Comparison of thermal responses between young children (1- to 3-year-old) and mothers during cold exposure

To investigate thermal responses of children during cold exposure, children and their mothers were exposed to identical environmental conditions in climatic chambers. Subjects comprised 14 mothers (age, 29-40 years) and 15 children (age, 15 months-3 years; 9 boys, 6 girls). Each mother and child wore a t-shirt and short pants over underwear. Subjects were initially seated in a chamber at 25 degrees C for 60 min, then moved to a chamber at 15 degrees C where they were seated for 30 min. During the recovery period, they were returned to the 25 degrees C chamber and kept there for an additional 30 min. During exposure to 15 degrees C, declines in skin temperature (T (s)) of the hand and foot were significantly greater in children than in mothers. Rectal temperatures (T (re)) of children increased during cold exposure, whereas T (re) of mothers decreased. This variation in T (re) in children might be linked to homodynamic alterations accompanied by greater decreases in T (s) of the extremities due to a greater degree of vasoconstriction in distal regions during cold exposure. Increases in T (re) during cold exposure for children correlated with body surface area to mass (Ab/mass), mass and decreases in T (s) of the abdomen, thigh and leg. During the rewarming period, children exhibited a greater increase in T (s) of the arm, hand and foot than mothers, and this was attributed to greater relaxation of vasoconstriction in distal regions of children during exposure to the thermoneutral environment. T (re) in children and mothers decreased during the rewarming period. A gender difference was found only with regard to T (re) and heart rate (HR) responses in children during cold exposure, and neither physical characteristics nor any T (s) differed between genders. Furthermore, no significant differences were observed in resting HR of mothers and girls, whereas boys showed significantly lower heart rates at 15 degrees C than at 25 degrees C.     

Effects of 6 versus 12 days of heat acclimation on heat tolerance in lightly exercising men wearing protective clothing

This study investigated the influence of 6 versus 12 days of heat acclimation on the tolerance of low-intensity exercise in the heat while wearing protective clothing. Sixteen young men were acclimated by treadmill walking (50% of each subject's maximal aerobic power for 60 min -day-') in a climatic chamber [40°C dry bulb (db), 30% relative humidity] for either 6 consecutive days or two 6-day periods, separated by a 1-day rest. Before and after heat acclimation, the subjects performed a heat-exercise test (1.34m·s^–1, 0% grade; 40°C db, 30% relative humidity), either under control conditions [wearing normal light combat clothing (continuous exercise;n = 5)] or when wearing protective clothing resistant against nuclear, biological, and chemical (NBC) agents (repeated bouts of 15-min walk + 15-min rest;n = 8). Criteria for halting the test exercise were a rectal temperature (T _re) of 39.3°C, a heart rate (f _c) 95% of the subject's observed maximum, unwillingness of the subject to continue, or the elapse of 150 min. Heat acclimation decreased overall test values ofT _re,f _c, and mean skin temperature for both control and protective clothing conditions. When wearing normal combat clothing, acclimation responses were about twice as large after 12 than after 6 days, but the response was not increased by longer acclimation when wearing NBC protective clothing. Both 6 and 12 days of acclimation increased tolerance times in NBC protective clothing by about 15 min [from 97 (4) to 112 (6) min and from 108 (10) to 120 (10) min for 6 and 12 days, respectively]. We conclude that the physiological strain and limitation of heat-exercise tolerance imposed by wearing NBC protective clothing are not reduced if heat acclimation is prolonged from 6 to 12 days.     

