Esophageal and tympanic temperature responses to core blood temperature changes during hyperthermia

Esophageal, rectal, tympanic, and central blood temperature, i.e., pulmonary artery and aortic arch, were recorded in three patients during iatrogenic whole-body hyperthermia for the treatment of advanced malignant metastatic cancer. Aortic temperature closely followed changes in pulmonary arterial temperature, with an average delay time of 27 s. Esophageal temperature reflected quantitatively and more quickly (avg lag time, 80 s) the temperature changes in the pulmonary artery than tympanic membrane temperature. Tympanic temperature was consistently lower than the blood temperature of the heart during steady state. Therefore it is suggested that esophageal temperature is a preferable index of central blood temperature. Additionally, measurement of esophageal temperature can be made more easily and safely than tympanic membrane temperature.     

Respiratory heat loss and core temperatures during submaximal exercise

1. 1. This study examined the effect of inhaling air supersaturated with water on changes of core temperatures in submaximally exercising males.

2. 2. During exercise with inhalation of supersaturated relative to low-air-humidity air, a significant elevation in tympanic temperature (P = 0.009) and a significant decrease in esophageal temperature (P = 0.004) were observed.

3. 3. Forehead skin temperatures significantly decreased during humidified air inhalation (P = 0.02) supporting that this treatment induced greater thermolytic responses that cooled the skin.

4. 4. The results are consistent with the conclusion that heat loss from the upper airways directly influenced human cerebral temperatures as indexed by tympanic temperatures.

     

Differential heating of trunk and extremities. Effects on thermoregulation mechanisms

Experiments in which the whole human body was heated or cooled are compared with others in which one extremity (arm or leg) was simultaneously cooled or heated. With a warm load on the rest of the body resulting in general sweating, a cold load on one extremity did not evoke local shivering; with general body cooling, heating one limb did not stop the shivering. Skin temperatures of the other parts of the body were not influenced by warming or cooling one extremity. Evaporative heat loss was influenced by local, mean skin and core temperature, whereas shivering did not depend on local temperature, and vasomotor control seemed to be controlled predominantly by central temperatures. A cold load on an extremity during whole body heating in most cases induced an oscillatory behaviour of core temperature and of the evaporative heat loss from the body and the extremity. It is assumed that local, mean skin and core temperatures influence the three autonomous effector systems to very different degree.     

Temperature and life history: experimental heating leads female tree swallows to modulate egg temperature and incubation behaviour

1. Life-history decisions are strongly affected by environmental conditions. In birds, incubation is energetically expensive and affected significantly by ambient temperature. We reduced energetic constraints for female tree swallows (Tachycineta bicolor) by experimentally heating nests during incubation by an average of 6.9 degrees C to test for changes in incubation behaviour. 2. Females in heated boxes (hereafter 'heated females') increased time spent incubating and maintained higher on-bout and off-bout egg temperatures. This indicates that female energetic constraints, not maximizing developmental conditions of offspring, determine incubation investment. Furthermore, this result suggests that embryonic developmental conditions in unmanipulated nests are suboptimal. 3. We found individual variation in how females responded to experimental heating. Early-laying (i.e. higher phenotypic quality) females with heated nests increased egg temperatures and maintained incubation constancy, while later-laying (lower quality) heated females increased incubation constancy. Changes in egg temperature were due to changes in female behaviour and not due directly to increases in internal nest-box temperatures. 4. Behaviour during the incubation period affected hatching asynchrony. Decreased variation in egg temperature led to lower levels of hatching asynchrony, which was also generally lower in heated nests. 5. Our study finds strong support for the prediction that intermittent incubators set their incubation investment at levels dictated by energetic constraints. Furthermore, females incubating in heated boxes allocated conserved energy primarily to increased egg temperature and increased incubation attentiveness. These results indicate that studies investigating the role of energetics in driving reproductive investment in intermittent incubators should consider egg temperature and individual variation more explicitly.     

