗

Effects of endurance training and heat acclimation on psychological strain in exercising men wearing protective clothing.

Two experiments examined the influences of endurance training and heat acclimation on ratings of perceived exertion (RPE) and thermal discomfort (RTD) during exercise in the heat while wearing two types of clothing. In experiment 1, young men underwent 8 weeks of physical training [60-80% of maximal aerobic power (VO2max) for 30-45 min day-1, 3-4 days week-1 at 20-22 degrees C dry bulb (db) temperature] followed by 6 days of heat acclimation [45-55% VO2max for 60 min day-1 at 40 degrees C db, 30% relative humidity (rh)] (n = 7) or corresponding periods of control observation followed by heat acclimation (n = 9). In experiment 2, young men were heat-acclimated for 6 or 12 days (n = 8 each). Before and after each treatment, subjects completed bouts of treadmill exercise (1.34 m s-1, 2% grade in experiment 1 and 0% grade in experiment 2) in a climatic chamber (40 degrees C db, 30% rh), wearing in turn normal light clothing (continuous exercise at 37-45% VO2max for a tolerated exposure of 116-120 min in experiment 1 and at 31-34% VO2max for 146-150 min in experiment 2) or clothing protective against nuclear, biological, and chemical agents (continuous exercise at 42-51% VO2max for a tolerated exposure of 47-52 min in experiment 1 and intermittent exercise at 23% VO2max for 97-120 min in experiment 2). In experiment 1, when wearing normal clothing, endurance training and/or heat acclimation significantly decreased RPE and/or RTD at a fixed power output. There were concomitant reductions in relative work intensity (% VO2max) [an unchanged oxygen consumption (VO2) but an increased VO2max, or a reduced VO2 with no change of VO2max], rectal temperature (Tre), mean skin temperature (Tsk), and/or heart rate (HR). When wearing protective clothing, in contrast, there were no significant changes in RPE or RTD. Although training and/or acclimation reduced %VO2max or Tre, any added sweat that was secreted did not evaporate through the protective clothing, thus increasing discomfort after training or acclimation. Tolerance times were unchanged in either normal or protective clothing. In experiment 2, when wearing normal clothing, heat acclimation significantly decreased RPE and RTD at a fixed power output, with concomitant reductions in Tre, Tsk, and HR; the response was greater after 12 than after 6 days of acclimation, significantly so for RPE and HR. When wearing protective clothing, the subjects exercised at a lower intensity for a longer duration than in the moderate exercise trial. Given this tactic, either 6 or 12 days of heat acclimation induces significant reductions RPE and/or RTD, accompanied by reductions in Tre, Tsk, and/or HR. Tolerance times in protective clothing were also increased by 11-15% after acclimation, despite some increase of sweat accumulation in the protective clothing. The results suggest that (1) neither endurance training nor heat acclimation reduce psychological strain when protective clothing is worn during vigorous exercise, because increased sweat accumulation adds to discomfort, and (2) in contrast to the experience during more vigorous exercise, heat acclimation is beneficial to the subject wearing protective clothing if the intensity of effort is kept to a level that allows permeation of sweat through the clothing. This condition is likely to be met in most modern industrial applications.

Acclimatization↗

Effects of physical training and mental practice of in-clothes swimming: assessment by physiological parameters.

