Impact of Contact Lens Material, Design, and Fitting on Discomfort.

PubMed

Stapleton, Fiona; Tan, Jacqueline

2017-01-01

To review the effect of contact lens (CL) material, design, and fitting characteristics on CL discomfort. A PubMed search identified publications describing subjective comfort and CL material, fitting, and design parameters. The review included clinical signs associated with discomfort that may be a consequence of these parameters. Reduced lens movement or more CL tightness were associated with improved comfort. Increased lens-induced paralimbal conjunctival staining and indentation, considered as quasi-indicators of CL fitting or edge design, were also associated with better comfort. No recent studies have evaluated varying CL design parameters and subjective comfort. Silicone hydrogel CLs are no different in comfort compared with hydrogel CLs. Lower equilibrium water content is associated with improved comfort in hydrogel CL wear. Coefficient of friction shows promise as a material factor potentially associated with comfort. Lid wiper epitheliopathy and lid-parallel conjunctival folds have been linked with comfort in established wearers. Recent studies have confirmed the association between more mobile CLs and more discomfort, whereas closer conformity of the CL to the bulbar conjunctiva improved subjective comfort. There is no evidence to support the perceived comfort difference between silicone hydrogel and hydrogel CL. There has been limited progress in understanding the impact of varying specific CL design parameters. Although specific clinical signs may be predictive of discomfort, their role in the natural history of discomfort remains unclear. A better understanding of the relationship between coefficient of friction and comfort and strategies to improve lubricity may hold promise for limiting CL discomfort.

The myth of comfort food.

PubMed

Wagner, Heather Scherschel; Ahlstrom, Britt; Redden, Joseph P; Vickers, Zata; Mann, Traci

2014-12-01

People seek out their own idiosyncratic comfort foods when in negative moods, and they believe that these foods rapidly improve their mood. The purpose of these studies is to investigate whether comfort foods actually provide psychological benefits, and if so, whether they improve mood better than comparison foods or no food. Participants first completed an online questionnaire to indicate their comfort foods and a variety of comparison foods. During two lab sessions a week apart from each other (and at least a week after the online questionnaire, counterbalanced in order), participants watched films that induced negative affect. In one session, participants were then served their comfort food. In the other, participants were served an equally liked noncomfort food (Study 1), a neutral food (Study 2), or no food (Studies 3 and 4). Short-term mood changes were measured so that we could seek out psychological effects of these foods, rather than biochemical effects on mood from particular food components (e.g., sugars or vitamins). Comfort foods led to significant improvements in mood, but no more than other foods or no food. Although people believe that comfort foods provide them with mood benefits, comfort foods do not provide comfort beyond that of other foods (or no food). These results are likely not due to a floor effect because participants' moods did not return to baseline levels. Individuals may be giving comfort food "credit" for mood effects that would have occurred even in the absence of the comfort food.

The Role of Interpersonal Comfort in Mentoring Relationships

ERIC Educational Resources Information Center

Allen, Tammy D.; Day, Rachel; Lentz, Elizabeth

2005-01-01

This research examined interpersonal comfort as a potential mediating mechanism in mentoring relationships. Results indicated that interpersonal comfort mediated the relationship between gender similarity and protege reports of career and psychosocial mentoring. Contrary to prediction, interpersonal comfort did not mediate relationships involving…

Cardiovascular and Thermal Strain during Manual Work in Cold Weather

DTIC Science & Technology

2005-05-01

subjective thermal sensation (on a scale ranging from unbearably cold to very hot) and thermal comfort (ranging from comfortable to extremely uncomfortable...both thermal sensation and thermal comfort ratings at 1 and at 30 min. There was no significant difference in Thermal Comfort (TC) between the two...overview of the subjective thermal ratings pre and post repeated cold exposure is shown in Table 2. During the acclimation days, thermal comfort was

Thermal Comfort and Thermal Sensation During Exposure to Hot, Hot-Humid and Thermoneutral Environments

DTIC Science & Technology

1998-01-01

than COND 2(6 +/- 2 W) and COND 3 (11 +/- 5 W, p 0.05). The thermal comfort and thermal sensation assessments reflected the physiological responses...was related to thermal comfort (R2 = 0.94. This research provided evidence that skin wettedness predicted thermal comfort effectively in all...environments tested. The subjective assessment of thermal comfort discriminated between all environments and the heat index derived from the USARIEM

Impact of flow and temperature on patient comfort during respiratory support by high-flow nasal cannula.

PubMed

Mauri, Tommaso; Galazzi, Alessandro; Binda, Filippo; Masciopinto, Laura; Corcione, Nadia; Carlesso, Eleonora; Lazzeri, Marta; Spinelli, Elena; Tubiolo, Daniela; Volta, Carlo Alberto; Adamini, Ileana; Pesenti, Antonio; Grasselli, Giacomo

2018-05-09

The high-flow nasal cannula (HFNC) delivers up to 60 l/min of humidified air/oxygen blend at a temperature close to that of the human body. In this study, we tested whether higher temperature and flow decrease patient comfort. In more severe patients, instead, we hypothesized that higher flow might be associated with improved comfort. A prospective, randomized, cross-over study was performed on 40 acute hypoxemic respiratory failure (AHRF) patients (PaO 2 /FiO 2  ≤ 300 + pulmonary infiltrates + exclusion of cardiogenic edema) supported by HFNC. The primary outcome was the assessment of patient comfort during HFNC delivery at increasing flow and temperature. Two flows (30 and 60 l/min), each combined with two temperatures (31 and 37 °C), were randomly applied for 20 min (four steps per patient), leaving clinical FiO 2 unchanged. Toward the end of each step, the following were recorded: comfort by Visual Numerical Scale ranging between 1 (extreme discomfort) and 5 (very comfortable), together with respiratory parameters. A subgroup of more severe patients was defined by clinical FiO 2  ≥ 45%. Patient comfort was reported as significantly higher during steps at the lower temperature (31 °C) in comparison to 37 °C, with the HFNC set at both 30 and 60 l/min (p < 0.0001). Higher flow, however, was not associated with poorer comfort. In the subgroup of patients with clinical FiO 2  ≥ 45%, both lower temperature (31 °C) and higher HFNC flow (60 l/min) led to higher comfort (p < 0.01). HFNC temperature seems to significantly impact the comfort of AHRF patients: for equal flow, lower temperature could be more comfortable. Higher flow does not decrease patient comfort; at variance, it improves comfort in the more severely hypoxemic patient.

Combined comfort model of thermal comfort and air quality on buses in Hong Kong.

PubMed

Shek, Ka Wing; Chan, Wai Tin

2008-01-25

Air-conditioning settings are important factors in controlling the comfort of passengers on buses. The local bus operators control in-bus air quality and thermal environment by conforming to the prescribed levels stated in published standards. As a result, the settings are merely adjusted to fulfill the standards, rather than to satisfy the passengers' thermal comfort and air quality. Such "standard-oriented" practices are not appropriate; the passengers' preferences and satisfaction should be emphasized instead. Thus a "comfort-oriented" philosophy should be implemented to achieve a comfortable in-bus commuting environment. In this study, the achievement of a comfortable in-bus environment was examined with emphasis on thermal comfort and air quality. Both the measurement of physical parameters and subjective questionnaire surveys were conducted to collect practical in-bus thermal and air parameters data, as well as subjective satisfaction and sensation votes from the passengers. By analyzing the correlation between the objective and subjective data, a combined comfort models were developed. The models helped in evaluating the percentage of dissatisfaction under various combinations of passengers' sensation votes towards thermal comfort and air quality. An effective approach integrated the combined comfort model, hardware and software systems and the bus air-conditioning system could effectively control the transient in-bus environment. By processing and analyzing the data from the continuous monitoring system with the combined comfort model, air-conditioning setting adjustment commands could be determined and delivered to the hardware. This system adjusted air-conditioning settings depending on real-time commands along the bus journey. Therefore, a comfortable in-bus air quality and thermal environment could be achieved and efficiently maintained along the bus journey despite dynamic outdoor influences. Moreover, this model can help optimize air-conditioning control by striking a beneficial balance between energy conservation and passengers' satisfaction level.

It Costs to Be Clean and Fit: Energetics of Comfort Behavior in Breeding-Fasting Penguins

PubMed Central

Viblanc, Vincent A.; Mathien, Adeline; Saraux, Claire; Viera, Vanessa M.; Groscolas, René

2011-01-01

Background Birds may allocate a significant part of time to comfort behavior (e.g., preening, stretching, shaking, etc.) in order to eliminate parasites, maintain plumage integrity, and possibly reduce muscular ankylosis. Understanding the adaptive value of comfort behavior would benefit from knowledge on the energy costs animals are willing to pay to maintain it, particularly under situations of energy constraints, e.g., during fasting. We determined time and energy devoted to comfort activities in freely breeding king penguins (Aptenodytes patagonicus), seabirds known to fast for up to one month during incubation shifts ashore. Methodology/Principal Findings A time budget was estimated from focal and scan sampling field observations and the energy cost of comfort activities was calculated from the associated increase in heart rate (HR) during comfort episodes, using previously determined equations relating HR to energy expenditure. We show that incubating birds spent 22% of their daily time budget in comfort behavior (with no differences between day and night) mainly devoted to preening (73%) and head/body shaking (16%). During comfort behavior, energy expenditure averaged 1.24 times resting metabolic rate (RMR) and the corresponding energy cost (i.e., energy expended in excess to RMR) was 58 kJ/hr. Energy expenditure varied greatly among various types of comfort behavior, ranging from 1.03 (yawning) to 1.78 (stretching) times RMR. Comfort behavior contributed 8.8–9.3% to total daily energy expenditure and 69.4–73.5% to energy expended daily for activity. About half of this energy was expended caring for plumage. Conclusion/Significance This study is the first to estimate the contribution of comfort behavior to overall energy budget in a free-living animal. It shows that although breeding on a tight energy budget, king penguins devote a substantial amount of time and energy to comfort behavior. Such findings underline the importance of comfort behavior for the fitness of colonial seabirds. PMID:21818253

Nursing home employee perceptions of culture change.

PubMed

Palmer, Jennifer A; Meterko, Mark; Zhao, Shibei; Berlowitz, Dan; Mobley, Esther; Hartmann, Christine W

2013-07-01

This study examined nursing home staff members' comfort levels with specific culture change scenarios and observed whether there were differences by occupation. We conducted a cross-sectional survey of 218 staff members in all occupational categories at four Veterans Health Administration Community Living Centers (i.e., nursing homes). Staff indicated their comfort level using a 9-point scale (1 = not at all comfortable to 9 = extremely comfortable). The culture change scenarios were divided into three subscales: Resident Safety (5 items), Resident Experience (5 items), and Staff Experience (2 items). Overall, respondents were slightly uncomfortable with the scenarios (overall mean = 4.57). Staff reported least comfort with the Resident Safety subscale (mean = 3.63) and most comfort with the Resident Experience subscale (mean = 5.65), with significant differences within these two subscales by occupational category. Existent power differentials among staff may influence comfort levels with culture change. Assessing staff comfort with culture change may help guide implementation efforts in a strategic manner. Copyright 2013, SLACK Incorporated.

Shape design of an optimal comfortable pillow based on the analytic hierarchy process method

PubMed Central

Liu, Shuo-Fang; Lee, Yann-Long; Liang, Jung-Chin

2011-01-01

Objective Few studies have analyzed the shapes of pillows. The purpose of this study was to investigate the relationship between the pillow shape design and subjective comfort level for asymptomatic subjects. Methods Four basic pillow designs factors were selected on the basis of literature review and recombined into 8 configurations for testing the rank of degrees of comfort. The data were analyzed by the analytic hierarchy process method to determine the most comfortable pillow. Results Pillow number 4 was the most comfortable pillow in terms of head, neck, shoulder, height, and overall comfort. The design factors of pillow number 4 were using a combination of standard, cervical, and shoulder pillows. A prototype of this pillow was developed on the basis of the study results for designing future pillow shapes. Conclusions This study investigated the comfort level of particular users and redesign features of a pillow. A deconstruction analysis would simplify the process of determining the most comfortable pillow design and aid designers in designing pillows for groups. PMID:22654680

Affect asymmetry and comfort food consumption.

PubMed

Dubé, Laurette; LeBel, Jordan L; Lu, Ji

2005-11-15

It is proposed that the emotional triggers of comfort food consumption can reliably be predicted by factors tied to affect asymmetry whereby negative affects dominate one's experience, decision making and behaviors in some instances while positive emotions prevail in others. Specifically, we relate three of these factors (age, gender, and culture) to differences in the emotional triggers of comfort food consumption and we further explore the possibility that the type of food eaten during comfort-seeking episodes can also be tied to affect asymmetry. Two hundred and seventy-seven participants completed a web-based survey conducted to assess the emotional antecedents and consequences of comfort food consumption. Consistent with expectations, results indicate that men's comfort food consumption was motivated by positive emotions whereas women's consumption was triggered by negative affects. Consumption of comfort foods alleviated women's negative emotions but also produced guilt. Positive affect was a particularly powerful trigger of comfort food consumption for older participants and for participants with French cultural background. Younger participants and participants with English background reported more intense negative emotions prior to consuming comfort foods. Foods high in sugar and fat content were more efficient in alleviating negative affects whereas low-calorie foods were more efficient in increasing positive emotions.

Interior effects on comfort in healthcare waiting areas.

PubMed

Bazley, C; Vink, P; Montgomery, J; Hedge, A

2016-07-21

This study compared the effects of pre-experience and expectations on participant comfort upon waking, arrival to, and after an appointment, as well as the assessment of properly placed Feng Shui elements in three healthcare waiting rooms. Participants assessed comfort levels using self-report surveys. The researcher conducted 'intention interviews' with each doctor to assess the goals of each waiting area design, and conducted a Feng Shui assessment of each waiting area for properly placed Feng Shui elements. The waiting area designed by the Feng Shui expert rated 'most comfortable', followed by the waiting area design by a doctor, and the lowest comfort rating for the conventional waiting room design. Results show a sufficiently strong effect to warrant further research. Awareness of the external environment, paired with pre-experience and expectation, influences comfort for people over time. Fostering and encouraging a holistic approach to comfort utilizing eastern and western concepts and ergonomic principles creates a sense of "placeness" and balance in the design for comfort in built environments. This is new research information on the influences of the comfort experience over time, to include pre-experience, expectations and the placement of elements in the external environment.

Measuring comfort in caregivers and patients during late end-of-life care.

PubMed

Novak, B; Kolcaba, K; Steiner, R; Dowd, T

2001-01-01

The purpose of this study was to test several formats of end-of-life comfort instruments for patients and closely involved caregivers. Kolcaba's Comfort Theory was the theoretical framework utilized. Different response formats for two end-of-life (EOL) comfort questionnaires (for patients and caregivers, respectively), and horizontal and vertical visual analog scales for total comfort (TC) lines were compared in two phases. Evaluable data were collected from both members of 38 patient-caregiver dyads in each phase. Suitable dyads were recruited from two hospice agencies in northeastern Ohio. Cronbach's alpha for the EOL comfort questionnaire (six response Likert-type format) tested during phase I for patients was .98 and for caregivers was .97. Test-retest reliability for the vertical TC line tested during phase I for patients was .64 and for caregivers was .79. The implications of this study for nursing practice and research are derived from the American Nursing Association (ANA) position statement about EOL care, which states that comfort is the goal of nursing for this population. These instruments will be useful for assessing comfort in actively dying patients and comfort of their caregivers as well as for developing evidence-based practice for this population.

Exploring Holistic Comfort in Children Who Experience a Clinical Venipuncture Procedure.

PubMed

Bice, April A; Hall, Joanne; Devereaux, Matthew J

2018-06-01

Children often experience the uncomfortable effects of invasive procedures as a part of primary care and during times of illness. Holistic comfort has been well documented in adult literature but little research exists on the understanding of holistic procedural comfort from the child's perspective. In this study, holistic comfort related to an invasive venipuncture procedure was explored in children age 5 to 7 years and their caregivers of all ages. A qualitative descriptive design described by Sandelowski was used. The philosophical underpinnings of naturalistic inquiry of Guba and Lincoln were used. Semistructured interviews were conducted with 13 child and 15 caregiver participants. Children also drew pictures to help describe their perceptions. Traditional thematic content analysis described by Hsieh and Shannon yielded four overarching themes of holistic comfort related to venipuncture procedures in children: Body Comfort, Cognitive and Emotional Comfort, Comfort in the Procedure Surroundings, and Comfort Play. Numerous recommendations for future research are included. Implications for nursing and related health sciences, organizational and administrative policy, invasive procedures, theory, and methods were found and are discussed. Findings from this study will assist nurses in providing procedure management for children from a holistic care perspective.

Comfort and hope in the preanesthesia stage in patients undergoing surgery.

PubMed

Seyedfatemi, Naima; Rafii, Forough; Rezaei, Mahboubeh; Kolcaba, Katharine

2014-06-01

Comfort and hope have been identified as important components in the care of perianesthesia patients. The purpose of this study was to explore the relationship between comfort and hope in the preanesthesia stage in patients undergoing surgery. A descriptive cross-sectional survey was conducted with 191 surgical patients. Data were collected using the Perianesthesia Comfort Questionnaire and Herth Hope Index. Direct and significant relationships were observed between comfort and hope (P≤.001, r=0.65). Also, significant relationships were observed between educational level and marital status with comfort (P≤.01). The relationship between educational level and hope was significant (P≤.001). Significant relationships were also observed between gender and marital status with hope (P≤.01). Overall, this study showed that a significant relationship exists between comfort and hope. Additionally, some demographic characteristics influenced comfort and hope in these patients. Health care providers should arrange the environment in a way that allows the surgical patients to experience comfort and hope and recognize the impact of personal characteristics when caring for surgical patients, particularly in the preanesthesia stage. Copyright © 2014 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

Validation of Objective Based Measures and Development of a Performance-Based Ranking Method for Load Carriage Systems

DTIC Science & Technology

2001-05-01

Shoulder Discomfort, March Thermal Comfort z * Front Mobility, Overhead Mobility, March Thermal Comfort r Moment (Amp, Nm/kg) x * Torsional Mobility...0 Fit El Manoeuverability U Acceptability M Integration 0 Mobility 0 Physical Comfort 0 Thermal Comfort Figure 3. Overall Ratings for Four Systems. A... Thermal Comfort ) Total 71.1 % Factor 1 described the balance and general ability to move with the pack in place. Variables included lateral bending

Passenger comfort technology for system decision making

NASA Technical Reports Server (NTRS)

Conner, D. W.

1980-01-01

Decisions requiring passenger comfort technology were shown to depend on: the relationship between comfort and other factors (e.g., cost, urgency, alternate modes) in traveler acceptance of the systems, serving a selected market require technology to quantify effects of comfort versus offsetting factors in system acceptance. Public predict the maximum percentage of travelers who willingly accept the overall comfort of any trip ride. One or the other of these technology requirements apply to decisions on system design, operation and maintenance.

Coronal plane socket stability during gait in persons with transfemoral amputation: Pilot study.

PubMed

Fatone, Stefania; Dillon, Michael; Stine, Rebecca; Tillges, Robert

2014-01-01

Little research describes which transfemoral socket design features are important for coronal plane stability, socket comfort, and gait. Our study objectives were to (1) relate socket comfort during gait to a rank order of changes in ischial containment (IC) and tissue loading and (2) compare socket comfort during gait when tissue loading and IC were systematically manipulated. Six randomly assigned socket conditions (IC and tissue compression) were assessed: (1) IC and high, (2) IC and medium, (3) IC and low, (4) no IC and high, (5) no IC and medium, and (6) no IC and low. For the six subjects in this study, there was a strong, negative relationship between comfort and changes in IC and tissue loading (rho = -0.89). With the ischium contained, tissue loading did not influence socket comfort (p = 0.47). With no IC, the socket was equally comfortable with high tissue loading (p = 0.36) but the medium (p = 0.04) and low (p = 0.02) tissue loading conditions decreased comfort significantly. Coronal plane hip moments, lateral trunk lean, step width, and walking speed were invariant to changes in IC and/or tissue loading. Our results suggest that in an IC socket, medial tissue loading mattered little in terms of comfort. Sockets without IC required high tissue loading to be as comfortable as those with IC, while suboptimal tissue loading compromised comfort.

Comfort eating, psychological stress, and depressive symptoms in young adult women.

PubMed

Finch, Laura E; Tomiyama, A Janet

2015-12-01

Little is known about whether comfort eating actually functions to reduce psychological stress. In addition, the effectiveness of comfort eating may be particularly relevant in the context of depression, but no study has tested whether comfort eating processes might depend on severity of depressive symptomology. This study tested 1) whether greater comfort eating statistically buffers the relationship between adverse life events and perceived psychological stress at age 18-19, and 2) whether potential stress-buffering effects may differ by level of depressive symptoms. These relationships were examined in the NHLBI Growth and Health Study, comprising 2379 young adult women. Participants self-reported experiences with adverse life events, their perceived psychological stress, and whether they tended to eat more while experiencing certain negative emotions. As hypothesized, the relationship between adverse life events and perceived stress depended on comfort eating status (p = .033). The effect of adverse events on perceived stress was attenuated among comfort eaters compared to non-comfort eaters (p = .004), but this buffering effect was not shown in participants with an elevated level of depressive symptoms. In conclusion, among young adult women without high depressive symptoms, comfort eaters may experience reduced perceived stress compared to those who do not engage in this behavior. Intervention researchers should also consider the possible benefits of comfort eating. Copyright © 2015 Elsevier Ltd. All rights reserved.

Posttraumatic stress disorder in former 'comfort women'.

PubMed

Min, Sung Kil; Lee, Chang Ho; Kim, Joo Young; Sim, Eun Ji

2011-01-01

This study investigated the mental health of former 'comfort women' who serviced the Japanese Imperial Military during the Second World War. We evaluated 26 former comfort women's life histories, cognitive functioning, DSM-IV diagnosis of posttraumatic stress disorder (PTSD), depression, paranoid state, anger, and Rorschach test results, and compared the data with those of 24 healthy women. Cognitive functioning was not significantly different between former comfort women and the comparison group. All 26 former comfort women had undergone traumatic experiences such as sexual slavery and had suffered PTSD symptoms at least once in their lives. Of the 26, 8 (30.8%) were diagnosed as having PTSD, as opposed to none in the comparison group. The women's PTSD symptoms were characterized by avoidance behavior, intrusive and distressing recollections, and anger. There were no significant differences in depression or paranoid state between the two groups, but former comfort women had impairments in anger control. Former comfort women with PTSD were more depressed. On the Rorschach test, former comfort women revealed characteristic responses related not only to sex and morbidity but also to anger and violence. The small number of subjects might not represent all former comfort women. Some data collected by self report might limit the objectivity of the results. The results suggest that former comfort women are still suffering from traumatic memories, symptoms of PTSD, including avoidant behavior, and anger control impairment, even 60 years after the end of the war.

Stress-induced endocrine response and anxiety: the effects of comfort food in rats.

PubMed

Ortolani, Daniela; Garcia, Márcia Carvalho; Melo-Thomas, Liana; Spadari-Bratfisch, Regina Celia

2014-05-01

The long-term effects of comfort food in an anxiogenic model of stress have yet to be analyzed. Here, we evaluated behavioral, endocrine and metabolic parameters in rats submitted or not to chronic unpredictable mild stress (CUMS), with access to commercial chow alone or to commercial chow and comfort food. Stress did not alter the preference for comfort food but decreased food intake. In the elevated plus-maze (EPM) test, stressed rats were less likely to enter/remain in the open arms, as well as being more likely to enter/remain in the closed arms, than were control rats, both conditions being more pronounced in the rats given access to comfort food. In the open field test, stress decreased the time spent in the centre, independent of diet; neither stress nor diet affected the number of crossing, rearing or grooming episodes. The stress-induced increase in serum corticosterone was attenuated in rats given access to comfort food. Serum concentration of triglycerides were unaffected by stress or diet, although access to comfort food increased total cholesterol and glucose. It is concluded that CUMS has an anorexigenic effect. Chronic stress and comfort food ingestion induced an anxiogenic profile although comfort food attenuated the endocrine stress response. The present data indicate that the combination of stress and access to comfort food, common aspects of modern life, may constitute a link among stress, feeding behavior and anxiety.

Implementation of the U.S. Green Building Council’s LEEDS (trademark) as the Army’s Green Building Rating System

DTIC Science & Technology

2006-01-01

Systems, Thermal Comfort 1 Credit 3 Enhanced Commissioning 1 Credit 7.1 Thermal Comfort , Compliance 1 Credit 4 Enhanced Refrigerant Management 1 Credit 7.2... Thermal Comfort , Validation ? Credit 5 Measurement & Verification 1 Credit 8.1 Daylight & Views, Daylight 75% of Spaces 1 Credit 6 Green Power N...Systems, Thermal Comfort 1 Credit 3 Enhanced Commissioning 1 Credit 7.1 Thermal Comfort , Compliance 1 Credit 4 Enhanced Refrigerant Management 1 Credit 7.2

Comfort model for automobile seat.

PubMed

da Silva, Lizandra da; Bortolotti, Silvana Ligia Vincenzi; Campos, Izabel Carolina Martins; Merino, Eugenio Andrés Díaz

2012-01-01

Comfort on automobile seats is lived daily by thousands of drivers. Epistemologically, comfort can be understood under the theory of complexity, since it emerges from a chain of interrelationships between man and several elements of the system. This interaction process can engender extreme comfort associated to the feeling of pleasure and wellbeing or, on the other hand, lead to discomfort, normally followed by pain. This article has for purpose the development of a theoretical model that favours the comfort feature on automobile seats through the identification of its facets and indicators. For such, a theoretical study is resorted to, allowing the mapping of elements that constitute the model. The results present a comfort model on automobile seats that contemplates the (physical, psychological, object, context and environment) facets. This model is expected to contribute with the automobile industry for the development of improvements of the ergonomic project of seats to increase the comfort noticed by the users.

Exploring comfort food preferences across age and gender.

PubMed

Wansink, Brian; Cheney, Matthew M; Chan, Nina

2003-09-01

Building on findings related to physiological and psychological motivations of food preference, this research develops a framework to examine preferences toward comfort foods. Study 1 used a North American survey of 411 people to determine favored comfort foods, and Study 2 quantified the preferences for these foods across gender and across age groups using a stratified sample of 1005 additional people. Consistent with hypotheses, the findings showed different comfort food preferences across gender and across age. Males preferred warm, hearty, meal-related comfort foods (such as steak, casseroles, and soup), while females instead preferred comfort foods that were more snack related (such as chocolate and ice cream). In addition, younger people preferred more snack-related comfort foods compared to those over 55 years of age. Associations with guilty feelings underscored how these different preferences between males and females may extend to areas of application.

Possibilities to improve the aircraft interior comfort experience.

PubMed

Vink, P; Bazley, C; Kamp, I; Blok, M

2012-03-01

Comfort plays an increasingly important role in the interior design of airplanes. Although ample research has been conducted on airplane design technology, only a small amount of public scientific information is available addressing the passenger's opinion. In this study, more than 10,000 internet trip reports and 153 passenger interviews were used to gather opinions about aspects which need to be improved in order to design a more comfortable aircraft interior. The results show clear relationships between comfort and legroom, hygiene, crew attention and seat/personal space. Passengers rate the newer planes significantly better than older ones, indicating that attention to design for comfort has proven effective. The study also shows that rude flight attendants and bad hygiene reduce the comfort experience drastically and that a high comfort rating is related to higher "fly again" values. Copyright © 2011 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Operational User Requirements and Priorities for a Soldier’s Integrated Headwear System (Priorites et Exigences Operationnelles du Casque Integre du Soldat)

DTIC Science & Technology

2006-11-21

considerations included thermal comfort in the heat, given the higher potential for heat casualties in hot, arid environments of ongoing and future conflicts...26 3.9.1 Thermal Comfort ...................................................................................................27...23 1. THERMAL COMFORT ................................................................................................. A-23 2. PHYSICAL COMFORT

Design of outdoor urban spaces for thermal comfort

Treesearch

Harriet J. Plumley

1977-01-01

Microclimates in outdoor urban spaces may be modified by controlling the wind and radiant environments in these spaces. Design guidelines were developed to specify how radiant environments may be selected or modified to provide conditions for thermal comfort. Fanger's human-thermal-comfort model was used to determine comfortable levels of radiant-heat exchange for...

Sensory Processing Relates to Attachment to Childhood Comfort Objects of College Students

ERIC Educational Resources Information Center

Kalpidou, Maria

2012-01-01

The author tested the hypothesis that attachment to comfort objects is based on the sensory processing characteristics of the individual. Fifty-two undergraduate students with and without a childhood comfort object reported sensory responses and performed a tactile threshold task. Those with a comfort object described their object and rated their…

Human confort response to random motions with a dominant rolling motion

NASA Technical Reports Server (NTRS)

Stone, R. W., Jr.

1975-01-01

Subjective ride comfort response ratings were measured on a visual motion simulator with rolling velocity inputs with various power spectra shapes and magnitudes. The results show only little influence of spectra shape on comfort response. The effects of magnitude on comfort response indicate the applicability of psychophysical precepts for comfort modeling.

Design and validation of an aircraft seat comfort scale using item response theory.