Skin temperature changes in humans induced by local peripheral cooling

Local peripheral cooling (immerson of legs up to the knees into 12°C water) increased heart rate and blood pressure by 10–20% within the first 3–10 min of cooling. During further cooling heart rate remained elevated, while systolic and diastolic blood pressures decreased to the control value. Data on heart rate indicate a permanent activation of the sympathetic nervous system during local cooling.Skin temperatures (measured topically by thermosensors) decreased on some non-cooled areas of the body (fingers, palms and thighs) immediately after the start of local cooling. On the other hand, skin temperatures on chest and forehead were not influenced. During cooling skin temperatures on thighs remained low, but skin temperatures on fingers tended to increase. Changes in skin temperatures on non-cooled areas of the body indicate that a permanent and generalized activation of the sympathetic nervous system occurs during local cooling.Cold induced cycles of vasodilation (CIVD) were observed on fingers, palms and forearms during local cooling. Minute cycles in skin temperatures were observed on forehead, thighs and chest. Minute cycles coincided with those in the heart rate, indicating a permanent, generalized but discontinuous control of vasomotion by the sympathetic nervous system during local cooling.Infrared thermographic recordings from different body areas indicated that local peripheral cooling lowered skin temperatures in all areas of the body within 5 min. Distant areas of the body (extremities) and pectoral muscles showed greater hypothermia than abdominal areas and head. After 10 min of cooling average skin temperatures in all areas of the body returned to the original level and further fluctuated at approximately 10–15 min intervals.Data indicate that during local cooling skin blood flow in all areas of the body surface permanently fluctuates forming a mosaic of dynamic changes in skin temperatures. Since tympanic temperature increases, while skin temperature decreases immediately after the start of the local cooling, it appears that the initial vasoconstrictor response is being controlled independently of the central temperature input.     

Relationship between body heat content and finger temperature during cold exposure.

The purpose of the present experiment was to examine the relationship between rate of body heat storage (S), change in body heat content (DeltaH(b)), extremity temperatures, and finger dexterity. S, DeltaH(b), finger skin temperature (T(fing)), toe skin temperature, finger dexterity, and rectal temperature were measured during active torso heating while the subjects sat in a chair and were exposed to -25 degrees C air. S and DeltaH(b) were measured using partitional calorimetry, rather than thermometry, which was used in the majority of previous studies. Eight men were exposed to four conditions in which the clothing covering the body or the level of torso heating was modified. After 3 h, T(fing) was 34.9 +/- 0.4, 31.2 +/- 1.2, 18.3 +/- 3.1, and 12.1 +/- 0.5 degrees C for the four conditions, whereas finger dexterity decreased by 0, 0, 26, and 39%, respectively. In contrast to some past studies, extremity comfort can be maintained, despite S that is slightly negative. This study also found a direct linear relationship between DeltaH(b) and T(fing) and toe skin temperature at a negative DeltaH(b). In addition, DeltaH(b) was a better indicator of the relative changes in extremity temperatures and finger dexterity over time than S.     

Effects of color temperature of fluorescent lamps on body temperature regulation in a moderately cold environment

A study on the effects of different color temperatures of fluorescent lamps on skin and rectal temperatures in a moderately cold environment involving (i) changes in skin temperature of 7 male subjects exposed to an ambient temperature ranging from 28 degrees C to 18 degrees C (experiment I) and (ii) changes in skin and rectal temperatures and metabolic heat production of 11 male subjects exposed to ambient temperature of 15 degrees C for 90 min (Experiment II) was conducted. In Experiment I, the reduction of mean skin temperature from the control value was significantly greater under 3000 K than under 5000 K or 7500 K lighting. In Experiment II, the reductions in mean skin temperature and rectal temperature were respectively greater and smaller under 3000 K than those under 5000 K or 7500 K lighting. However, metabolic heat production was not affected by color temperature conditions. The relationships between morphological and physiological parameters revealed that no significant relation of rectal temperature to body surface area per unit body weight was found only under 3000 K. Furthermore, while the mean skin temperature was independent on the mean skinfold thickness under 3000 K, a significant negative correlation between the rectal and mean skin temperatures was observed. Therefore, body heat loss might be suppressed effectively by increasing the vasoconstrictor tone under a color temperature of 3000 K, and the body shell was dependent only on morphological factors under 5000 K and 7500 K lighting.     

Tympanic temperatures during hemiface cooling

In adult men the left half of the head was covered with thick heat insulation, and the right hemiface was cooled by spraying a mist of water, and vigorous fanning. The subjects were immersed up to the waist in warm water (42 degrees) to achieve hyperthermia. In control sessions the subjects were rendered slightly hypothermic by preliminary exposure to cold. Under the hypothermic condition during right skin cooling, the right Tty remained low as compared with oesophageal temperature, while the left Tty was raised. Under the hyperthermic condition right hemiface cooling maintained not only the right Tty lower than oesophageal but also, to a lesser extent the left Tty, while the skin on the left side was close to core temperature. This latter result cannot be explained by conductive cooling from the skin to the tympanic membrane and implies a vascular cooling of the left Tty originating from the other side of the head. It is concluded that selective cooling of the brain takes place during hyperthermia. The main mechanism is forced vascular convection, but conductive cooling also occurs.     