Solar heat load: heat balance during exercise in clothed subjects

Summary Six subjects exercised for 60 min on a cycle ergometer. Their backs were exposed to an artificial sun with a spectral distribution similar to sunlight and an intensity of 724 W m^–2. Each subject took part in four experiments in random order: wearing suits of polyester (insulation value = 0.5 clo), white (WP) or black (BP), or cotton (0.6 clo), white (WC) or black (BC). Measured by partitional calorimetry, the calculated heat losses and gains for the four conditions balanced within less than 10%. The differences between the short-wave radiation gains of subjects in white or black garments were small. This is due to the transparency of the white materials, which allows a larger percentage of the radiation to penetrate the clothing. The surface temperatures of the sun-exposed areas were very high, especially in the black suits. This promotes dry heat loss. Therefore the sweat loss in the black suits and the differences between the black and white clothes became relatively small. The physiological strain in steady-state exercise, as expressed by average heart rates, was 142 (WP), 154 (BP), 151 (WC), and 160 (BC) beats min^–1; the sweat losses were 649 (WP), 666 (BP), 704 (WC), and 808 (BC) g. For both of these measures values for white polyester were significantly less than those for black cotton.     

Thermal and metabolic responses to heat exposure in obesity

Summary Thirteen obese and 13 lean women were each exposed to a hot-humid condition (T_db=47 C, T_wb=39 C) for 1 h. Measurements included rates of heart beat, respiration, sweat evaporation, and resting metabolism, and the rectal and mean skin temperatures. Resting metabolic rate was calculated from oxygen consumption and carbon dioxide production. The obese subjects were more tolerant of heat than were lean subjects, as indicated by the smaller thermal and metabolic responses of the obese.     

Thermoregulation during exercise in relation to sex and age

Summary The thermoregulatory responses to 1 h exercise of 14 male (age range 18–65 year) and 7 female (age range 18–46 year) athletes and 4 (3 and 1 ) non-athletic subjects have been investigated in a moderate environment (T _db=21 C, T _wb=15 C and rh<50%) and analysed in relation to age, sex, and maximum aerobic power output (VO₂ max).The maximal sweat loss (M _{sw max}) under the given conditions was closely related (r=+0.90) to VO_{2 max} and for a given relative work load (%VO_{2 max}), rectal (T _re) and mean skin (¯T _sk) temperatures was the same in all subjects.Sweat loss (004d _sw) was linearly related to total heat production (H) and to peripheral tissue heat conductance (K) and if expressed in relative terms (%M _{sw max}) was linearly related to T _re. For a given T _re relative sweat rate was identical in the groups studied. From these results it would seem that during exercise T _re rises to meet the requirements of heat dissipation by establishing a thermal gradient from core to skin and stimulating sweating in proportion to maximal capacity of the system. Thus provided the thermal responses to work were standardised using the appropriate physiological variables, there was no evidence to be found for differences in thermoregulatory function which could be ascribed to sex or age.     

The effects of different levels of heat production induced by diathermy and eccentric work on thermoregulation during exercise at a given skin temperature

Summary The thermal responses of two healthy male subjects have been studied at the same mean skin temperature (T _sk ) during negative work, positive work and positive work in which additional heating was induced by diathermy. The results showed that for a given metabolic heat production (M) rectal (T _re ) and oesophageal (T _oes ) temperatures were higher in negative work and positive work with diathermy than normal control experiments. In resting experiments with diathermy, T _oes rose to the same level as when an equal amount of heat was produced metabolically by exercise. In negative work and positive work with diathermy sweat loss (M _sw ) was higher for a given M and T _sk than found for normal exercise, but in all three forms of work the relationship of M _sw to total heat production (H) was identical. During positive work with and without diathermy the differences in M _sw could be accounted for by using a previously developed model of relative sweating rate: %M _sw = – constant + T _re (or T _oes ) + T _sk .In negative work, removal of the difference between predicted and observed %M _sw required the inclusion of a further factor into the equation based on muscle temperature. The results suggest that the core temperature in exercise rises to meet the requirements of heat dissipation mainly by stimulating M _sw and establishing a heat transfer gradient from core to periphery and is not necessarily or uniquely related to M or to the rate of working. The study underlines the usefulness of negative work and diathermy as physiological tools for the further understanding of thermoregulation during exercise.     

