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Tetzlaff EJ, Ioannou LG, O'Connor FK, Kaltsatou A, Ly V, Kenny GP. Practical Considerations for Using Personal Cooling Garments for Heat Stress Management in Physically Demanding Occupations: A Systematic Review and Meta-Analysis Using Realist Evaluation. Am J Ind Med 2025; 68:3-25. [PMID: 39498663 DOI: 10.1002/ajim.23672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2024] [Revised: 09/30/2024] [Accepted: 10/04/2024] [Indexed: 11/07/2024]
Abstract
INTRODUCTION Due to rising temperature extremes, workplaces are seeking new solutions, such as using personal cooling garments (PCG) to mitigate and manage workplace heat exposure. This systematic review sought to assess the physiological and perceptual effects of PCGs on workers in standard work clothing performing moderate-to-heavy intensity tasks in hot environments. METHODS A peer-reviewed search strategy was conducted in MEDLINE, Embase, CINAHL, Scopus, Global Health, and Business Source Complete with no language or time limits. A meta-analysis using a realist evaluation framework was then performed to evaluate the effectiveness of the PCGs. RESULTS Thirty-three studies with 764 participants (98% male; average 21 ± 34 participants per study), conducted primarily in a laboratory setting (76%) were included. The studies were 193 ± 190 min in duration and consisted of a moderate-to-heavy work effort of 3.3 ± 1.0 METs in hot ambient conditions (temperature: 35.9 ± 3.3°C, 51.4 ± 12.1% relative humidity, wet bulb globe temperature [WBGT] 31.2 ± 2.6°C). The PCGs (n = 67) facilitated heat exchange through conduction (n = 39), evaporation (n = 4), convection (n = 2), radiation (n = 2), or hybrid combinations (n = 20). Conductive and hybrid PCGs offered the greatest thermoregulatory benefit, whereby core temperature (Tc) and heart rate (HR) reductions were consistently observed (Conductive: Tc: -0.3°C, HR: -12 bpm; Hybrid: Tc:-0.2°C, HR: -10 bpm), while PCGs directed at enhancing evaporative and radiative heat exchange had no or minimal effect on the physiological outcomes assessed (i.e., TC < 0.1°C, HR: < 0.7 bpm). CONCLUSION While the PCGs had a positive overall effect, conductive options offered the most consistent benefit to workers. WBGT, clothing insulation, and duration of wear significantly affected some physiological and perceptual outcomes.
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Affiliation(s)
- Emily J Tetzlaff
- Human and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Canada
| | - Leonidas G Ioannou
- Department of Automation, Biocybernetics and Robotics, Jozef Stefan Institute, Ljubljana, Slovenia
| | - Fergus K O'Connor
- Human and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Canada
- School of Health Sciences and Social Work, Griffith University, Southport, Queensland, Australia
| | - Antonia Kaltsatou
- Functional Architecture of Mammals in their Environment Laboratory, School of Exercise Science, University of Thessaly, Karies, Trikala, Greece
| | - Valentina Ly
- Health Sciences Library, University of Ottawa, Ottawa, Ontario, Canada
| | - Glen P Kenny
- Human and Environmental Physiology Research Unit, School of Human Kinetics, University of Ottawa, Ottawa, Canada
- Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
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Xu L, Sun DW, Tian Y, Zhu Z. Minimizing polyphenols and enzymes degradation using hydrogel packaging with combined evaporative and daytime radiative cooling functions during ambient transportation. Food Chem 2024; 437:137804. [PMID: 37924758 DOI: 10.1016/j.foodchem.2023.137804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 10/08/2023] [Accepted: 10/17/2023] [Indexed: 11/06/2023]
Abstract
Polyphenols and enzymes usually suffer from degradation during transportation due to the lack of a cold chain system in developing countries and regions. In this study, anthocyanin and trypsin were selected as examples of polyphenols and enzymes and investigated for minimizing their degradation during ambient transportation using hydrogel packaging with combined evaporative and daytime radiative cooling functions. A polyacrylamide/polyvinyl alcohol contained with nanoparticles (NPs@PAAm/PVA) hydrogel packaging was thus developed. The NPs@PAAm/PVA packaging exhibited desirable swelling behaviour, high solar reflectance, and strong atmospheric emissivity to synergistically achieve evaporative and daytime radiative cooling. The indoor experiments indicated that the vial with NPs@PAAm/PVA packaging realised sub-ambient temperatures under different working temperatures and humidities, and the field tests indicated that the vial with NPs@PAAm/PVA packaging could effectively preserve the anthocyanin and trypsin without degradation caused by strong sunlight and high temperature. Consequently, the NPs@PAAm/PVA packaging with evaporative and daytime radiative cooling effects has promising prospects for anthocyanin and trypsin transportation in an energy-saving and sustainable manner.
