Critical environmental limits for young, healthy adults (PSU HEAT)

Critical environmental limits are those combinations of ambient temperature and humidity above which heat balance cannot be maintained for a given metabolic heat production, limiting exposure time and placing individuals at increased risk of heat-related illness. The aim of the present study was to establish those limits in young (18-34 yr) healthy adults during low-intensity activity approximating the metabolic demand of activities of daily living. Twenty-five (12 men/13 women) subjects were exposed to progressive heat stress in an environmental chamber at two rates of metabolic heat production chosen to represent minimal activity (MinAct) or light ambulation (LightAmb). Progressive heat stress was performed with either (1) constant dry-bulb temperature (Tdb) and increasing ambient water vapor pressure (Pa) (Pcrit trials; 36, 38, or 40 °C), or (2) constant Pa and increasing Tdb (Tcrit trials; 12, 16, or 20 mmHg). Each subject was tested during MinAct and LightAmb in 2-3 experimental conditions in random order, for a total of 4-6 trials per participant. Higher metabolic heat production (p < 0.001) during LightAmb compared to MinAct trials resulted in significantly lower critical environmental limits across all Pcrit and Tcrit conditions (all p < 0.001). These data, presented graphically herein on a psychrometric chart, are the first to define critical environmental limits for young adults during activity resembling those of light household tasks or other activities of daily living, and can be used to develop guidelines, policy decisions, and evidence-based alert communications to minimize the deleterious impacts of extreme heat events.

PSII-6 Electronically controlled cooling pads improve litter growth and thermoregulatory measures and increase total heat production in heat stressed lactating sows

Heat stress (HS) decreases lactation output in sows due to an attempt to reduce metabolic heat production; however, this negatively affects litter growth performance. Therefore, the study objective was to determine whether electronically controlled cooling pads (ECP) would improve indirect measures of lactation output (e.g., metabolic heat production) and litter growth performance in HS exposed sows. Over two repetitions, 12 multiparous (2.69 ± 0.85) lactating sows (265.4 ± 26.1 kg) and litters were assigned to either an ECP (n = 6) or a non-functional ECP (NECP; n = 6) and placed into farrowing crates within indirect calorimeters from d 3.7 ± 0.5 to d 18.7 ± 0.5 of lactation. Litters were standardized across all sows (11.4 ± 0.7 piglets/litter), and sows were provided ad libitum feed and water. All sows were exposed to cyclical HS (28.27 ± 1.42°C nighttime to 35.14 ± 0.70°C daytime). On d 4, 8, 14, and 18 of lactation, indirect calorimetry was performed on each individual sow and litter to determine total heat production (THP). Body temperature (TB), was measured hourly using vaginal implants, and respiration rate (RR) was measured daily at 0700, 1100, 1300, 1500, and 1900 h. Litter weights were obtained at birth and weaning. An overall decrease (P &lt; 0.01; 25 bpm) in RR and maximum daily TB (P = 0.02; 0.40°C) was observed in ECP versus NECP sows. An increase in THP (P &lt; 0.01; 20.4%) and THP/kg0.75 (P &lt; 0.01; 23.1%) was observed for ECP when compared to NECP sows and litters. Litter growth rate was increased (P &lt; 0.01; 20.8%) in ECP versus NECP sows. In summary, the use of ECP improves litter growth, thermoregulatory measures, and bioenergetic parameters associated with greater milk production in lactating sows exposed to cyclical heat stress.

Comparison of Electric Resistive Heating Pads and Forced-Air Warming for Pre-hospital Warming of Non-shivering Hypothermic Subjects

Introduction Victims of severe hypothermia require external rewarming, as self-rewarming through shivering heat production is either minimal or absent. The US Military commonly uses forced-air warming in field hospitals, but these systems require significant power (600–800 W) and are not portable. This study compared the rewarming effectiveness of an electric resistive heating pad system (requiring 80 W) to forced-air rewarming on cold subjects in whom shivering was pharmacologically inhibited. Materials and Methods Shivering was inhibited by intravenous meperidine (1.5 mg/kg), administered during the last 10 min of cold-water immersion. Subjects then exited from the cold water, were dried and lay on a rescue bag for 120 min in one of the following conditions: spontaneous rewarming only (rescue bag closed); electric resistive heating pads (EHP) wrapped from the anterior to posterior torso (rescue bag closed); or, forced-air warming (FAW) over the anterior surface of the body (rescue bag left open and cotton blanket draped over warming blanket). Supplemental meperidine (to a maximum cumulative dose of 3.3 mg/kg) was administered as required during rewarming to suppress shivering. Results Six healthy subjects (3 m, 3 f) were cooled on three different occasions, each in 8°C water to an average nadir core temperature of 34.4 ± 0.6°C (including afterdrop). There were no significant differences between core rewarming rates (spontaneous; 0.6 ± 0.3, FAW; 0.7 ± 0.2, RHP; 0.6 ± 0.2°C/h) or post-cooling afterdrop (spontaneous; 1.9 ± 0.4, FAW; 1.9 ± 0.3, RHP; 1.6 ± 0.2°C) in any of the 3 conditions. There were also no significant differences between metabolic heat production (S; 74 ± 20, FAW; 66 ± 12, RHP; 63 ± 9 W). Total heat gain was greater with FAW (36 W gain) than EHP (13 W gain) and spontaneous (13 W loss) warming (p < 0.005). Conclusions Total heat gain was greater in FAW than both EHP, and spontaneous rewarming conditions, however, there were no observed differences found in rewarming rates, post-cooling afterdrop or metabolic heat production. The electric heat pad system provided similar rewarming performance to a forced-air warming system commonly used in US military field hospitals for hypothermic patients. A battery-powered version of this system would not only relieve pressure on the field hospital power supply but could also potentially allow extending use to locations closer to the field of operations and during transport. Such a system could be studied in larger groups in prospective trials on colder patients.

Does Similar Whole Body Cooling Induce Gender-Specific Attention Stability Deterioration?

Background. There is evidence of greater whole body cooling induced unpredictable task switching and memory deterioration in men than in women; however, it is not known how whole body cooling affects attention stability. This study aimed at identifying if there are any gender-specific differences in the effect of cold water immersion-induced stress on attention stability.Methods. Thirteen men and thirteen women were exposed to acute cold stress by immersion in 14°C water until rectal temperature reached 35.5°C or for a maximum of 170 min. Thermoregulatory response (i.e. changes of body temperature and metabolic heat production) and attention stability response (i.e. Schulte table (less cognitively demanding task) and Schulte-Gorbov table (more cognitively demanding task)) were monitored.Results. During cold stress, body temperature variables decreased (p < .05) and did not differ between genders. Metabolic heat production was greater (p < .05) in men than in women. Body cooling significantly increased (p < .05) the duration of Schulte table performance for both genders, whereas an increase (p < .05) of the duration of Schulte-Gorbov table performance was observed only in men. Conclusion. This is the first study to find the evidence supporting the idea of gender-specific and task-dependent attention stability response after whole body cooling. Whole body cooling induced stress had similar influence on simple attention stability task in men and women, whereas more complex task was adversely affected only in men. This greater men’s decrement of complex task performance can be associated with their greater catecholamines-induced metabolic heat production.Keywords: men, women, cognitive performance, metabolic heat production, shivering.