PubMed

Menegon, Lizandra da Silva; Vincenzi, Silvana Ligia; de Andrade, Dalton Francisco; Barbetta, Pedro Alberto; Merino, Eugenio Andrés Díaz; Vink, Peter

2017-07-01

This article aims to evaluate the psychometric properties of a scale that measures aircraft seat comfort. Factor analysis was used to study data variances. Psychometric quality was checked by using Item Response Theory. The sample consisted of 1500 passengers who completed a questionnaire at a Brazilian airport. Full information factor analysis showed the presence of one dominant factor explaining 34% of data variance. The scale generated covered all levels of comfort data, from 'no comfort' to 'maximum comfort'. The results show that the passengers consider there is comfort, but this is very minimal when these passengers have to perform their desired activities. It tends to increase when aspects of the aircraft seating are improved and positive emotions are elicited. Comfort peaks when pleasure is experienced and passenger expectations are exceeded (maximum comfort). This outcome seems consistent with the literature. Further research is advised to compare the outcome of this questionnaire with other research methods, and to check if the questionnaire is sensitive enough and whether its conclusions are useful in practice. Copyright © 2017. Published by Elsevier Ltd.

Influence of foot orthosis customisation on perceived comfort during running.

PubMed

Lucas-Cuevas, A G; Pérez-Soriano, P; Priego-Quesada, J I; Llana-Belloch, S

2014-01-01

Although running is associated with many health benefits, it also exposes the body to greater risk of injury. Foot orthoses are an effective strategy to prevent such injuries. Comfort is an essential element in orthosis design since any discomfort alters the runner's biomechanics, compromising performance and increasing the risk of injury. The present study analyses the perceived comfort of three types of orthoses: custom-made, prefabricated and original running shoe insoles. Nine comfort variables for each insole were assessed in a sample of 40 runners. Custom-made and prefabricated insoles were both perceived as significantly more comfortable than the original insoles. The differences were clinically relevant and were potentially causes of modifications in running gait. Although the prefabricated insoles were rated slightly higher than the custom-made insoles, the differences were not statistically significant. This study shows that prefabricated insoles constitute a reasonable alternative to custom-made insoles in terms of comfort. The perceived level of comfort of footwear is considered to be a protective measure of the potential risk of running injuries. We here compared runners' perception of comfort of custom-made and prefabricated orthoses while running. We found that even though custom-made orthoses are closely matched to each individual's foot, such customisation does not necessarily imply greater comfort.

Improving comfort of shoe sole through experiments based on CAD-FEM modeling.

PubMed

Franciosa, Pasquale; Gerbino, Salvatore; Lanzotti, Antonio; Silvestri, Luca

2013-01-01

It was reported that next to style, comfort is the second key aspect in purchasing footwear. One of the most important components of footwear is the shoe sole, whose design is based on many factors such as foot shape/size, perceived comfort and materials. The present paper focuses on the parametric analysis of a shoe sole to improve the perceived comfort. The sensitivity of geometric and material design factors on comfort degree was investigated by combining real experimental tests and CAD-FEM simulations. The correlation between perceived comfort and physical responses, such as plantar pressures, was estimated by conducting real tests. Four different conditions were analyzed: subjects wearing three commercially available shoes and in a barefoot condition. For each condition, subjects expressed their perceived comfort score. By adopting plantar sensors, the plantar pressures were also monitored. Once given such a correlation, a parametric FEM model of the footwear was developed. In order to better simulate contact at the plantar surface, a detailed FEM model of the foot was also generated from CT scan images. Lastly, a fractional factorial design array was applied to study the sensitivity of different sets of design factors on comfort degree. The findings of this research showed that the sole thickness and its material highly influence perceived comfort. In particular, softer materials and thicker soles contribute to increasing the degree of comfort. Copyright © 2012 IPEM. Published by Elsevier Ltd. All rights reserved.

Regional differences in temperature sensation and thermal comfort in humans.

PubMed

Nakamura, Mayumi; Yoda, Tamae; Crawshaw, Larry I; Yasuhara, Saki; Saito, Yasuyo; Kasuga, Momoko; Nagashima, Kei; Kanosue, Kazuyuki

2008-12-01

Sensations evoked by thermal stimulation (temperature-related sensations) can be divided into two categories, "temperature sensation" and "thermal comfort." Although several studies have investigated regional differences in temperature sensation, less is known about the sensitivity differences in thermal comfort for the various body regions. In the present study, we examined regional differences in temperature-related sensations with special attention to thermal comfort. Healthy male subjects sitting in an environment of mild heat or cold were locally cooled or warmed with water-perfused stimulators. Areas stimulated were the face, chest, abdomen, and thigh. Temperature sensation and thermal comfort of the stimulated areas were reported by the subjects, as was whole body thermal comfort. During mild heat exposure, facial cooling was most comfortable and facial warming was most uncomfortable. On the other hand, during mild cold exposure, neither warming nor cooling of the face had a major effect. The chest and abdomen had characteristics opposite to those of the face. Local warming of the chest and abdomen did produce a strong comfort sensation during whole body cold exposure. The thermal comfort seen in this study suggests that if given the chance, humans would preferentially cool the head in the heat, and they would maintain the warmth of the trunk areas in the cold. The qualitative differences seen in thermal comfort for the various areas cannot be explained solely by the density or properties of the peripheral thermal receptors and thus must reflect processing mechanisms in the central nervous system.

An Ergonomic Evaluation of Aircraft Pilot Seats

NASA Astrophysics Data System (ADS)

Andrade, Yolanda Nicole

Seat comfort has become increasingly important in today's society as we spend more time at consoles, instrument panels, or just online. However, seat comfort is hard to define and difficult to measure. Several measures both objective and subjective were used to evaluate seat comfort in commercially available average pilot seats. Three pilot seats, which had the same material and similar adjustments but different physical attributes, and a universal classroom seat, with different material and no adjustments, were compared by 20 volunteers using subjective and objective measures in a Latin square controlled repeated measures design. A Friedman's test was used to determine that both the comfort questionnaire and the body-map rating results were able to discriminate objective comfort levels between the seats. One-way repeated measures ANOVA tests were used to analyze both the objective tests, actigraph and pressure pad data. All results indicated that one seat was clearly the most comfortable and another, the classroom seat was clearly the most uncomfortable seat. Furthermore, the overall comments per seat were compiled and compared to Fazlollahtabar's 2010) predictive automobile seat comfort theory to determine which factors influence comfort perception. The use of both subjective and objective data can better distinguish comfort from one seat over the other. These results have implications for future tests of seats that will be used for long durations. Limitations and future recommendations are discussed later in the paper. An interesting finding may explain why pressure pad data are typically seemingly at odds with subjective measures of seat comfort.

Comfort and experience with online learning: trends over nine years and associations with knowledge.

PubMed

Cook, David A; Thompson, Warren G

2014-07-01

Some evidence suggests that attitude toward computer-based instruction is an important determinant of success in online learning. We sought to determine how comfort using computers and perceptions of prior online learning experiences have changed over the past decade, and how these associate with learning outcomes. Each year from 2003-2011 we conducted a prospective trial of online learning. As part of each year's study, we asked medicine residents about their comfort using computers and if their previous experiences with online learning were favorable. We assessed knowledge using a multiple-choice test. We used regression to analyze associations and changes over time. 371 internal medicine and family medicine residents participated. Neither comfort with computers nor perceptions of prior online learning experiences showed a significant change across years (p > 0.61), with mean comfort rating 3.96 (maximum 5 = very comfortable) and mean experience rating 4.42 (maximum 6 = strongly agree [favorable]). Comfort showed no significant association with knowledge scores (p = 0.39) but perceptions of prior experiences did, with a 1.56% rise in knowledge score for a 1-point rise in experience score (p = 0.02). Correlations among comfort, perceptions of prior experiences, and number of prior experiences were all small and not statistically significant. Comfort with computers and perceptions of prior experience with online learning remained stable over nine years. Prior good experiences (but not comfort with computers) demonstrated a modest association with knowledge outcomes, suggesting that prior course satisfaction may influence subsequent learning.

Human thermal sensation and comfort in a non-uniform environment with personalized heating.

PubMed

Deng, Qihong; Wang, Runhuai; Li, Yuguo; Miao, Yufeng; Zhao, Jinping

2017-02-01

Thermal comfort in traditionally uniform environment is apparent and can be improved by increasing energy expenses. To save energy, non-uniform environment implemented by personalized conditioning system attracts considerable attention, but human response in such environment is unclear. To investigate regional- and whole-body thermal sensation and comfort in a cool environment with personalized heating. In total 36 subjects (17 males and 19 females) including children, adults and the elderly, were involved in our experiment. Each subject was first asked to sit on a seat in an 18°C chamber (uniform environment) for 40min and then sit on a heating seat in a 16°C chamber (non-uniform environment) for another 40min after 10min break. Subjects' regional- and whole-body thermal sensation and comfort were surveyed by questionnaire and their skin temperatures were measured by wireless sensors. We statistically analyzed subjects' thermal sensation and comfort and their skin temperatures in different age and gender groups and compared them between the uniform and non-uniform environments. Overall thermal sensation and comfort votes were respectively neutral and just comfortable in 16°C chamber with personalized heating, which were significantly higher than those in 18°C chamber without heating (p<0.01). The effect of personalized heating on improving thermal sensation and comfort was consistent in subjects of different age and gender. However, adults and the females were more sensitive to the effect of personalized heating and felt cooler and less comfort than children/elderly and the males respectively. Variations of the regional thermal sensation/comfort across human body were consistent with those of skin temperature. Personalized heating significantly improved human thermal sensation and comfort in non-uniform cooler environment, probably due to the fact that it increased skin temperature. However, the link between thermal sensation/comfort and variations of skin temperature is rather complex and warrant further investigation. Copyright © 2016 Elsevier B.V. All rights reserved.

Thermal (dis)comfort experienced from physiological movements across indoor, transitional and outdoor spaces in Singapore: A pilot study

NASA Astrophysics Data System (ADS)

Li Heng, Su; Chow, Winston

2017-04-01

Human thermal comfort research is important as climate discomfort can adversely affect both health and work productivity in cities; however, such biometeorological work in low-latitude urban areas is still relatively unstudied hitherto. In the tropical metropolis of Singapore, a suite of policies have been implemented aimed at improving environmental sustainability via increasing car-free commutes and pedestrian movement during work/school journeys, with the consequence that individuals will likely have increased personal exposure through a variety of spaces (and climates) during typical daily activities. As such, research into exploring the thermal (dis)comfort experienced during pedestrian movements across these indoor, outdoor and transitional (semi-outdoor) spaces would yield interesting applied biometerological insights. This pilot study thus investigates how pedestrian thermal comfort varies spatially across a university campus, and how the physical intensity of pedestrian travel affects thermal comfort across these spaces. Over a 10-week period, we profiled six students for both their objective and subjective pedestrian thermal comfort during traverses across different spaces. Data were obtained through use of (a.) of a heat stress sensor, (b.) a fitness tracker, and (b.) a questionnaire survey to record traverse measurements of the microclimate, their physiological data, and their perceived microclimate comfort respectively. Measured climate and physiological data were used to derive commonly-used thermal comfort indices like wet-bulb globe temperature (WBGT) and physiological equivalent temperature (PET). Further, interviews were conducted with all six subjects at the end of the fieldwork period to ascertain details on individual acclimatization behavior and adaptation strategies. The results indicate that (a.) more than 50% of the microclimatic conditions within each indoor, semi-outdoor, and outdoor space exceeded heat stress thresholds of both PET and WBGT, and that participants often were at "high" risk of heat stress from pedestrian movement; (b.) participants were most comfortable with humidity sensations across all spaces compared to other microclimate sensations (e.g. wind, heat, sun); (c.) correlation between microclimate sensation and WBGT varied across participants and across spaces, with stronger correlation between sun sensation votes and WBGT for most participants, and (d.) heart rates of individuals were not significant in estimating and predicting PET for activities such as pedestrian walking. Present results confirm that WBGT applies better to hot climates and outdoor thermal comfort, but not so for hot, humid climates and indoor thermal comfort. Self-reported (subjective) thermal comfort also differed from measured (objective) thermal comfort and across participants because acclimatized individuals can have different sensitivities and acceptance towards (dis)comfort arising from pedestrian movement across spaces. Finally, we suggest that future pedestrian thermal comfort studies employ longitudinal studies and traverse measurements to consider the critical aspects of thermal history and individual sensitivities to on (dis)comfort levels.

An Enhanced Personal Cooling Garment for Aircrew

DTIC Science & Technology

2002-04-01

Thermal Comfort Thermal comfort was rated by the subject on a scale of 1 (so cold I am helpless) to 13 (so hot I am...0- N-EC ~25 0 -25 -50 - 0 30 60 90 120 150 180 Time (min) Figure 6 - Mean Heat Flow (uncooled sites) Rating of Thermal Comfort Ratings of thermal ... comfort for group C and N are shown in Figure 7. 12 SC-AC 11 9• C-EC 6--- 5 4 3- 0 30 60 90 120 150 180 Time (min) Figure 7 - Rating of Thermal Comfort

Perceived Indoor Environment and Occupants' Comfort in European "Modern" Office Buildings: The OFFICAIR Study.

PubMed

Sakellaris, Ioannis A; Saraga, Dikaia E; Mandin, Corinne; Roda, Célina; Fossati, Serena; de Kluizenaar, Yvonne; Carrer, Paolo; Dimitroulopoulou, Sani; Mihucz, Victor G; Szigeti, Tamás; Hänninen, Otto; de Oliveira Fernandes, Eduardo; Bartzis, John G; Bluyssen, Philomena M

2016-04-25

Indoor environmental conditions (thermal, noise, light, and indoor air quality) may affect workers' comfort, and consequently their health and well-being, as well as their productivity. This study aimed to assess the relations between perceived indoor environment and occupants' comfort, and to examine the modifying effects of both personal and building characteristics. Within the framework of the European project OFFICAIR, a questionnaire survey was administered to 7441 workers in 167 "modern" office buildings in eight European countries (Finland, France, Greece, Hungary, Italy, The Netherlands, Portugal, and Spain). Occupants assessed indoor environmental quality (IEQ) using both crude IEQ items (satisfaction with thermal comfort, noise, light, and indoor air quality), and detailed items related to indoor environmental parameters (e.g., too hot/cold temperature, humid/dry air, noise inside/outside, natural/artificial light, odor) of their office environment. Ordinal logistic regression analyses were performed to assess the relations between perceived IEQ and occupants' comfort. The highest association with occupants' overall comfort was found for "noise", followed by "air quality", "light" and "thermal" satisfaction. Analysis of detailed parameters revealed that "noise inside the buildings" was highly associated with occupants' overall comfort. "Layout of the offices" was the next parameter highly associated with overall comfort. The relations between IEQ and comfort differed by personal characteristics (gender, age, and the Effort Reward Imbalance index), and building characteristics (office type and building's location). Workplace design should take into account both occupant and the building characteristics in order to provide healthier and more comfortable conditions to their occupants.

[Comfort and noise level in infants with helmet interface].

PubMed

Medina, A; Alvarez Fernández, P; Rey Galán, C; Álvarez Mendiola, P; Álvarez Blanco, S; Vivanco Allende, A

2015-10-01

To evaluate comfort and noise intensity using the COMFORT scale in infants who receive respiratory support with a helmet interface. An observational descriptive study was conducted on all infants (1 to 12 months of age) admitted to a PICU from November 1st 2013 to March 31st 2014 and who received non-invasive ventilation with a helmet interface. Tolerance to the interface was assessed by use of the COMFORT scale. The intensity of the noise to which the infants were exposed was measured with a TES1350A HIBOK 412 sound-level meter. Three measurements were made every day. Twenty seven patients with bronchiolitis (median age: 54 days; range: 10 to 256) were included. Median COMFORT score in the first day was 21 points (14 - 28). An increase in patient comfort was found with a gradual decrease in the scores, with a maximum reduction of 22% from the first hours (score of 22) to the fifth day (score of 18). The minimum sound intensity registered was 42dB, and the maximum was 78dB. Background noise intensity was associated with noise intensity in the helmet. No differences were observed in COMFORT score and noise intensity between ventilator devices. Helmet interface was well tolerated by infants. COMFORT score results are an indicator that infants were comfortable or very comfortable. The measured noise intensity was in the safe range permitted by World Health Organization. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

Perceived Indoor Environment and Occupants’ Comfort in European “Modern” Office Buildings: The OFFICAIR Study

PubMed Central

Sakellaris, Ioannis A.; Saraga, Dikaia E.; Mandin, Corinne; Roda, Célina; Fossati, Serena; de Kluizenaar, Yvonne; Carrer, Paolo; Dimitroulopoulou, Sani; Mihucz, Victor G.; Szigeti, Tamás; Hänninen, Otto; de Oliveira Fernandes, Eduardo; Bartzis, John G.; Bluyssen, Philomena M.

2016-01-01

Indoor environmental conditions (thermal, noise, light, and indoor air quality) may affect workers’ comfort, and consequently their health and well-being, as well as their productivity. This study aimed to assess the relations between perceived indoor environment and occupants’ comfort, and to examine the modifying effects of both personal and building characteristics. Within the framework of the European project OFFICAIR, a questionnaire survey was administered to 7441 workers in 167 “modern” office buildings in eight European countries (Finland, France, Greece, Hungary, Italy, The Netherlands, Portugal, and Spain). Occupants assessed indoor environmental quality (IEQ) using both crude IEQ items (satisfaction with thermal comfort, noise, light, and indoor air quality), and detailed items related to indoor environmental parameters (e.g., too hot/cold temperature, humid/dry air, noise inside/outside, natural/artificial light, odor) of their office environment. Ordinal logistic regression analyses were performed to assess the relations between perceived IEQ and occupants’ comfort. The highest association with occupants’ overall comfort was found for “noise”, followed by “air quality”, “light” and “thermal” satisfaction. Analysis of detailed parameters revealed that “noise inside the buildings” was highly associated with occupants’ overall comfort. “Layout of the offices” was the next parameter highly associated with overall comfort. The relations between IEQ and comfort differed by personal characteristics (gender, age, and the Effort Reward Imbalance index), and building characteristics (office type and building’s location). Workplace design should take into account both occupant and the building characteristics in order to provide healthier and more comfortable conditions to their occupants. PMID:27120608

Comfort and experience with online learning: trends over nine years and associations with knowledge

PubMed Central

2014-01-01

Background Some evidence suggests that attitude toward computer-based instruction is an important determinant of success in online learning. We sought to determine how comfort using computers and perceptions of prior online learning experiences have changed over the past decade, and how these associate with learning outcomes. Methods Each year from 2003–2011 we conducted a prospective trial of online learning. As part of each year’s study, we asked medicine residents about their comfort using computers and if their previous experiences with online learning were favorable. We assessed knowledge using a multiple-choice test. We used regression to analyze associations and changes over time. Results 371 internal medicine and family medicine residents participated. Neither comfort with computers nor perceptions of prior online learning experiences showed a significant change across years (p > 0.61), with mean comfort rating 3.96 (maximum 5 = very comfortable) and mean experience rating 4.42 (maximum 6 = strongly agree [favorable]). Comfort showed no significant association with knowledge scores (p = 0.39) but perceptions of prior experiences did, with a 1.56% rise in knowledge score for a 1-point rise in experience score (p = 0.02). Correlations among comfort, perceptions of prior experiences, and number of prior experiences were all small and not statistically significant. Conclusions Comfort with computers and perceptions of prior experience with online learning remained stable over nine years. Prior good experiences (but not comfort with computers) demonstrated a modest association with knowledge outcomes, suggesting that prior course satisfaction may influence subsequent learning. PMID:24985690

Association between physicians' beliefs and the option of comfort care for critically ill patients.

PubMed

Schenker, Yael; Tiver, Greer A; Hong, Seo Yeon; White, Douglas B

2012-10-01

For critically ill patients at high risk of death, reasonable treatment options include attempts at life prolongation and treatment focused on comfort. Little is known about whether and how physicians present the option of comfort care to surrogates. This study assessed how comfort care is presented to surrogates and whether physicians' beliefs are associated with whether comfort care is presented as an option. Mixed-methods study of 72 audio-recorded family conferences about treatment decisions in five ICUs at two hospitals in San Francisco, California. One hundred sixty-nine family members and 54 physicians participated. Patients were at high risk of death or severe functional impairment. Transcripts of audio-recorded conferences were coded to identify whether physicians offered comfort care as an alternative to life-sustaining treatment and to characterize the stated risks and benefits. Physicians completed a questionnaire indicating the strength of their belief that life support should be foregone. The inpatient mortality rate was 72 %. Using a broad definition of comfort-oriented treatment, this option was presented in 56 % (95 % CI, 44-67 %) of conferences. In clustered multivariate models, the only independent predictor of offering comfort care as an option was the strength of the physician's belief that life support should be foregone [OR 1.38 (1.14-1.66), p = 0.01]. Clinicians did not explicitly inform surrogates about the option of comfort-oriented treatment in roughly half of clinician-family meetings. Physicians who more strongly believe that the appropriate goal of care is life prolongation are less likely to inform surrogates about the option of comfort care.

Outcomes of newly practicing nurses who applied principles of holistic comfort theory during the transition from school to practice: a qualitative study.

PubMed

Goodwin, Miki; Candela, Lori

2013-06-01

The aim of this qualitative study was to explore if newly practicing nurses benefited from learning holistic comfort theory during their baccalaureate education, and to provide a conceptual framework to support the transition from school to practice. The study was conducted among graduates of an accelerated baccalaureate nursing program where holistic comfort theory was embedded as a learner-centered philosophy across the curriculum. A phenomenological process using van Manen's qualitative methodology in education involving semi-structured interviews and thematic analysis was used. The nurses recalled what holistic comfort meant to them in school, and described the lived experience of assimilating holistic comfort into their attitudes and behaviors in practice. Themes were established and a conceptual framework was developed to better understand the nurses' lived experiences. Results showed that holistic comfort was experienced as a constructive approach to transcend unavoidable difficulties during the transition from school to practice. Participants described meaningful learning and acquisition of self-strengthening behaviors using holistic comfort theory. Holistic comfort principles were credited for easing nurses into the realities of work and advocating for best patient outcomes. Patient safety and pride in patient care were incidental positive outcomes. The study offers new insights about applying holistic comfort to prepare nurses for the realities of practice. Copyright © 2012 Elsevier Ltd. All rights reserved.

A literature review of comfort in the paediatric critical care patient.

PubMed

Bosch-Alcaraz, Alejandro; Falcó-Pegueroles, Anna; Jordan, Iolanda

2018-03-08

To investigate the meaning of comfort and to contextualise it within the framework of paediatric critical care. The concept of comfort is closely linked to care in all health contexts. However, in specific settings such as the paediatric critical care unit, it takes on particular importance. A literature review was conducted. A literature search was performed of articles in English and Spanish in international health science databases, from 1992-March 2017, applying the quality standards established by the PRISMA methodology and the Joanna Briggs Institute. A total of 1,203 publications were identified in the databases. Finally, 59 articles which met the inclusion criteria were entered in this literature review. Almost all were descriptive studies written in English and published in Europe. The concept of comfort was defined as the immediate condition of being strengthened through having the three types of needs (relief, ease and transcendence) addressed in the four contexts of experience (physical, psychospiritual, social and environmental). Only two valid and reliable tools for assessing comfort were found: the Comfort Scale and the Comfort Behavior Scale. Comfort is subjective and difficult to assess. It has four facets: physical, emotional, social and environmental. High levels of noise and light are the inputs that cause the most discomfort. Comfort is a holistic, universal concept and an important component of quality nursing care. © 2018 John Wiley & Sons Ltd.

Comfort as a basic need in hospitalized patients in Iran: a hermeneutic phenomenology study.

PubMed

Yousefi, Hojatollah; Abedi, Heidar Ali; Yarmohammadian, Mohammad Hossein; Elliott, Doug

2009-09-01

This paper is a report of a study conducted to explore the comfort experiences of hospitalized patients during their admission to medical-surgical wards in an Iranian hospital. Comfort has various definitions, ranging from a basic human need, to a process, function or an outcome of nursing. As comfort is a substantive need throughout life in health and illness, providing comfort is a major function and challenge for holistic nursing care. This hermeneutic phenomenological study was conducted between July 2006 and April 2007 in six medical-surgical wards of one of a university hospital in Iran. Data were generated with 22 participants (16 hospitalized patients and six nurses), using in-depth interviews to capture their detailed experiences of comfort. Analysis based on the framework of Diekelmann enabled data interpretation and elaboration of shared themes. One constitutive pattern, 'Comfort: a need of hospitalized patients' and four related themes - A friend in hospital, Relief of suffering within a calm environment, Seeking God, and Presence among family - were identified in the data. These findings offer unique insight for planning and implementing appropriate clinical practices in Iran, especially in caring for Muslim patients. Two major implications are to: (1) consider comfort criteria during nursing assessment and planning of care during a patient's hospitalization and (2) note that Shiite people in particular are more comfortable and feel better when they are able to follow their religious principles.

Thermal comfort following immersion.

PubMed

Guéritée, Julien; Redortier, Bernard; House, James R; Tipton, Michael J

2015-02-01

Unlike thermal comfort in air, little research has been undertaken exploring thermal comfort around water sports. We investigated the impact of swimming and cooling in air after swimming on thermal comfort. After 10 min of swimming-and-resting cycles in 28°C water, volunteers wearing two types of garments or in swim briefs, faced winds in 24°C air, at rest or when stepping. Thermal comfort was significantly higher during swimming than resting. Post-immersion, following maximum discomfort, in 45 of 65 tests thermal comfort improved although mean skin temperature was still cooling (0.26 [SD 0.19] °C·min(-1) - max was 0.89°C·min(-1)). When thermal comfort was re-established mean skin temperature was lower than at maximal discomfort in 39 of 54 tests (0.81 [SD 0.58] °C - max difference was 2.68°C). The reduction in thermal discomfort in this scenario could be due to the adaptation of thermoreceptors, or to reductions in cooling rates to levels where discomfort was less stimulated. The relief from the recent discomfort may explain why, later, thermal comfort returned to initial levels in spite of poorer thermal profiles. Copyright © 2014 Elsevier Inc. All rights reserved.

Representation of grasp postures and anticipatory motor planning in children.

PubMed

Stöckel, Tino; Hughes, Charmayne M L; Schack, Thomas

2012-11-01

In this study, we investigated anticipatory motor planning and the development of cognitive representation of grasp postures in children aged 7, 8, and 9 years. Overall, 9-year-old children were more likely to plan their movements to end in comfortable postures, and have distinct representational structures of certain grasp postures, compared to the 7- and 8-year old children. Additionally, the sensitivity toward comfortable end-states (end-state comfort) was related to the mental representation of certain grasp postures. Children with grasp comfort related and functionally well-structured representations were more likely to have satisfied end-state comfort in both the simple and the advanced planning condition. In contrast, end-state comfort satisfaction for the advanced planning condition was much lower for children whose cognitive representations were not structured by grasp comfort. The results of the present study support the notion that cognitive action representation plays an important role in the planning and control of grasp postures.

Goal orientation and its relationship to academic success in a laptop-based BScN program.

PubMed

Goldsworthy, Sandra J; Goodman, Bill; Muirhead, Bill

2005-01-01

This longitudinal study, conducted within a laptop-based BScN program examines the relationship of goal orientation profiles to comfort with technology and academic success. In phase 1 of this study, 101 first year nursing students completed an on line survey. The measurement tools used were Goal Orientation Assessment, Multiple Intelligences Learning Inventory and a locally developed Technology Comfort survey. Results showed that students were predominantly high in the mastery goal orientation profile. Males had a higher comfort level with technology. Age was inversely related to comfort with technology. An unexpected finding was that grade point average was inversely related to comfort with use of technology. The data did not support the commonly held belief that today's students are uniformly well-skilled and comfortable with new technologies. This study will continue over the next three years and will allow comparison of variables over time. Specific teaching interventions may be developed to accommodate varying learning and motivational styles in relation to comfort with technology.

A comparison of suit dresses and summer clothes in the terms of thermal comfort.

PubMed

Ekici, Can; Atilgan, Ibrahim

2013-12-19

Fanger's PMV equation is the result of the combined quantitative effects of the air temperature, mean radiant temperature, relative air velocity, humidity, activity level and clothing insulation. This paper contains a comparison of suit dresses and summer clothes in terms of thermal comfort, Fanger's PMV equation. Studies were processed in the winter for an office, which locates in Ankara, Turkey. The office was partitioned to fifty square cells. Humidity, relative air velocity, air temperature and mean radiant temperature were measured on the centre points of these cells. Thermal comfort analyses were processed for suit dressing (Icl = 1 clo) and summer clothing (Icl = 0.5 clo). Discomfort/comfort in an environment for different clothing types can be seen in this study. The relationship between indoor thermal comfort distribution and clothing type was discussed. Graphics about thermal comfort were sketched according to cells. Conclusions about the thermal comfort of occupants were given by PMV graphics.