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Affiliation(s)
- Liang Xu
- School of Food Science and Engineering, South China University of Technology, Guangzhou 510641, China; Academy of Contemporary Food Engineering, South China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China; Engineering and Technological Research Centre of Guangdong Province on Intelligent Sensing and Process Control of Cold Chain Foods, & Guangdong Province Engineering Laboratory for Intelligent Cold Chain Logistics Equipment for Agricultural Products, Guangzhou Higher Education Mega Centre, Guangzhou 510006, China
| | - Da-Wen Sun
- School of Food Science and Engineering, South China University of Technology, Guangzhou 510641, China; Academy of Contemporary Food Engineering, South China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China; Engineering and Technological Research Centre of Guangdong Province on Intelligent Sensing and Process Control of Cold Chain Foods, & Guangdong Province Engineering Laboratory for Intelligent Cold Chain Logistics Equipment for Agricultural Products, Guangzhou Higher Education Mega Centre, Guangzhou 510006, China; Food Refrigeration and Computerized Food Technology (FRCFT), Agriculture and Food Science Centre, University College Dublin, National University of Ireland, Belfield, Dublin 4, Ireland.
| | - You Tian
- School of Food Science and Engineering, South China University of Technology, Guangzhou 510641, China; Academy of Contemporary Food Engineering, South China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China; Engineering and Technological Research Centre of Guangdong Province on Intelligent Sensing and Process Control of Cold Chain Foods, & Guangdong Province Engineering Laboratory for Intelligent Cold Chain Logistics Equipment for Agricultural Products, Guangzhou Higher Education Mega Centre, Guangzhou 510006, China
| | - Zhiwei Zhu
- School of Food Science and Engineering, South China University of Technology, Guangzhou 510641, China; Academy of Contemporary Food Engineering, South China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China; Engineering and Technological Research Centre of Guangdong Province on Intelligent Sensing and Process Control of Cold Chain Foods, & Guangdong Province Engineering Laboratory for Intelligent Cold Chain Logistics Equipment for Agricultural Products, Guangzhou Higher Education Mega Centre, Guangzhou 510006, China
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Xue S, Huang G, Chen Q, Wang X, Fan J, Shou D. Personal Thermal Management by Radiative Cooling and Heating. NANO-MICRO LETTERS 2024; 16:153. [PMID: 38478150 PMCID: PMC10937893 DOI: 10.1007/s40820-024-01360-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 01/16/2024] [Indexed: 03/17/2024]
Abstract
Maintaining thermal comfort within the human body is crucial for optimal health and overall well-being. By merely broadening the set-point of indoor temperatures, we could significantly slash energy usage in building heating, ventilation, and air-conditioning systems. In recent years, there has been a surge in advancements in personal thermal management (PTM), aiming to regulate heat and moisture transfer within our immediate surroundings, clothing, and skin. The advent of PTM is driven by the rapid development in nano/micro-materials and energy science and engineering. An emerging research area in PTM is personal radiative thermal management (PRTM), which demonstrates immense potential with its high radiative heat transfer efficiency and ease of regulation. However, it is less taken into account in traditional textiles, and there currently lies a gap in our knowledge and understanding of PRTM. In this review, we aim to present a thorough analysis of advanced textile materials and technologies for PRTM. Specifically, we will introduce and discuss the underlying radiation heat transfer mechanisms, fabrication methods of textiles, and various indoor/outdoor applications in light of their different regulation functionalities, including radiative cooling, radiative heating, and dual-mode thermoregulation. Furthermore, we will shine a light on the current hurdles, propose potential strategies, and delve into future technology trends for PRTM with an emphasis on functionalities and applications.
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Affiliation(s)
- Shidong Xue
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China
- Future Intelligent Wear Centre, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China
| | - Guanghan Huang
- State Key Laboratory of Precision Electronic Manufacturing Technology and Equipment, Guangdong University of Technology, Guangzhou, 510006, People's Republic of China
| | - Qing Chen
- Shanghai International Fashion Innovation Center, Donghua University, Shanghai, 200051, People's Republic of China
| | - Xungai Wang
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China
| | - Jintu Fan
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China
- Research Centre of Textiles for Future Fashion, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China
| | - Dahua Shou
- School of Fashion and Textiles, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China.
- Future Intelligent Wear Centre, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China.
- Research Centre of Textiles for Future Fashion, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China.