PURPOSE: This study examined whether a short-term physical or mental training reduces the physiological load and perceived exertion of the in-clothes swimming. METHODS: The study included 24 male inter-collegiate competitive swimmers with no previous experience of the in-clothes swimming. Prior to the training, the subjects performed 200-meter swimming with two styles of swimming, namely the crawl and elementary backstroke, and the degree of perceived exertion in the Borg scale, heart rate, and blood lactic acid level were determined. Following this baseline determination, the subjects were divided into 4 groups with 6 individuals each. These four groups were Group A "in-clothes training", Group B "image training", Group C "swimsuit training", and Group N "no training". Group A and C were lectured on the in-clothes swimming and practiced 7.5 min-long in-clothes swimming per day for a week with the two swimming styles, with Group A subjects wearing daily clothes and Group C subjects in swimsuits. Group B received 15 min of nonphysical mental practice primarily through viewing video recording of swimming performance everyday for a week. No training was given to Group N. At the completion of the training session, the subjects underwent the 2nd 200-meter swimming, and the physiological parameters were determined. RESULTS: The 1st in-clothes swimming load test showed that the elementary backstroke swimming resulted in significantly lower values of heart rate, blood lactic acid level, and perceived exertion than the crawl. For Group N, no difference was observed in the physiological parameters between the 1st and 2nd load test with either the elementary backstroke or crawl. Upon the 2nd in-clothes load test with the elementary backstroke, all three parameters were lower for Group A, B, and C than those seen for the 1st load test, and these differences were statistically significant, except for blood lactic acid in Group A. The 2nd in-clothes load test with the crawl showed that both heart rate and blood lactic acid were lower than those of the 1st load test for all three groups, with the differences in heart rate and blood lactic acid in Group A and that in blood lactic acid in Group B reaching the statistic significance. With respect to perceived exertion, the Borg score determined after the in-clothes load test with the crawl was significantly reduced for Group A, B, and C. The score after the in-clothes load test with the elementary backstroke was significantly reduced only for Group A. CONCLUSION: The elementary backstroke, when practiced in-clothes, imposes a relatively less physiological load. The present training methods can reduce physiological load and/or perceived exertion of the in-clothes swimming. Thus, both image training and swimsuit swimming are equally effective as a training method of the in-clothes swimming.

Adult↗

Environmental mappings as a basis for the formulation of clothing demands.

The basic functional demands on working clothes are protection and comfort. These basic demands are determined by the three variables: (1) level of activity of the worker, (2) environmental pollution and impacts, (3) surrounding climate. The environmental mapping is a systematic method to detect, quantify and analyse the demands on working clothes in different working situations. A pilot study was carried out in Swedish industry to investigate the general conditions regarding working clothes and to find the correspondence between clothing demands and environmental factors. The second study was motivated by clothing problems in the mechanical engineering industry. In both studies the three determining variables for the clothing of each interviewed person were given certain code values according to their measured or graded values. The pilot study confirmed the theoretical model for work classification. The model serves as an instrument for finding relevant clothing demands for clothing development and clothing procurement, and as a source of information for the workers so that they can check the clothing demands for their own working conditions. In the study of the mechanical engineering industry all 310 interviewed workers with 20 different professions could be divided into three groups with different clothing demands. These quantified functional clothing demands were transformed into certain demands in terms of textile material and model design. The development work finally resulted in new clothes, an overall and bib-and-brace trousers in various suitable materials.

Journal Article↗

Pesticide personal protective clothing.

A fairly large established data base provides information on clothing worn by U.S. and Canadian farmers to work with pesticides, their attitudes and beliefs about pesticide risk, and clothing as a dermal barrier. Very limited similar data are available for farmers in less developed countries. Clearly, farmers perceive the benefits of pesticides to far exceed any risks. While few report poisoning symptoms, most believe that their usual work clothing offers a sufficient pesticide barrier, and few wear special-purpose protective clothing. Gloves of various materials, including cotton and leather, appear to be the major protective clothing item. Although farmers feel that their usual work clothing provides excellent protection, fabric penetration research does not support this. Shirting-weight fabrics offer some limited protection against light spray of field-strenght pesticides. Heavier-weight fabrics, such as denim and twill, are better barriers. With a heavier spray or a spill, usual work clothing does not give sufficient protection. Greater protection can usually be achieved with the use of a fluorocarbon finished fabric, such as Scotchgard or Zepel. Scotchgard can readily be applied at home. A durable-press finish does not appear to improve fabric's pesticide-barrier resistance and some data suggest that it may decrease barrier properties. A second alternative for increased protection is the use of a special-purpose fabric, such as a coated nonwoven or possibly Gore-Tex. Numerous other new "waterproof breathable" fabrics have recently come to the market. Many of these are finished or coated fabrics and one would expect them to be at least somewhat resistant to pesticides. However, they have not been tested. Wearing an additional layer also appears to be another clothing strategy to minimize exposure. Fabric penetration research also shows that pesticide formulation, volume or spray regime, concentration, and active ingredients influence the barrier properties of fabrics. Clothing evaluation studies have shown that protective clothing and coveralls of various materials and designs were effective in reducing exposure. Results of some of these studies suggested that the farmer's typical work clothing was more effective than fabric penetration results suggested. This apparent conflict is not surprising, given the methods used in both types of research. The field studies use pads placed in various areas under the clothing. This method assumes that exposure is uniform over entire body regions. But fluorescent tracer research has shown that this is not a valid assumption (DeJonge et al. 1985; Fenske 1988). Also, the way in which the pads are attached may make a difference, although no research has examined this issue.(ABSTRACT TRUNCATED AT 400 WORDS)