A comparison of suit dresses and summer clothes in the terms of thermal comfort

PubMed Central

2013-01-01

Background Fanger’s PMV equation is the result of the combined quantitative effects of the air temperature, mean radiant temperature, relative air velocity, humidity, activity level and clothing insulation. Methods This paper contains a comparison of suit dresses and summer clothes in terms of thermal comfort, Fanger’s PMV equation. Studies were processed in the winter for an office, which locates in Ankara, Turkey. The office was partitioned to fifty square cells. Humidity, relative air velocity, air temperature and mean radiant temperature were measured on the centre points of these cells. Thermal comfort analyses were processed for suit dressing (Icl = 1 clo) and summer clothing (Icl = 0.5 clo). Results Discomfort/comfort in an environment for different clothing types can be seen in this study. The relationship between indoor thermal comfort distribution and clothing type was discussed. Graphics about thermal comfort were sketched according to cells. Conclusions Conclusions about the thermal comfort of occupants were given by PMV graphics. PMID:24355097

Thermal comfort: research and practice.

PubMed

van Hoof, Joost; Mazej, Mitja; Hensen, Jan L M

2010-01-01

Thermal comfort--the state of mind, which expresses satisfaction with the thermal environment--is an important aspect of the building design process as modern man spends most of the day indoors. This paper reviews the developments in indoor thermal comfort research and practice since the second half of the 1990s, and groups these developments around two main themes; (i) thermal comfort models and standards, and (ii) advances in computerization. Within the first theme, the PMV-model (Predicted Mean Vote), created by Fanger in the late 1960s is discussed in the light of the emergence of models of adaptive thermal comfort. The adaptive models are based on adaptive opportunities of occupants and are related to options of personal control of the indoor climate and psychology and performance. Both models have been considered in the latest round of thermal comfort standard revisions. The second theme focuses on the ever increasing role played by computerization in thermal comfort research and practice, including sophisticated multi-segmental modeling and building performance simulation, transient thermal conditions and interactions, thermal manikins.

Outdoor thermal comfort.

PubMed

Nikolopoulou, Marialena

2011-06-01

A review of the various approaches in understanding outdoor thermal comfort is presented. The emphasis on field surveys from around the world, particularly across Europe, enables us to understand thermal perception and evaluate outdoor thermal comfort conditions. The consistent low correlations between objective microclimatic variables, subjective thermal sensation and comfort outdoors, internationally, suggest that thermophysiology alone does not adequate describe these relationships. Focusing on the concept of adaptation, it tries to explain how this influences outdoor comfort, enabling us to inhabit and get satisfaction from outdoor spaces throughout the year. Beyond acclimatization and behavioral adaptation, through adjustments in clothing and changes to the metabolic heat, psychological adaptation plays a critical role to ensure thermal comfort and satisfaction with the outdoor environment. Such parameters include recent experiences and expectations; personal choice and perceived control, more important than whether that control is actually exercised; and the need for positive environmental stimulation suggesting that thermal neutrality is not a pre-requisite for thermal comfort. Ultimately, enhancing environmental diversity can influence thermal perception and experience of open spaces.

The evaluation of (social-)psychological comfort in clothing, a possible approach

NASA Astrophysics Data System (ADS)

Matté, L. L.; Broega, A. C.

2017-10-01

This paper presents the first results of a PhD research on psychological comfort of clothing. In order to understand and conceptualize the psychological aspects of clothing comfort, a variation of the Delphi Method was used to seek opinions from experts. This method was chosen because of its consensus-building features. The results were obtained from a qualitative text analysis, conducted over the experts’ responses to the first round of questions. The analytic process shed some light on the formation of the psychological comfort concept as well as the potential attributes to be evaluated when assessing this comfort dimension.

From occupying to inhabiting - a change in conceptualising comfort

NASA Astrophysics Data System (ADS)

Jaffari, Svenja D.; Matthews, Ben

2009-11-01

The concept of 'comfort' has been influential in shaping aspects of our built environment. For the construction industry, comfort is predominantly understood in terms of the balance between an ideal human physiological state and a finite number of measurable environmental parameters that can be controlled (temperature, humidity, air quality, daylighting, noise). It is such a notion of comfort that has informed the establishment of universally applied comfort standards and guidelines for the built environment. When buildings rigidly conform to these standards, they consume vast quantities of energy and are responsible for higher levels of GHG emissions. Recent researchers have challenged such instrumental definitions of comfort on moral and environmental grounds. In this paper, we address this issue from two different standpoints: one empirical, one related to the design of technology. Empirically, we present an analysis of ethnographic field material that has examined how, in what circumstances, and at what times ordinary users employ energy-intensive indoor climate technologies in their daily lives. We argue that when comfort is viewed as an achievement, rather than as a reified and static ideal homeostasis between humans and their environmental conditions, it becomes easier to appreciate the extent to which comfort is, for ordinary people, personally idiosyncratic, culturally relative, socially influenced and highly dependent on temporality, sequence and activity. With respect to design, we introduce a set of provocative designed prototypes that embody alternative conceptions of 'comfort' than those to which the building industry typically subscribes. Our discussion has critical implications for the types of technologies that result from a 'comfort standards' conception. Firstly, we show that comfort is not simply a homeostatic equilibrium-such a view is overly narrow, inflexible and ultimately an inaccurate conception of what comfort is for ordinary people; secondly, that it promotes technologies that treat environmental parameters as variables for our manipulation, rather than opportunities to reflect on, and adjust our own (temporal human) fit with our environment. Borrowing from Cole et al. [4], we argue for technologies that enable users to inhabit rather than occupy the built environment.

An analysis of influential factors on outdoor thermal comfort in summer.

PubMed

Yin, JiFu; Zheng, YouFei; Wu, RongJun; Tan, JianGuo; Ye, DianXiu; Wang, Wei

2012-09-01

A variety of research has linked high temperature to outdoor thermal comfort in summer, but it remains unclear how outdoor meteorological environments influence people's thermal sensation in subtropical monsoon climate areas, especially in China. In order to explain the process, and to better understand the related influential factors, we conducted an extensive survey of thermally comfortable conditions in open outdoor spaces. The goal of this study was to gain an insight into the subjects' perspectives on weather variables and comfort levels, and determine the factors responsible for the varying human thermal comfort response in summer. These perceptions were then compared to actual ambient conditions. The database consists of surveys rated by 205 students trained from 6:00 am to 8:00 pm outdoors from 21 to 25 August 2009, at Nanjing University of Information Science & Technology (NUIST), Nanjing, China. The multiple regression approach and simple factor analysis of variance were used to investigate the relationships between thermal comfort and meteorological environment, taking into consideration individual mood, gender, level of regular exercise, and previous environmental experiences. It was found that males and females have similar perceptions of maximum temperature; in the most comfortable environment, mood appears to have a significant influence on thermal comfort, but the influence of mood diminishes as the meteorological environment becomes increasingly uncomfortable. In addition, the study confirms the strong relationship between thermal comfort and microclimatic conditions, including solar radiation, atmospheric pressure, maximum temperature, wind speed and relative humidity, ranked by importance. There are also strong effects of illness, clothing and exercise, all of which influence thermal comfort. We also find that their former place of residence influences people's thermal comfort substantially by setting expectations. Finally, some relationships between thermal perception and amount of exercise, thermal experience, mood, clothing, illness and microclimate, etc., are established. Our findings also shed light on how to resist or adapt to outdoor hyperthermic conditions during summer in subtropical monsoon climate areas.

An analysis of influential factors on outdoor thermal comfort in summer

NASA Astrophysics Data System (ADS)

Yin, JiFu; Zheng, YouFei; Wu, RongJun; Tan, JianGuo; Ye, DianXiu; Wang, Wei

2012-09-01

A variety of research has linked high temperature to outdoor thermal comfort in summer, but it remains unclear how outdoor meteorological environments influence people's thermal sensation in subtropical monsoon climate areas, especially in China. In order to explain the process, and to better understand the related influential factors, we conducted an extensive survey of thermally comfortable conditions in open outdoor spaces. The goal of this study was to gain an insight into the subjects' perspectives on weather variables and comfort levels, and determine the factors responsible for the varying human thermal comfort response in summer. These perceptions were then compared to actual ambient conditions. The database consists of surveys rated by 205 students trained from 6:00 am to 8:00 pm outdoors from 21 to 25 August 2009, at Nanjing University of Information Science & Technology (NUIST), Nanjing, China. The multiple regression approach and simple factor analysis of variance were used to investigate the relationships between thermal comfort and meteorological environment, taking into consideration individual mood, gender, level of regular exercise, and previous environmental experiences. It was found that males and females have similar perceptions of maximum temperature; in the most comfortable environment, mood appears to have a significant influence on thermal comfort, but the influence of mood diminishes as the meteorological environment becomes increasingly uncomfortable. In addition, the study confirms the strong relationship between thermal comfort and microclimatic conditions, including solar radiation, atmospheric pressure, maximum temperature, wind speed and relative humidity, ranked by importance. There are also strong effects of illness, clothing and exercise, all of which influence thermal comfort. We also find that their former place of residence influences people's thermal comfort substantially by setting expectations. Finally, some relationships between thermal perception and amount of exercise, thermal experience, mood, clothing, illness and microclimate, etc., are established. Our findings also shed light on how to resist or adapt to outdoor hyperthermic conditions during summer in subtropical monsoon climate areas.

[Definition and validation of a comfort index calculation method for office seats].

PubMed

Taboga, P; Marcolin, F; Bordignon, M; Antonutto, G

2012-01-01

Among its other required features, a highly comfortable chair should adapt its contact surfaces, namely the seat and the back rest, to the shape of the body of the person sitting on it. However, "comfort" is not usually perceived as an absolute value, but is derived from a subjective comparison between two or more chairs. The purpose of this research was the definition of an objective comfort index (IC), i.e., derived from instrumental measurements, and which would also represent an absolute comfort value. Analytical evaluation of the distribution of body weight, by means of a barometric matrix, shows that a comfortable chair tends to minimize peak and average values of pressure at the level of the contact areas located between the body and the seat and the back of the chair. To define a comparison parameter for determining an absolute comfort value, a reference chair (SDR) was developed. The seat and the back of this chair are rigid, with poor compliance. A comfort value of zero was, by definition, assigned to this chair. Therefore, the Comfort index (IC) was obtained by the mathematical calculation of the ratios of averages, peaks and gradients of pressure, appropriately weighted, and the corresponding values measured on the tested chair and on the SDR. It is shown that the anthropometric characteristics of each subject are irrelevant to the assessment of the IC, which depends only on the compliance characteristics of the seat and back surfaces of the tested chair IC can be improved through analysis of a larger number of seats, which would thus constitute the basis for the use of an objective evaluation of seating comfort.

Ride comfort enhancement in railway vehicle by the reduction of the car body structural flexural vibration

NASA Astrophysics Data System (ADS)

Dumitriu, M.

2017-08-01

The paper approaches the issue of reduction in the vertical bending vibrations of the railway vehicle carbody and the ride comfort enhancement at high velocities, starting from the prospect of isolating the vibrations by the best possible selection of the passive suspension damping in the vehicle. To this purpose, the examination falls on the influence of the vertical suspension damping upon the vibrations regime of the vehicle at the bending resonance frequency and upon the ride comfort. The results of the numerical simulations regarding the frequency response of the carbody acceleration and the comfort index will be therefore used. A value of the secondary suspension damping can be thus identified that will provide the best ride comfort performance. Similarly, the ride comfort can be increased by raising the primary suspension damping ratio.

Orthotic comfort is related to kinematics, kinetics, and EMG in recreational runners.

PubMed

Mündermann, Anne; Nigg, Benno M; Humble, R Neil; Stefanyshyn, Darren J

2003-10-01

The purpose of this study was to determine the relationship between differences in comfort and changes in lower extremity kinematic and kinetic variables and muscle activity in response to foot orthoses. Twenty-one recreational runners volunteered for this study. Three orthotic conditions (posting, custom-molding, and posting and custom-molding) were compared with a control (flat) insert. Lower extremity kinematic, kinetic, and EMG data were collected for 108 trials per subject and condition in nine sessions per subject for overground running at 4 m.s-1. Comfort for all orthotic conditions was assessed in each session using a visual analog scale. The statistical tests used included repeated measures ANOVA, linear regression analysis, and discriminant analysis (alpha = 0.05). Comfort ratings were significantly different between orthotic conditions and the control condition ([lower, upper] confidence limits; posting: [-3.1, -0.8]; molding: [0.4, 3.4]; and posting and molding: [-1.1, 1.9]); 34.9% of differences in comfort were explained by changes in 15 kinematic, kinetic, and EMG variables. The 15 kinematic, kinetic, and EMG variables that partially explained differences in comfort classified 75.0% of cases correctly to the corresponding orthotic condition. In general, comfort is an important and relevant feature of foot orthoses. Evaluations of foot orthoses using comfort do not only reflect subjective perceptions but also differences in functional biomechanical variables. Future research should focus on defining the relationship between comfort and biomechanical variables for material modifications of footwear, different modes of locomotion, and the general population.

Ride comfort analysis with physiological parameters for an e-health train.

PubMed

Lee, Youngbum; Shin, Kwangsoo; Lee, Sangjoon; Song, Yongsoo; Han, Sungho; Lee, Myoungho

2009-12-01

Transportation by train has numerous advantages over road transportation, especially with regard to energy efficiency, ecological features, safety, and punctuality. However, the contrast in ride comfort between standard road transportation and train travel has become a competitive issue. The ride comfort enhancement technology of tilting trains (TTX) is a particularly important issue in the development of the Korean high-speed railroad business. Ride comfort is now defined in international standards such as UIC13 and ISO2631. The Korean standards such as KSR9216 mainly address physical parameters such as vibration and noise. In the area of ride comfort, living quality parameter techniques have recently been considered in Korea, Japan, and Europe. This study introduces biological parameters, particularly variations in heart rate, as a more direct measure of comfort. Biological parameters are based on physiological responses rather than on purely external mechanical parameters. Variability of heart rate and other physiological parameters of passengers are measured in a simulation involving changes in the tilting angle of the TTX. This research is a preliminary study for the implementation of an e-health train, which would provide passengers with optimized ride comfort. The e-health train would also provide feedback on altered ride comfort situations that can improve a passenger's experience and provide a healthcare service on the train. The aim of this research was to develop a ride comfort evaluation system for the railway industry, the automobile industry, and the air industry. The degree of tilt correlated with heart rate, fatigue, and unrelieved alertness.

Latent profile analysis of teacher perceptions of parent contact and comfort.

PubMed

Stormont, Melissa; Herman, Keith C; Reinke, Wendy M; David, Kimberly B; Goel, Nidhi

2013-09-01

The purpose of the study was to explore patterns of parent involvement as perceived by teachers and identify correlates of these patterns. Parent involvement indicators and correlates were selected from a review of existing research. Participants included 34 teachers and 577 children in kindergarten through third grade. The vast majority of the sample was African American (78%), followed by Caucasian (19%) and other ethnic backgrounds (2%). Two subscales from the Parent Involvement-Teacher scale, contact and comfort, were entered as indicators in a latent profile analysis to determine the number and types of parent involvement classes. Contact included the frequency of interactions between parents and teachers; comfort included the quality of their relationship with the parent and how well their goals were aligned. Subsequent latent class regressions were conducted to identify student, school, and family characteristics associated with class membership. Three classes provided the optimal solution. This included two classes of parents with low contact with teachers but different comfort levels; one with low contact and low comfort (11%), and one with low contact but high comfort (71%). The remaining class, representing 18% of parents, was rated high on both contact and comfort. Low income status, family problems, and social, emotional, academic, and self-regulation problems distinguished the low comfort class from the other two classes. It is imperative to help teachers feel more comfortable working with families who may be experiencing substantial stressors and who also have children who need support across school and home settings.

Biomechanical variables and perception of comfort in running shoes with different cushioning technologies.

PubMed

Dinato, Roberto C; Ribeiro, Ana P; Butugan, Marco K; Pereira, Ivye L R; Onodera, Andrea N; Sacco, Isabel C N

2015-01-01

To investigate the relationships between the perception of comfort and biomechanical parameters (plantar pressure and ground reaction force) during running with four different types of cushioning technology in running shoes. Randomized repeated measures. Twenty-two men, recreational runners (18-45 years) ran 12km/h with running shoes with four different cushioning systems. Outcome measures included nine items related to perception of comfort and 12 biomechanical measures related to the ground reaction forces and plantar pressures. Repeated measure ANOVAs, Pearson correlation coefficients, and step-wise multiple regression analyses were employed (p≤0.05). No significant correlations were found between the perception of comfort and the biomechanical parameters for the four types of investigated shoes. Regression analysis revealed that 56% of the perceived general comfort can be explained by the variables push-off rate and pressure integral over the forefoot (p=0.015) and that 33% of the perception of comfort over the forefoot can be explained by second peak force and push-off rate (p=0.016). The results did not demonstrate significant relationships between the perception of comfort and the biomechanical parameters for the three types of shoes investigated (Gel, Air, and ethylene-vinyl acetate). Only the shoe with Adiprene+ technology had its general comfort and cushioning perception predicted by the loads over the forefoot. Thus, in general, one cannot predict the perception of comfort of a running shoe through impact and plantar pressure received. Copyright © 2013 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.

Comfort Women in Human Rights Discourse: Fetishized Testimonies, Small Museums, and the Politics of Thin Description

ERIC Educational Resources Information Center

Joo, Hee-Jung Serenity

2015-01-01

In the last two decades, the issue of comfort women--the women and girls who were forced into sex slavery for the Japanese army before and during WWII--has risen to global attention. Tens of thousands of comfort women (the average estimate is anywhere between 80,000 and 200,000) were confined at comfort stations managed by the Japanese Imperial…

Driving comfort, enjoyment and acceptance of automated driving - effects of drivers' age and driving style familiarity.

PubMed

Hartwich, Franziska; Beggiato, Matthias; Krems, Josef F

2018-02-23

Automated driving has the potential to improve the safety and efficiency of future traffic and to extend elderly peoples' driving life, provided it is perceived as comfortable and joyful and is accepted by drivers. Driving comfort could be enhanced by familiar automated driving styles based on drivers' manual driving styles. In a two-stage driving simulator study, effects of driving automation and driving style familiarity on driving comfort, enjoyment and system acceptance were examined. Twenty younger and 20 older drivers performed a manual and four automated drives of different driving style familiarity. Acceptance, comfort and enjoyment were assessed after driving with standardised questionnaires, discomfort during driving via handset control. Automation increased both age groups' comfort, but decreased younger drivers' enjoyment. Younger drivers showed higher comfort, enjoyment and acceptance with familiar automated driving styles, whereas older drivers preferred unfamiliar, automated driving styles tending to be faster than their age-affected manual driving styles. Practitioner Summary: Automated driving needs to be comfortable and enjoyable to be accepted by drivers, which could be enhanced by driving style individualisation. This approach was evaluated in a two-stage driving simulator study for different age groups. Younger drivers preferred familiar driving styles, whereas older drivers preferred driving styles unaffected by age.

The impact of different footwear characteristics, of a ballet flat pump, on centre of pressure progression and perceived comfort.

PubMed

Branthwaite, Helen; Chockalingam, Nachiappan; Greenhalgh, Andrew; Chatzistergos, Panagiotis

2014-09-01

Uncomfortable shoes have been attributed to poor fit and the cause of foot pathologies. Assessing and evaluating comfort and fit have proven challenging due to the subjective nature. The aim of this paper is to investigate the relationship between footwear characteristics and perceived comfort. Twenty-seven females assessed three different styles of ballet pump shoe for comfort using a comfort scale whilst walking along a 20 m walkway. The physical characteristics of the shoes and the progression of centre of pressure during walking were assessed. There were significant physical differences between each style, square shoe being the shortest, widest and stiffest and round shoe having the least volume at the toe box. Centre of pressure progression angle was centralised to the longitudinal axis of the foot when wearing each of the three shoes compared to barefoot. Length, width and cantilever bending stiffness had no impact on perceived comfort. Wearing snug fitting flexible soled round ballet flat pump is perceived to be the most comfortable of the shoe shapes tested producing a faster more efficient gait. Further investigations are required to assess impact/fit and upper material on perceived comfort to aid consumers with painful feet in purchasing shoes. Copyright © 2014 Elsevier Ltd. All rights reserved.

Using Upper Extremity Skin Temperatures to Assess Thermal Comfort in Office Buildings in Changsha, China

PubMed Central

Wu, Zhibin; Li, Nianping; Cui, Haijiao; Peng, Jinqing; Chen, Haowen; Liu, Penglong

2017-01-01

Existing thermal comfort field studies are mainly focused on the relationship between the indoor physical environment and the thermal comfort. In numerous chamber experiments, physiological parameters were adopted to assess thermal comfort, but the experiments’ conclusions may not represent a realistic thermal environment due to the highly controlled thermal environment and few occupants. This paper focuses on determining the relationships between upper extremity skin temperatures (i.e., finger, wrist, hand and forearm) and the indoor thermal comfort. Also, the applicability of predicting thermal comfort by using upper extremity skin temperatures was explored. Field studies were performed in office buildings equipped with split air-conditioning (SAC) located in the hot summer and cold winter (HSCW) climate zone of China during the summer of 2016. Psychological responses of occupants were recorded and physical and physiological factors were measured simultaneously. Standard effective temperature (SET*) was used to incorporate the effect of humidity and air velocity on thermal comfort. The results indicate that upper extremity skin temperatures are good indicators for predicting thermal sensation, and could be used to assess the thermal comfort in terms of physiological mechanism. In addition, the neutral temperature was 24.7 °C and the upper limit for 80% acceptability was 28.2 °C in SET*. PMID:28934173

Using Upper Extremity Skin Temperatures to Assess Thermal Comfort in Office Buildings in Changsha, China.

PubMed

Wu, Zhibin; Li, Nianping; Cui, Haijiao; Peng, Jinqing; Chen, Haowen; Liu, Penglong

2017-09-21

Existing thermal comfort field studies are mainly focused on the relationship between the indoor physical environment and the thermal comfort. In numerous chamber experiments, physiological parameters were adopted to assess thermal comfort, but the experiments' conclusions may not represent a realistic thermal environment due to the highly controlled thermal environment and few occupants. This paper focuses on determining the relationships between upper extremity skin temperatures (i.e., finger, wrist, hand and forearm) and the indoor thermal comfort. Also, the applicability of predicting thermal comfort by using upper extremity skin temperatures was explored. Field studies were performed in office buildings equipped with split air-conditioning (SAC) located in the hot summer and cold winter (HSCW) climate zone of China during the summer of 2016. Psychological responses of occupants were recorded and physical and physiological factors were measured simultaneously. Standard effective temperature (SET*) was used to incorporate the effect of humidity and air velocity on thermal comfort. The results indicate that upper extremity skin temperatures are good indicators for predicting thermal sensation, and could be used to assess the thermal comfort in terms of physiological mechanism. In addition, the neutral temperature was 24.7 °C and the upper limit for 80% acceptability was 28.2 °C in SET*.

Using Hand Grip Force as a Correlate of Longitudinal Acceleration Comfort for Rapid Transit Trains

PubMed Central

Guo, Beiyuan; Gan, Weide; Fang, Weining

2015-01-01

Longitudinal acceleration comfort is one of the essential metrics used to evaluate the ride comfort of train. The aim of this study was to investigate the effectiveness of using hand grip force as a correlate of longitudinal acceleration comfort of rapid transit trains. In the paper, a motion simulation system was set up and a two-stage experiment was designed to investigate the role of the grip force on the longitudinal comfort of rapid transit trains. The results of the experiment show that the incremental grip force was linearly correlated with the longitudinal acceleration value, while the incremental grip force had no correlation with the direction of the longitudinal acceleration vector. The results also show that the effects of incremental grip force and acceleration duration on the longitudinal comfort of rapid transit trains were significant. Based on multiple regression analysis, a step function model was established to predict the longitudinal comfort of rapid transit trains using the incremental grip force and the acceleration duration. The feasibility and practicably of the model was verified by a field test. Furthermore, a comparative analysis shows that the motion simulation system and the grip force based model were valid to support the laboratory studies on the longitudinal comfort of rapid transit trains. PMID:26147730

Comfort experience in palliative care: a phenomenological study.

PubMed

Coelho, Adriana; Parola, Vitor; Escobar-Bravo, Miguel; Apóstolo, João

2016-08-02

Palliative care aims to provide maximum comfort to the patient. However it is unknown what factors facilitate or hinder the experience of comfort, from the perspective of inpatients of palliative care units. This lack of knowledge hinders the development of comfort interventions adjusted to these patients. The aim of this research is to describe the comfort and discomfort experienced by inpatients at palliative care units. A phenomenological descriptive study was undertaken. Ten inpatients were recruited from a Spanish palliative care unit and seven from a Portuguese palliative care unit. Data were collected using individual interviews and analysed following the method of Giorgi. Four themes reflect the essence of the lived experience: The Palliative Care as a response to the patient's needs with advanced disease, attempt to naturalize advanced disease, confrontation with their own vulnerability, openness to the spiritual dimension. Informants revealed that they experience comfort through humanized care, differentiated environment, symptomatic control, hope and relationships. The discomfort emerges from the losses and powerlessness against their situation. Even if such findings may seem intuitive, documenting them is essential because it invites us to reflect on our convictions about what it means to be comfortable for these patients, and allows incorporating this information in the design of focused interventions to maximize the comfort experience.

Passenger comfort response times as a function of aircraft motion

NASA Technical Reports Server (NTRS)

Rinalducci, E. J.

1975-01-01

The relationship between a passenger's response time of changes in level of comfort experienced as a function of aircraft motion was examined. The aircraft used in this investigation was capable of providing a wide range of vertical and transverse accelerations by means of direct lift flap control surfaces and side force generator surfaces in addition to normal control surfaces. Response times to changes in comfort were recorded along with the passenger's rating of comfort on a five point scale. In addition, a number of aircraft motion variables including vertical and transverse accelerations were also recorded. Results indicate some relationship between human comfort response times to reaction time data.

Passenger ride quality determined from commercial airline flights

NASA Technical Reports Server (NTRS)

Richards, L. G.; Kuhlthau, A. R.; Jacobson, I. D.

1975-01-01

The University of Virginia ride-quality research program is reviewed. Data from two flight programs, involving seven types of aircraft, are considered in detail. An apparatus for measuring physical variations in the flight environment and recording the subjective reactions of test subjects is described. Models are presented for predicting the comfort response of test subjects from the physical data, and predicting the overall comfort reaction of test subjects from their moment by moment responses. The correspondence of mean passenger comfort judgments and test subject response is shown. Finally, the models of comfort response based on data from the 5-point and 7-point comfort scales are shown to correspond.

Are pressure measurements effective in the assessment of office chair comfort/discomfort? A review.

PubMed

Zemp, Roland; Taylor, William R; Lorenzetti, Silvio

2015-05-01

Nowadays, the majority of jobs in the western world involves sitting in an office chair. As a result, a comfortable and supported sitting position is essential for employees. In the literature, various objective methods (e.g. pressure measurements, measurements of posture, EMG etc.) have been used to assess sitting comfort/discomfort, but their validity remains unknown. This review therefore examines the relationship between subjective comfort/discomfort and pressure measurements while sitting in office chairs. The literature search resulted in eight papers that met all our requirements. Four studies identified a relationship between subjective comfort/discomfort and pressure distribution parameters (including correlations of up to r = 0.7 ± 0.13). However, the technique for evaluating subjective comfort/discomfort seems to play an important role on the results achieved, therefore placing their validity into question. The peak pressure on the seat pan, the pressure distribution on the backrest and the pressure pattern changes (seat pan and backrest) all appear to be reliable measures for quantifying comfort or discomfort. Copyright © 2015 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Comfort Relying on HIV Pre-exposure Prophylaxis and Treatment as Prevention for Condomless Sex: Results of an Online Survey of Australian Gay and Bisexual Men.

PubMed

Holt, Martin; Draper, Bridget L; Pedrana, Alisa E; Wilkinson, Anna L; Stoové, Mark

2018-03-21

HIV-negative and untested gay and bisexual men from Victoria, Australia (n = 771) were surveyed during August-September 2016 about their comfort having condomless sex with casual male partners in scenarios in which pre-exposure prophylaxis (PrEP) or treatment as prevention were used. Men not using PrEP were most comfortable with the idea of condomless sex with HIV-negative partners (31%), followed by partners using PrEP (23%). PrEP users were more comfortable with the idea of condomless sex with these partner types (64 and 72%, respectively). Very few men not taking PrEP were comfortable with condomless sex with HIV-positive partners (3%), even with undetectable viral loads (6%). PrEP users were more comfortable with condomless sex with HIV-positive partners (29%), and those with undetectable viral loads (48%). Being on PrEP, having recent condomless sex with casual partners or a HIV-positive regular partner were independently associated with comfort having condomless sex.

Research on optimization of test cycles for comfort to the special vehicles

NASA Astrophysics Data System (ADS)

Mitroi, Marian; Chiru, Anghel

2017-10-01

The comfort of vehicles, regardless of their type is represent a requirement to by fulfilled in the context of current technological developments special vehicles generally move under different soil, time, or season conditions, and the land in which the vehicles move is complex and varied in the physical structure. Due to the high level of involvement in the driveability, safety and comfort of automotive, suspension system is a key factor with major implications for vibration and noise, affecting the human body. The objective of the research is related to determining the test cycles of special vehicles that are approaching real situations, to determine the level of comfort. The evaluate of the degree of comfort will be realized on acceleration values recorded, especially the vertical ones that have the highest influence on the human body. Thus, in this way the tests can be established needed to determine the level of comfort required for each particular type of special vehicle. The utility of the test cycles to optimize comfort is given to the accurate identification of the specific test needs, depending on the each vehicle.