Finger dexterity, skin temperature, and blood flow during auxiliary heating in the cold.

The primary purpose of the present study was to compare the effectiveness of two forms of hand heating and to discuss specific trends that relate finger dexterity performance to variables such as finger skin temperature (T(fing)), finger blood flow (Q(fing)), forearm skin temperature (T(fsk)), forearm muscle temperature (Tfmus), mean weighted body skin temperature (Tsk), and change in body heat content (DeltaH(b)). These variables along with rate of body heat storage, toe skin temperature, and change in rectal temperature were measured during direct and indirect hand heating. Direct hand heating involved the use of electrically heated gloves to keep the fingers warm (heated gloves condition), whereas indirect hand heating involved warming the fingers indirectly by actively heating the torso with an electrically heated vest (heated vest condition). Seven men (age 35.6 +/- 5.6 yr) were subjected to each method of hand heating while they sat in a chair for 3 h during exposure to -25 degrees C air. Q(fing) was significantly (P < 0.05) higher during the heated vest condition compared with the heated gloves condition (234 +/- 28 and 33 +/- 4 perfusion units, respectively), despite a similar T(fing) (which ranged between 28 and 35 degrees C during the 3-h exposure). Despite the difference in Q(fing), there was no significant difference in finger dexterity performance. Therefore, finger dexterity can be maintained with direct hand heating despite a low Q(fing). DeltaH(b), Tsk, and T(fmus) reached a low of -472 +/- 18 kJ, 28.5 +/- 0.3 degrees C, and 29.8 +/- 0.5 degrees C, respectively, during the heated gloves condition, but the values were not low enough to affect finger dexterity.     

Effect of uniform and non-uniform skin temperature on thermal exchanges in water in humans

We investigated the effect of uniform (UST) and non-uniform (NUST) skin temperature on thermal exchanges during a 3-h water immersion in five male subjects wearing (NUST) or not wearing (UST) a water-perfused garment. UST was achieved by immersing the nude subject in water up to the neck. For each subject, the water temperature was adjusted to the critical temperature ( T(cw), 31.4 +/- 0.9 degrees C) or 3 degrees C below T(cw) ( T(cw) - 3). NUST was achieved by perfusing different segments of the perfused garment with water of different temperatures. The water temperature of the segment was independently adjusted according to the skin temperature distribution in cold air, the mean skin temperature being the same as the UST. At T(cw) and T(cw) - 3, changes in esophageal and mean skin temperatures were identical in UST and NUST conditions, but the skin temperature of the trunk was higher and that of the limb was lower in the NUST condition. Heat production and the overall skin heat flux at T(cw) were identical in the two conditions, but those at T(cw) - 3 were about 25% lower ( P < 0.05) in NUST than in UST conditions. At T(cw) - 3, the overall tissue insulation was 36% higher ( P < 0.05) in NUST than in UST conditions, mainly because of higher limb insulation. Thermogenesis due to shivering was lower by 62% ( P < 0.05) in NUST than in UST. We conclude that the NUST condition increased tissue insulation and suppressed shivering. This suggests that a high skin temperature of the trunk attenuates shivering in cold water and increases the ability to defend body temperature more economically in cold water.     

Thermal responses to preoptic heating and ambient temperature in unrestrained rabbits

Thermal responses to preoptic heating and ambient temperature in unrestrained rabbits. The preoptic area of two male and two female New Zealand White rabbits was heated by a water perfused thermode, while the animals were exposed to ambient temperatures of −8, 0, 10 and 20°C. Postural changes for heat dissipation were observed immediately following the onset of heating. Metabolism, heart rate, and rectal temperature decreased in response to preoptic heating, while breathing rate and ear pinnae temperature increased. A regular sequence of thermoregulatory responses was observed following the onset of heating. This sequence was determined by the set point for each thermoregulatory response. In 25% of the experiments, a reversal of order within the sequence was observed, implying a relative shift in set point for responses. These changes in sequence may depend on the psychological state of the animal. This leads us to hypothesize a non-temperature sensitive integrative process in the CNS which modifies thermoregulatory responses.     

Heat-induced changes in the membrane fluidity of Chinese hamster ovary cells measured by flow cytometry.