Agricultural Workers' Diseases↗

Effects of training and acclimation on heat tolerance in exercising men wearing protective clothing.

This study examined the effectiveness of endurance training and heat acclimation in reducing the physiological strain imposed by exercising in the heat while wearing protective clothing. Seven young men underwent 8 weeks of physical training [60-80% maximal aerobic power (VO2max) for 30-45 min.day-1, 3-4 days.week-1 at < 25 degrees C] followed by 6 days of heat acclimation (45-55% VO2max for 60 min.day-1 at 40 degrees C, 30% relative humidity). Nine other young men underwent corresponding periods of control observation and heat acclimation. Before and after each treatment, subjects completed a treadmill walk (4.8 km.h-1, 2% grade) in a climatic chamber (40 degrees C, 30% relative humidity), wearing in turn normal combat clothing or clothing protecting against nuclear, biological, and chemical (NBC) agents. Criteria for halting this test were: (1) a rectal temperature (T(re)) of 39.3 degrees C; (2) a heart rate (fc) > or = 95% of the subject's observed maximum, maintained for 3 min; (3) unwillingness of the subject to continue; (4) the elapse of 120 min. The training regimen increased mean VO2max by 16% and mean plasma volume by 8%. When tested in normal combat clothing, the rates of increase in T(re) and fc were slower after training. However, when wearing NBC protective clothing, the only significant change induced by training was a higher mean skin temperature (Tsk) in the early part of the test. Heat acclimation increased the mean plasma volume of untrained subjects by 8%, but their VO2max remained unchanged. When tested in normal combat clothing, acclimation decreased their mean values of T(re), Tsk, fc, and metabolic rate. When wearing NBC protective clothing, the only significant decrease after acclimation was in overall T(re). In trained subjects, heat acclimation induced no further improvement in any physiological variable when wearing normal combat clothing, but reduced overall T(re) and Tsk when wearing NBC protective clothing. Training- or acclimation-induced increases of sweat secretion (an average increment of 0.14-0.23 kg.h-1) were not accompanied by any statistically significant increase in sweat evaporation when wearing NBC protective clothing. Moreover, tolerance times were unchanged in either normal combat (116-120 min) or NBC protective clothing (47-52 min). We conclude that neither endurance training nor heat acclimation do much to improve exercise tolerance when wearing NBC protective clothing in hot environments, because any added sweat secretion decreases blood volume and increases discomfort without augmenting body cooling.

Acclimatization↗

Profiles of adolescents' clothing practices: purchase, daily selection, and care.

The purpose of this study was to examine the clothing practices in the daily selection, care, and purchase of clothing by adolescents in order to determine the extent these practices are performed independently or influenced by others, and to identify the factors involved in the activities. Clothing Practice Profiles were developed for both sexes in the three age groups corresponding to divisions in the Oregon 4-H program. The age group comparison revealed increasing frequency of independent activity in all three clothing practice areas (selection, care, and purchase) as age increased. Parental influence appeared to decrease with increasing age. Siblings' influence was minimal. Peer influence on selection and purchase practices increased. Media influence on daily clothing selection practices and clothing purchase practices in terms of wearing or buying identical or similar clothing was minimal. Media influence in advertisements increased with age, but purchases of advertised clothing items remained about the same. Age group comparisons were also made for selection factors and other care and purchase practices, including responsibilities for care of the member's and family's clothing, planning clothing purchases, sources of funds and methods of paying for clothing, use of clothing label information, and purchase factors.