Three experiments to support the design of lightweight comfortable vehicle seats.

PubMed

Vink, P; Franz, M; Kamp, I; Zenk, R

2012-01-01

Seats need to be more lightweight for airplanes, cars, busses and even trains to contribute to a better environment and to reduce energy consumption. However, a reduction in comfort due to weight reduction is not preferable, which opens a new area of research: improving comfort with a minimum of material or with lightweight materials and systems. In this paper three experiments are performed to test the effects of light weight seats and parts of a seat on comfort. The first experiment shows that a new developed light weight massage system improves comfort and reduces muscle activity. The second experiment shows that the automatic seat adjustment without motors improves the comfort as well. The third experiment showed that a light weight seat following closely the human body contour is experienced on many aspects in the same way as current more heavy seats. More research and models will be needed in this ergonomic field which needs more attention.

Comfort evaluation as the example of anthropotechnical furniture design.

PubMed

Vlaović, Zoran; Bogner, Andrija; Grbac, Ivica

2008-03-01

Human health is becoming an increasingly important issue in contemporary hectic lifestyle imposed at work and by struggle to save time and money. Sitting comfort and quality of chairs which we use for the most of our time have, thus, become essential for healthy lifestyle. Sitting discomforts arise from prolonged sitting on the inappropriate chairs, which failing to provide sufficient support to the body cause discomfort and tiring. The studies of the office chair constructions have identified differences in perception of comfort provided by different types of seats. Four seat constructions and the comfort they provide to the sitters were compared by means of subjective indicators. After a two-day sitting on each of the studied chairs the subjects scored their perception of comfort and discomfort, using the questionnaire with 17 statements. Constructional forms and materials which contributed more to the sense of comfort by minimizing fatigue and pains developed by sitting were determined.

Psychosomatic Medicine for Non-Psychiatric Residents: Video Education and Incorporation of Technology.

PubMed

Saunders, J; Gopalan, P; Puri, N; Azzam, P N; Zhou, L; Ghinassi, F; Jain, A; Travis, M; Ryan, N D

2015-12-01

Psychiatric education for non-psychiatric residents varies between training programs, and may affect resident comfort with psychiatric topics. This study's goals were to identify non-psychiatric residents' comfort with psychiatric topics and to test the effectiveness of a video intervention. Residents in various departments were given a survey. They were asked to rank their comfort level with multiple psychiatric topics, answer questions about medical decision making capacity (MDMC), watch a 15-min video about MDMC, and answer a post-test section. In total, 91 Internal Medicine, General Surgery, and Obstetrics and Gynecology residents responded to the study. Of the 91 residents, 55 completed the pre- and post-test assessments. There was no significant difference in correct responses. Residents' comfort levels were assessed, and a significant improvement in comfort level with MDMC was found. This study highlights potential opportunities for psychiatric education, and suggests brief video interventions can increase resident physicians' comfort with a psychiatric topic.

Optimizing visual comfort for stereoscopic 3D display based on color-plus-depth signals.

PubMed

Shao, Feng; Jiang, Qiuping; Fu, Randi; Yu, Mei; Jiang, Gangyi

2016-05-30

Visual comfort is a long-facing problem in stereoscopic 3D (S3D) display. In this paper, targeting to produce S3D content based on color-plus-depth signals, a general framework for depth mapping to optimize visual comfort for S3D display is proposed. The main motivation of this work is to remap the depth range of color-plus-depth signals to a new depth range that is suitable to comfortable S3D display. Towards this end, we first remap the depth range globally based on the adjusted zero disparity plane, and then present a two-stage global and local depth optimization solution to solve the visual comfort problem. The remapped depth map is used to generate the S3D output. We demonstrate the power of our approach on perceptually uncomfortable and comfortable stereoscopic images.

Relationship between footwear comfort of shoe inserts and anthropometric and sensory factors.

PubMed

Mündermann, A; Stefanyshyn, D J; Nigg, B M

2001-11-01

The purposes of this study were (a) to determine lower extremity anthropometric and sensory factors that are related to differences in comfort perception of shoe inserts with varying shape and material and (b) to investigate whether shoe inserts that improve comfort decrease injury frequency in a military population. 206 military personnel volunteered for this study. The shoe inserts varied in arch and heel cup shape, hardness, and elasticity in the heel and forefoot regions. A no insert condition was included as the control condition. Measured subject characteristics included foot shape, foot and leg alignment, and tactile and vibration sensitivity of the plantar surface of the foot. Footwear comfort was assessed using a visual analog scale. Injury frequency was evaluated with a questionnaire. The statistical analyses included Student's t-tests for repeated measures, ANOVA (within subjects), MANOVA (within insert combinations), and chi-square tests. The average comfort ratings for all shoe inserts were significantly higher than the average comfort rating for the control condition. The incidence of stress fractures and pain at different locations was reduced by 1.5-13.4% for the insert compared with the control group. Foot arch height, foot and leg alignment, and foot sensitivity were significantly related to differences in comfort ratings for the hard/soft, the viscous/elastic, and the high arch/low arch insert combinations. Shoe inserts of different shape and material that are comfortable are able to decrease injury frequency. The results of this study showed that subject specific characteristics influence comfort perception of shoe inserts.

The influence of urban design on outdoor thermal comfort in the hot, humid city of Colombo, Sri Lanka

NASA Astrophysics Data System (ADS)

Johansson, Erik; Emmanuel, Rohinton

2006-11-01

The outdoor environment is deteriorating in many tropical cities due to rapid urbanization. This leads to a number of problems related to health and well-being of humans and also negatively affects social and commercial outdoor activities. The creation of thermally comfortable microclimates in urban environments is therefore very important. This paper discusses the influence of street-canyon geometry on outdoor thermal comfort in Colombo, Sri Lanka. Five sites with different urban geometry, ground cover, and distance from the sea were studied during the warmest season. The environmental parameters affecting thermal comfort, viz. air temperature, humidity, wind speed, and solar radiation, were measured, and the thermal comfort was estimated by calculating the physiologically equivalent temperature (PET). The thermal comfort is far above the assumed comfort zone due to the combination of intense solar radiation, high temperatures, and low wind speeds, especially on clear days. The worst conditions were found in wide streets with low-rise buildings and no shade trees. The most comfortable conditions were found in narrow streets with tall buildings, especially if shade trees were present, as well as in areas near the coast where the sea breeze had a positive effect. In order to improve the outdoor comfort in Colombo, it is suggested to allow a more compact urban form with deeper street canyons and to provide additional shade through the use of trees, covered walkways, pedestrian arcades, etc. The opening up of the city’s coastal strip would allow the sea breeze to penetrate further into the city.

Self-Reported Training Adequacy, Experience, and Comfort Level in Performing Schizophrenia-Related Clinical Skills among Psychiatry Residents and Fellows.

PubMed

Greene, Laurence; Moreo, Kathleen; Nasrallah, Henry; Tandon, Rajiv; Sapir, Tamar

2017-08-01

In the context of an educational program on schizophrenia for psychiatry trainees, this survey study analyzed associations between self-reported training adequacy, experience in providing patient care, and comfort level in performing schizophrenia-related clinical skills. The influence of the education on comfort level was also assessed for each skill. Survey respondents were psychiatry residents and fellows who participated in a schizophrenia education program at an in-person workshop or through online videos recorded at the workshop. In a pre-program survey, participants reported their experience in providing schizophrenia patient care and rated their training adequacy and comfort level for performing seven clinical skills involved in diagnosing and treating schizophrenia. The post-program survey included items for reassessing comfort level in performing the skills. Across the seven clinical skills, the proportion of respondents (n = 79) who agreed or strongly agreed that their training was adequate ranged from 29 to 88 %. The proportion of high ratings for comfort level in skill performance ranged from 45 to 83 %. Comfort level was significantly associated with training adequacy for all seven clinical skills and with experience in providing patient care for four skills. For all skills, comfort level ratings were significantly higher after versus before the educational workshop. Commonly indicated needs for further training included education on new therapies, exposure to a broader range of patients, and opportunities for longitudinal patient management. Psychiatry trainees' self-reported, disease-specific training adequacy, experiences, and comfort level have unique applications for developing and evaluating graduate medical curriculum.

Creating high performance buildings: Lower energy, better comfort

DOE Office of Scientific and Technical Information (OSTI.GOV)

Brager, Gail; Arens, Edward

2015-03-30

Buildings play a critical role in the challenge of mitigating and adapting to climate change. It is estimated that buildings contribute 39% of the total U.S. greenhouse gas (GHG) emissions [1] primarily due to their operational energy use, and about 80% of this building energy use is for heating, cooling, ventilating, and lighting. An important premise of this paper is about the connection between energy and comfort. They are inseparable when one talks about high performance buildings. Worldwide data suggests that we are significantly overcooling buildings in the summer, resulting in increased energy use and problems with thermal comfort. Inmore » contrast, in naturally ventilated buildings without mechanical cooling, people are comfortable in much warmer temperatures due to shifting expectations and preferences as a result of occupants having a greater degree of personal control over their thermal environment; they have also become more accustomed to variable conditions that closely reflect the natural rhythms of outdoor climate patterns. This has resulted in an adaptive comfort zone that offers significant potential for encouraging naturally ventilated buildings to improve both energy use and comfort. Research on other forms for providing individualized control through low-energy personal comfort systems (desktop fans, foot warmed, and heated and cooled chairs) have also demonstrated enormous potential for improving both energy and comfort performance. Studies have demonstrated high levels of comfort with these systems while ambient temperatures ranged from 64–84°F. Energy and indoor environmental quality are inextricably linked, and must both be important goals of a high performance building.« less

An on-the-road experiment into the thermal comfort of car seats.

PubMed

Cengiz, Tülin Gündüz; Babalik, Fatih C

2007-05-01

This paper presents an evaluation of thermal comfort in an extended road trial study. Automobile seats play an important role in improving the thermal comfort. In the assessment of thermal comfort in autos, in general subjective and objective measurements are used. Testing on the road is very difficult but real traffic conditions affect the comfort level directly, as well as the driver's experience to real conditions. Thus, for such cases real traffic situations should not be neglected in the evaluation of comfort. The aim of this study was to carry out, on an extended road trial study, an evaluation of thermal comfort using human subjects. In the experiments used, the 100% polyester seat cover had three different cover materials, which were velvet, jacquard and micro fiber. All experiments were carried out on a sunny day with ten participants over 1h. They were carried out at air temperatures of 25 degrees C in a Fiat Marea 2004, which had an automatic climate function. Skin temperature at eight points and skin wettedness at two points on the human body were measured during the trials. Participants were required to complete a questionnaire of 15 questions, every 5 min. It can be concluded that there was negligible difference in participants' reported thermal sensation between the three seats. According to objective measurement results, all seat cover materials have the same degree of thermal comfort. On the road the participants feel warmer around their waist than any other area of the body. It was suggested that the effects of real traffic conditions must be accounted for in comfort predictions.

Forty years of Fanger's model of thermal comfort: comfort for all?

PubMed

van Hoof, J

2008-06-01

The predicted mean vote (PMV) model of thermal comfort, created by Fanger in the late 1960s, is used worldwide to assess thermal comfort. Fanger based his model on college-aged students for use in invariant environmental conditions in air-conditioned buildings in moderate thermal climate zones. Environmental engineering practice calls for a predictive method that is applicable to all types of people in any kind of building in every climate zone. In this publication, existing support and criticism, as well as modifications to the PMV model are discussed in light of the requirements by environmental engineering practice in the 21st century in order to move from a predicted mean vote to comfort for all. Improved prediction of thermal comfort can be achieved through improving the validity of the PMV model, better specification of the model's input parameters, and accounting for outdoor thermal conditions and special groups. The application range of the PMV model can be enlarged, for instance, by using the model to assess the effects of the thermal environment on productivity and behavior, and interactions with other indoor environmental parameters, and the use of information and communication technologies. Even with such modifications to thermal comfort evaluation, thermal comfort for all can only be achieved when occupants have effective control over their own thermal environment. The paper treats the assessment of thermal comfort using the PMV model of Fanger, and deals with the strengths and limitations of this model. Readers are made familiar to some opportunities for use in the 21st-century information society.

The influence of urban design on outdoor thermal comfort in the hot, humid city of Colombo, Sri Lanka.

PubMed

Johansson, Erik; Emmanuel, Rohinton

2006-11-01

The outdoor environment is deteriorating in many tropical cities due to rapid urbanization. This leads to a number of problems related to health and well-being of humans and also negatively affects social and commercial outdoor activities. The creation of thermally comfortable microclimates in urban environments is therefore very important. This paper discusses the influence of street-canyon geometry on outdoor thermal comfort in Colombo, Sri Lanka. Five sites with different urban geometry, ground cover, and distance from the sea were studied during the warmest season. The environmental parameters affecting thermal comfort, viz. air temperature, humidity, wind speed, and solar radiation, were measured, and the thermal comfort was estimated by calculating the physiologically equivalent temperature (PET). The thermal comfort is far above the assumed comfort zone due to the combination of intense solar radiation, high temperatures, and low wind speeds, especially on clear days. The worst conditions were found in wide streets with low-rise buildings and no shade trees. The most comfortable conditions were found in narrow streets with tall buildings, especially if shade trees were present, as well as in areas near the coast where the sea breeze had a positive effect. In order to improve the outdoor comfort in Colombo, it is suggested to allow a more compact urban form with deeper street canyons and to provide additional shade through the use of trees, covered walkways, pedestrian arcades, etc. The opening up of the city's coastal strip would allow the sea breeze to penetrate further into the city.

Ride quality evaluation 1: Questionnaire studies of airline passenger comfort

NASA Technical Reports Server (NTRS)

Richards, L. G.; Jacobson, I. D.

1974-01-01

As part of a larger effort to assess passenger comfort in aircraft, two questionnaires were administered: one to ground-based respondents; the other to passengers in flight. Respondents indicated the importance of various factors influencing their satisfaction with a trip, the perceived importance of various physical factors in determining their level of comfort, and the ease of time spent performing activities in flight. The in-flight sample also provided a rating of their level of comfort and of their willingness to fly again. Comfort ratings were examined in relation to (1) type of respondent, (2) type of aircraft, (3) characteristics of the passengers, (4) ease of performing activities, and (5) willingness to fly again.

Determination of thermal and acoustic comfort inside a vehicle's cabin

NASA Astrophysics Data System (ADS)

Ene, Alexandra; Catalina, Tiberiu; Vartires, Andreea

2018-02-01

Thermal and acoustic comfort, inside a vehicle's cabin, are highly interconnected and can greatly influence the health of the passengers. On one hand, the H.V.A.C. system brings the interior air parameters to a comfortable value while on the other hand, it is the main source of noise. It is an intriguing task to find a balance between the two. In this paper, several types of air diffusers were used in order to optimize the ratio between thermal and acoustic interior comfort. Using complex measurements of noise and thermal comfort parameters we have determined for each type of air diffuser the sound pressure level and its impact on air temperature and air velocity.

The Effect of Prosthetic Socket Interface Design on Socket Comfort, Residual Limb Health, and Function for the Transfemoral Amputee

DTIC Science & Technology

2016-10-01

laminated rigid frame to reduce thermal layers, increase flexibility and comfort while retaining ischial containment. In contrast, a Sub-I design has...design is comprised of a flexible interface and minimal laminated rigid frame to reduce thermal layers, increase flexibility and comfort while...AWARD NUMBER: W81XWH-15-1-0410 TITLE: The Effect of Prosthetic Socket Interface Design on Socket Comfort , Residual Limb Health, and Function

The death of recency: Relationship between end-state comfort and serial position effects in serial recall: Logan and Fischman (2011) revisited.

PubMed

Logan, Samuel W; Fischman, Mark G

2015-12-01

Two experiments examined the dynamic interaction between cognitive resources in short-term memory and bimanual object manipulation by extending recent research by Logan and Fischman (2011). In Experiment 1, 16 participants completed a bimanual end-state comfort task and a memory task requiring serial recall of 12 words or pictures. The end-state comfort task involved moving two glasses between two shelves. Participants viewed the items, performed the end-state comfort task, and then serially recalled the items. Recall was evaluated by the presence or absence of primacy and recency effects. The end-state comfort effect (ESCE) was assessed by the percentage of initial hand positions that allowed the hands to end comfortably. The main findings indicated that the ESCE was disrupted; the primacy effect remained intact; and the recency effect disappeared regardless of the type of memory item recalled. In Experiment 2, 16 participants viewed six items, performed an end-state comfort task, viewed another six items, and then serially recalled all 12 items. Results were essentially the same as in Experiment 1. Findings suggest that executing a bimanual end-state comfort task, regardless of when it is completed during a memory task, diminishes the recency effect irrespective of the type of memory item. Copyright © 2015 Elsevier B.V. All rights reserved.

Thermal Comfort and Strategies for Energy Conservation.

ERIC Educational Resources Information Center

Rohles, Frederick H., Jr.

1981-01-01

Discusses studies in thermal comfort which served as the basis for the comfort standard. Examines seven variables in the human response to the thermal environment in terms of the ways in which they can be modified to conserve energy. (Author/MK)

A pooled analysis of overall survival in COMFORT-I and COMFORT-II, 2 randomized phase III trials of ruxolitinib for the treatment of myelofibrosis.

PubMed

Vannucchi, Alessandro M; Kantarjian, Hagop M; Kiladjian, Jean-Jacques; Gotlib, Jason; Cervantes, Francisco; Mesa, Ruben A; Sarlis, Nicholas J; Peng, Wei; Sandor, Victor; Gopalakrishna, Prashanth; Hmissi, Abdel; Stalbovskaya, Viktoriya; Gupta, Vikas; Harrison, Claire; Verstovsek, Srdan

2015-09-01

Ruxolitinib, a potent Janus kinase 1/2 inhibitor, resulted in rapid and durable improvements in splenomegaly and disease-related symptoms in the 2 phase III COMFORT studies. In addition, ruxolitinib was associated with prolonged survival compared with placebo (COMFORT-I) and best available therapy (COMFORT-II). We present a pooled analysis of overall survival in the COMFORT studies using an intent-to-treat analysis and an analysis correcting for crossover in the control arms. Overall, 301 patients received ruxolitinib (COMFORT-I, n=155; COMFORT-II, n=146) and 227 patients received placebo (n=154) or best available therapy (n=73). After a median three years of follow up, intent-to-treat analysis showed that patients who received ruxolitinib had prolonged survival compared with patients who received placebo or best available therapy [hazard ratio=0.65; 95% confidence interval (95%CI): 0.46-0.90; P=0.01]; the crossover-corrected hazard ratio was 0.29 (95%CI: 0.13-0.63). Both patients with intermediate-2- or high-risk disease showed prolonged survival, and patients with high-risk disease in the ruxolitinib group had survival similar to that of patients with intermediate-2-risk disease in the control group. The Kaplan-Meier estimate of overall survival at week 144 was 78% in the ruxolitinib arm, 61% in the intent-to-treat control arm, and 31% in the crossover-adjusted control arm. While larger spleen size at baseline was prognostic for shortened survival, reductions in spleen size with ruxolitinib treatment correlated with longer survival. These findings are consistent with previous reports and support that ruxolitinib offers a survival benefit for patients with myelofibrosis compared with conventional therapies. (clinicaltrials.gov identifiers: COMFORT-I, NCT00952289; COMFORT-II, NCT00934544). Copyright© Ferrata Storti Foundation.

Effect of sound-related activities on human behaviours and acoustic comfort in urban open spaces.

PubMed

Meng, Qi; Kang, Jian

2016-12-15

Human activities are important to landscape design and urban planning; however, the effect of sound-related activities on human behaviours and acoustic comfort has not been considered. The objective of this study is to explore how human behaviours and acoustic comfort in urban open spaces can be changed by sound-related activities. On-site measurements were performed at a case study site in Harbin, China, and an acoustic comfort survey was simultaneously conducted. In terms of effect of sound activities on human behaviours, music-related activities caused 5.1-21.5% of persons who pass by the area to stand and watch the activity, while there was a little effect on the number of persons who performed excises during the activity. Human activities generally have little effect on the behaviour of pedestrians when only 1 to 3 persons are involved in the activities, while a deep effect on the behaviour of pedestrians is noted when >6 persons are involved in the activities. In terms of effect of activities on acoustic comfort, music-related activities can increase the sound level from 10.8 to 16.4dBA, while human activities such RS and PC can increase the sound level from 9.6 to 12.8dBA; however, they lead to very different acoustic comfort. The acoustic comfort of persons can differ with activities, for example the acoustic comfort of persons who stand watch can increase by music-related activities, while the acoustic comfort of persons who sit and watch can decrease by human sound-related activities. Some sound-related activities can show opposite trend of acoustic comfort between visitors and citizens. Persons with higher income prefer music sound-related activities, while those with lower income prefer human sound-related activities. Copyright © 2016 Elsevier B.V. All rights reserved.

The effect of human-mattress interface's temperature on perceived thermal comfort.

PubMed

Califano, R; Naddeo, A; Vink, P

2017-01-01

In recent years, methods that allow for an objective evaluation of perceived comfort, in terms of postural, physiological, cognitive and environmental comfort, have received a great deal of attention from researchers. This paper focuses on one of the factors that influences physiological comfort perception: the temperature difference between users and the objects with which they interact. The first aim is to create a measuring system that does not affect the perceived comfort during the temperatures' acquisition. The main aim is to evaluate how the temperature at the human-mattress interface can affect the level of perceived comfort. A foam mattress has been used for testing in order to take into account the entire back part of the human body. The temperature at the interface was registered by fourteen 100 Ohm Platinum RTDs (Resistance Temperature Detectors) placed on the mattress under the trunk, the shoulders, the buttocks, the legs, the thighs, the arms and the forearms of the test subject. 29 subjects participated in a comfort test in a humidity controlled environment. The test protocol involved: dress-code, anthropometric-based positioning on mattress, environment temperature measuring and an acclimatization time before the test. At the end of each test, each of the test subject's thermal sensations and the level of comfort perception were evaluated using the ASHRAE (American Society of Heating, Refrigerating and Air-Conditioning Engineers) scale. The data analyses concerned, in the first instance, correlations between the temperature at the interface and comfort levels of the different parts of the body. Then the same analyses were performed independently of the body parts being considered. The results demonstrated that there was no strong correlation among the studied variables and that the total increase of temperature at interface is associated with a reduction in comfort. Copyright © 2016 Elsevier Ltd. All rights reserved.

Incorporating a Nebulizer System Into High-Flow Nasal Cannula Improves Comfort in Infants With Bronchiolitis.

PubMed

Valencia-Ramos, Juan; Mirás, Alicia; Cilla, Amacia; Ochoa, Carlos; Arnaez, Juan

2018-07-01

High-flow nasal cannula (HFNC) is increasingly used to provide respiratory support in infants with bronchiolitis. The delivery of aerosol therapy through a jet nebulizer is widely indicated despite its controversial efficacy and poor tolerability. This randomized cross-over study aimed to evaluate the comfort and satisfaction of the delivery of aerosol therapy using a nebulization system integrated into HFNC compared with the standard practice of using a jet nebulizer with a face mask. The COMFORT-Behavior (COMFORT-B) scale, a visual analog scale, and a numeric rating scale were used by health professionals and caregivers to assess subjects' levels of comfort and satisfaction. A total of 113 nebulizations (64 via nebulizer with HFNC; 49 via jet nebulizer) were delivered to the 6 subjects included in the study. Use of the nebulizer with HFNC showed increased comfort and satisfaction during nebulization compared to use of the jet nebulizer, as measured by the COMFORT-B scale, the visual analog scale, and the numeric rating scale, with the following median (interquartile range) scores: 10.7 (7-16) versus 14.5 (10-20) ( P = .006), 8.5 (6-10) versus 7 (4-9) ( P = .02), and 3.84 (3.61-4.07) versus 1.83 (1.58-2.08) ( P < .001), respectively. Correlation between the COMFORT-B scale and the visual analog scale using Spearman's rho was -0.757 ( P < .001). The intraclass correlation coefficient for the COMFORT-B scale, visual analog scale, and numeric rating scale, as measured by 2 different nurses, was between 0.75 and 0.87. The use of a nebulizer incorporated into HFNC therapy results in an increased level of comfort and satisfaction compared to the use of a conventional jet nebulizer in subjects with bronchiolitis who required HFNC therapy. Further studies are needed to determine whether aerosol therapy delivered through HFNC improves the clinical course of this pathology. Copyright © 2018 by Daedalus Enterprises.

Elevator ride comfort monitoring and evaluation using smartphones

NASA Astrophysics Data System (ADS)

Zhang, Yang; Sun, Xiaowei; Zhao, Xuefeng; Su, Wensheng

2018-05-01

With rapid urbanization, the demand for elevators is increasing, and their level of safety and ride comfort under vibrating conditions has also aroused interest. It is therefore essential to monitor the ride comfort level of elevators. The traditional method for such monitoring depends significantly on regular professional inspections, and requires expensive equipment and professional skill. With this regard, a new method for elevator ride comfort monitoring using a smartphone is demonstrated herein in detail. A variety of high-precision sensors are installed in a smartphone with strong data processing and telecommunication capabilities. A series of validation tests were designed and completed, and the international organization for standardization ISO2631-1997 was applied to evaluate the level of elevator ride comfort. Experimental results indicate that the proposed method is stable and reliable, its precision meets the engineering requirements, and the elevator ride comfort level can be accurately monitored under various situations. The method is very economical and convenient, and provides the possibility for the public to participate in elevator ride comfort monitoring. In addition, the method can both provide a wide range of data support and eliminate data errors to a certain extent.

Impact of measurable physical phenomena on contact thermal comfort

NASA Astrophysics Data System (ADS)

Fojtlín, Miloš; Pokorný, Jan; Fišer, Jan; Toma, Róbert; Tuhovčák, Ján

Cabin HVAC (Heating Ventilation and Air-conditioning) systems have become an essential part of personal vehicles as demands for comfortable transport are still rising. In fact, 85 % of the car trips in Europe are shorter than 18 km and last only up to 30 minutes. Under such conditions, the HVAC unit cannot often ensure desired cabin environment and passengers are prone to experience thermal stress. For this reason, additional comfort systems, such as heated or ventilated seats, are available on the market. However, there is no straightforward method to evaluate thermal comfort at the contact surfaces nowadays. The aim of this work is to summarise information about heated and ventilated seats. These technologies use electrical heating and fan driven air to contact area in order to achieve enhanced comfort. It is also expected, that such measures may contribute to lower energy consumption. Yet, in real conditions it is almost impossible to measure the airflow through the ventilated seat directly. Therefore, there is a need for an approach that would correlate measurable physical phenomena with thermal comfort. For this reason, a method that exploits a measurement of temperatures and humidity at the contact area is proposed. Preliminary results that correlate comfort with measurable physical phenomena are demonstrated.

Sensor design for outdoor racing bicycle field testing for human vibration comfort evaluation

NASA Astrophysics Data System (ADS)

Vanwalleghem, Joachim; De Baere, Ives; Loccufier, Mia; Van Paepegem, Wim

2013-09-01

This paper is concerned with the vibrational comfort evaluation of the cyclist when cycling a rough surface. Outdoor comfort tests have so far only been done through instrumenting the bicycle with accelerometers. This work instruments a racing bicycle with custom-made contact force sensors and velocity sensors to acquire human comfort through the absorbed power method. Comfort evaluation is assessed at the hand-arm and seat interface of the cyclist with the bicycle. By means of careful finite-element analysis for designing the force gauges at the handlebar and the seat combined with precise calibration of both force and velocity sensors, all sensors have proven to work properly. Initial field tests are focused on the proper functioning of the designed sensors and their suitability for vibration comfort measurements. Tests on a cobblestone road reveal that the outcome of the absorbed power values is within the same range as those from laboratory tests found in the literature. This sensor design approach for outdoor testing with racing bicycles may give a new interpretation on evaluating the cyclist's comfort since the vibrational load is not only quantified in terms of acceleration but also in terms of force and velocity at the bicycle-cyclist contact points.

The human thermoneutral and thermal comfort zones: Thermal comfort in your own skin blood flow.

PubMed

Schlader, Zachary J

2015-01-01

Human thermoregulation is achieved via autonomic and behavioral responses. Autonomic responses involve 2 synchronous 'components'. One counteracts large thermal perturbations, eliciting robust heat loss or gain (i.e., sweating or shivering). The other fends off smaller insults, relying solely on changes in sensible heat exchange (i.e., skin blood flow). This sensible component occurs within the thermoneutral zone [i.e., the ambient temperature range in which temperature regulation is achieved only by sensible heat transfer, without regulatory increases in metabolic heat production (e.g., shivering) or evaporative heat loss (e.g., sweating)].(1) The combination of behavior and sensible heat exchange permits a range of conditions that are deemed thermally comfortable, which is defined as the thermal comfort zone.(1) Notably, we spend the majority of our lives within the thermoneutral and thermal comfort zones. It is only when we are unable to stay within these zones that deleterious health and safety outcomes can occur (i.e., hypo- or hyperthermia). Oddly, although the thermoneutral zone and thermal preference (a concept similar to the thermal comfort zone) has been extensively studied in non-human animals, our understanding of human thermoregulation within the thermoneutral and thermal comfort zones remains rather crude.

An Economic Comparison of Passively Conditioned Underground Houses.