Flow cytometry was used to measure the fluorescence polarization of the lipid probe trimethylammonium-diphenylhexatriene as an indicator of plasma membrane fluidity of Chinese hamster ovary (CHO) cells heated under various conditions. Fluorescence polarization was measured at room temperature about 25 min after heating. When cells were heated for 45 min at temperatures above 42 degrees C, fluorescence polarization decreased progressively, signifying an increase in plasma membrane fluidity. The fluorescence polarization of cells heated at 42 degrees C for up to 55 h was nearly the same as for unheated control populations, despite a reduction in survival. The fluorescence polarization of cells heated at 45 degrees C decreased progressively with heating time, which indicated a progressive increase in membrane fluidity. The fluorescence polarization distributions broadened and skewed toward lower polarization values for long heating times at 45 degrees C. Thermotolerant cells resisted changes in plasma membrane fluidity when challenged with subsequent 45 degrees C exposures. Heated cells were sorted on the basis of their position in the fluorescence polarization distribution and plated to determine survival. The survival of cells which were subjected to various heat treatments and then sorted from high or low tails of the fluorescence polarization histograms was not significantly different. These results show that hyperthermia causes persistent changes in the membrane fluidity of CHO cells but that membrane fluidity is not directly correlated with cell survival.     

Enhanced brain protection during passive hyperthermia in humans

Selective brain cooling during hyperthermia by emissary venous pathways from the skin of the head to the brain has been reported both in animals and humans. Heat protection of the brain extends tolerance to high deep body temperature in animals, and may be enhanced in humans if the head is cooled. In order to quantify to what extent brain protection could be obtained by face fanning, 9 non-anesthetized human volunteers were placed in ambient conditions as close as possible to those of passive therapeutic hyperthermia. Face-fanning maintained tympanic temperature 0.57 degrees C lower than esophageal temperature, and improved comfort. External head cooling techniques enhancing physiological brain cooling can therefore be useful for the protection of the human brain during heat stress or passive therapeutic hyperthermia.     

Body weight and tympanic temperature change in professional rugby league players during night and day games: a study in the field

This study investigated the impact of day and night games in the professional rugby league on body weight and tympanic temperature change in participants. Twenty-five players contracted to an English Super League club had their pre- and postgame body weight and tympanic temperatures recorded during 10 games played during the official professional rugby league season, representing a total of 165 player appearances. The mean (+/-SD) ambient temperature and relative humidity was 12.3 degrees C (+/-6.0) and 83.3% (+/-11.4), respectively. Body weight was recorded using a set of calibrated Soehnle digital scales with players wearing underwear only and towel-dried of all sweat (postmatch). Tympanic temperature was recorded using a Braun ThermoScan Pro LT instant thermometer. Players were allowed to ingest fluid ad libitum throughout each match. Wet and dry bulb temperatures were recorded at the commencement and completion of each match. Significant changes in pregame to postgame body weight and tympanic temperature were found, but these were not influenced by the time of day that the game was played. The mean decrease in body weight was 0.86 kg (SE 0.085, p < 0.000), and the mean increase in tympanic temperature was 0.34 degrees C (SE 0.070, p < 0.000). No significant differences in body weight or tympanic temperature change were found between forwards and backs. Participation in the English professional rugby league can produce significant decreases in body weight and increases in body temperature that may lead to impaired performance. It is important for participants, coaches, and administrators to introduce strategies that will minimize the impact of environmental conditions on thermoregulation and ultimately player performance.     

Skin and core temperature response to partial- and whole-body heating and cooling

1. Human subjects were exposed to partial- and whole-body heating and cooling in a controlled environmental chamber to quantify physiological and subjective responses to thermal asymmetries and transients.

2. Skin temperatures, core temperature, thermal sensation, and comfort responses were collected for 19 local body parts and for the whole body.

3. Core temperature increased in response to skin cooling and decreased in response to skin heating.

4. Hand and finger temperatures fluctuated significantly when the body was near a neutral thermal state.

5. When using a computer mouse in a cool environment, the skin temperature of the hand using the mouse was observed to be 2–3 °C lower than the unencumbered hand.     

A thermographic study of the effect of body composition and ambient temperature on the accuracy of mean skin temperature calculations

The problem associated with using measurements from a small number of sites to determine mean skin temperature was investigated by studying variations in distributions of skin temperatures of the bare torsos of humans exposed to ambient temperatures of 18, 23, and 28 degrees C. Following a 60 minute equilibration period the temperatures of four regions (chest, abdomen, upper back, and lower back) were measured using both thermistors and an infra-red thermographic system. Regions of the torso usually represented by a single temperature exhibited significant point-to-point temperature variations especially in chilled subjects. Also an earlier finding was confirmed: in that larger variations in skin temperature distributions occur as body fat content increases. Caution must therefore be used in applying the concept of a mean skin temperature derived from a few select sites, especially with nude subjects who are chilled or have a high body fat content.     