- Research Institute for Smart Energy, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, 999077, People's Republic of China.
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Xu L, Sun DW, Tian Y, Sun L, Fan T, Zhu Z. Combined Effects of Radiative and Evaporative Cooling on Fruit Preservation under Solar Radiation: Sunburn Resistance and Temperature Stabilization. ACS APPLIED MATERIALS & INTERFACES 2022; 14:45788-45799. [PMID: 36173334 PMCID: PMC9562266 DOI: 10.1021/acsami.2c11349] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Accepted: 09/16/2022] [Indexed: 06/16/2023]
Abstract
Excessive solar radiation and high temperature often cause considerable loss and waste of fruits during transportation, retail, and storage. In the current study, a natural deep eutectic solvent-based polyacrylamide/poly(vinyl alcohol) hydrogel with nanoparticles (NPs/NADES@PAAm/PVA) is developed for fruit quality protection from solar radiation and high-temperature stress by achieving the combined effect of radiative and evaporative cooling. NPs/NADES@PAAm/PVA presents an average solar reflectance of ∼0.89 and an average emittance at the atmospheric window of ∼0.90. Besides, NPs/NADES@PAAm/PVA possesses excellent flexibility, robust mechanical strength, and good swelling behavior. The fruit preservation experiments under sunlight demonstrate that the pear (Pyrus sinkiangensis) treated with NPs/NADES@PAAm/PVA can achieve an average temperature decrease of ∼15.3 °C after sun exposure compared with the blank, and its quality-related attributes, including color, total soluble solid, relative conductivity, and respiration rate, are similar to the fresh one. Multivariate data analyses, including principal component analysis and cluster analysis, further verify that the pear treated with NPs/NADES@PAAm/PVA possesses similar quality to the fresh one after sun exposure. Thus, NPs/NADES@PAAm/PVA has promising prospects for fruit transportation, retail, and storage under solar radiation in a low-operation-cost and sustainable manner.
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Affiliation(s)
- Liang Xu
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
| | - Da-Wen Sun
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
- Food
Refrigeration and Computerized Food Technology (FRCFT), Agriculture
and Food Science Centre, University College
Dublin, National University of Ireland, Belfield, Dublin D04 V1W8, Ireland
| | - You Tian
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
| | - Libin Sun
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
| | - Tianhao Fan
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
| | - Zhiwei Zhu
- School
of Food Science and Engineering, South China
University of Technology, Guangzhou 510641, China
- Academy
of Contemporary Food Engineering, South
China University of Technology, Guangzhou Higher Education Mega Center, Guangzhou 510006, China
- Engineering
and Technological Research Centre of Guangdong Province on Intelligent
Sensing and Process Control of Cold Chain Foods, & Guangdong Province
Engineering Laboratory for Intelligent Cold Chain Logistics Equipment
for Agricultural Products, Guangzhou Higher
Education Mega Centre, Guangzhou 510006, China
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Yu X, Li Y, Wang X, Si Y, Yu J, Ding B. Thermoconductive, Moisture-Permeable, and Superhydrophobic Nanofibrous Membranes with Interpenetrated Boron Nitride Network for Personal Cooling Fabrics. ACS APPLIED MATERIALS & INTERFACES 2020; 12:32078-32089. [PMID: 32609492 DOI: 10.1021/acsami.0c04486] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Space cooling occupies a large portion of total building energy consumption, aggravating the energy crisis and restricting human sustainable development, thus an efficient and energy-saving personal cooling technology is in high demand. Recently, thermally conductive fillers, such as boron nitride (BN), are usually enriched to fibrous materials to construct thermal management textiles. However, these fabrication processes are complex and time-consuming, and the resultant materials fail to transmit moisture and resist liquid water. Herein, we develop a facile and scalable methodology to construct highly thermoconductive breathable superhydrophobic nanofibrous membranes to enhance the thermal management of textiles for personal cooling. The strategy causes boron nitride (BN) to be linked with each other along nanofibers, and thus the membranes contain well interpenetrated BN network and remain porous structure simultaneously, improving their thermal conductivity without sacrificing the moisture permeability. In addition, the membranes possess good resistance to water penetration and intriguing superhydrophobicity due to the synergistic effect of the hydrophobic polymeric matrix and improved roughness. As a consequence, the resultant membranes demonstrate outstanding hybrid active-passive cooling performance with ultrahigh in-plane thermal conductivity of 17.9 W m-1 K-1, cross-plane thermal conductivity of 0.29 W m-1 K-1, and high water vapor transmission (WVT) rate of 11.6 kg m-2 day-1, as well as excellent water repellency with water contact angle of 153° and high hydrostatic pressure of 32 kPa, indicating promising utility for the next generation of cooling fabrics.