DTIC Science & Technology

1981-05-01

15 Heat Transfer ........ ..................... ... 34 Energy Balance and Human Thermal Comfort . ...... ... 41 Conclusion...114 29. Thermal Comfort --Passive Underground House ... ........... .. 117 30. Stable Soil Temperature Depths...121 31. Thermal Comfort --Deep Earth Underground House .. ......... .. 124 32. Life Cycle Cash Flow Diagram--Base Underground House

THERMAL COMFORT IN RELATION TO MEAN SKIN TEMPERATURE,

DTIC Science & Technology

Nude men were exposed to a range of ambient temperatures and were brought to a condition of thermal comfort by adjustment of the incident radiation...was evident that mean skin temperature, per se, was not a dependable criterion of thermal comfort . (Author)

Features of determining the nonmanufacturing premises comfort level by the integrated microclimate quality criteria

NASA Astrophysics Data System (ADS)

Buhmirov, V. V.; Prorokova, M. V.

2015-01-01

The method of determining a microclimate comfort level have been developed, taking into account the main parameters influencing the microclimate in residential, public and administration buildings, their mutual influence on the comfort level, and air quality.

Feeling Comfortable: A Humanbecoming Perspective.

PubMed

Dobrzykowski, Teresa M

2017-01-01

Feeling comfortable is a universal living experience. From the worldview of the humanbecoming paradigm, concept inventing is an appropriate method to expand understanding and knowledge of universal experiences. The purpose of this article is to provide a synthetic definition of feeling comfortable using the concept inventing process. Through concept inventing, a synthetic definition of feeling comfortable emerged as penetrating quietude amid potential upheaval arising with opportunities and restrictions with envisioning the familiar anew. Further development of the concept through qualitative research is recommended.

Impact of Photovoltaic Canopy Shade on Outdoor Thermal Comfort in a Hot Desert City

NASA Astrophysics Data System (ADS)

Middel, Ariane; Selover, Nancy; Hagen, Björn; Chhetri, Nalini

2016-04-01

Shade plays an important role in designing pedestrian-friendly outdoor spaces in hot desert cities. This study investigates the impact of photovoltaic canopy shade on thermal comfort through microclimate observations and field surveys at a pedestrian mall on Arizona State University's Tempe campus. Six stationary sensors under solar canopies and in nearby sun-exposed and tree-shaded locations monitored 5-min temperature and humidity for a year. On selected clear calm days representative of each season, we conducted hourly microclimate transects from 7:00AM to 6:00PM and surveyed 1284 people about their thermal perception, comfort, and preferences. Shade lowered thermal sensation votes by approximately 1 point on the Likert scale, increasing thermal comfort in all seasons except winter. The shade type (tree or solar canopy) did not significantly impact perceived comfort, suggesting that artificial and natural shade are equally efficient in semi-arid desert environments. Globe temperature explained 50% of the variance in thermal sensation votes and was the only statistically significant meteorological predictor. Important non-meteorological factors include adaptation level, gender, thermal comfort vote, thermal preference, season, and time of day. A regression of perceived comfort on Physiological Equivalent Temperature yielded a neutral temperature of 28.6°C. The acceptable comfort range was 19.1°C-38.1°C with a preferred temperature of 20.8°C. Respondents exposed to above neutral temperatures felt more comfortable if they had been in air-conditioning 5 minutes prior to the survey, indicating a lagged response to outdoor conditions. Our study highlights the importance of active solar access management in hot urban areas.

Effects of comfort food on food intake, anxiety-like behavior and the stress response in rats.

PubMed

Ortolani, D; Oyama, L M; Ferrari, E M; Melo, L L; Spadari-Bratfisch, R C

2011-07-06

It has been suggested that access to high caloric food attenuates stress response. The present paper investigates whether access to commercial chow enriched with glucose and fat, here referred to as comfort food alters behavioral, metabolic, and hormonal parameters of rats submitted to three daily sessions of foot-shock stress. Food intake, anxiety-like behaviors, and serum levels of insulin, leptin, corticosterone, glucose and triglycerides were determined. The rats submitted to stress decreased the intake of commercial chow, but kept unaltered the intake of comfort food. During the elevated plus maze (EPM) test, stressed rats increased the number of head dipping, entries into the open arms, as well as the time spent there, and decreased the number of stretched-attend posture and risk assessment. These effects of stress were independent of the type of food consumed. Non-stressed rats ingesting comfort food decreased risk assessment as well. Stress and comfort food increased time spent in the center of the open field and delayed the first crossing to a new quadrant. Stress increased the plasma level of glucose and insulin, and reduced triglycerides, although consumption of comfort food increases glucose, triglyceride and leptin levels; no effect on leptin level was associated to stress. The stress induced increase in serum corticosterone was attenuated when rats had access to comfort food. It was concluded that foot-shock stress has an anorexigenic effect that is independent of leptin and prevented upon access to comfort food. Foot-shock stress also has an anxiolytic effect that is potentiated by the ingestion of comfort food and that is evidenced by both EPM and open field tests. Copyright © 2011 Elsevier Inc. All rights reserved.

Family medicine residents’ perceived level of comfort in treating common sports injuries across residency programs in the United States

PubMed Central

Amoako, Adae O; Amoako, Agyenim B; Pujalte, George GA

2015-01-01

Background and objective Family physicians are expected to be comfortable in treating common sports injuries. Evidence shows a limited level of comfort in treating these injuries in pediatric and internal medicine residents. Studies are lacking, however, in family medicine residents. The purpose of this study is to assess the comfort level of family medicine residents in treating common sports injuries in adults and children based on their perceived level of knowledge and attitudes. Methods This is a cross-sectional study of family medicine residents in the United Sates. A written survey of 25 questions related to sports injury knowledge and factors affecting comfort level were collected. A chi-square test was implemented in calculating P-values. Results Five hundred and fifty-seven residents responded to the survey. A higher percentage of doctors of osteopathy (86.6%, 82.5%, 69.6%, and 68.7%) compared to doctors of medicine (78.5%, 71.6%, 53.4%, and 52.8%) respectively identified ankle sprain, concussion, plantar fasciitis, and lateral epicondylitis as common injuries, and felt comfortable in treating them (P-values =0.015, 0.004, 0.0001, and 0.0002, respectively). Residents with high interest in sports medicine correctly identified the injuries as common and felt comfortable treating them as well (knowledge, P=0.027, 0.0029, <0.0001, and 0.0001, respectively; comfort level, P=0.0016, <0.0001, 0.0897, and 0.0010, respectively). Conclusion Medical education background, factors that affect training, and an interest in sports medicine contribute to residents’ knowledge and comfort level in treatment of common sports injuries. PMID:25848326

Testing thermal comfort of trekking boots: an objective and subjective evaluation.

PubMed

Arezes, P M; Neves, M M; Teixeira, S F; Leão, C P; Cunha, J L

2013-07-01

The study of the thermal comfort of the feet when using a specific type of shoe is of paramount importance, in particular if the main goal of the study is to attend to the needs of users. The main aim of this study was to propose a test battery for thermal comfort analysis and to apply it to the analysis of trekking boots. Methodologically, the project involves both objective and subjective evaluations. An objective evaluation of the thermal properties of the fabrics used in the boots was developed and applied. In addition, the thermal comfort provided when using the boots was also assessed both subjective and objectively. The evaluation of the thermal comfort during use, which was simulated in a laboratory environment, included the measurement of the temperature and moisture of the feet. The subjective assessment was performed using a questionnaire. From the results obtained, it was possible to define an optimal combination of fabrics to apply to trekking boots by considering the provided thermal insulation, air permeability and wicking. The results also revealed that the subjective perception of thermal comfort appears to be more related to the increase in temperature of the feet than to the moisture retention inside the boot. Although the evaluation of knits used in the boots indicated that a particular combination of fibres was optimal for use in the inner layer, the subjective and objective evaluation of thermal comfort revealed that the evaluation provided by users did not necessarily match the technical assessment data. No correlation was observed between the general comfort and specific thermal comfort assessments. Finally, the identification of thermal discomfort by specific foot areas would be useful in the process of designing and developing boots. Copyright © 2012 Elsevier Ltd and The Ergonomics Society. All rights reserved.

The comfort of breathing: a study with volunteers assessing the influence of various modes of assisted ventilation.

PubMed

Russell, W C; Greer, J R

2000-11-01

To assess the subjective feeling of comfort of healthy volunteers breathing on various modes of ventilation used in intensive care. A randomized, prospective, double-blinded, crossover trial using volunteers. An intensive care unit (ICU) in a teaching hospital. We compared, by using healthy volunteers, the subjective feeling of comfort of three modes of ventilation used during the weaning phase of critical illness. We used healthy volunteers to avoid other distracting influences of intensive care that may confound the primary feeling of comfort. The modes we compared were synchronized intermittent mandatory ventilation, assisted spontaneous breathing, and biphasic positive airway pressure. The imposed ventilation was comparable with 50% of the volunteers' normal respiratory effort. The volunteers breathed via a mouthpiece through a ventilator circuit, and the modes of ventilation were introduced in a randomized manner. We measured visual analog scores for comfort for the three modes of ventilation and collected a ranking order and open-ended comments. We demonstrated that at the level of support we imposed, assisted spontaneous breathing was the most comfortable mode of ventilation and that synchronized intermittent mandatory ventilation was the most uncomfortable. These results were strongly supported by both the ranking scale and comments of the volunteers. Assisted spontaneous breathing was the most comfortable mode of ventilation because the pattern was primarily determined by the volunteer. Synchronized intermittent mandatory ventilation was the most uncomfortable because the ventilatory pattern was imposed on the volunteers, leading to ventilator-volunteer dyssynchrony. We also conclude there is wide individual variation in the subjective feeling of comfort. Whereas the mode of ventilation in ICUs is based primarily on the physiologic needs of the patient, the feeling of comfort may be considered when choosing an appropriate mode of ventilation during the weaning phase of critical illness.

Daily versus monthly disposable contact lens: Which is better for ocular surface physiology and comfort?

PubMed

Sapkota, Kishor; Franco, Sandra; Lira, Madalena

2018-06-01

To investigate the effect of soft contact lenses (SCL) wearing modality and lens materials on the changes in conjunctival bulbar and limbal redness and conjunctival and corneal staining after two months of SCL wear. Comfort level was also analyzed. In this longitudinal clinical trial, forty-seven neophyte myopic subjects were fitted with a monthly disposable lens (lotrafilcon-B or comfilcon-A or balafilcon-A) in one eye and a daily disposable lens (nelfilcon-A or stenofilcon-A or nesofilcon-A) in the other eye, randomly selected. Conjunctival bulbar and limbal redness and conjunctival and corneal staining were evaluated before and after lens wear. Effect of lens wearing modality and lens materials on these changes was also determined. Level of comfort was evaluated subjectively twice per day. Comfort level and reduction in end-of-day comfort were compared between different lens wearing modalities and materials. Bulbar and limbal redness and conjunctival and corneal staining were increased (p<0.001) after lens wear, and changes were similar with daily and monthly disposable lens wear (p>0.05). Limbal redness was associated with lens materials, and lotrafilcon-B induced the least among the studied lenses (p<0.05). There was no significant association between the wearing modality and the average comfort level and reduction of end-of-day comfort (p>0.05). Two months of SCL wear increased conjunctival redness, conjunctival and corneal staining, which were not associated with the lens wearing modality. There was a reduction in end-of-day comfort, similar to daily and monthly lenses. The change in limbal redness and reduction in end-of-day comfort were associated with the characteristics of the lens material. Copyright © 2017 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

An examination of the comfort and convenience of 1979 safety belt systems

DOT National Transportation Integrated Search

1979-01-01

The study examines the comfort and convenience aspects of safety belt systems in 1979 model cars and the user and system characteristics which affect safety belt comfort and convenience. The test design required that each of 114 test participants sit...

Human Factors Study of the Clothe the Soldier Temperate Combat Glove

DTIC Science & Technology

2000-03-01

Thermal Comfort ................................................................. ..................................... 10...26 - 5. 1.20 Task Performance - FIBUA I Fire & Movement................... . ................. . . ....... . . . . .. 26 5. 1.2 J Thermal Comfort ................... . . ........................... . ... ............. .... . .. . ......... . . . .. .. . 27...summarized in the following sections. 1. Fit 7. Clinical Hand Tests 2. Accessibility I Adjustability 8. Thermal Comfort 3. Compatibility

Heat Stress Mitigation for Leopard 2C Tank Crew

DTIC Science & Technology

2007-05-01

25 Annex B Scale of Thermal Comfort Ratings...18 Figure 10. Subjective ratings of whole body thermal comfort . See Annex B...was estimated from changes in dressed weight. Subjects were asked to provide two subjective ratings of their thermal comfort generally every 15

24 CFR 3280.702 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... a comfort cooling appliance where the condenser section is placed external to the manufactured home... a comfort cooling appliance where the condenser section is placed external to the manufactured home... case of a heat pump) heat air for use in comfort cooling (or heating) the living space. Air...

24 CFR 3280.511 - Comfort cooling certificate and information.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Comfort cooling certificate and... HOUSING AND URBAN DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.511 Comfort cooling certificate and information. (a) The manufactured home manufacturer shall...

Epilepsy monitoring - The patients' views: A qualitative study based on Kolcaba's Comfort Theory.

PubMed

Egger-Rainer, Andrea; Trinka, Eugen; Höfler, Julia; Dieplinger, Anna Maria

2017-03-01

The aim of this qualitative study was to determine which perception of personal comfort patients name in the context of their hospitalization in an Austrian Epilepsy Monitoring Unit (EMU). Problem-centred interviews with twelve inpatients were conducted. Data analyses were done according to Mayring's qualitative content analyses following the technique of structuring-deductive category assignment. Patients experienced different kinds of comfort along with their hospitalization in the EMU. Comfort-decreasing factors were bed rest, boredom, and waiting for possible seizures. As comfort-increasing factors, hope for enhanced seizure control, support by family and staff, and intelligible information about the necessity of restrictive conditions were identified. The study results should assist health care professionals, enabling them to design comfort enhancing interventions for patients undergoing video-electroencephalography (EEG) investigations in an EMU. Some of these seem to be simple and obtainable without high financial or technical effort. Others are more complex and have to be further assessed for their feasibility. Copyright © 2016 Elsevier Inc. All rights reserved.

Comfort and anxiety levels of women with early stage breast cancer who receive radiotherapy.

PubMed

Tuncer, Gamze; Yucel, Sebnem Cinar

2014-01-01

The aim of this planned research was to determine the comfort and anxiety levels of women with breast cancer receiving radiotherapy. This descriptive type study covered patients that applied to the radiation oncology breast polyclinic of our university hospital between January and May 2011. Patient Identification Form, Radiation Therapy Comfort Questionnaire (RTCQ), Spielberger State Trait Anxiety Inventory (STAI) were completed and analysed. The mean age of the women who participated in the study was 51.6 ± 10.4 years. Mean scores of women were 3.73 ± 0.31 for RTCQ, 29.1 ± 5.88 for SAI and 37.8±6.91 for TAI. While the comfort levels of the women with breast cancer receiving radiotherapy were moderate, they experienced only low levels of anxiety. By determining the comfort level of the patient before radiotherapy, besides providing comfort in this direction, eliminating/minimizing anxiety and stress will positively affect radiotherapy application. More attention of nurses to this issue is to be recommended.

Evolution of perceived footwear comfort over a prolonged running session.

PubMed

Hintzy, F; Cavagna, J; Horvais, N

2015-12-01

The purpose of this study was to investigate the subjective perception of overall footwear comfort over a prolonged running session. Ten runners performed two similar sessions consisting of a 13-km trail run (5 laps of 2.6 km) as fast as possible. The overall footwear comfort was evaluated before running and at the end of each lap with a 150-mm visual analogic scale, as well as speed, heart rate and rate of perceived exertion. The results showed that both overall footwear comfort and speed decreased consistently during the run session, and significantly after 44 min of running (i.e. the 3rd lap). It could be hypothesized that the deterioration of overall footwear comfort was explained by mechanical and energetical parameter changes with time and/or fatigue occurring at the whole body, foot and footwear levels. These results justify the use of a prolonged running test for running footwear comfort evaluation. Copyright © 2015 Elsevier Ltd. All rights reserved.

Children's exposure to indoor air in urban nurseries-part I: CO₂ and comfort assessment.

PubMed

Branco, P T B S; Alvim-Ferraz, M C M; Martins, F G; Sousa, S I V

2015-07-01

Indoor air quality (IAQ) in nurseries is an emerging case-study. Thus, this study, as the Part I of the larger study "Children's exposure to indoor air in urban nurseries", aimed to: i) evaluate nurseries' indoor concentrations of carbon dioxide (CO2), a global IAQ indicator, in class and lunch rooms; ii) assess indoor comfort parameters-temperature (T) and relative humidity (RH); and iii) analyse them according to guidelines and references for IAQ, comfort and children's health. Indoor continuous measurements were performed. Non-compliances with guidelines were found in comfort parameters, which could cause discomfort situations and also microbial proliferation. Exceedances in CO2 concentrations were also found and they were caused by poor ventilation and high classroom occupation. More efficient ventilation and control of comfort parameters, as well as to reduce occupation by reviewing Portuguese legislation on that matter, would certainly improve IAQ and comfort in nurseries and consequently safeguard children's health. Copyright © 2015 Elsevier Inc. All rights reserved.

Instruments to assess patient comfort during hospitalization: A psychometric review.

PubMed

Lorente, Sonia; Losilla, Josep-Maria; Vives, Jaume

2018-05-01

To analyse the psychometric properties and the utility of instruments used to measure patient comfort, physical, social, psychospiritual and/or environmental, during hospitalization. There are no systematic reviews nor psychometric reviews of instruments used to measure comfort, which is considered an indicator of quality in health care associated with quicker discharges, increased patient satisfaction and better cost-benefit ratios for the institution. Psychometric review. MEDLINE, CINAHL, PsycINFO, Web of Knowledge, ProQuest Thesis&Dissertations, Google. We limited our search to studies published between 1990-2015. The psychometric analysis was performed using the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN), along with the Quality Criteria for Measurement Properties. The utility of the instruments was assessed according to their cost-efficiency, acceptability and educational impact. Protocol registration in PROSPERO, CRD42016036290. Instruments reviewed showed moderate methodological quality and their utility was poorly reported. Thus, we cannot recommend any questionnaire without reservations, but the Comfort Scale, the General Comfort Questionnaire and their adaptations in adults and older patients, the Psychosocial Comfort Scale and the Incomfort des Patients de Reanimation are the most recommendable instruments to measure comfort. The methodology of the studies should be more rigorous and authors should adequately report the utility of instruments. This review provides a strategy to select the most suitable instrument to assess patient comfort according to their psychometric properties and utility, which is crucial for nurses, clinicians, researchers and institutions. © 2017 John Wiley & Sons Ltd.

Outdoor thermal comfort in public space in warm-humid Guayaquil, Ecuador

NASA Astrophysics Data System (ADS)

Johansson, Erik; Yahia, Moohammed Wasim; Arroyo, Ivette; Bengs, Christer

2018-03-01

The thermal environment outdoors affects human comfort and health. Mental and physical performance is reduced at high levels of air temperature being a problem especially in tropical climates. This paper deals with human comfort in the warm-humid city of Guayaquil, Ecuador. The main aim was to examine the influence of urban micrometeorological conditions on people's subjective thermal perception and to compare it with two thermal comfort indices: the physiologically equivalent temperature (PET) and the standard effective temperature (SET*). The outdoor thermal comfort was assessed through micrometeorological measurements of air temperature, humidity, mean radiant temperature and wind speed together with a questionnaire survey consisting of 544 interviews conducted in five public places of the city during both the dry and rainy seasons. The neutral and preferred values as well as the upper comfort limits of PET and SET* were determined. For both indices, the neutral values and upper thermal comfort limits were lower during the rainy season, whereas the preferred values were higher during the rainy season. Regardless of season, the neutral values of PET and SET* are above the theoretical neutral value of each index. The results show that local people accept thermal conditions which are above acceptable comfort limits in temperate climates and that the subjective thermal perception varies within a wide range. It is clear, however, that the majority of the people in Guayaquil experience the outdoor thermal environment during daytime as too warm, and therefore, it is important to promote an urban design which creates shade and ventilation.

Effect of comfort pads and incubator design on neonatal radiography.

PubMed

Jiang, Xia; Baad, Michael; Reiser, Ingrid; Feinstein, Kate A; Lu, Zhengfeng

2016-01-01

There has been increasing interest in patient dose reduction in neonatal intensive care units. Removing comfort pads for radiography has been identified as a potential means to decrease patient dose. To assess the effect of comfort pads and support trays on detector entrance exposure (DEE) and image quality for neonatal radiography, and its implication for patient dose. Comfort pads and support trays from three incubator and warmer systems were examined. The attenuation of the primary beam by these structures was measured using a narrow beam geometry. Their effect on DEE and image quality was then assessed using typical neonatal chest radiography techniques with three configurations: 1) both the comfort pad and support included in the beam, 2) only the support tray included and 3) both the comfort pad and support tray removed. Comfort pads and support trays were found to attenuate the primary beam by 6-15%. Eliminating these structures from the X-ray beam's path was found to increase the detector entrance exposure by 28-36% and increase contrast-to-noise ratio by more than 21%, suggesting room for patient dose reduction when the same image quality is maintained. Comfort pads and tray support devices can have a considerable effect on DEE and image quality, with large variations among different incubator designs. Positioning the image detector directly underneath neonatal patients for radiography is a potential means for patient dose reduction. However, such benefit should be weighed against the risks of moving the patient.

COMFORT scale: a reliable and valid method to measure the amount of stress of ventilated preterm infants.

PubMed

Wielenga, J M; De Vos, R; de Leeuw, R; De Haan, R J

2004-01-01

Assessment of clinimetric properties and diagnostic quality of a stress measurement scale (COMFORT scale). Sample of an open population. Neonatology department (Neonatal Intensive Care Unit), Academic Medical Centre/Emma Children's Hospital, Amsterdam, The Netherlands. One clinical expert and 9 observers observed ventilated premature born babies simultaneously. Criterion validity was assessed by correlating the COMFORT scale with the clinical judgment regarding the amount of stress. Interobserver reliability was assessed on the clinical judgment as well as on the COMFORT scale. Diagnostic qualities were evaluated with a ROC curve. On 19 ventilated prematurely born babies (mean gestational age 30 weeks, mean birth weight 1385 gm), one clinical expert and 9 observers made 30 paired observations. The criterion validity of the COMFORT scale was good (Pearson's r of 0.84). The interobserver reliability of the clinical judgment was very good (weighted Kappa 0.84). The interobserver reliability of each item varied from good to almost perfect (weighted Kappa of 0.64 for muscle tone to 1.00 on heart rate). The reliability of the total COMFORT scale score was satisfying (intra-class correlation coefficient of 0.94). The diagnostic quality of the COMFORT scale was excellent, at a cut-off point of 20 the sensitivity was 100 percent, the specificity was 77 percent, and the area under the curve (AUC) of 0.95. In this first evaluation, the COMFORT scale appears to be a valid and reliable measurement tool to assess the stress of ventilated prematurely born babies.

Outdoor thermal comfort in public space in warm-humid Guayaquil, Ecuador.

PubMed

Johansson, Erik; Yahia, Moohammed Wasim; Arroyo, Ivette; Bengs, Christer

2018-03-01

The thermal environment outdoors affects human comfort and health. Mental and physical performance is reduced at high levels of air temperature being a problem especially in tropical climates. This paper deals with human comfort in the warm-humid city of Guayaquil, Ecuador. The main aim was to examine the influence of urban micrometeorological conditions on people's subjective thermal perception and to compare it with two thermal comfort indices: the physiologically equivalent temperature (PET) and the standard effective temperature (SET*). The outdoor thermal comfort was assessed through micrometeorological measurements of air temperature, humidity, mean radiant temperature and wind speed together with a questionnaire survey consisting of 544 interviews conducted in five public places of the city during both the dry and rainy seasons. The neutral and preferred values as well as the upper comfort limits of PET and SET* were determined. For both indices, the neutral values and upper thermal comfort limits were lower during the rainy season, whereas the preferred values were higher during the rainy season. Regardless of season, the neutral values of PET and SET* are above the theoretical neutral value of each index. The results show that local people accept thermal conditions which are above acceptable comfort limits in temperate climates and that the subjective thermal perception varies within a wide range. It is clear, however, that the majority of the people in Guayaquil experience the outdoor thermal environment during daytime as too warm, and therefore, it is important to promote an urban design which creates shade and ventilation.

The relationship between thermal comfort and light intensity with sleep quality and eye tiredness in shift work nurses.

PubMed

Azmoon, Hiva; Dehghan, Habibollah; Akbari, Jafar; Souri, Shiva

2013-01-01

Environmental conditions such as lighting and thermal comfort are influencing factors on sleep quality and visual tiredness. The purpose of this study was the determination of the relationship between thermal comfort and light intensity with the sleep quality and eye fatigue in shift nurses. This cross-sectional research was conducted on 82 shift-work personnel of 18 nursing workstations in Isfahan Al-Zahra Hospital, Iran, in 2012. Heat stress monitoring (WBGT) and photometer (Hagner Model) were used for measuring the thermal conditions and illumination intensity, respectively. To measure the sleep quality, visual tiredness, and thermal comfort, Pittsburg sleep quality index, eye fatigue questionnaire, and thermal comfort questionnaire were used, respectively. The data were analyzed with descriptive statistics, Student's t-test, and Pearson correlation. Correlation between thermal comfort which was perceived from the self-reporting of people with eye tiredness was -0.38 (P = 0.002). Pearson correlation between thermal comfort and sleep quality showed a positive and direct relationship (r = 0.241, P = 0.33) but the correlation between thermal comfort, which was perceived from the self-reporting of shift nurses, and WBGT index was a weak relationship (r = 0.019). Based on the obtained findings, it can be concluded that a defect in environmental conditions such as thermal conditions and light intensity and also lack of appropriate managerial plan for night shift-work nurses are destructive and negative factors for the physical and mental health of this group of practitioners.

Operators' perception of comfort in two tractor cabs.

PubMed

Ferrari, E; Cavallo, E

2013-01-01

Workspace characteristics affect the perceived comfort level of the operator and uncomfortable working conditions have been found to have a negative impact on productivity and safety. The comfort of the operator is increasingly recognized by manufacturers as a product's added value. Comfort can positively distinguish a product and increase its competitiveness. The concept of comfort is controversial, and a clear operational definition is missing. Nevertheless, it is widely accepted that comfort is a subjective phenomenon that can be evaluated by the final users. In this study, comfort aspects of the tractor workspace interior (i.e., the cab) were investigated. Users with various levels of expertise and two medium-power utility tractors of different brands were used in a 2 x 2 mixed-factorial experimental design. Participants were involved in a dynamic assessment of the cabs, and their opinions about the different workspaces were collected through a questionnaire. Additionally, objective measurements were taken on both tractors, and subjective data were compared with objective data. Results indicate significant differences in terms of the ease of locating and operating the controls (i.e., rear-mounted three-point linkage, hydraulic system, and power take-off), the ease of starting the tractor, the ease exiting the cab, the required level of concentration in executing the tasks, the adequacy of lateral visibility from the driving station, and the level of noise at the operator's position. This article provides guidance for improving the comfort of tractor workspace interiors. Agricultural machinery manufactures would benefit from research results, differentiating themselves from competitors.

Comfort and quality of life in patients with breast cancer undergoing radiation therapy.

PubMed

Pehlivan, Seda; Kuzhan, Abdurrahman; Yildirim, Yasemin; Fadiloglu, Cicek

2016-01-01

Radiation therapy is generally applied after surgery for the treatment of breast cancer, which is among the most frequently observed types of cancer in females. Radiation therapy may have some negative effects on the quality of life due to various side effects such as changes in the skin, mucositis and fatigue. Our study was planned as a descriptive study, in order to examine the relationship between comfort and quality of life in breast cancer patients undergoing radiation therapy. This study involved 61 patients with breast cancer undergoing radiation therapy. Data were collected using "Patient Information Form", "Radiation Therapy Comfort Questionnaire" and "EORTC QLQ-BR23". The scales were applied twice, before the start and at the end of treatment. Data were evaluated via Wilcoxon test and Spearman correlation analyses. No statistically significant difference was determined between comfort and quality of life average score before and after radiotherapy (p>0.05). A positive relationship was determined between the pain and symptom quality of life (p<0.05). Although a positive relationship was determined between comfort score and the functional and general quality of life areas, a negative relationship was detected with the symptom quality of life (p<0.01). Radiation therapy applied to breast cancer patients did not affect comfort and quality of life, On the contrary, the quality of life of patients increased along with their comfort levels and that comfort levels decreased as the experienced symptoms increased.

Thermal Comfort and Sensation in Men Wearing a Cooling System Controlled by Skin Temperature

DTIC Science & Technology

2007-07-01

The study was done to determine whether thermal comfort (TC), thermal sensation (TS), and subjective factors gauging environmental stress were...improvement in thermal comfort . Methods: Eight male volunteers exercised at moderate work intensity (425 W) in three microclimate cooling tests. The

24 CFR 3280.507 - Comfort heat gain.

Code of Federal Regulations, 2010 CFR

2010-04-01

... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.507 Comfort heat... 24 Housing and Urban Development 5 2010-04-01 2010-04-01 false Comfort heat gain. 3280.507 Section 3280.507 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued...