Adolescent↗

Determination of body heat storage: how to select the weighting of rectal and skin temperatures for clothed subjects.

Two methods of estimating body heat storage were compared under differing conditions of clothing and acclimation to heat. Sixteen male subjects underwent 6 consecutive days or two 6-day periods, separated by a 1-day rest period of heat acclimation, exercising 60 min.day-1 at 45%-55% of maximal aerobic power in a hot, dry environment (dry bulb temperature 40 degrees C; relative humidity 30%; and wind speed 0.3 m.s-1). Before and after acclimation, the subjects entered the same environment, wearing either normal light combat clothing or clothing protective against nuclear, biological, and chemical agents; they walked on a treadmill at 1.34 m.s-1, 0% slope continuously (n = 11 for normal clothing) or as repeated 15-min bouts of exercise followed by 15-min sitting rest (n = 5 for normal clothing and n = 16 for protective clothing). Average exposure times were 147 min (preacclimation) and 150 min (postacclimation) for continuous exercise and 150 min (both pre- and postacclimation) for intermittent exercise while wearing normal clothing, and 103 min (preacclimation) and 116 min (postacclimation) for intermittent exercise while wearing protective clothing. Heat storage was determined calorimetrically (from heat gains and heat losses) and thermometrically [using various weightings of rectal temperature (Tre) and mean skin temperature (Tsk)]. There were only minor (<5%) differences in estimated heat storage, whether calculations used a single specific heat (3.47 kJ.kg-1.degree C-1) or a value computed according to the subject's body composition. When wearing normal clothing, a formula with an invariant relative weighting for Tre to Tsk of 4:1 provided the best thermometric estimate of heat storage. When wearing protective clothing, the invariant relative weighting of 4:1 underestimated heat storage by 2%-12%; underestimation was attenuated by using respective relative weightings for a thermoneutral and hot environment of 2:1 and 2:1 or 4:1 and 9:1 before acclimation and 4:1 and 9:1 after acclimation. We conclude that the accuracy of thermometric estimates of heat storage can be improved by modifying the weighting factors according to environment, acclimation, and type of clothing.

Adult↗

Seasonal adaptation of thermal and metabolic responses in men wearing different clothing at 10 degrees C.

Thermoregulatory responses at ambient temperatures of 20 and 10 degrees C in six male subjects wearing two different kinds of clothing were compared between summer and winter. The two different kinds of clothing were one insulating the upper half of the body lightly and the lower half of the body heavily (clothing A, the weight in the upper and lower halves of the body being, respectively, 489 g and 1278 g) and the other insulating the upper half of the body heavily and the lower half of the body lightly (clothing B: 1212 g and 559 g). The major findings are summarized as follow. (i) Rectal temperature was kept significantly higher in clothing B than in clothing A both in summer and winter. (ii) The fall of rectal temperature was significantly greater in summer than in winter in both types of clothing. (iii) Mean skin temperatures and skin temperatures in the face, chest, thigh and leg were significantly lower at Ta of 10 degrees C in summer than in winter in clothing A, while skin temperatures in the face and thigh were also significantly lower at Ta of 10 degrees C in summer than in winter in clothing B. (iv) Metabolic heat production was higher in summer than in winter at 20 and 10 degrees C in both types of clothing. (v) The subjects felt cooler and colder to Ta of 10 degrees C in summer than in winter in both types of clothing. These different responses occurring between summer and winter are discussed mainly in terms of total conductance and dry heat loss.

Acclimatization↗

Clothing, assessment and effects on thermophysiological responses of man working in humid heat.