Circadian variations in psychophysiological responses to heat exposure and exercise

Summary Ten healthy men were tested at 0600, 1200, 1800 and 2400 hours on different days at rest in a laboratory at room temperature followed by 1 h of heat exposure in a climatic chamber at 42° C, 60% rh (50 min rest and 10 min exercise on a cycle ergometer at 50% ). Heart rate, blood pressure, rectal temperatureT _re, metabolic rate, number connection test, visual and auditory reaction time, flicker test and catecholamine excretion were measured. Heat exposure and exercise caused lower heart rate acceleration at 2400 hours than at 0600 and 1200 hours, the smallest increase ofT _re at 1800 hours, and an increase in metabolic rate greater at 1200 than at 1800 hours. In the afternoon, when, according to the circadian rhythm, the body temperature is highest, the additional heat load produced the smallest physiological effects. Performance efficiency, after heat exposure combined with physical exercise, improved slightly, but diurnal variations did not show significant circadian rhythm. The work was supported from Poland's Central Programme of Basic Research 06-02.III.2.2     

Physiological and metabolic responses to work in heat with graded hypohydration in tropical subjects

Summary Studies were conducted on 25 healthy male volunteers aged 20–25 years drawn randomly from the tropical regions of India. The subjects initially underwent an 8 day heat acclimatization schedule with 2 hours moderate work in a climatic chamber at 45° C DB and 30% RH. These heat acclimatized subjects were then hypohydrated to varying levels of body weight deficits, i.e. 1.3±0.03, 2.3±0.04 and 3.3±0.04%, by a combination of water restriction and moderate exercise inside the hot chamber. After 2 hours rest in a thermoneutral room (25±1° C) the hypohydrated subjects were tested on a bicycle ergometer at a fixed submaximal work rate (40 W, 40 min) in a hot dry condition (45°C DB, 30% RH, 34° C WBGT). Significant increases in exercise heart rate and oral temperature were observed in hypohydrated subjects as compared to euhydration. Sweat rate increased with 1% and 2% hypohydration as compared to euhydration, but a significant decrease was observed with 3% hypohydration. Na⁺ & K⁺ concentrations in arm sweat increased with increase in the level of hypohydration. Oxygen consumption increased significantly only when hypohydration was about 2% or more. It appears that the increased physiological strain observed in tropical subjects working in heat with graded hypohydration is not solely due to reduced sweat rates.     

Thermoregulatory adjustments during continuous heat exposure

Summary Body temperature regulation was studied in 6 male subjects during an acclimation procedure involving uninterrupted heat exposure for 5 successive days and nights in a hot dry environment (ambient temperature =35° C, dew-point temperature =7° C; air velocity = 0.2 m·s^–1). Data were obtained at rest and during exercise (relative mechanical workload =35% ). At rest, hourly measurements were made of oesophageal and 4 local skin temperatures, to allow the calculation of mean skin temperature, and of body motility and heart rate. During the working periods these measurements were made at 5 min intervals. Hourly whole-body weight loss was measured at rest on a sensitive platform scale while in the working condition just before starting and immediately after completing the bicycle exercise. The results show that, in both exercise and at rest, the successive heat exposures increased the sweat gland output during the first 3 days. Afterwards, sweat rate decreased without any corresponding change, in body temperature. For the fixed workload, the sweat rate decline was associated with a decrease in circulatory strain. Adjustments in both sweating and circulatory mechanisms occur in the first 3 days of continuous heat exposure. The overall sweat rate decline could involve a redistribution of the regional sweating rates which enhances the sweat gland activities of skin areas with maximal evaporative efficiencies.     

Effects of Atropine and Β-blockade on temperature regulation and performance during prolonged exercise