Comfort response of three silicone hydrogel daily disposable contact lenses.

PubMed

Varikooty, Jalaiah; Keir, Nancy; Richter, Doris; Jones, Lyndon W; Woods, Craig; Fonn, Desmond

2013-09-01

To evaluate subjective ocular comfort across the day with three silicone hydrogel daily disposables (SHDDs) in a group of adapted lens wearers. Masked subjects (asymptomatic or symptomatic of end-of-day (EOD) dryness with habitual lenses) wore three SHDDs: DAILIES TOTAL1 (DT1), Clariti 1day (C1D), or 1-DAY ACUVUE TRUEYE (AVTE), each for 3 days. On day 2, wearing time (WT) and comfort ratings after insertion, at 4, 8, and 12 hours, and at EOD were recorded. Because not all subjects wore lenses for 12 hours, comfort was analyzed across the day (up to 8 hours, 8 to 12 hours), and a new variable ("cumulative comfort" [CC]) was calculated for EOD. One hundred four subjects completed the study (51 asymptomatic, 53 symptomatic). The two groups had different WTs (mean WT, 14.0 and 12.7 hours, respectively; p < 0.001). Ocular comfort was rated higher in the asymptomatic group throughout the day (p < 0.001). One hundred four subjects wore all three SHDDs for at least 8 hours, whereas 74 (45 asymptomatic, 29 symptomatic) subjects wore them for 12 hours or longer. Comfort ratings were higher with DT1 (least square means [LSM] = 91.0) than with C1D (LSM = 86.5; p < 0.001) and AVTE (LSM = 87.7; p = 0.011) for the first 8 hours and lower with C1D compared with DT1 (p = 0.012) from 8 to 12 hours. Mean EOD (± SD) comfort with the C1D lens was 72 ± 21, lower than both DT1 (mean, 79 ± 17; p = 0.001) and AVTE (mean, 78 ± 21; p = 0.010). Mean CC was higher in the asymptomatic group (mean, 1261 ± 59) compared with that in the symptomatic group (mean, 1009 ± 58; p < 0.001) and higher for DT1 (mean, 1184 ± 258) than C1D (mean, 1094 ± 318; p = 0.002) and AVTE (mean, 1122 ± 297; p = 0.046). All three SHDDs had average WTs of 12 hours or longer for 1 day. Comfort during the first 12 hours was highest with DT1 (similar to AVTE between 8 and 12 hours) and lowest with C1D. End-of-day comfort was lowest with C1D, and CC was highest for DT1. Cumulative comfort may be a valuable new metric to assess ocular comfort during the day.

24 CFR 3280.507 - Comfort heat gain.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 24 Housing and Urban Development 5 2011-04-01 2011-04-01 false Comfort heat gain. 3280.507 Section... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.507 Comfort heat... part. (a) Transmission heat gains. Homes complying with this section shall meet the minimum heat loss...

The Efficacy of an Air-Cooling Vest to Reduce Thermal Strain for Light Armour Vehicle Personnel

DTIC Science & Technology

2007-01-01

4 2.9.4 Thermal Comfort Measurements .................................................................... 4 2.9.5...5 3.2 Thermal Comfort ........................................................................................................... 5...period for each subject following a 1-min washout period. 2.9.4 Thermal Comfort Measurements Subjects were asked to provide a subjective

PHYSIOLOGICAL EVALUATION OF A FREE-FLOODING DIVER HEAT REPLACEMENT GARMENT.

DTIC Science & Technology

The general capabilities of a free-flooding heat replacement garment in maintaining thermal comfort in 40F water, at both surface and deep diving...recorded. Suit inlet temperatures which produce a subjective response of thermal comfort by the diver (Comfort Zone Inlet Temperature) at various flow

Selected Sports Bras: Overall Comfort and Support.

ERIC Educational Resources Information Center

Lawson, LaJean; Lorentzen, Deana

This study evaluated currently marketed sports bras on subjective measures of comfort and support both within an entire group of women and within cup sizes, correlated the subjective measures of comfort and support with previously reported biomechanical findings of support on the same bras, and further developed empirically based guidelines for…

24 CFR 3280.507 - Comfort heat gain.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 24 Housing and Urban Development 5 2014-04-01 2014-04-01 false Comfort heat gain. 3280.507 Section... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.507 Comfort heat... part. (a) Transmission heat gains. Homes complying with this section shall meet the minimum heat loss...

24 CFR 3280.507 - Comfort heat gain.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 24 Housing and Urban Development 5 2012-04-01 2012-04-01 false Comfort heat gain. 3280.507 Section... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.507 Comfort heat... part. (a) Transmission heat gains. Homes complying with this section shall meet the minimum heat loss...

24 CFR 3280.507 - Comfort heat gain.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 5 2013-04-01 2013-04-01 false Comfort heat gain. 3280.507 Section... DEVELOPMENT MANUFACTURED HOME CONSTRUCTION AND SAFETY STANDARDS Thermal Protection § 3280.507 Comfort heat... part. (a) Transmission heat gains. Homes complying with this section shall meet the minimum heat loss...

The Digital Divide in Classrooms: Teacher Technology Comfort and Evaluations

ERIC Educational Resources Information Center

Dornisch, Michele

2013-01-01

A disconnect exists between students' comfort with using technology for learning and teachers' comfort in using technology for teaching. Students report the desire for more engaging technology-based assignments. Teachers cite multiple reasons for their hesitancy to use technology in their teaching. The current study investigates whether…

Can Hard Journalism Survive Internet "Reporting"?

ERIC Educational Resources Information Center

Bugeja, Michael

2005-01-01

Historically, journalism education has fostered its industry ties. Because of state budget cuts, journalism programs must rely increasingly on media companies to sustain the training of students to comfort the afflicted and afflict the comfortable--a century-old maxim tarnished by comfortable media companies' losing sight of their news mission and…

Visual comfort evaluated by opponent colors

NASA Astrophysics Data System (ADS)

Sagawa, Ken

2002-06-01

This study aimed to evaluate psychological impression of visual comfort when we see an image of ordinary colored scene presented in a color display. Effects of opponent colors, i.e. red, green, yellow and blue component, on the subjective judgement on visual comfort to the image were investigated. Three kinds of psychological experiment were designed to see the effects and the results indicated that the red/green opponent color component was more affecting than the yellow-blue one, and red color in particular was the most affecting factor on visual comfort.

Counter-IED Initiative PPE Horizon 0, Phase 1, Protection Versus Performance Preliminary Trade-off Analysis, Behavioural Task Analysis (Initiative d’epi pour la Lutte aux IED - Horizon 0 Phase 1 - Analyse de Compromis Preliminaire de la Protection par Rapport au Rendement Analyse Comportementale des Taches)

DTIC Science & Technology

2007-05-01

RESULTS .............................................................................92 TABLE 17: RATINGS OF THE THERMAL COMFORT ON A 7 POINT SCALE...98. In addition to the body mapping of thermal discomfort, participants also rated thermal comfort acceptability for hot spots, ventilation and...overall comfort. Additionally each participant completed a thermal comfort Humansystems® Counter IED Page 91 questionnaire that examined ventilation

Research and Development of an Advanced Personal Load Carriage System Phases 2 and 3. Section C: Analysis of Seven Pack-Based Systems Using Human FAST Trials

DTIC Science & Technology

1997-10-30

3.0 2.9 3.8 Physical comfort 4.1 4.5 2.4 2.4 3.1 Thermal comfort 4.8 5.0 3.0 3.2 4.0 Scores greater than 5 (box) were considered superior. Scores...2.4 3.2 Thermal comfort 3.0 3.4 3.2 2.3 Scores greater than 5 (box) were considered superior. Scores 3.5 or less (grey) were considered inferior...1.2 0.4 0.8 -0.3 Mobility -0.4 -1.7 -0.1 0.8 0.4 Physical comfort -0.5 -1.2 0.2 0.3 0.3 Thermal comfort -1.7 -2.5 -0.2 -0.1 -1.4 Differences

Thermal comfort of patients in hospital ward areas.

PubMed Central

Smith, R. M.; Rae, A.

1977-01-01

The patient is identified as being of prime importance for comfort standards in hospital ward areas, other ward users being expected to adjust their dress to suit the conditions necessary for patients comfort. A study to identify the optimum steady state conditions for patients comfort is then described. Although this study raises some doubts as to the applicability of the standard thermal comfort assessment techniques to ward areas, it is felt that its results give a good indication of the steady-state conditions preferred by the patients. These were an air temperature of between 21-5 degrees and 22 degrees C and a relative humidity of between 30% and 70%, where the air velocity was less than 0-1 m/s and the mean radiant temperature was close to air temperature. PMID:264497

A correct enthalpy relationship as thermal comfort index for livestock.

PubMed

Rodrigues, Valéria Cristina; da Silva, Iran José Oliveira; Vieira, Frederico Márcio Corrêa; Nascimento, Sheila Tavares

2011-05-01

Researchers working with thermal comfort have been using enthalpy to measure thermal energy inside rural facilities, establishing indicator values for many situations of thermal comfort and heat stress. This variable turned out to be helpful in analyzing thermal exchange in livestock systems. The animals are exposed to an environment which is decisive for the thermoregulatory process, and, consequently, the reactions reflect states of thermal comfort or heat stress, the last being responsable for problems of sanity, behavior and productivity. There are researchers using enthalpy as a qualitative indicator of thermal environment of livestock such as poultry, cattle and hogs in tropical regions. This preliminary work intends to check different enthalpy equations using information from classical thermodynamics, and proposes a direct equation as thermal comfort index for livestock systems.

The effects of guided imagery on comfort, depression, anxiety, and stress of psychiatric inpatients with depressive disorders.

PubMed

Apóstolo, João Luís Alves; Kolcaba, Katharine

2009-12-01

This article describes the efficacy of a guided imagery intervention for decreasing depression, anxiety, and stress and increasing comfort in psychiatric inpatients with depressive disorders. A quasi-experimental design sampled 60 short-term hospitalized depressive patients selected consecutively. The experimental group listened to a guided imagery compact disk once a day for 10 days. The Psychiatric Inpatients Comfort Scale and the Depression, Anxiety, and Stress Scales (DASS-21) were self-administered at two time points: prior to the intervention (T1) and 10 days later (T2). Comfort and DASS-21 were also assessed in the usual care group at T1 and T2. Repeated measures revealed that the treatment group had significantly improved comfort and decreased depression, anxiety, and stress over time.

CFD simulation of a cabin thermal environment with and without human body - thermal comfort evaluation

NASA Astrophysics Data System (ADS)

Danca, Paul; Bode, Florin; Nastase, Ilinca; Meslem, Amina

2018-02-01

Nowadays, thermal comfort became one of the criteria in choosing a vehicle. In last decades time spent by people in vehicles had risen substantially. During each trip, thermal comfort must to be ensured for a good psychological and physical state of the passengers. Also, a comfortable environment leads to a higher power concentration of the driver thereby to a safe trip for vehicle occupants and for all traffic participants. The present study numerically investigated the effect of human body sited in the driver's place, over the air velocity distribution and over the thermal comfort in a passenger compartment. CFD simulations were made with different angles of the left inlet grill, in both cases, with and without driver presence. In majority of the actual vehicles environment studies, are made without consideration of human body geometry, in this case, the results precision can be affected. The results show that the presence of human body, lead to global changing of the whole flow pattern inside the vehicular cabin. Also, the locations of the maximum velocities are changing with the angle of the guiding vanes. The thermal comfort PMV/PPD indexes were calculated for each case. The presence of human body leads to a more comfortable environment.

Effects of forefoot bending stiffness of badminton shoes on agility, comfort perception and lower leg kinematics during typical badminton movements.

PubMed

Park, Sang-Kyoon; Lam, Wing-Kai; Yoon, Sukhoon; Lee, Ki-Kwang; Ryu, Jiseon

2017-09-01

This study investigated whether an increase in the forefoot bending stiffness of a badminton shoe would positively affect agility, comfort and biomechanical variables during badminton-specific movements. Three shoe conditions with identical shoe upper and sole designs with different bending stiffness (Flexible, Regular and Stiff) were used. Elite male badminton players completed an agility test on a standard badminton court involving consecutive lunges in six directions, a comfort test performed by a pair of participants conducting a game-like practice trial and a biomechanics test involving a random assignment of consecutive right forward lunges. No significant differences were found in agility time and biomechanical variables among the three shoes. The players wearing the shoe with a flexible forefoot outsole demonstrated a decreased perception of comfort in the forefoot cushion compared to regular and stiffer conditions during the comfort test (p < 0.05). The results suggested that the modification of forefoot bending stiffness would influence individual perception of comfort but would not influence performance and lower extremity kinematics during the tested badminton-specific tasks. It was concluded that an optimisation of forefoot structure and materials in badminton shoes should consider the individual's perception to maximise footwear comfort in performance.

The comfort factor: assessing patient satisfaction with Opti-Free vs other contact lens cleaning products.

PubMed

Yeaton, K

1994-01-01

Many patients cite comfort as a primary factor in their success or failure with soft contact lenses. In an effort to further meet the needs of these patients, eye-care professionals must place more emphasis on dispensing a lens type and lens-care system that maximize patient satisfaction and thus provide a higher quality of service. This study delineated patient-defined quality and comfort as they relate to lens-care solutions. Five hundred ninety-nine U.S. practices were each asked to switch 25 of their patients to Opti-Free Lens Care from their currently used lens-care system (52% ReNu Multi-Purpose Solution, 20% AOSept System) for 2 weeks. Data were collected from 14,455 patients who completed the post-trial interview. At the time of the callback interview, 81% of respondents (78% ReNu users, 82% AOSept users) were using the Opti-Free System. Of these patients, 85% (84% previous ReNu users, 87% previous AOSept users) rated Opti-Free Lens Care more comfortable than or as comfortable as their previous system. These findings demonstrate differences in patient comfort among Opti-Free, AOSept, and ReNu. Eye-care professionals should consider relative comfort when dispensing lens-care systems, as this may affect patient-defined quality.

Influence of humidification on comfort during noninvasive ventilation with a helmet.

PubMed

Ueta, Kazuyoshi; Tomita, Toshiji; Uchiyama, Akinori; Ohta, Noriyuki; Iguchi, Naoya; Goto, Yukiko; Fujino, Yuji

2013-05-01

To evaluate optimal humidifier water temperature when using a helmet for noninvasive ventilation. Twenty-eight healthy individuals underwent 8 cm H2O CPAP ventilation with FIO2 of 0.21 and 0.5. Each was sequentially tested in the following order: using the helmet without humidification at ambient temperature; with humidification with unheated chamber water; and with humidification with the chamber water at 31°C, 34°C, and 37°C. At each setting, after a 20 min stabilization period, measurements were taken. Comfort level at each setting was evaluated using a visual analog scale rated zero (least comfortable) to 10 (most comfortable). Temperature and relative and absolute humidity inside the helmet increased; however, the comfort scores significantly decreased as the humidification chamber water temperature increased. Regardless of the FIO2, statistically significantly highest comfort scores were obtained when humidification water, with and without active humidification, was at ambient temperature. Unacceptable absolute humidity was obtained only without humidification at room temperature when FIO2 was 0.5. With the clinical use of a helmet, for patient comfort and mucosal humidification during CPAP, the most desirable conditions are likely to be obtained by humidifying without heating, that is by leaving the water in the humidifier chamber at room temperature.

Investigation of standard care versus sham Reiki placebo versus actual Reiki therapy to enhance comfort and well-being in a chemotherapy infusion center.

PubMed

Catlin, Anita; Taylor-Ford, Rebecca L

2011-05-01

To determine whether provision of Reiki therapy during outpatient chemotherapy is associated with increased comfort and well-being. Double-blind, randomized clinical controlled trial. Outpatient chemotherapy center. 189 participants were randomized to actual Reiki, sham Reiki placebo, or standard care. Patients receiving chemotherapy were randomly placed into one of three groups. Patients received either standard care, a placebo, or an actual Reiki therapy treatment. A demographic tool and pre- and post-tests were given before and after chemotherapy infusion. Reiki therapy, sham Reiki placebo therapy, standard care, and self-reported levels of comfort and well-being pre- and postintervention. Although Reiki therapy was statistically significant in raising the comfort and well-being of patients post-therapy, the sham Reiki placebo also was statistically significant. Patients in the standard care group did not experience changes in comfort and well-being during their infusion session. The findings indicate that the presence of an RN providing one-on-one support during chemotherapy was influential in raising comfort and well-being levels, with or without an attempted healing energy field. An attempt by clinic nurses to provide more designated one-to-one presence and support for patients while receiving their chemotherapy infusions could increase patient comfort and well-being.

The human thermoneutral and thermal comfort zones: Thermal comfort in your own skin blood flow

PubMed Central

Schlader, Zachary J

2015-01-01

Human thermoregulation is achieved via autonomic and behavioral responses. Autonomic responses involve 2 synchronous ‘components’. One counteracts large thermal perturbations, eliciting robust heat loss or gain (i.e., sweating or shivering). The other fends off smaller insults, relying solely on changes in sensible heat exchange (i.e., skin blood flow). This sensible component occurs within the thermoneutral zone [i.e., the ambient temperature range in which temperature regulation is achieved only by sensible heat transfer, without regulatory increases in metabolic heat production (e.g., shivering) or evaporative heat loss (e.g., sweating)].1 The combination of behavior and sensible heat exchange permits a range of conditions that are deemed thermally comfortable, which is defined as the thermal comfort zone.1 Notably, we spend the majority of our lives within the thermoneutral and thermal comfort zones. It is only when we are unable to stay within these zones that deleterious health and safety outcomes can occur (i.e., hypo- or hyperthermia). Oddly, although the thermoneutral zone and thermal preference (a concept similar to the thermal comfort zone) has been extensively studied in non-human animals, our understanding of human thermoregulation within the thermoneutral and thermal comfort zones remains rather crude. PMID:27226992

Thermal Comfort Assessment in The Open Space in Bandung Case Study Dago Street and Riau Street

NASA Astrophysics Data System (ADS)

Sugangga, M.; Janesonia, K. I.; Illiyin, D. F.; Donny Koerniawan, M.

2018-05-01

Bandung’s temperature has been higher since last years. This phenomenon affects the level of thermal comfort in open space. One indicator that determines the thermal comfort level is the type of activity performed by the open space user. Riau Street and Dago Street are corridors that are often used by the people for strolling, jogging, shopping. Dago Street has special event every Sunday namely car free day. Both corridors have different orientation; Dago Street is North to South corridor while Riau Street’s is West to East. The goal of the study is to compare people’s perception of thermal comfort in both corridors. This research uses two methods, namely qualitative method and quantitative method. Based on the results of qualitative analysis found that the thermal conditions in Dago Street more comfortable than the Riau Street. The result of quantitative analysis found that the average PET (thermal comfort indices) value of Dago Street was at 27.5 °C PET and Riau Street 28.6 °C PET. Dago Street is considered more convenient because it has a lower PET value than Riau Street. The people perception of thermal comfort is very important to start the steps for designing the orientation of street in urban design.

Entropy generation method to quantify thermal comfort.

PubMed

Boregowda, S C; Tiwari, S N; Chaturvedi, S K

2001-12-01

The present paper presents a thermodynamic approach to assess the quality of human-thermal environment interaction and quantify thermal comfort. The approach involves development of entropy generation term by applying second law of thermodynamics to the combined human-environment system. The entropy generation term combines both human thermal physiological responses and thermal environmental variables to provide an objective measure of thermal comfort. The original concepts and definitions form the basis for establishing the mathematical relationship between thermal comfort and entropy generation term. As a result of logic and deterministic approach, an Objective Thermal Comfort Index (OTCI) is defined and established as a function of entropy generation. In order to verify the entropy-based thermal comfort model, human thermal physiological responses due to changes in ambient conditions are simulated using a well established and validated human thermal model developed at the Institute of Environmental Research of Kansas State University (KSU). The finite element based KSU human thermal computer model is being utilized as a "Computational Environmental Chamber" to conduct series of simulations to examine the human thermal responses to different environmental conditions. The output from the simulation, which include human thermal responses and input data consisting of environmental conditions are fed into the thermal comfort model. Continuous monitoring of thermal comfort in comfortable and extreme environmental conditions is demonstrated. The Objective Thermal Comfort values obtained from the entropy-based model are validated against regression based Predicted Mean Vote (PMV) values. Using the corresponding air temperatures and vapor pressures that were used in the computer simulation in the regression equation generates the PMV values. The preliminary results indicate that the OTCI and PMV values correlate well under ideal conditions. However, an experimental study is needed in the future to fully establish the validity of the OTCI formula and the model. One of the practical applications of this index is that could it be integrated in thermal control systems to develop human-centered environmental control systems for potential use in aircraft, mass transit vehicles, intelligent building systems, and space vehicles.

Entropy generation method to quantify thermal comfort

NASA Technical Reports Server (NTRS)

Boregowda, S. C.; Tiwari, S. N.; Chaturvedi, S. K.

2001-01-01

The present paper presents a thermodynamic approach to assess the quality of human-thermal environment interaction and quantify thermal comfort. The approach involves development of entropy generation term by applying second law of thermodynamics to the combined human-environment system. The entropy generation term combines both human thermal physiological responses and thermal environmental variables to provide an objective measure of thermal comfort. The original concepts and definitions form the basis for establishing the mathematical relationship between thermal comfort and entropy generation term. As a result of logic and deterministic approach, an Objective Thermal Comfort Index (OTCI) is defined and established as a function of entropy generation. In order to verify the entropy-based thermal comfort model, human thermal physiological responses due to changes in ambient conditions are simulated using a well established and validated human thermal model developed at the Institute of Environmental Research of Kansas State University (KSU). The finite element based KSU human thermal computer model is being utilized as a "Computational Environmental Chamber" to conduct series of simulations to examine the human thermal responses to different environmental conditions. The output from the simulation, which include human thermal responses and input data consisting of environmental conditions are fed into the thermal comfort model. Continuous monitoring of thermal comfort in comfortable and extreme environmental conditions is demonstrated. The Objective Thermal Comfort values obtained from the entropy-based model are validated against regression based Predicted Mean Vote (PMV) values. Using the corresponding air temperatures and vapor pressures that were used in the computer simulation in the regression equation generates the PMV values. The preliminary results indicate that the OTCI and PMV values correlate well under ideal conditions. However, an experimental study is needed in the future to fully establish the validity of the OTCI formula and the model. One of the practical applications of this index is that could it be integrated in thermal control systems to develop human-centered environmental control systems for potential use in aircraft, mass transit vehicles, intelligent building systems, and space vehicles.

Using a Music Video Parody to Promote Breastfeeding and Increase Comfort Levels Among Young Adults.

PubMed

Austen, Erin L; Beadle, Julie; Lukeman, Sionnach; Lukeman, Ellen; Aquino, Nicola

2017-08-01

North Americans are not meeting the World Health Organization's breastfeeding recommendations. Young adults understand that breastfeeding is healthy but are uncomfortable seeing breastfeeding. Research aim: The aim of the current project was to determine if a music video parody promoting breastfeeding is perceived by young adults to be an effective means of promotion and if exposure to such a video could increase comfort levels. Young adults rated how comfortable they felt looking at breastfeeding and bottle-feeding images (pretest). Two months later, a subset of participants watched the music video parody "Breastfeeding My Baby." In Phase 1, participants completed the picture-rating task again (posttest) after a 2-month delay, plus a survey to assess memory and perception of the video. In Phase 2, participants were reminded of the video before completing the comfort ratings, and in the final phase, posttest measures were administered only 1 week after exposure to the video. Across all phases, the video was perceived to be effective and was memorable. Breastfeeding comfort ratings were comparable at pretest across participant groups; comfort ratings improved at posttest for participants who saw the video but only if they were reminded of seeing it before providing their ratings. At shorter intervals between seeing the video and completing the posttests, comfort ratings for breastfeeding images increased for all participants, highlighting the general importance of exposure to breastfeeding. Young adults are receptive to using a music video parody to promote breastfeeding, which can help to increase comfort levels with breastfeeding.

Thermal comfort in urban green spaces: a survey on a Dutch university campus.

PubMed

Wang, Yafei; de Groot, Rudolf; Bakker, Frank; Wörtche, Heinrich; Leemans, Rik

2017-01-01

To better understand the influence of urban green infrastructure (UGI) on outdoor human thermal comfort, a survey and physical measurements were performed at the campus of the University of Groningen, The Netherlands, in spring and summer 2015. Three hundred eighty-nine respondents were interviewed in five different green spaces. We aimed to analyze people's thermal comfort perception and preference in outdoor urban green spaces, and to specify the combined effects between the thermal environmental and personal factors. The results imply that non-physical environmental and subjective factors (e.g., natural view, quiet environment, and emotional background) were more important in perceiving comfort than the actual thermal conditions. By applying a linear regression and probit analysis, the comfort temperature was found to be 22.2 °C and the preferred temperature was at a surprisingly high 35.7 °C. This can be explained by the observation that most respondents, who live in temperate regions, have a natural tendency to describe their preferred state as "warmer" even when feeling "warm" already. Using the Kruskal-Wallis H test, the four significant factors influencing thermal comfort were people's exposure time in green spaces, previous thermal environment and activity, and their thermal history. However, the effect of thermal history needs further investigation due to the unequal sample sizes of respondents from different climate regions. By providing evidence for the role of the objective and subjective factors on human thermal comfort, the relationship between UGI, microclimate, and thermal comfort can assist urban planning to make better use of green spaces for microclimate regulation.

The Relationship between Thermal Comfort and Light Intensity with Sleep Quality and Eye Tiredness in Shift Work Nurses

PubMed Central

Azmoon, Hiva; Dehghan, Habibollah; Akbari, Jafar; Souri, Shiva

2013-01-01

Environmental conditions such as lighting and thermal comfort are influencing factors on sleep quality and visual tiredness. The purpose of this study was the determination of the relationship between thermal comfort and light intensity with the sleep quality and eye fatigue in shift nurses. Method. This cross-sectional research was conducted on 82 shift-work personnel of 18 nursing workstations in Isfahan Al-Zahra Hospital, Iran, in 2012. Heat stress monitoring (WBGT) and photometer (Hagner Model) were used for measuring the thermal conditions and illumination intensity, respectively. To measure the sleep quality, visual tiredness, and thermal comfort, Pittsburg sleep quality index, eye fatigue questionnaire, and thermal comfort questionnaire were used, respectively. The data were analyzed with descriptive statistics, Student's t-test, and Pearson correlation. Results. Correlation between thermal comfort which was perceived from the self-reporting of people with eye tiredness was −0.38 (P = 0.002). Pearson correlation between thermal comfort and sleep quality showed a positive and direct relationship (r = 0.241, P = 0.33) but the correlation between thermal comfort, which was perceived from the self-reporting of shift nurses, and WBGT index was a weak relationship (r = 0.019). Conclusion. Based on the obtained findings, it can be concluded that a defect in environmental conditions such as thermal conditions and light intensity and also lack of appropriate managerial plan for night shift-work nurses are destructive and negative factors for the physical and mental health of this group of practitioners. PMID:23476674

Comfort Food: Nourishing Our Collective Stomachs and Our Collective Minds

ERIC Educational Resources Information Center

Troisi, Jordan D.; Wright, Julian W. C.

2017-01-01

Food is a powerful motivator in human functioning--it serves a biological need, as emotional support, and as a cultural symbol. Until recently, the term "comfort food" has been inadequately and unscientifically defined. In addition, the popular media have oversimplified the concept of comfort food as purely unhealthy food, often consumed…

43 CFR 8365.2-5 - Public health, safety and comfort.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Public health, safety and comfort. 8365.2-5 Section 8365.2-5 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.2-5 Public health, safety and comfort. On developed recreation sites and areas, unless otherwise...

43 CFR 8365.2-5 - Public health, safety and comfort.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Public health, safety and comfort. 8365.2-5 Section 8365.2-5 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.2-5 Public health, safety and comfort. On developed recreation sites and areas, unless otherwise...

43 CFR 8365.2-5 - Public health, safety and comfort.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Public health, safety and comfort. 8365.2-5 Section 8365.2-5 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.2-5 Public health, safety and comfort. On developed recreation sites and areas, unless otherwise...

Disability and Sexuality: Knowledge, Attitudes, and Level of Comfort among Certified Rehabilitation Counselors

ERIC Educational Resources Information Center

Kazukauskas, Kelly A.; Lam, Chow S.

2010-01-01

This study investigated certified rehabilitation counselors' (CRCs) attitudes, knowledge, and comfort in addressing disability and sexuality issues. One hundred ninety-nine CRCs completed a modified version of the "Knowledge, Comfort, Approach and Attitudes toward Sexuality Scale" to determine the effect of knowledge and attitudes on level of…

An Examination of Middle School Counselors' Comfort with Technology

ERIC Educational Resources Information Center

Roddy, Patricia Christina

2013-01-01

The purpose of the current study was to investigate the differences in comfort with technology in middle school counselors in South Carolina. The researcher's goal was to determine the effects of years of experience, technology training, gender, and age on middle school counselors' comfort with technology. After a review of literature, it has been…

Evaluation of Peer Comforting Strategies by Children and Adolescents

ERIC Educational Resources Information Center

Clark, Ruth Anne; MacGeorge, Erina L.; Robinson, Lakesha

2008-01-01

Despite the importance of social support across the lifespan and extensive research on supportive communication between adults, little is known about how children or adolescents respond to the comforting efforts of their peers. The current study was designed to examine how 5th, 7th, and 9th graders evaluate six peer comforting strategies…

Center for the Built Environment: Research on Building Envelope Systems

Science.gov Websites

Studies Facade and Perimeter Zone Field Study Facades and Thermal Comfort Facade Symposium Mixed-Mode Research Adaptive Comfort Model Mixed-Mode Case Studies Operable Windows and Thermal Comfort Occupant thermal preferences in naturally ventilated as sealed buildings? Case Study Research of Mixed-Mode Office

43 CFR 8365.2-5 - Public health, safety and comfort.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Public health, safety and comfort. 8365.2-5 Section 8365.2-5 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.2-5 Public health, safety and comfort. On developed recreation sites and areas, unless otherwise...