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Affiliation(s)
- Xi Yu
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Textiles, Donghua University, Shanghai 201620, China
| | - Yang Li
- Innovation Center for Textile Science and Technology, Donghua University, Shanghai 200051, China
| | - Xianfeng Wang
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Textiles, Donghua University, Shanghai 201620, China
- Innovation Center for Textile Science and Technology, Donghua University, Shanghai 200051, China
| | - Yang Si
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Textiles, Donghua University, Shanghai 201620, China
- Innovation Center for Textile Science and Technology, Donghua University, Shanghai 200051, China
| | - Jianyong Yu
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Textiles, Donghua University, Shanghai 201620, China
- Innovation Center for Textile Science and Technology, Donghua University, Shanghai 200051, China
| | - Bin Ding
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Textiles, Donghua University, Shanghai 201620, China
- Innovation Center for Textile Science and Technology, Donghua University, Shanghai 200051, China
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A Numerical Analysis of the Cooling Performance of a Hybrid Personal Cooling System (HPCS): Effects of Ambient Temperature and Relative Humidity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17144995. [PMID: 32664534 PMCID: PMC7399927 DOI: 10.3390/ijerph17144995] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/15/2020] [Accepted: 07/06/2020] [Indexed: 11/16/2022]
Abstract
Hybrid personal cooling systems (HPCS) incorporated with ventilation fans and phase change materials (PCMs) have shown its superior capability for mitigating workers' heat strain while performing heavy labor work in hot environments. In a previous study, the effects of thermal resistance of insulation pads, and latent heat and melting temperature of PCMs on the HPCS's thermal performance have been investigated. In addition to the aforementioned factors, environmental conditions, i.e., ambient temperature and relative humidity, also significantly affect the thermal performance of the HPCS. In this paper, a numerical parametric study was performed to investigate the effects of the environmental temperature and relative humidity (RH) on the thermal management of the HPCS. Five levels of air temperature under RH = 50% (i.e., 32, 34, 36, 38 and 40 °C) and four levels of environmental RH at two ambient temperatures of 36 and 40 °C were selected (i.e., RH = 30, 50, 70 and 90%) for the numerical analysis. Results show that high environmental temperatures could accelerate the PCM melting process and thereby weaken the cooling performance of HPCS. In the moderately hot environment (36 °C), HPCS presented good cooling performance with the maximum core temperature at around 37.5 °C during excise when the ambient RH ≤ 70%, whereas good cooling performance could be only seen under RH ≤ 50% in the extremely hot environment (40 °C). Thus, it may be concluded that the maximum environmental RH under which the HPCS exhibiting good cooling performance decreases with an increase in the environmental temperature.
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An investigation of thermophysiological responses of human while using four personal cooling strategies during heatwaves. J Therm Biol 2017; 70:37-44. [DOI: 10.1016/j.jtherbio.2017.05.007] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2016] [Revised: 05/23/2017] [Accepted: 05/25/2017] [Indexed: 11/23/2022]
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Mahmood I, Raza A. Therapeutic Equipment for Brain-Hyperthermia Using Convective Spray Cooling. J Med Device 2017. [DOI: 10.1115/1.4036652] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
A new type of therapeutic equipment is designed herein, using concepts of convective heat transfer and spray cooling, to treat patients suffering from brain-hyperthermia. The equipment is aimed to provide emergency treatment in order to prevent disability or possible mortality because thermoregulatory system of the patients fails to maintain a homeostasis. The equipment uses noncontact method of forced convection, applied uniformly at body exteriors. The heat exchanger is designed to contain four independent pipe-sections with orifice openings around the body. The cool-air, maintained within ASHRAE’s thermal comfort bounds, is sprayed through the orifices. Design improvements have been made on the basis of image analysis of the flow. The boundary layer (BL) analysis has also been performed over a specially designed mannequin with induced hyperthermia characteristics. The testing indicates a decay of ∼6 °C in 280 min with a time constant of 2 h. Comparative to existing techniques, in addition to being a noncontact approach, the equipment shows better thermoregulatory performance along with a flexibility to accommodate different body contours.