Summary The effects of intravenous injections of Atropine (1.8 mg) and practolol (15 mg) on the thermoregulatory responses to 1 h of exercise on a motordriven treadmill have been investigated on six healthy subjects.The results show that -blockade had little effect on thermal responses to work except for a small but significant (p<0.05) decrease in mean skin temperature (¯T _sk ) and peripheral tissue heat conductance (K). Metabolic (M) and total heat (H) production, and evaporative sweat loss (E) and rectal temperature (T _re ) were similar to control values. In contrast, atropine, particularly at work loads beyond 60% maximal aerobic power output (VO_{2 max}), raised T _re (p<0.001), ¯T _sk (p<0.001) and reduced E by approximately 50%. At the highest work loads T _re increased as a linear function of time during the latter part of exercise, and at the 60th min was almost independent of relative stress (expressed as % VO_{2 max}) imposed on the subjects. At the lower work loads the majority of subjects reached thermal equilibrium before the end of exercise by maintaining their convective heat transfer from core to periphery by increasing peripheral blood flow (as indicated by K), and raising their heat losses to environment by convection and radiation. The latter pathways for heat dissipation were enhanced by the subjects ability to sustain a ¯T _sk 4 C above control values independently of M. Atropine had no effect on M or H but greatly affected work performance, no subject was able to exercise at loads >70% VO_{2 max} for 1 h. These results demonstrate the ability of the thermoregulatory system to adapt to -adrenergic and to parasympathetic blockade during light exercise, and underline the effects of a reduction in the capacity of the sweating mechanism on physiological performance at higher rates of work.List of Abbreviations used in the Text M Metabolic heat production - H Total heat production - E Evaporative sweat loss - T _re Rectal temperature - ¯T _sk Mean skin temperature - K Peripheral tissue heat conductance - PBF Peripheral blood flow - VO_{2 max} Maximal aerobic power output - f _H Cardiac frequency     

Effects of metabolic rate and ambient vapour pressure on heat strain in protective clothing

Studies have shown that variations in ambient water vapour pressure from 1.7 to 3.7 kPa have little effect on heat tolerance time at a metabolic rate above 450 W while wearing protective clothing. With lighter exercise, where tolerance times exceed 60 min, variations in vapour pressure have a significant impact on evaporative heat loss and, therefore, heat tolerance. The present study has examined whether these findings extend to conditions with more extreme variations in vapour pressure. Twelve males performed light (L, 350 W) and heavy (H, 500 W) exercise at 40°C in a dry (D, 1.1 kPa) and humid (H, 4.8 kPa) environment while wearing a semi-permeable nuclear, biological and chemical protective clothing ensemble (0.29 m²×°C⁻¹·W⁻¹ or 1.88 clo; Woodcock vapour permeability coefficient,i _m=0.33). Partitional calorimetry was used to determine the rate of heat storage ( ) with evaporative heat loss from the skin ( ) calculated from changes in dressed mass or the physical properties of the clothing and the vapour pressure gradient between the skin and the environment. Skin vapour pressure was predicted from measurements of water vapour pressure above the skin surface and in the clothing with humidity sensors coupled with thermistors. Final mean skin temperature ( _sk) was higher for the humid trials and averaged 37.4 (0.3)°C, 38.9 (0.4)°C, 37.6 (0.5)°C and 38.5 (0.4)°C for LD, LH, HD and HH, respectively. Final rectal temperature (T _re ) was higher for D with respective values for LD, LH, HD and HH of 39.0 (0.4)°C, 38.7 (0.4)°C, 38.8 (0.4)°C and 38.5 (0.4)°C. Tolerance time was significantly different among the trials and averaged 120.3 (19.3) min, 54.8 (7.3) min, 63.5 (6.9) min and 36.8 (3.1) min for LD, LH, HD and HH, respectively. was overestimated and, therefore, was underestimated when the changes in dressed mass were used to determine evaporative heat loss. When skin vapour pressure determined from the humidity sensor data was used to calculate , heat storage was significantly different among the trials and averaged 15.0 (3.0), 13.0 (1.8), 14.2 (2.6) and 12.2 (1.9) kJ·kg⁻¹ for LD, LH, HD and HH, respectively. It was concluded that while wearing the protective clothing all indices of heat strain, including tolerance time, were significantly affected by the change in ambient water vapour pressure from 1.1 to 4.8 kPa during both light and heavy exercise.     