Evaluation and optimization of footwear comfort parameters using finite element analysis and a discrete optimization algorithm

NASA Astrophysics Data System (ADS)

Papagiannis, P.; Azariadis, P.; Papanikos, P.

2017-10-01

Footwear is subject to bending and torsion deformations that affect comfort perception. Following review of Finite Element Analysis studies of sole rigidity and comfort, a three-dimensional, linear multi-material finite element sole model for quasi-static bending and torsion simulation, overcoming boundary and optimisation limitations, is described. Common footwear materials properties and boundary conditions from gait biomechanics are used. The use of normalised strain energy for product benchmarking is demonstrated along with comfort level determination through strain energy density stratification. Sensitivity of strain energy against material thickness is greater for bending than for torsion, with results of both deformations showing positive correlation. Optimization for a targeted performance level and given layer thickness is demonstrated with bending simulations sufficing for overall comfort assessment. An algorithm for comfort optimization w.r.t. bending is presented, based on a discrete approach with thickness values set in line with practical manufacturing accuracy. This work illustrates the potential of the developed finite element analysis applications to offer viable and proven aids to modern footwear sole design assessment and optimization.

Experimental study of the influence of anticipated control on human thermal sensation and thermal comfort.

PubMed

Zhou, X; Ouyang, Q; Zhu, Y; Feng, C; Zhang, X

2014-04-01

To investigate whether occupants' anticipated control of their thermal environment can influence their thermal comfort and to explain why the acceptable temperature range in naturally ventilated environments is greater than that in air-conditioned environments, a series of experiments were conducted in a climate chamber in which the thermal environment remained the same but the psychological environment varied. The results of the experiments show that the ability to control the environment can improve occupants' thermal sensation and thermal comfort. Specifically, occupants' anticipated control decreased their thermal sensation vote (TSV) by 0.4-0.5 and improved their thermal comfort vote (TCV) by 0.3-0.4 in neutral-warm environment. This improvement was due exclusively to psychological factors. In addition, having to pay the cost of cooling had no significant influence on the occupants' thermal sensation and thermal comfort in this experiment. Thus, having the ability to control the thermal environment can improve occupants' comfort even if there is a monetary cost involved. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Comparison of DP3 Signals Evoked by Comfortable 3D Images and 2D Images — an Event-Related Potential Study using an Oddball Task

NASA Astrophysics Data System (ADS)

Ye, Peng; Wu, Xiang; Gao, Dingguo; Liang, Haowen; Wang, Jiahui; Deng, Shaozhi; Xu, Ningsheng; She, Juncong; Chen, Jun

2017-02-01

The horizontal binocular disparity is a critical factor for the visual fatigue induced by watching stereoscopic TVs. Stereoscopic images that possess the disparity within the ‘comfort zones’ and remain still in the depth direction are considered comfortable to the viewers as 2D images. However, the difference in brain activities between processing such comfortable stereoscopic images and 2D images is still less studied. The DP3 (differential P3) signal refers to an event-related potential (ERP) component indicating attentional processes, which is typically evoked by odd target stimuli among standard stimuli in an oddball task. The present study found that the DP3 signal elicited by the comfortable 3D images exhibits the delayed peak latency and enhanced peak amplitude over the anterior and central scalp regions compared to the 2D images. The finding suggests that compared to the processing of the 2D images, more attentional resources are involved in the processing of the stereoscopic images even though they are subjectively comfortable.

How to improve the comfort of Kesawan Heritage Corridor, Medan City

NASA Astrophysics Data System (ADS)

Tegar; Ginting, Nurlisa; Suwantoro, H.

2018-03-01

Comfort is indispensable to make a friendly neighborhood or city. Especially the comfort of the infrastructure in the corridor. People must be able to feel comfortable to act rationally in their physical environment. Existing infrastructure must able to support Kesawan as a historic district. Kesawan is an area that is filled with so many unique buildings. Without comfort, how good the existing buildings’ architecture cannot be enjoyed. It will also affect the identity of a region or city. The aim of this research is to re-design the public facilities from Kesawan corridor’s comfort aspect: orientation, traffic calming, vegetation, signage, public facilities (toilet, seating place, bus station, bins), information center, parking and pedestrian path. It will translate the design concept in the form of design criteria. This research uses qualitative methods. Some facilities in this corridor are unsuitable even some of them are not available. So, we need some improvements and additions to the existing facilities. It is expected that by upgrading the existing facilities, visitors who come to Kesawan will be able to enjoy more and able to make Medan city more friendly.

EFFECTS OF CONVERSATIONAL HYPNOSIS ON RELATIVE PARASYMPATHETIC TONE AND PATIENT COMFORT DURING AXILLARY BRACHIAL PLEXUS BLOCKS FOR AMBULATORY UPPER LIMB SURGERY:A Quasiexperimental Pilot Study.

PubMed

Boselli, Emmanuel; Musellec, Hervé; Bernard, Franck; Guillou, Nicolas; Hugot, Pierre; Augris-Mathieu, Caroline; Diot-Junique, Nathalie; Bouvet, Lionel; Allaouchiche, Bernard

2018-01-01

This two-center quasiexperimental pilot study was to determine the effect of conversational hypnosis on patient comfort and parasympathetic tone, which may represent a quantitative measure of hypnotic depth, during regional anesthesia. The patients received conversational hypnosis in one center and oral premedication in the other. The patients' subjective comfort (0-10 rating scale) and objective parasympathetic tone, as assessed by the Analgesia/Nociception Index (ANI), were measured before and after regional anesthesia. The parasympathetic tone and comfort scores evidenced a significantly greater increase in the hypnosis patients than in controls. These findings suggest that using conversational hypnosis during regional anesthesia may be followed by a subjective increase in patient comfort and an objective increase in parasympathetic tone, monitored by ANI.

Nurses' comfort level with spiritual assessment: a study among nurses working in diverse healthcare settings.

PubMed

Cone, Pamela H; Giske, Tove

2017-10-01

To gain knowledge about nurses' comfort level in assessing spiritual matters and to learn what questions nurses use in practice related to spiritual assessment. Spirituality is important in holistic nursing care; however, nurses report feeling uncomfortable and ill-prepared to address this domain with patients. Education is reported to impact nurses' ability to engage in spiritual care. This cross-sectional exploratory survey reports on a mixed-method study examining how comfortable nurses are with spiritual assessment. In 2014, a 21-item survey with 10 demographic variables and three open-ended questions were distributed to Norwegian nurses working in diverse care settings with 172 nurse responses (72 % response rate). SPSS was used to analyse quantitative data; thematic analysis examined the open-ended questions. Norwegian nurses reported a high level of comfort with most questions even though spirituality is seen as private. Nurses with some preparation or experience in spiritual care were most comfortable assessing spirituality. Statistically significant correlations were found between the nurses' comfort level with spiritual assessment and their preparedness and sense of the importance of spiritual assessment. How well-prepared nurses felt was related to years of experience, degree of spirituality and religiosity, and importance of spiritual assessment. Many nurses are poorly prepared for spiritual assessment and care among patients in diverse care settings; educational preparation increases their comfort level with facilitating such care. Nurses who feel well prepared with spirituality feel more comfortable with the spiritual domain. By fostering a culture where patients' spirituality is discussed and reflected upon in everyday practice and in continued education, nurses' sense of preparedness, and thus their level of comfort, can increase. Clinical supervision and interprofessional collaboration with hospital chaplains and/or other spiritual leaders can facilitate tailor spiritual assessment of patients based on patient concerns and view of life. © 2016 John Wiley & Sons Ltd.

Influence of heel height and shoe insert on comfort perception and biomechanical performance of young female adults during walking.

PubMed

Hong, Wei-Hsien; Lee, Yung-Hui; Chen, Hsieh-Ching; Pei, Yu-Cheng; Wu, Ching-Yi

2005-12-01

The possible negative effects of high-heeled shoes on subjective comfort perception and objective biomechanical assessment have been noted. Although shoe inserts have been widely applied in footwear to increase comfort and to reduce the frequency of movement-related injury, no study has attempted to identify insert effectiveness in high heels. The purpose of this study was to determine the effects of heel height and shoe inserts on comfort and biomechanics as represented by plantar pressure and ground reaction force (GRF). Twenty young female adults performed the test conditions formed by the cross-matching of shoe inserts (shoe without insert and shoe with total contact insert [TCI]) and heel height (a flat, a low heel [3.8 cm] and a high heel [7.6 cm]). Two-way analyses of variance for repeated measures design were used to test condition effects on comfort rating, plantar pressure, and GRF during gait. To determine the biomechanical variables that can predict comfort, a multiple linear regression with stepwise method was done. The results showed that discomfort increased with heel height. In high heels, the plantar pressure in the heel and midfoot shifted to the medial forefoot, and the vertical and anteroposterior GRF increased. Use of the TCI reduced the peak pressure in the medial forefoot. Interestingly, the effectiveness of the TCI was greater in the higher heels than in the lower heels and in flat heels. The peak pressure in the medial forefoot, impact force, and the first peak vertical GRF could explain 75.6% of the variance of comfort in high-heeled gait. These findings suggest that higher heels result in decreased comfort, which can be reflected by both the subjective rating scale and biomechanical variables. Use of a TCI altered the biomechanics and therefore improved the comfort in high-heeled shoes.

Do dissociated or associated phoria predict the comfortable prism?

PubMed Central

Otto, Joanna M. N.; Kromeier, Miriam; Bach, Michael

2008-01-01

Background Dissociated and associated phoria are measures of latent strabismus under artificial viewing conditions. We examined to what extent dissociated and associated phoria predict the “comfortable prism”, i.e. the prism that appears most comfortable under natural viewing conditions. Methods For associated phoria, a configuration resembling the Mallett test was employed: both eyes were presented with a fixation cross, surrounded by fusionable objects. Nonius lines served as monocular markers. For dissociated phoria, the left eye was presented with all the Mallett elements, while only a white spot was presented to the right eye. To determine the comfortable prism, all the Mallett elements, including the Nonius lines, were shown to both eyes. In each of the three tests, the observer had to adjust a pair of counterrotating prisms. To avoid any (possibly prejudiced) influence of the experimenter, the prismatic power was recorded with a potentiometer. Twenty non-strabismic subjects with a visual acuity of ≥1.0 in each eye were examined. Results The range of the intertrial mean was for dissociated phoria from +9.3 eso to −5.9 cm/m exo, for associated phoria from +11.2 eso to −3.3 cm/m exo, and for the comfortable prism from +4.8 eso to −4.1 cm/m exo (cm/m = prism dioptre). In most observers, the phoria parameters differed greatly from the comfortable prism. On average, the phoria values were shifted about 2 cm/m towards the eso direction in relation to the comfortable prism (associated phoria not less than dissociated phoria). Conclusions The deviation of both, dissociated and associated phoria, from the comfortable prism suggests that the abnormal viewing conditions under which the phoria parameters are determined induce artefacts. Accordingly, the findings cast doubt on current textbook recommendations to use dissociated or associated phoria as a basis for therapeutic prisms. Rather, patients should be allowed to determine their comfortable prism under natural viewing conditions. PMID:18379816

Evaluating the effect of spinning systems on thermal comfort properties of modal fabrics

NASA Astrophysics Data System (ADS)

Seçil Aydın, İ.; Kertmen, M.; Marmarali, A.

2017-10-01

In recent years the importance of clothing comfort became one of the most important feature of the fabrics. The aim of this study is to characterize thermal comfort properties of single jersey fabrics were knitted using 100% modal yarns which were spun in various types of yarn spinning methods such as ring spinning, compact spinning, rotor spinning and airjet spinning. Thermal comfort properties like air permeability, thermal resistance, thermal absorptivity and water vapour permeability of fabrics were tested. The results indicate that compact spinning technology will be appropriate for the summer climate casual wear.

The Relationship of Cow Comfort and Flooring to Lameness Disorders in Dairy Cattle.

PubMed

Endres, Marcia I

2017-07-01

Cow comfort and flooring contribute to lameness incidence in dairy herds. The trigger factors for lameness can all be exacerbated by poor cow comfort. Reduced cow comfort influences lameness incidence by increasing the risk for development of new cases and the time it takes for a cow to recover. Reduction in resting time will increase the cow's exposure to hard flooring surfaces. Many factors are associated with lameness prevalence. Housing and management factors should be optimized to reduce lameness incidence on dairy farms. Copyright © 2017 Elsevier Inc. All rights reserved.

Physically coupling two objects in a bimanual task alters kinematics but not end-state comfort.

PubMed

Hughes, Charmayne M L; Haddad, Jeffrey M; Franz, Elizabeth A; Zelaznik, Howard N; Ryu, Joong Hyun

2011-06-01

People often grasp objects with an awkward grip to ensure a comfortable hand posture at the end of the movement. This end-state comfort effect is a predominant constraint during unimanual movements. However, during bimanual movements the tendency for both hands to satisfy end-state comfort is affected by factors such as end-orientation congruency and task context. Although bimanual end-state comfort has been examined when the hands manipulate two independent objects, no research has examined end-state comfort when the hands are required to manipulate two physically-coupled objects. In the present experiment, kinematics and grasp behavior during a unimanual and bimanual reaching and placing tasks were examined, when the hands manipulate two physically-connected objects. Forty-five participants were assigned to one of three groups; unimanual, bimanual no-spring (the objects were not physically connected), and bimanual spring (the objects were connected by a spring), and instructed to grasp and place objects in various end-orientations, depending on condition. Physically connecting the objects did not affect end-state comfort prevalence. However, it resulted in decreased interlimb coupling. This finding supports the notion of a flexible constraint hierarchy, in which action goals guide the selection of lower level action features (i.e., hand grip used for grasping), and the particular movements used to accomplish that goal (i.e., interlimb coupling) are controlled throughout the movement.

Promoting mental health competency in residency training.

PubMed

Bauer, Nerissa S; Sullivan, Paula D; Hus, Anna M; Downs, Stephen M

2011-12-01

To evaluate the effect our developmental-behavioral pediatrics (DBP) curricular model had on residents' comfort with handling mental health issues. From August 2007 to January 2010, residents participating in the Indiana University DBP rotation completed a self-assessment questionnaire at baseline and at rotation end. Residents rated their comfort with the identification, treatment, and counseling of mental health problems using a 5-point scale. Ninety-four residents completed both self-assessments. At baseline, categorical pediatric residents possessed higher comfort levels toward identification (mean 2.8 vs. 2.3 for non-categorical pediatrics residents, p<0.05), treatment (2.6 vs. 2.2, p<0.05) and counseling of mental health issues (2.7 vs. 2.1, p<0.005). Residents who were parents were also more comfortable. At rotation end, all residents showed significant improvements in self-rated comfort (4.0 vs. 2.6 for identification, p≤0.05; 4.0 vs. 2.4 for treatment, p≤0.05; and 4.0 vs. 2.4 for counseling, p≤0.05). This remained true regardless of being a categorical pediatric resident, a parent, or primary care-oriented. Our curricular model promotes residents' comfort with handling common mental health issues in practice. Increasing residents' comfort may influence the frequency of active discussion of mental health issues during well-child visits and lead to earlier diagnosis and needed treatment. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

Development and evaluation of a palliative care curriculum for cystic fibrosis healthcare providers.

PubMed

Linnemann, Rachel W; O'Malley, Patricia J; Friedman, Deborah; Georgiopoulos, Anna M; Buxton, David; Altstein, Lily L; Sicilian, Leonard; Lapey, Allen; Sawicki, Gregory S; Moskowitz, Samuel M

2016-01-01

Primary palliative care refers to basic skills that all healthcare providers can employ to improve quality of life for patients at any stage of disease. Training in these core skills is not commonly provided to clinicians caring for cystic fibrosis (CF) patients. The objective of this study was to assess change in comfort with core skills among care team members after participation in CF-specific palliative care training focused on management of burdensome symptoms and difficult conversations. A qualitative needs assessment was performed to inform the development of an 18-hour curriculum tailored to the chronicity and complexity of CF care. A 32-question pre- and post-course survey assessed CF provider comfort with the targeted palliative care skills in 5 domains using a 5-point Likert scale (1=very uncomfortable, 3=neutral, 5=very comfortable). Among course participants (n=16), mean overall comfort score increased by 0.9, from 3 (neutral) to 3.9 (comfortable) (p<0.001). Mean comfort level increased significantly (range 0.8 to 1.4) in each skill domain: use of supportive care resources, pain management, non-pain symptom management, communication, and psychosocial skills. CF-specific palliative care training was well received by participants and significantly improved self-assessed comfort with core skills. Copyright © 2015 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

Dynamic thermal environment and thermal comfort.

PubMed

Zhu, Y; Ouyang, Q; Cao, B; Zhou, X; Yu, J

2016-02-01

Research has shown that a stable thermal environment with tight temperature control cannot bring occupants more thermal comfort. Instead, such an environment will incur higher energy costs and produce greater CO2 emissions. Furthermore, this may lead to the degeneration of occupants' inherent ability to combat thermal stress, thereby weakening thermal adaptability. Measured data from many field investigations have shown that the human body has a higher acceptance to the thermal environment in free-running buildings than to that in air-conditioned buildings with similar average parameters. In naturally ventilated environments, occupants have reported superior thermal comfort votes and much greater thermal comfort temperature ranges compared to air-conditioned environments. This phenomenon is an integral part of the adaptive thermal comfort model. In addition, climate chamber experiments have proven that people prefer natural wind to mechanical wind in warm conditions; in other words, dynamic airflow can provide a superior cooling effect. However, these findings also indicate that significant questions related to thermal comfort remain unanswered. For example, what is the cause of these phenomena? How we can build a comfortable and healthy indoor environment for human beings? This article summarizes a series of research achievements in recent decades, tries to address some of these unanswered questions, and attempts to summarize certain problems for future research. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Male attitude towards masturbating: an impediment to infertility evaluation and sperm parameters.

PubMed

Pottinger, A M; Carroll, K; Mason, G

2016-09-01

Male attitude about masturbation may influence early diagnosis and treatment of infertility and may be of particular burden in developing countries. We sought to explore attitude about masturbating and examine comfort/discomfort with masturbating and sexual history, pregnancy history and sperm quality in men investigating fertility potential. The study consisted of 83 male volunteers, 23-61 years, attending a fertility management unit in Kingston, Jamaica. Comfort with masturbation was assessed by a self-administered questionnaire. Participants also completed the unit's standard intake form for infertility investigations and produced a semen sample. T-tests, Mann-Whitney U-test and chi-square were used to compare differences in comfort level with outcome variables. We found 59% were comfortable masturbating although requiring external stimulation to produce a sample (48%); 6% (n = 5) failed to produce a sample after repeated attempts. A higher percentage of men uncomfortable with masturbating reported sexual problems (P < 0.05) and spending a longer time trying to have a baby (P < 0.05). Semen quality was not associated with masturbating comfort. Producing a sample by masturbation is standard for many assisted conception treatments. As comfort with masturbating may influence delay in infertility investigations and fertility outcome, efforts to improve men's comfort level with semen production should be considered in pre-treatment fertility counselling. © 2015 Blackwell Verlag GmbH.

Can an off-the-rack orthotic stiletto alter pressure and comfort scores in the forefoot, arch and heel?

PubMed

Penny, Jeannette Østergaard; Speedtsberg, Merete Brink; Kallemose, Thomas; Bencke, Jesper

2018-03-16

The study sought to investigate whether an orthotic stiletto could modulate the pressure and comfort under the forefoot, arch and heel that stiletto wearers experience. Twenty-two women participated. We measured the peak pressure and pressure-time integral for orthotic stilettos with built-in metatarsal pad, heel cup and arch support; standard stilettos without inlays; and trainers. Comfort was recorded during 3 × 3 working days. The orthotic stiletto exhibited lower metatarsal head1 (MTH) and MTH2+3 and heel pressures than the standard stiletto (p < .01), and a long second metatarsal increased MTH2+3 pressure (p < .01). The comfort in the forefoot and heel was higher in the orthotic stiletto than in the standard one (p < .01), and comfort in the forefoot was correlated to the pressure-time integral of MTH2+3 (p = .03) and not peak pressure. Off-the-rack orthotic stilettos can notably reduce plantar pressures and improve forefoot and heel comfort during everyday use. Practitioner Summary: Off-the-rack orthotic stilettos with built-in metatarsal pad, arch support and heel caps can lower the pressure under the heel and forefoot in comparison with a standard stiletto and can improve comfort during everyday use. Having a long second metatarsal is a risk factor for increased forefoot pressure.

The COMFORT-behavior scale is useful to assess pain and distress in 0- to 3-year-old children with Down syndrome.

PubMed

Valkenburg, Abraham J; Boerlage, Anneke A; Ista, Erwin; Duivenvoorden, Hugo J; Tibboel, Dick; van Dijk, Monique

2011-09-01

Many pediatric intensive care units use the COMFORT-Behavior scale (COMFORT-B) to assess pain in 0- to 3-year-old children. The objective of this study was to determine whether this scale is also valid for the assessment of pain in 0- to 3-year-old children with Down syndrome. These children often undergo cardiac or intestinal surgery early in life and therefore admission to a pediatric intensive care unit. Seventy-six patients with Down syndrome were included and 466 without Down syndrome. Pain was regularly assessed with the COMFORT-B scale and the pain Numeric Rating Scale (NRS). For either group, confirmatory factor analyses revealed a 1-factor model. Internal consistency between COMFORT-B items was good (Cronbach's α=0.84-0.87). Cutoff values for the COMFORT-B set at 17 or higher discriminated between pain (NRS pain of 4 or higher) and no pain (NRS pain below 4) in both groups. We concluded that the COMFORT-B scale is also valid for 0- to 3-year-old children with Down syndrome. This makes it even more useful in the pediatric intensive care unit setting, doing away with the need to apply another instrument for those children younger than 3. Copyright © 2011 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

NREL Seeks to Optimize Individual Comfort in Buildings | News | NREL

Science.gov Websites

in NREL's Comfort Suite (C-Suite). Photo by Dennis Schroeder On a typical early fall morning in usage with the desire to be comfortable.Photo by Dennis Schroeder Overcoming Hurdles Before People Could researchers manipulate the room across a variety of temperatures. Photo by Dennis Schroeder Heating, Cooling

41 CFR 102-5.95 - Is the comfort and/or convenience of an employee considered sufficient justification to authorize...

Code of Federal Regulations, 2010 CFR

2010-07-01

... convenience of an employee considered sufficient justification to authorize home-to-work transportation? 102-5...-to-Work Transportation § 102-5.95 Is the comfort and/or convenience of an employee considered sufficient justification to authorize home-to-work transportation? No, the comfort and/or convenience of an...

USAF Physiological Studies of Personal Microclimate Cooling: A Review

DTIC Science & Technology

1993-05-01

53 vi 11h. Thermal comfort ratings during continuous work. AC = Ambient Air Cooling; NC = No Cooling...43 10b Thermal Comfort (TC) and Rating of Perceived Exertion (RPE) at the End of 45-Min Work Cycles in...47 10d Thermal Comfort (TC) and Ratings of Perceived Exertion (RPE) at the End o! 30

Thermal Comfort: An Index for Hot, Humid Asia. Educational Building Digest 12.

ERIC Educational Resources Information Center

United Nations Educational, Scientific, and Cultural Organization, Bangkok (Thailand). Regional Office for Education in Asia and Oceania.

The sensation of thermal comfort is determined by a combination of air temperature, humidity of the air, rate of movement of the air, and radiant heat. This digest is intended to assist architects to design educational facilities that are as thermally comfortable as is possible without recourse to mechanical air conditioning. A nomogram is…

43 CFR 8365.1-4 - Public health, safety and comfort.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Public health, safety and comfort. 8365.1-4 Section 8365.1-4 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.1-4 Public health, safety and comfort. (a) No person shall cause a public disturbance or create a...

43 CFR 8365.1-4 - Public health, safety and comfort.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Public health, safety and comfort. 8365.1-4 Section 8365.1-4 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.1-4 Public health, safety and comfort. (a) No person shall cause a public disturbance or create a...

43 CFR 8365.1-4 - Public health, safety and comfort.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Public health, safety and comfort. 8365.1-4 Section 8365.1-4 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.1-4 Public health, safety and comfort. (a) No person shall cause a public disturbance or create a...

Participant Comfort with and Application of Inquiry-Based Learning: Results from 4-H Volunteer Training

ERIC Educational Resources Information Center

Haugen, Heidi; Stevenson, Anne; Meyer, Rebecca L.

2016-01-01

This article explores how a one-time training designed to support learning transfer affected 4-H volunteers' comfort levels with the training content and how comfort levels, in turn, affected the volunteers' application of tools and techniques learned during the training. Results of a follow-up survey suggest that the training participants…

43 CFR 8365.1-4 - Public health, safety and comfort.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Public health, safety and comfort. 8365.1-4 Section 8365.1-4 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF... § 8365.1-4 Public health, safety and comfort. (a) No person shall cause a public disturbance or create a...

Preferences for Mental Health Screening Among Pregnant Women: A Cross-Sectional Study.

PubMed

Kingston, Dawn E; Biringer, Anne; McDonald, Sheila W; Heaman, Maureen I; Lasiuk, Gerri C; Hegadoren, Kathy M; McDonald, Sarah D; Veldhuyzen van Zanten, Sander; Sword, Wendy; Kingston, Joshua J; Jarema, Karly M; Vermeyden, Lydia; Austin, Marie-Paule

2015-10-01

The process of mental health screening can influence disclosure, uptake of referral, and treatment; however, no studies have explored pregnant women's views of methods of mental health screening. The objectives of this study are to determine pregnant women's comfort and preferences regarding mental health screening. Pregnant women were recruited (May-December 2013) for this cross-sectional descriptive survey from prenatal classes and maternity clinics in Alberta, Canada, if they were aged >16 years and spoke/read English. Descriptive statistics summarized acceptability of screening, and multivariable logistic regression identified factors associated with women's comfort with screening methods. Analysis was conducted in January-December 2014. The participation rate was 92% (N=460/500). Overall, 97.6% of women reported that they were very (74.8%) or somewhat (22.8%) comfortable with mental health screening in pregnancy. Women were most comfortable with completing paper- (>90%) and computer-based (>82%) screening in a clinic or at home, with fewest reporting comfort with telephone-based screening (62%). The majority of women were very/somewhat comfortable with provider-initiated (97.4%) versus self-initiated (68.7%) approaches. Women's ability to be honest with their provider about emotional health was most strongly associated with comfort with each method of screening. The majority of pregnant women viewed prenatal mental health screening favorably and were comfortable with a variety of screening methods. These findings provide evidence of high acceptability of screening--a key criterion for implementation of universal screening--and suggest that providers can select from a variety of screening methods best suited for their clinical setting. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Perspectives on death and dying: a study of resident comfort with End-of-life care.

PubMed

Schmit, Jessica M; Meyer, Lynne E; Duff, Jennifer M; Dai, Yunfeng; Zou, Fei; Close, Julia L

2016-11-21

Despite the benefits to early palliative care in the treatment of terminal illness, barriers to timely hospice referrals exist. Physicians who are more comfortable having end-of-life (EOL) conversations are more likely to refer to hospice. However, very little is known about what factors influence comfort with EOL care. An anonymous survey was sent to all the residents and fellows at a single institution. Self-reported education, experience and comfort with EOL care was assessed. Using multivariate logistic regression analysis, variables that influenced comfort with EOL conversations were analyzed. Most residents (88.1%) reported little to no classroom training on EOL care during residency. EOL conversations during residency were frequent (50.6% reported > 10) and mostly unsupervised (61.9%). In contrast, EOL conversations during medical school were infrequent (3.7% reported >10) and mostly supervised (78.6%). Most (54.3%) reported little to no classroom training on EOL care during medical school. Physicians that reported receiving education on EOL conversations during residency and those who had frequent EOL conversations during residency had significantly higher comfort levels having EOL conversations (p = 0.017 and p = 0.003, respectively). Likewise, residents that felt adequately prepared to have EOL conversations when graduating from medical school were more likely to feel comfortable (p = 0.030). Most residents had inadequate education in EOL conversation skills during medical school and residency. Despite the lack of training, EOL conversations during residency are common and often unsupervised. Those who reported more classroom training during residency on EOL skills had greater comfort with EOL conversations. Training programs should provide palliative care education to all physicians during residency and fellowship, especially for those specialties that are most likely to encounter patients with advanced terminal disease.

Thermal comfort study of hospital workers in Malaysia.