This paper presents the relative importance of the different factors to be taken into account when predicting thermal exchanges when man is wearing garments while being exposed to warm environments. Factors considered are the thermal insulation of clothing (CLO), the thermal efficiency of clothing (Fcl), the clothing area factor (fcl), the pumping coefficient (p), the vapour permeation efficiency factor (Fpcl). As Fpcl depends on CLO, Fcl,fcl and p factors, physiological assessments of this factor appears to be necessary for the calculation of the maximum evaporative capacity (Emax) in clothed subjects. In this paper, comparisons of body temperatures, whole body and local sweating were made from data obtained on both unclothed and then clothed subjects working at 50 watts on a cycloergometer in warm environments (Ta = Tr = Tsk), with increasing ambient humidity levels (Pa). Results showed that clothed subjects sweated more than unclothed man for the same Pa increases and hidromeiosis occurring on the skin of unclothed man seemed to be responsible for this. Sweat accumulation in the clothes confirms that the decrease in the evaporative sweat efficiency for clothed subjects was closely associated with the threshold for occurrence of core temperature drift. However the less important slope in the Tcore vs delta Pa relationship for clothed subjects compared to that for unclothed implies a more efficient body cooling thanks to clothing, which does not lead to as great a physiological disadvantage as expected. Pumping effect and additional concurrent evaporation could account for this phenomenon: the ISO model (Required sweat rate) which includes an additional air velocity as a function of metabolism allows us to consider this beneficial influence of increased Emax in clothed subjects. However this effect should not be considered when the model is used for unclothed subjects.

Adult↗

Combined effects of fabric air permeability and moisture absorption on clothing microclimate and subjective sensation during intermittent exercise at 27 degrees C.

The present paper aimed at determining the combined effects of two different levels of air permeability and moisture absorption, in terms of clothing microclimate and subjective sensation, in resting and exercising subjects at an ambient temperature of 27 degrees C, a relative humidity of 50% and an air velocity of 0.14 m s-1. Three kinds of clothing ensemble were investigated: (1) polyester clothing with low moisture absorption and low air permeability (A), (2) polyester clothing with low moisture absorption and high air permeability (B), and (3) cotton clothing with high moisture absorption and high air permeability (C). The subjects exercised for 10 min on a cycle ergometer at an intensity of 30% maximal oxygen uptake and then had a 10 min rest. This sequence was repeated four times. The main findings are summarized as follows: (1) The clothing microclimate humidity in the back area was significantly higher in A than in B, and in C than in B. (2) The clothing microclimate temperature in the chest area was significantly higher in B than in A, and in B than in C. (3) The clothing microclimate temperature in the back area was significantly higher in C than in B. (4) The clothing surface temperature was significantly higher in C than in B. (5) Although the positive relationships between the microclimate humidity and forearm sweat rate was significantly confirmed in all three kinds of clothing, the microclimate humidity at chest for the same sweat rate was lower in C than in A and B. (6) Although the positive relationships between subjective sensation and forearm sweat rates were significantly confirmed in all three kinds of clothing, the subjective discomfort seemed to be reduced more effectively in C than in A and B for the same sweat rate. These results were discussed in terms of thermal physiology and combined effects of air permeability and moisture absorbency of the fabrics.

Absorption↗

The effects of wind and human movement on the heat and vapour transfer properties of clothing.

This paper integrates the research presented in the papers in this special issue of Holmér et al. and Havenith et al. [Holmér, I., Nilsson, H., Havenith, G., Parsons, K. C. (1999) Clothing convective heat exchange: proposal for improved prediction in standards and models. Annals of Occupational Hygiene, in press; Havenith, G., Holmér, I., den Hartog, E. and Parsons, K. C. (1999) Clothing evaporative heat resistance: proposal for improved representation in standards and models. Annals of Occupational Hygiene, in press] to provide a practical suggestion for improving existing clothing models so that they can account for the effects of wind and human movement. The proposed method is presented and described in the form of a BASIC computer program. Analytical methods (for example ISO 7933) for the assessment of the thermal strain caused by human exposure to hot environments require a mathematical quantification of the thermal properties of clothing. These effects are usually considered in terms of 'dry' thermal insulation and vapour resistance. This simple 'model' of clothing can account for the insulation properties of clothing which reduce heat loss (or gain) between the body and the environment and, for example, the resistance to the transfer of evaporated sweat from the skin, which is important for cooling the body in a hot environment. When a clothed person is exposed to wind, however, and when the person is active, there is a potentially significant limitation in the simple model of clothing presented above. Heat and mass transfer can take place between the microclimate (within clothing and next to the skin surface) and the external environment. The method described in this paper 'corrects' static values of clothing properties to provide dynamic values that take account of wind and human movement. It therefore allows a more complete representation of the effects of clothing on the heat strain of workers.