The danger of an inadequate water intake during prolonged exercise

Summary To prevent thermal injuries during distance running, the American College of Sports Medicine proposes that between 0.83 and 1.65 l of water should be ingested each hour during prolonged exercise. Yet such high rates of fluid intake have been reported to cause water intoxication. To establish the freely-chosen rates of fluid intake during prolonged competitive exercise, we measured fluid intake during, body weight before and after, and rectal temperature after competition in a total of 102 runners and 91 canoeists competing in events lasting from 170–340 min. Fluid intakes during competition ranged from 0.29–0.62 l · h^–1; rates of water loss ranged from 0.69–1.27 l · h^–1 in the runners; values were lower in the canoeists. Mean post-race rectal temperatures ranged from 38.0–39.0° C. There was no relationship between the degree of dehydration and post-race rectal temperature. We conclude that hyperthermia is uncommon in prolonged competitive events held in mild environmental conditions, and that exercise intensity, not the level of dehydration, is probably the most important factor determining the postexercise rectal temperature. During prolonged exercise in mild environmental conditions, a fluid intake of 0.5 l · h^–1 will prevent significant dehydration in the majority of athletes.     

Melatonin has no effect on tolerance to uncompensable heat stress in man

This study examined whether a 5 mg dose of melatonin induced a lower rectal temperature (T _re) response at rest in both a cool and hot environment while wearing normal military combat clothing, and then examined the influence of this response on tolerance to exercise in the heat while wearing protective clothing. Nine men performed four randomly ordered trials involving 2 h of rest at ambient temperatures of either 23 °C or 40 °C followed by exercise at an ambient temperature of 40 °C. The double-blind ingestion of placebo or melatonin occurred after 30 min of rest. The mean T _re during rest at 23 °C had decreased significantly from 36.8 (SD 0.1) °C to 36.7 (SD 0.2) °C at 90 min following the ingestion of the drug, whereas values during the placebo trial did not change. The lower T _re response during the melatonin trial remained during the first 50 min of exercise in the heat while wearing the protective clothing. Since the final mean T _re at the end of exercise also was significantly reduced for the melatonin [39.0 (SD 0.4) °C] compared with the placebo [mean 39.1 (SD 0.3) °C] trial, tolerance times approximated 95 min in both conditions. During rest at 40 °C, melatonin did not affect the mean T _re response which increased significantly during the last 90 min from 36.9 (SD 0.1) °C to 37.3 (SD 0.1) °C. This increase in T _re during the rest period prior to donning the protective clothing decreased tolerance time approximately 30 min compared with the trials that had involved rest at 23 °C. Total heat storage summated over the rest and exercise periods was not different among the trials at 15 kJ · kg⁻¹. It was concluded that the small decrease in T _re following the ingestion of 5 mg of melatonin at rest in a cool environment had no influence on subsequent tolerance during uncompensable heat stress. Accepted: 26 June 2000     

Skin and core temperatures as determinants of heat production and heat loss in the goat

In 82 experiments on 10 goats body core temperature (T _core) was altered between 35° and 42°C by external heat exchangers acting on blood temperature while skin temperature (T_skin) was maintained constant, by a circulating shower bath, at different levels between 32° and 44°C. At all skin temperatures at least fourfold increases of heat production (M) and respiratory evaporative heat loss (REHL) occurred whenT _core was lowered or raised, respectively. The lower T_skin was, the higher were the thresholds ofT _core, at which M or REHL exceeded resting levels. The lower T_skin was, the higher were the slopes, at which M or REHL changed per unit ofT _core. At a given T_skin, the slopes decreased with increasing M or REHL, and were dependent on the range ofT _core. The higher the range ofT _core, the steeper changed M and REHL with changingT _core, if all other variables were held constant. The results support the concept that an exponential relationship betweenT _core and the rate of core temperature signals is the primary cause of the effects exerted by T_skin on the slopes, at which M or REHL change per unit ofT _core.     