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Affiliation(s)
- Imran Mahmood
- Department of Mechatronics and Control Engineering, University of Engineering and Technology, Lahore 54890, Pakistan e-mail:
| | - Ali Raza
- Department of Mechatronics and Control Engineering, University of Engineering and Technology, Lahore 54890, Pakistan e-mail:
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Özkan Tuncay F, Mollaoğlu M. Effect of the cooling suit method applied to individuals with multiple sclerosis on fatigue and activities of daily living. J Clin Nurs 2017; 26:4527-4536. [PMID: 28252819 DOI: 10.1111/jocn.13788] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2017] [Indexed: 01/03/2023]
Abstract
AIMS AND OBJECTIVES To determine the effects of cooling suit on fatigue and activities of daily living of individuals with multiple sclerosis. BACKGROUND Fatigue is one of the most common symptoms in people with multiple sclerosis and adversely affects their activities of daily living. Studies evaluating fatigue associated with multiple sclerosis have reported that most of the fatigue cases are related to the increase in body temperature and that cooling therapy is effective in coping with fatigue. DESIGN This study used a two sample, control group design. METHODS The study sample comprised 75 individuals who met the inclusion criteria. Data were collected with study forms. After the study data were collected, cooling suit treatment was administered to the experimental group. During home visits paid at the fourth and eighth weeks after the intervention, the aforementioned scales were re-administered to the participants in the experimental and control groups. RESULTS The analyses performed demonstrated that the severity levels of fatigue experienced by the participants in the experimental group wearing cooling suit decreased. The experimental group also exhibited a significant improvement in the participants' levels of independence in activities of daily living. CONCLUSIONS The cooling suit worn by individuals with multiple sclerosis was determined to significantly improve the participants' levels of fatigue and independence in activities of daily living. RELEVANCE TO CLINICAL PRACTICE The cooling suit therapy was found to be an effective intervention for the debilitating fatigue suffered by many multiple sclerosis patients, thus significantly improving their level of independence in activities of daily living.
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Affiliation(s)
- Fatma Özkan Tuncay
- Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey
| | - Mukadder Mollaoğlu
- Department of Nursing, Faculty of Health Sciences, Cumhuriyet University, Sivas, Turkey
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Water vapor transport in carbon nanotube membranes and application in breathable and protective fabrics. Curr Opin Chem Eng 2017. [DOI: 10.1016/j.coche.2017.02.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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Rother M, Barmettler J, Reichmuth A, Araujo JV, Rytka C, Glaied O, Pieles U, Bruns N. Self-Sealing and Puncture Resistant Breathable Membranes for Water-Evaporation Applications. ADVANCED MATERIALS (DEERFIELD BEACH, FLA.) 2015; 27:6620-6624. [PMID: 26418974 DOI: 10.1002/adma.201502761] [Citation(s) in RCA: 46] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2015] [Revised: 07/27/2015] [Indexed: 06/05/2023]
Abstract
Breathable and waterproof membranes that self-seal damaged areas are prepared by modifying a poly(ether ester) membrane with an amphiphilic polymer co-network. The latter swells in water and the gel closes punctures. Damaged composite membranes remain water tight up to pressures of at least 1.6 bar. This material is useful for applications where water-vapor permeability, self-sealing properties, and waterproofness are desired, as demonstrated for a medical cooling device.
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Affiliation(s)
- Martin Rother
- Adolphe Merkle Institute, University of Fribourg, Chemin des Verdiers 4, 1700, Fribourg, Switzerland
| | - Jonas Barmettler
- Department of Chemistry, University of Basel, Klingelbergstrasse 80, 4056, Basel, Switzerland
| | - Andreas Reichmuth
- Department of Chemistry, University of Basel, Klingelbergstrasse 80, 4056, Basel, Switzerland
| | - Jose V Araujo
- Adolphe Merkle Institute, University of Fribourg, Chemin des Verdiers 4, 1700, Fribourg, Switzerland
| | - Christian Rytka
- Institute of Polymer Engineering, School of Engineering, University of Applied Sciences and Arts Northwestern Switzerland, Klosterzelgstrasse 2, 5210, Windisch, Switzerland
| | - Olfa Glaied
- Institute of Chemistry and Bioanalytics, School of Life Sciences, University of Applied Sciences and Arts Northwestern Switzerland, Gründenstrasse 40, 4132, Muttenz, Switzerland
| | - Uwe Pieles
- Institute of Chemistry and Bioanalytics, School of Life Sciences, University of Applied Sciences and Arts Northwestern Switzerland, Gründenstrasse 40, 4132, Muttenz, Switzerland
| | - Nico Bruns
- Department of Chemistry, University of Basel, Klingelbergstrasse 80, 4056, Basel, Switzerland
- Adolphe Merkle Institute, University of Fribourg, Chemin des Verdiers 4, 1700, Fribourg, Switzerland
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