Bias↗

Clothing insulation in a hypobaric environment.

HYPOTHESIS: Clothing insulation is the result of complex interactions between heat transfer mechanisms and clothing material thermal resistances. Hypobaria changes the heat transfer processes therefore should have observable effects on the clothing insulation. METHODS: The effect of hypobaria on the thermal insulative properties of U.S. Army fatigue uniform (BDU) and U.S. Army chemical protective overgarment (BDO) were examined Barometric pressure of 429 mmHg, comparable to the condition at terrestrial elevation of 4570 m (15,000 ft) above sea level was created in a hypobaric chamber. The sea level environment was used as a baseline condition. RESULTS: Our data support a diminished convective heat transfer and an enhanced evaporative heat transfer at higher altitude. We also found that hypobaria had only a small effect on the intrinsic clothing insulation values. For the less insulative BDU, hypobaria did not appreciably affect clothing insulation values. For the more insulative BDO, a maximum difference of 0.2 clo (clo = 0.155 m2.K.W-1) was found between hypobaric and normobaric environments. CONCLUSION: Heavy clothing insulation forced the heat transfer processes at the skin surface to operate almost independently from those at the clothing surface. At the skin surface, evaporation was the dominant process, while at the outer clothing surface, convection dominated. At higher altitude, enhanced evaporative heat transfer resulted in a lower skin temperature, while reduced convective heat transfer hampered heat dissipation from clothing surface to the ambient environment, hence elevating the clothing temperature. Therefore, in hypobaric environment, the skin temperature was found to be lower, but the clothing temperature higher than at sea level.

Adolescent↗

Potential applications of smart clothing solutions in health care and personal protection.

The rapid development in the fields of sensor and telecommunication technologies has created completely new possibilities also for the textile and clothing field. New smart textile and clothing systems can be developed by integrating sensors in the textile constructions. Application fields for these added-value products are e.g. protective clothing for extreme environments, garments for the health care sector, technical textiles, sport and leisure wear. Some products have already been introduced on the markets, but generally it can be stated that the development is only in its starting phase, and the expectations for the future are big. Many different aspects have to be considered in the development of the wearable technology products for the health care sector: medical problems and their diagnosis, sensor choice, data processing and telecommunication solutions, clothing requirements. A functional product can be achieved only if all aspects work together, and therefore experts from all fields should participate in the RTD projects. In the EC-funded project DE3002 Easytex clothing and textiles for disabled and elderly people were investigated. Some recommendations concerning durability, appearance, comfort, service and safety of products for different special user groups were defined, based on user questionnaires and seminars, general textile and clothing requirements and on laboratory test series."Clothing Area Network--Clan" is a research project aiming to develop a technical concept and technology needed in enabling both wired and wireless data and power transfer between different intelligent modules (user interfaces, sensors, CPU's, batteries etc.) integrated into a smart clothing system. Fire-fighters clothing system is chosen as the development platform, being a very challenging application from which the developed technology can be transferred to other protective clothing systems.

Absorbent Pads↗

Relationship between clothing ventilation and thermal insulation.

Air layers trapped within a clothing microenvironment contribute to the thermal insulation afforded by the ensemble. Any exchange of air between the external environment and these trapped air layers results in a change in the ensemble's thermal insulation and water vapor resistance characteristics. These effects are seldom taken into account when considering the effects of clothing on human heat balance, the thermal characteristics usually being restricted to intrinsic insulation and intrinsic evaporative resistance measurements on static manikins. Environmental assessments based on these measurements alone may therefore lead to under-(or over-) estimation of thermal stress of the worker. The aim of this study was to quantify the relationship between clothing ventilation and thermal insulation properties. A one-layer, air-impermeable ensemble and a three-layer, air-permeable ensemble were tested using an articulated, thermal manikin in a controlled climate chamber (ta = tr = 10 degrees C, PaH2O = 0.73 kPa). The manikin, which was designed for thermal insulation measurements, was also equipped with a system to determine clothing ventilation. Baseline measurements of clothing ventilation (VT) and thermal insulation (total clothing insulation: I(T)--measured, intrinsic insulation: Icl--calculated) were made of the clothing with the manikin standing stationary in still air conditions. Increased clothing ventilation was induced when the manikin "walked" (walking speeds of 0.37 m/sec and 0.77 m/sec) and by increasing the environmental air speed (Va = 1.0 m/sec). These increases in VT reduced Icl, this being ascribed to the increased heat transfer from the manikin skin surface to the cooler external environment due to the exchange of air between the clothing microenvironment and the external environment. Measured air exchanges were shown to have a potential heat exchange capacity of up to 17 and 161 W/m2 for the one- and three-layer ensembles, respectively, emphasizing the need to take clothing ventilation characteristics into consideration during thermal audits and thermal risk assessments.