Changes in rectal and mean skin temperature in response to suggested heat during hypnosis in man

Rectal temperature, mean skin temperature and heart rate were recorded in 7 subjects during hypnosis, induced either alone or while sensations of heat were suggested. During hypnosis alone, a fall in the heart rate of about 10 beat·min^?1 was the only autonomic response observed; body temperatures were unaltered. In contrast, during hypnosis with suggestion of heat, the following changes occurred: (1) Mean rectal temperature decreased 0.20°C (p<0.05) within 50 min. Its mean time course differed significantly from that for hypnosis alone (p<0.001). (2) Comparison of individual rectal temperature time sequences showed that in fact this temperature only declined in 4 subjects out of 7, and tended to form a plateau located 0.35°C below the value of the preceding waking state. Despite reinforcement of heat suggestion, the plateau continued until the end of the hypnotic trance. (3) Mean skin temperature tended to rise. (4) When hypnosis with suggestion ceased, both rectal and skin temperatures very slowly returned to their levels during the preceding waking state.     

Cardiovascular responses to heat stress and blood volume displacements during exercise in man

Summary Subjects exercised in the upright position at approximately 50% of maximal oxygen consumption in four situations: in 25 C air, in 45 C air [mean skin temperature ( _sk) 35 C], in 35 C water immersed to the level of the xiphoid process, and finally wearing a suit perfused with 35 C water. The water immersion prevented gravitational shifts of blood volume to the legs. In this situation the forearm blood flow (FBF) rose continually with increasing core temperature (T_es) in contrast to the attenuation in rise above 38 C T_es in 45 C air. The differences were significant above 38.6 C T_es in experiments in eight subjects. The effects of immersion on cardiac output (CO), stroke volume (SV), and heart rate (HR) were studied in five of the subjects in relation to T_es, since the rate of rise of T_es was different in the four situations. CO and SV tended to be higher during both rest and exercise in the water than in the other three conditions, while HR rose in the same manner with increasing core temperature, except that it was lower in 25 C air, where T_es was lower. Thus, the prevention of hydrostatic shifts of peripheral venous volume permitted the maintenance of a higher SV and peripheral blood flow, and enhanced the ability of the circulation to deal with the combined exercise and heat stress.Supported by the Danish Space Board (1112-32/81), the Danish Medical Research Council (512–15983), and the Danish Sports Research Council. Dr. Rowell was supported in part by NHLBI Grant HL 16910     

Hand immersion in cold water alleviating physiological strain and increasing tolerance to uncompensable heat stress

The current study examines the use of hand immersion in cold water to alleviate physiological strain caused by exercising in a hot climate while wearing NBC protective garments. Seventeen heat acclimated subjects wearing a semi-permeable NBC protective garment and a light bulletproof vest were exposed to a 125 min exercise-heat stress (35 degrees C, 50% RH; 5 km/h, 5% incline). The heat stress exposure routine included 5 min rest in the chamber followed by two 50:10 min work-rest cycles. During the control trial (CO), there was no intervention, whilst in the intervention condition the subjects immersed their hands and forearms in a 10 degrees C water bath (HI). The results demonstrated that hand immersion in cold water significantly reduced physiological strain. In the CO exposure during the first and second resting periods, the average rectal temperature (T (re)) practically did not decrease. With hand immersion, the mean (SD) T (re) decreased by 0.45 (0.05 degrees C) and 0.48 degrees C (0.06 degrees C) during the first and second rest periods respectively (P < 0.005). Significant decreases in skin temperature, sweat rate, heart rate, and heat storage was also noted in the HI vs. the CO trials. Tolerance time in the HI exposure were longer than in the CO exposure (only 12 subjects in the CO trial endured the entire heat exposure session, as opposed to all 17 subjects in the HI group). It is concluded that hand immersion in cold water for 10 min is an effective method for decreasing the physiological strain caused by exercising under heat stress while wearing NBC protective garments. The method is convenient, simple, and allows longer working periods in hot or contaminated areas with shorter resting periods.     