Effects of head cooling on human sleep stages and body temperature

The purpose of this study was to confirm the effect of head cooling on human sleep stages and body temperature. Nine healthy male volunteers with a mean age of 25 +/- 3.77 years served as subjects. The experiments were carried out under three different sets of conditions: 26 degrees C, relative humidity (RH) 50% (26/50); 32 degrees C, RH 80% (32/80); and 32 degrees C RH 80% with the use of a cooling pillow (32/80 HC). The subjects slept from 2300 hours to 0700 hours with a cotton blanket, wearing short-sleeved pyjamas and shorts on a bed, which was covered with a sheet. Electroencephalograms, electro-ouclogram, and mental electromyelograms were recorded through the night. Rectal temperature (Tre) and skin temperature (Tsk) were measured continuously. Whole-body sweat and the tympanic temperature (Tty) were measured before and after sleep. Wakefulness significantly increased at 32/80 than at 26/50; however, no significant difference was observed between 32/80 HC and 26/50. Tre and mean Tsk were higher both at 32/80 and 32/80 HC than at 26/50. The whole-body sweat loss was significantly greater and Tty in the morning was higher at 32/80 than 32/80 HC and 26/50. These results suggest that head cooling during sleep may help to decrease the whole-body sweat rate during sleep under humid heat conditions.     

Seasonal variations of physiological characteristics and thermal sensation under identical thermal conditions

Seasonal variations of human thermal characteristics were inspected in thermal comfort and when constantly indoors. Metabolic rate, tympanic temperature, skin temperature, body fat, body weight and thermal sensation were measured under identical thermal conditions in a chamber over the course of one year. Experiments were carried out for each subject in both summer and winter. Six subjects were measured 35 times in summer and 45 times in winter. one subject was measured weekly for 14 months. Measurements for analyses were taken 40-60 min after entrance into the chamber. Results revealed the following. 1) For all subjects, the metabolic rate, tympanic temperature and body fat were lower in summer than in winter; thigh skin temperatures were higher in summer than in winter. The averaged individual ratio of seasonal difference was 11.9% for metabolic rate, 14.9% for body fat, 1.8% for thigh temperature and 0.53% for tympanic temperature. Seasonal differences of about 10% in metabolic rate were maintained in this study. 2) Seasonal variations of the variables were examined for phase relationships against the outdoor temperature. 2-1) Metabolic rate, thermal sensation, body weight and body fat changed in reverse phase, whereas skin temperature was in-phase. 2-2) Skin temperature lagged by about one month in both summer and winter. Body fat also lagged by about one month in summer, but corresponded to the phase in winter. Metabolic rates were also in-phase in winter but led about three months in summer. Thermal sensations lagged by about three months in winter but were in-phase in summer. Body weight was in-phase in summer and winter. 2-3) Summer disorders were observed particularly in seasonal variations of metabolic rates, tympanic temperature, skin temperatures, and thermal sensation, thereby suggesting that the effect of temperature exposure was altered by air-conditioner use.     

Body temperature set-point and the conscious perception of skin temperature in obese women

Obese and control women were immersed in a bath of water kept at 37 degrees C. Oral temperature was measured. The subjects left hand was placed outside the bath for the local application of thermal stimuli between 20 degrees and 45 degrees C, subjects reporting the most pleasant temperature. The lower oral temperatures and lower levels of skin temperature rated as pleasant by obese women as compared with women of normal body weight or less suggests that in obesity the set-point of body temperature is lowered.     

Modifications of the EEG activity upon activation of peripheral thermoreceptors in humans

In 12 tested subjects, we studied changes in the frequency-amplitude EEG characteristics evoked by thermostimulation of the left palm (its immersion in a pool of water with a changing temperature); temperatures of 24 and 42°C provided cooling and heating stimulations. Cooling of the palm resulted in an increase of the power of fast EEG oscillations, especially in the parietal and occipital regions and in the right temporal zone. Heating of the palm skin evoked an increase in the power of α- and θ-waves, and the latter component was most noticeably intensified in the frontal and right temporal regions. Possible mechanisms responsible for EEG modifications under conditions of thermostimulation of the skin are discussed.