Body Temperature Regulation↗

Burns and military clothing.

Burn injury is a ubiquitous threat in the military environment. The risks during combat are well recognised, but the handling of fuel, oil, munitions and other hot or flammable materials during peacetime deployment and training also imposes an inherent risk of accidental burn injury. Over the last hundred years, the burn threat in combat has ranged from nuclear weapons to small shoulder-launched missiles. Materials such as napalm and white phosphorus plainly present a risk of burn, but the threat extends to encompass personnel in vehicles attacked by anti-armour weapons, large missiles, fuel-air explosives and detonations/conflagrations on weapons platforms such as ships. Large numbers of burn casualties were caused at Pearl Harbor, in Hiroshima and Nagasaki, Vietnam, during the Arab/Israeli Wars and in the Falkland Islands conflict. The threat from burns is unlikely to diminish, indeed new developments in weapons seek to exploit the vulnerability of the serviceman and servicewoman to burns. Clothing can be a barrier to some types of burn--both inherently in the properties of the material, but also by trapping air between clothing layers. Conversely, ignition of the clothing may exacerbate a burn. There is hearsay that burnt clothing products within a wound may complicate the clinical management, or that materials that melt (thermoplastic materials) should not be worn if there is a burn threat. This paper explores the incidence of burn injury, the mechanisms of heat transfer to bare skin and skin covered by materials, and the published evidence for the complication of wound management by materials. Even light-weight combat clothing can offer significant protection to skin from short duration flash burns; the most vulnerable areas are the parts of the body not covered--face and hands. Multilayered combat clothing can offer significant protection for short periods from engulfment by flames; lightweight tropical wear with few layers offers little protection. Under high heat loads in the laboratory, combat clothing can ignite, but there is little evidence that clothing ignition is a common occurrence in military burn casualties. Thermoplastic materials have many benefits in civil and military clothing. There is little objective evidence that they exacerbate burns, or complicate burn management. Their use in military clothing must be based on objective evidence, not hearsay.

Burns↗

Weighing Vietnamese children: how accurate are child weights adjusted for estimates of clothing weight?

Children who are weighed for growth monitoring are frequently clothed, especially in the cold weather. Health workers commonly estimate and subtract the weight of these clothes, but the accuracy of these estimates is unknown. We assessed the accuracy of child weights adjusted for estimated clothing typical of hot, cold, and extremely cold ambient temperatures. Trained field workers weighed a sample of 212 children 6 to 42 months old from the ViSION project, adjusted the weights using a job aid describing the weights of common clothing by season and age, and then weighed the clothing to calculate the actual clothing and child weights. Fieldworker estimates of the weight of the clothing that children wore during weighing were remarkably good. In nearly all cases (207 of 212; 97.7%), the difference between the estimated and actual clothing weight was less than the precision of the child scales (+/- 50 g), and most (181 of 212; 84.5%) were within 25 g. Thus, the calculated child weights were, in fact, equivalent to the actual child weights. Using simulations, we found that improperly accounting for clothing weight can overestimate weight-for-age by 0.1 to 0.4 Z score. Accurate weights are possible, even under adverse conditions. Our training methods, clothing album, and job aid might benefit nutrition research and programming in Viet Nam as well as settings with colder climates.

Body Weight↗