Effects of physical training on heat loss responses of young women to passive heating in relation to menstrual cycle

To examine the effects of physical training on cutaneous vasodilation and sweating responses of young women in the follicular and luteal phase, 11 physically trained (T group) and 13 untrained (U group) women were passively heated by lower-leg immersion into hot water of 42°C (ambient temperature of 30°C and 45%RH) for 60 min in their mid-follicular and mid-luteal phases of the menstrual cycle. Female hormones increased significantly from the mid-follicular to the mid-luteal phase in T and U groups, but the degree of increase was significantly lower in T group. Mean body temperature thresholds for cutaneous vasodilation and sweating responses were significantly lower in T group than in U group, in both the menstrual phases, and the differences between the groups were greatest during the mid-luteal phase. The slope of the relationship between frequency of sweat expulsion (F_sw) and and between local sweating rate and F_sw was significantly greater in T group, although the slope of the relationship between cutaneous blood flow and did not differ between the groups, regardless of body site or menstrual phase. These results suggest that regular physical activity enhanced sweating and cutaneous vasodilation in young women. The enhancement of sweating was due to both central and peripheral mechanisms, and the enhancement of cutaneous vasodilation was possibly due to a central mechanism. Enhancement of heat loss responses via central mechanisms was greater during the mid-luteal phase than in the mid-follicular phase because the elevation of female reproductive hormone levels during the mid-luteal phase was relatively low in T group.     

Residual analysis in the determination of factors affecting the estimates of body heat storage in clothed subjects

Body heat storage can be estimated by calorimetry (from heat gains and losses) or by thermometry [from changes (Δ) in mean body temperature (T _b) calculated as a weighted combination of rectal (T _re) and mean skin temperatures (T _sk)]. If an invariant weighting factor ofT _re andT _sk were to be used (for instance, ΔT _b = 0.8 · ΔT _re + 0.2 · ΔT _sk under hot conditions), body heat storage could be over- or underestimated substantially relative to calorimetry, depending on whether the subject was wearing light or protective clothing. This study investigated whether discrepancies between calorimetry and thermometry arise from methodological errors in the calorimetric estimate of heat storage, from inappropriate weightings in the thermometric estimate, or from both. Residuals of calorimetry versus thermometric estimates were plotted against individual variables in the standard heat balance equation, applying various weighting factors toT _re andT _sk. Whether light or protective clothing was worn, the calorimetric approach generally gave appropriate estimates of heat exchange components and thus heat storage. One exception was in estimating latent heat loss from sweat evaporation. If sweat evaporation exceeded 650 g·h⁻¹ when wearing normal clothing, evaporative heat loss was overestimated and thus body heat storage was underestimated. Nevertheless, if data beyond this ceiling were excluded from the analyses, the standard 4:1 weighting matched calorimetric heat storage estimates quite well. When wearing protective clothing, the same 4:1 weighting approximated calorimetric heat storage with errors of less than approximately 10%, but only if environmental conditions allowed a subject to exercise for more than 90 min. The best thermometric estimates of heat storage were provided by using two sets of relative weightings, based upon the individual's metabolic heat production ( in kilojoules per metre squared per hour): {4 − [( )· ] 2}:1 for an initial, thermoneutral environment and {4 + [( ) · ] · 5}: 1 for a final, hot environment; the optimal value of lay between 450 and 500 kJ m⁻² · h⁻¹. We concluded that the accuracy of thermometric estimates of heat storage can be improved by modifying weighting factors ofT _re andT _sk according to the environment, type of clothing, and metabolic rate.     

Validation of a screening instrument for exposure to violence in African American children

OBJECTIVE: To provide concurrent validity data for the KID-SAVE as a screening instrument for exposure to violence in African American children, to explore demographic differences in KID-SAVE scores, and to provide preliminary reliability data on a parent version of the KID-SAVE. METHOD: Questionnaire data were collected regarding exposure to violence, children's behavior and symptoms, and family aggression. A sample of 182 children and their parents participated. RESULTS: Both parent and child report of violence exposure was significantly related to the child's psychological adjustment as endorsed by both parents and children. Also, significant relationships were obtained between parent report of their child's exposure to violence and the presence of family violence. CONCLUSIONS: The KID-SAVE appears to be a promising instrument for the assessment of exposure to violence, specifically in African American children, and may be applicable in a variety of clinical settings.