PubMed

Yau, Y H; Chew, B T

2009-12-01

This article presents findings of the thermal comfort study in hospitals. A field survey was conducted to investigate the temperature range for thermal comfort in hospitals in the tropics. Thermal acceptability assessment was conducted to examine whether the hospitals in the tropics met the ASHRAE Standard-55 80% acceptability criteria. A total of 114 occupants in four hospitals were involved in the study. The results of the field study revealed that only 44% of the examined locations met the comfort criteria specified in ASHRAE Standard 55. The survey also examined the predicted percentage of dissatisfied in the hospitals. The results showed that 49% of the occupants were satisfied with the thermal environments in the hospitals. The field survey analysis revealed that the neutral temperature for Malaysian hospitals was 26.4 degrees C. The comfort temperature range that satisfied 90% of the occupants in the space was in the range of 25.3-28.2 degrees C. The results from the field study suggested that a higher comfort temperature was required for Malaysians in hospital environments compared with the temperature criteria specified in ASHRAE Standard (2003). In addition, the significant deviation between actual mean vote and predicted mean vote (PMV) strongly implied that PMV could not be applied without errors in hospitals in the tropics. The new findings on thermal comfort temperature range in hospitals in the tropics could be used as an important guide for building services engineers and researchers who are intending to minimize energy usage in heating, ventilating and air conditioning systems in hospitals operating in the tropics with acceptable thermal comfort level and to improve the performance and well-being of its workers.

Comfort goal of care and end-of-life outcomes in dementia: A prospective study.

PubMed

van Soest-Poortvliet, Mirjam C; van der Steen, Jenny T; de Vet, Henrica C W; Hertogh, Cees M P M; Deliens, Luc; Onwuteaka-Philipsen, Bregje D

2015-06-01

Many people with dementia die in a nursing home. A comfort care goal may be beneficial. Little research has examined the relationship between care goals and outcome. To investigate whether family satisfaction with end-of-life care and quality of dying is associated with whether or not dementia patients have a comfort goal shortly after admission. Prospective data collection from 28 long-term care facilities (the Dutch End of Life in Dementia study). We included 148 patients who died after prospective follow-up. Main outcomes were family satisfaction (End-of-Life in Dementia-Satisfaction with Care scale; range: 10-40) and quality of dying (End-of-Life in Dementia-Comfort Assessment in Dying; range: 14-42). We performed generalized estimating equations regression analyses to analyze whether these outcomes are associated with a comfort goal established shortly after admission compared with another or no care goal as reported by the physician. Families of patients were more satisfied with end-of-life care when a comfort goal was established shortly after admission. We found this pattern only for patients who died within 6 months of admission (adjusted b: 4.5; confidence interval: 2.8, 6.3 vs -1.2; confidence interval: -3.0, 0.6 for longer stay). For quality of dying, no such association was found. We found that family satisfaction with care is related to a comfort care goal shortly after admission, but quality of dying did not. Establishing a comfort goal at an early stage may be important to the family. Advance care planning interventions should be studied for their effects on patient and family outcome. © The Author(s) 2015.

Simulating Physiological Response with a Passive Sensor Manikin and an Adaptive Thermal Manikin to Predict Thermal Sensation and Comfort

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rugh, John P; Chaney, Larry; Hepokoski, Mark

2015-04-14

Reliable assessment of occupant thermal comfort can be difficult to obtain within automotive environments, especially under transient and asymmetric heating and cooling scenarios. Evaluation of HVAC system performance in terms of comfort commonly requires human subject testing, which may involve multiple repetitions, as well as multiple test subjects. Instrumentation (typically comprised of an array of temperature sensors) is usually only sparsely applied across the human body, significantly reducing the spatial resolution of available test data. Further, since comfort is highly subjective in nature, a single test protocol can yield a wide variation in results which can only be overcome bymore » increasing the number of test replications and subjects. In light of these difficulties, various types of manikins are finding use in automotive testing scenarios. These manikins can act as human surrogates from which local skin and core temperatures can be obtained, which are necessary for accurately predicting local and whole body thermal sensation and comfort using a physiology-based comfort model (e.g., the Berkeley Comfort Model). This paper evaluates two different types of manikins, i) an adaptive sweating thermal manikin, which is coupled with a human thermoregulation model, running in real-time, to obtain realistic skin temperatures; and, ii) a passive sensor manikin, which is used to measure boundary conditions as they would act on a human, from which skin and core temperatures can be predicted using a thermophysiological model. The simulated physiological responses and comfort obtained from both of these manikin-model coupling schemes are compared to those of a human subject within a vehicle cabin compartment transient heat-up scenario.« less

Impact of shade on outdoor thermal comfort-a seasonal field study in Tempe, Arizona.

PubMed

Middel, Ariane; Selover, Nancy; Hagen, Björn; Chhetri, Nalini

2016-12-01

Shade plays an important role in designing pedestrian-friendly outdoor spaces in hot desert cities. This study investigates the impact of photovoltaic canopy shade and tree shade on thermal comfort through meteorological observations and field surveys at a pedestrian mall on Arizona State University's Tempe campus. During the course of 1 year, on selected clear calm days representative of each season, we conducted hourly meteorological transects from 7:00 a.m. to 6:00 p.m. and surveyed 1284 people about their thermal perception, comfort, and preferences. Shade lowered thermal sensation votes by approximately 1 point on a semantic differential 9-point scale, increasing thermal comfort in all seasons except winter. Shade type (tree or solar canopy) did not significantly impact perceived comfort, suggesting that artificial and natural shades are equally efficient in hot dry climates. Globe temperature explained 51 % of the variance in thermal sensation votes and was the only statistically significant meteorological predictor. Important non-meteorological factors included adaptation, thermal comfort vote, thermal preference, gender, season, and time of day. A regression of subjective thermal sensation on physiological equivalent temperature yielded a neutral temperature of 28.6 °C. The acceptable comfort range was 19.1 °C-38.1 °C with a preferred temperature of 20.8 °C. Respondents exposed to above neutral temperature felt more comfortable if they had been in air-conditioning 5 min prior to the survey, indicating a lagged response to outdoor conditions. Our study highlights the importance of active solar access management in hot urban areas to reduce thermal stress.

Analysis of indoor environmental quality influence toward occupants' work performance in Kompleks Eureka, USM

NASA Astrophysics Data System (ADS)

Zainon, Mohamad Rizal; Baharum, Faizal; Seng, Loh Yong

2016-08-01

The indoor environment much more important for people health and comfort than the outdoor environment. This scenario would make the performance of occupants at their work more important than energy costs in the building. So, this task is to upgrade indoor environmental quality conditions for comfort and work performance of occupants in Kompleks Eureka, USM while conserving energy of the building.. Recent studies have shown an important impact of the indoor thermal environment on occupants' work performance. Also studies on occupants medical leave show a very high loss of work time and working performance, which have important economical consequences for companies. The paper will mainly dealing with the indoor environmental qualities, such as thermal comfort level, air quality, lighting, and acoustic quality. The studies before showing that comfortable room temperatures, increased air ventilation above normal recommendation, comfortable acoustic surrounding will increases the work performance of occupants in Kompleks Eureka, USM.

Thermal Comfort in the Hot Humid Tropics of Australia

PubMed Central

Wyndham, C. H.

1963-01-01

Day and night comfort votes were recorded from Caucasian residents at Weipa, a mission station in the hot humid tropics of North Queensland, Australia. The limit of day comfort for more than 50% of the men was 81·5°F. (27·5°C.) “normal” corrected effective temperature; the night limit was 78·0°F. (25·5°C.). Day comfort limits correlated well with air conditions at which sweat was apparent: night limits correlated with the amount of bed covering. Evidence of a change over 14 days in day comfort limit was found. Limitations in the effective temperature scale for expressing the “oppressive nature” of night air conditions are pointed out. Criticism is voiced of the use of dry bulb temperature instead of the effective temperature scale in conditions of high wet bulb temperatures with high relative humidity, such as in the hot humid tropics. PMID:14002126

Expert opinions on success factors for upper-limb prostheses.

PubMed

Schultz, Aimee E; Baade, Susan P; Kuiken, Todd A

2007-01-01

The goal of this study was to gather the opinions of prosthetics experts on the most important factors for the successful use of upper-limb (UL) prostheses, compare them with those of prosthesis users, and ultimately direct research efforts in this field. UL prosthetics experts were asked to compare the importance of the comfort, function, and cosmesis of a prosthetic device for a transhumeral amputee. Categories were subdivided into weight, socket-interface comfort, power, agility, color, and shape. The majority of those who responded viewed comfort as the most important factor for a unilateral amputee and considered socket-interface comfort to be more important than weight. Function was considered to be the most important factor for a bilateral amputee, with agility considered more important than power. Cosmesis was consistently reported as being less important than comfort and function, and shape was considered more important than color.

Use of cost-effectiveness and comfort bases for selecting from among alternative envelope design strategies for a high-rise office building

DOE Office of Scientific and Technical Information (OSTI.GOV)

Emery, A.F.; Heerwagen, D.R.; Johnson, B.R.

1981-01-01

A continuing study of the thermal performance of a prototypical urban high-rise office building is reported. A series of alternative envelope compositions is evaluated in terms of occupant thermal comfort and benefit-cost issues. The thermal behavior of a perimeter single-person office with these envelopes is simulated using the computer program UWENSOL. Envelope variables included in the study are: percentage of glazing, types of glazing and glazing assemblies, and the mass and resistance of the opaque envelope. Annual energy consumptions are derived and, using a savings-to-investment ratio, the economic desirabilities of the various compositions are determined. Also, by employing the computermore » routine COMFORT which is based on the Fanger Comfort Equation, the extents of likely occupant comfort for the several envelopes are predicted.« less

Understanding and Evaluating Human Thermal Comfort at Tertiary Level Using a Computer-Based Laboratory Teaching Tool

ERIC Educational Resources Information Center

Pellegrini, Marco

2014-01-01

Phase changes in water are experienced in everyday life but students often struggle to understand mechanisms that regulate them. Human thermal comfort is closely related to humidity, evaporative heat loss and heat transfer. The purpose of the present study is to assist students in the evaluation of human thermal comfort. Such a goal is achievable…

The End-State Comfort Effect in Young Children

ERIC Educational Resources Information Center

Adalbjornsson, Carola F.; Fischman, Mark G.; Rudisill, Mary E.

2008-01-01

The end-state comfort effect has been observed in recent studies of grip selection in adults. The present study investigated whether young children also exhibit sensitivity to end-state comfort. The task was to pick up an overturned cup from a table, turn the cup right side up, and pour water into it. Two age groups (N = 20 per group) were…

The Effects of Special Training and Field Experiences upon Preservice Teachers' Level of Comfort with Multicultural Music Teaching Situations.

ERIC Educational Resources Information Center

Barry, Nancy H.

This paper reports on a study examining preservice teachers' level of comfort in working with students and colleagues of a different race, and exploring the effects of special training and field experience on their level of comfort with multicultural situations. The study involved 55 predominantly white preservice teachers enrolled in 2 different…

An Analysis of Training Effects on School Personnel's Knowledge, Attitudes, Comfort, and Confidence Levels toward Educating Students about HIV/AIDS in Pennsylvania

ERIC Educational Resources Information Center

Deutschlander, Sharon

2010-01-01

The purpose of this study was to determine the training effects on school personnel's knowledge, attitudes, comfort, and confidence levels toward educating students about HIV/AIDS in Pennsylvania. The following four research questions were explored: (a) What is the knowledge, attitudes, confidence, and comfort levels of school personnel regarding…

Public health assessment for Alcoa (Point Comfort)/Lavaca Bay, Point Comfort, Calhoun County, Texas, Region 6. Cerclis No. TXD008123168. Final report

DOE Office of Scientific and Technical Information (OSTI.GOV)

NONE

1995-08-24

The ALCOA (Point Comfort)/Lavaco Bay National Priorities List (NPL) site is in Calhoun County, Texas, approximately 1.5 miles south of Point Comfort and four miles northeast of Port Lavaca. Fish sampling data indicate that levels of mercury in fish are elevated. Mercury has been detected throughout the site in surface soil, shallow groundwater, air, bay sediments, fish and crabs. Other contaminants, including volatile organic compounds (VOCs) and lead, have been detected in shallow groundwater. Polychlorinated biphenyls (PCBs), and polycyclic aromatic hydrocarbons (PAHs) have been detected in a limited number of sediment, fish, and oyster samples.

Data on the interaction between thermal comfort and building control research.

PubMed

Park, June Young; Nagy, Zoltan

2018-04-01

This dataset contains bibliography information regarding thermal comfort and building control research. In addition, the instruction of a data-driven literature survey method guides readers to reproduce their own literature survey on related bibliography datasets. Based on specific search terms, all relevant bibliographic datasets are downloaded. We explain the keyword co-occurrences of historical developments and recent trends, and the citation network which represents the interaction between thermal comfort and building control research. Results and discussions are described in the research article entitled "Comprehensive analysis of the relationship between thermal comfort and building control research - A data-driven literature review" (Park and Nagy, 2018).

Survey of occupational therapy students' attitudes towards sexual issues in clinical practice.

PubMed

Jones, Mairwen K; Weerakoon, Patricia; Pynor, Rosemary A

2005-01-01

The purpose of this study was to examine the level of comfort of 340 occupational therapy students during clinical interactions that have sexual implications. Participants completed the Comfort Scale Questionnaire to indicate their anticipated level of comfort. More than half of the students anticipated that they would not feel comfortable in dealing with sexual issues. The three items that students indicated as being most uncomfortable with were 'Walking in on a patient/client who is masturbating' (91.7%), 'Dealing with a patient/client who makes an overt sexual remark' (82.1%) and 'Dealing with a patient/client who makes a covert sexual remark' (77.2%). The three items which students felt relatively comfortable with were 'Homosexual male' (26.4%), '14-year-old female seeking contraception' (26.4%) and 'Handicapped individual who is inquiring about sexual options' (33.5%). At least half the senior students believed that their educational programme had not dealt adequately with sexual issues. Further research investigating the nature and origin of discomfort in clinical settings is recommended as well as research examining the effectiveness of sexuality education in increasing comfort in dealing with sexual issues in clinical settings.

Simulator with integrated HW and SW for prediction of thermal comfort to provide feedback to the climate control system

NASA Astrophysics Data System (ADS)

Pokorný, Jan; Kopečková, Barbora; Fišer, Jan; JÍcha, Miroslav

2018-06-01

The aim of the paper is to assemble a simulator for evaluation of thermal comfort in car cabins in order to give a feedback to the HVAC (heating, ventilation and air conditioning) system. The HW (hardware) part of simulator is formed by thermal manikin Newton and RH (relative humidity), velocity and temperature probes. The SW (software) part consists of the Thermal Comfort Analyser (using ISO 14505-2) and Virtual Testing Stand of Car Cabin defining the heat loads of car cabin. Simulator can provide recommendation for the climate control how to improve thermal comfort in cabin by distribution and directing of air flow, and also by amount of ventilation power to keep optimal temperature inside a cabin. The methods of evaluation of thermal comfort were verified by tests with 10 test subjects for summer (summer clothing, ambient air temperature 30 °C, HVAC setup: +24 °C auto) and winter conditions (winter clothing, ambient air temperature -5 °C, HVAC setup: +18 °C auto). The tests confirmed the validity of the thermal comfort evaluation using the thermal manikin and ISO 14505-2.

An Open Source "Smart Lamp" for the Optimization of Plant Systems and Thermal Comfort of Offices.

PubMed

Salamone, Francesco; Belussi, Lorenzo; Danza, Ludovico; Ghellere, Matteo; Meroni, Italo

2016-03-07

The article describes the design phase, development and practical application of a smart object integrated in a desk lamp and called "Smart Lamp", useful to optimize the indoor thermal comfort and energy savings that are two important workplace issues where the comfort of the workers and the consumption of the building strongly affect the economic balance of a company. The Smart Lamp was built using a microcontroller, an integrated temperature and relative humidity sensor, some other modules and a 3D printer. This smart device is similar to the desk lamps that are usually found in offices but it allows one to adjust the indoor thermal comfort, by interacting directly with the air conditioner. After the construction phase, the Smart Lamp was installed in an office normally occupied by four workers to evaluate the indoor thermal comfort and the cooling consumption in summer. The results showed how the application of the Smart Lamp effectively reduced the energy consumption, optimizing the thermal comfort. The use of DIY approach combined with read-write functionality of websites, blog and social platforms, also allowed to customize, improve, share, reproduce and interconnect technologies so that anybody could use them in any occupied environment.

Passenger thermal comfort and behavior: a field investigation in commercial aircraft cabins.

PubMed

Cui, W; Wu, T; Ouyang, Q; Zhu, Y

2017-01-01

Passengers' behavioral adjustments warrant greater attention in thermal comfort research in aircraft cabins. Thus, a field investigation on 10 commercial aircrafts was conducted. Environment measurements were made and a questionnaire survey was performed. In the questionnaire, passengers were asked to evaluate their thermal comfort and record their adjustments regarding the usage of blankets and ventilation nozzles. The results indicate that behavioral adjustments in the cabin and the use of blankets or nozzle adjustments were employed by 2/3 of the passengers. However, the thermal comfort evaluations by these passengers were not as good as the evaluations by passengers who did not perform any adjustments. Possible causes such as differences in metabolic rate, clothing insulation and radiation asymmetry are discussed. The individual difference seems to be the most probable contributor, suggesting possibly that passengers who made adjustments had a narrower acceptance threshold or a higher expectancy regarding the cabin environment. Local thermal comfort was closely related to the adjustments and significantly influenced overall thermal comfort. Frequent flying was associated with lower ratings for the cabin environment. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Local body cooling to improve sleep quality and thermal comfort in a hot environment.

PubMed

Lan, L; Qian, X L; Lian, Z W; Lin, Y B

2018-01-01

The effects of local body cooling on thermal comfort and sleep quality in a hot environment were investigated in an experiment with 16 male subjects. Sleep quality was evaluated subjectively, using questionnaires completed in the morning, and objectively, by analysis of electroencephalogram (EEG) signals that were continuously monitored during the sleeping period. Compared with no cooling, the largest improvement in thermal comfort and sleep quality was observed when the back and head (neck) were both cooled at a room temperature of 32°C. Back cooling alone also improved thermal comfort and sleep quality, although the effects were less than when cooling both back and head (neck). Mean sleep efficiency was improved from 84.6% in the no cooling condition to 95.3% and 92.8%, respectively, in these conditions, indicating good sleep quality. Head (neck) cooling alone slightly improved thermal comfort and subjective sleep quality and increased Stage N3 sleep, but did not otherwise improve sleep quality. The results show that local cooling applied to large body sections (back and head) could effectively maintain good sleep and improve thermal comfort in a hot environment. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Neural computing thermal comfort index PMV for the indoor environment intelligent control system

NASA Astrophysics Data System (ADS)

Liu, Chang; Chen, Yifei

2013-03-01

Providing indoor thermal comfort and saving energy are two main goals of indoor environmental control system. An intelligent comfort control system by combining the intelligent control and minimum power control strategies for the indoor environment is presented in this paper. In the system, for realizing the comfort control, the predicted mean vote (PMV) is designed as the control goal, and with chastening formulas of PMV, it is controlled to optimize for improving indoor comfort lever by considering six comfort related variables. On the other hand, a RBF neural network based on genetic algorithm is designed to calculate PMV for better performance and overcoming the nonlinear feature of the PMV calculation better. The formulas given in the paper are presented for calculating the expected output values basing on the input samples, and the RBF network model is trained depending on input samples and the expected output values. The simulation result is proved that the design of the intelligent calculation method is valid. Moreover, this method has a lot of advancements such as high precision, fast dynamic response and good system performance are reached, it can be used in practice with requested calculating error.

The effects of state anxiety and thermal comfort on sleep quality and eye fatigue in shift work nurses.

PubMed

Dehghan, Habibollah; Azmoon, Hiva; Souri, Shiva; Akbari, Jafar

2014-01-01

Psychological problems as state anxiety (SA) in the work environment has negative effect on the employees life especially shift work nurses, i.e. negative effect on mental and physical health (sleep quality, eye fatigue and comfort thermal). The purpose of this study was determination of effects of state anxiety and thermal comfort on sleep quality and eye fatigue in shift work nurses. This cross-sectional research conducted on 82 shift-work personnel of 18 nursing workstations of Isfahan hospitals in 2012. To measure the SA, sleep quality, visual fatigue and thermal comfort, Spielberger state-trait anxiety inventory, Pittsburg sleep quality index, eye fatigue questionnaire and thermal comfort questionnaire were used respectively. The data were analyzed with descriptive statistics, student test and correlation analysis. Correlation between SA and sleep quality was -0.664(P < 0001), Pearson correlation between SA and thermal comfort was -0.276(P = 0.016) and between SA and eye fatigue was 0.57 (P < 0001). Based on these results, it can be concluded that improvement of thermal conditions and reduce state anxiety level can be reduce eye fatigue and increase the sleep quality in shift work nurses.

The effects of state anxiety and thermal comfort on sleep quality and eye fatigue in shift work nurses

PubMed Central

Dehghan, Habibollah; Azmoon, Hiva; Souri, Shiva; Akbari, Jafar

2014-01-01

Psychological problems as state anxiety (SA) in the work environment has negative effect on the employees life especially shift work nurses, i.e. negative effect on mental and physical health (sleep quality, eye fatigue and comfort thermal). The purpose of this study was determination of effects of state anxiety and thermal comfort on sleep quality and eye fatigue in shift work nurses. Methods: This cross-sectional research conducted on 82 shift-work personnel of 18 nursing workstations of Isfahan hospitals in 2012. To measure the SA, sleep quality, visual fatigue and thermal comfort, Spielberger state-trait anxiety inventory, Pittsburg sleep quality index, eye fatigue questionnaire and thermal comfort questionnaire were used respectively. The data were analyzed with descriptive statistics, student test and correlation analysis. Results: Correlation between SA and sleep quality was −0.664(P < 0001), Pearson correlation between SA and thermal comfort was −0.276(P = 0.016) and between SA and eye fatigue was 0.57 (P < 0001). Conclusion: Based on these results, it can be concluded that improvement of thermal conditions and reduce state anxiety level can be reduce eye fatigue and increase the sleep quality in shift work nurses. PMID:25077165

Comfort Assessment of Personal Protection Systems During Total Joint Arthroplasty Using a Novel Multidimensional Evaluation Tool

PubMed Central

Malik, MHA; Handford, Elizabeth; Staniford, Elaine; Gambhir, AK; Kay, PR

2006-01-01

INTRODUCTION A number of studies have assessed the usefulness of surgical gowns and exhaust suits with regards to barrier function and protection afforded to healthcare workers from blood strike-through, splashes and aerosols. PATIENTS AND METHODS We have performed a comfort assessment comparison between the Charnley exhaust suit, disposable gown plus visor and the Stryker Steri-Shield system using a newly developed objective multidimensional ergonomic tool designed to measure wearable comfort across the dimensions of emotion, attachment, harm, perceived change, movement and anxiety. RESULTS The total mean Comfort Rating Scale value for a disposable gown plus visor was 16.1 with a mean dimensional score of 2.7 (range, 0.2–8.4), for the Charnley system the values were 51.4 and 8.6 (range, 5.9–12.8), respectively, and for the Stryker Steri-Shield 15.4 and 2.6 (range, 0.8–5.6). CONCLUSIONS The Steri-Shield system provides the least variation in comfort and, as such, may offer the best combination of comfort, protective qualities and form or style of personal protection equipment for lower limb arthroplasty operations. PMID:17002852

Can We Study Autonomous Driving Comfort in Moving-Base Driving Simulators? A Validation Study.

PubMed

Bellem, Hanna; Klüver, Malte; Schrauf, Michael; Schöner, Hans-Peter; Hecht, Heiko; Krems, Josef F

2017-05-01

To lay the basis of studying autonomous driving comfort using driving simulators, we assessed the behavioral validity of two moving-base simulator configurations by contrasting them with a test-track setting. With increasing level of automation, driving comfort becomes increasingly important. Simulators provide a safe environment to study perceived comfort in autonomous driving. To date, however, no studies were conducted in relation to comfort in autonomous driving to determine the extent to which results from simulator studies can be transferred to on-road driving conditions. Participants ( N = 72) experienced six differently parameterized lane-change and deceleration maneuvers and subsequently rated the comfort of each scenario. One group of participants experienced the maneuvers on a test-track setting, whereas two other groups experienced them in one of two moving-base simulator configurations. We could demonstrate relative and absolute validity for one of the two simulator configurations. Subsequent analyses revealed that the validity of the simulator highly depends on the parameterization of the motion system. Moving-base simulation can be a useful research tool to study driving comfort in autonomous vehicles. However, our results point at a preference for subunity scaling factors for both lateral and longitudinal motion cues, which might be explained by an underestimation of speed in virtual environments. In line with previous studies, we recommend lateral- and longitudinal-motion scaling factors of approximately 50% to 60% in order to obtain valid results for both active and passive driving tasks.

Exploring the design of a lightweight, sustainable and comfortable aircraft seat.

PubMed

Kokorikou, A; Vink, P; de Pauw, I C; Braca, A

2016-07-19

Making a lightweight seat that is also comfortable can be contradictory because usually comfort improvement means adding a feature (e.g. headrest, adjustable lumbar support, movable armrests, integrated massage systems, etc.), which makes seats heavier. This paper explores the design of an economy class aircraft seat that aims to be lightweight, comfortable and sustainable. Theory about comfort in seats, ergonomics, lightweight design, Biomimicry and Cradle to cradle was studied and resulted in a list of requirements that the new seat should satisfy. The design process resulted in a new seat that is 36% lighter than the reference seat, which showed that a significant weight reduction can be achieved. This was completed by re-designing the backrest and seat pan and integrating their functions into a reduced number of parts. Apart from the weight reduction that helps in reducing the airplane's environmental impact, the seat also satisfies most of the other sustainability requirements such as the use of recyclable materials, design for disassembly, easy to repair. A user test compared the new seat with a premium economy class aircraft seat and the level of comfort was similar. Strong points of the new design were identified such as the lumbar support and the cushioning material, as well as shortcomings on which the seat needs to be improved, like the seat pan length and the first impression. Long term comfort tests are still needed as the seat is meant for long-haul flights.

Monitoring indices of cow comfort in free-stall-housed dairy herds.

PubMed

Cook, N B; Bennett, T B; Nordlund, K V

2005-11-01

Indices of cow comfort are used widely by consultants in the dairy industry, with a general understanding that they are representative of lying behavior. This study examines the influence of stall base type (sand or a geotextile mattress filled with rubber crumbs) and time of measurement on 4 indices of comfort collected at hourly intervals in 12 herds, aligned by morning and afternoon milking. Stall base type significantly influenced all indices of comfort. For example, the least squares mean (SE) cow comfort index (proportion of cows touching a stall that are lying down) was 0.76 (0.015) in herds with mattresses compared with 0.86 (0.015) in herds with sand stalls. Significant hourly variation was also identified suggesting that timing of measurement is important. None of the indices of cow comfort derived from the high-yielding group pen was associated with the mean 24-h lying time of 10 sentinel cows whose time budgets were known in each herd. However, the cow comfort index was associated with the herd mean 24-h stall standing time, with the strongest relationships occurring 2 h before the morning and afternoon milking, when stall base type did not significantly influence the association. When measured at these times, we recommend use of the stall standing index (proportion of cows touching a stall that are standing), with values greater than 0.20 being associated with abnormally long herd mean stall standing times greater than 2 h/d.

Nursing intervention to enhance acceptance of pregnancy in first-time mothers: focusing on the comfortable experiences of pregnant women.

PubMed

Nakamura, Yasuka

2010-06-01

The purpose of the present study was to describe effective nursing care through evaluation of a nursing intervention that enhanced acceptance of pregnancy and focused on a comfortable experience for pregnant women. Thirty-two subjects who were expected to have a normal pregnancy were assigned into either the intervention or the control group. The nursing intervention consisted of the use of a pregnancy diary and four interviews, two of which were held in the first trimester, one in the second and one in the third trimester. The nursing care given was recorded in tapes and field notes. The data were analyzed using a qualitative content analysis method. As a result of analyzing the nursing care of 13 women pregnant for the first time who were provided with nursing intervention, the following seven categories of nursing care were extracted for the intervention: encouragement of women to record their experiences using a pregnancy diary; recognizing and acknowledging negative feelings; reducing the negative aspects of pregnancy and reframing; expression and reinforcement of positive feelings; clarification and reinforcement of positive meanings; awareness of own comfortable experiences; promotion of diverse comfortable aspects and continuation of comfortable experiences. The seven nursing care interventions were effective in increasing the comfortable experiences of pregnant women and enhancing a positive attitude towards pregnancy. Nursing intervention can aid in enhancing positivity and comfort in pregnant women. Furthermore, this nursing intervention can be applied to adolescents, socially disadvantaged pregnant women, and hospitalized women.

Suitability of different comfort indices for the prediction of thermal conditions in tree-covered outdoor spaces in arid cities

NASA Astrophysics Data System (ADS)

Ruiz, María Angélica; Correa, Erica Norma

2015-10-01

Outdoor thermal comfort is one of the most influential factors in the habitability of a space. Thermal level is defined not only by climate variables but also by the adaptation of people to the environment. This study presents a comparison between inductive and deductive thermal comfort models, contrasted with subjective reports, in order to identify which of the models can be used to most correctly predict thermal comfort in tree-covered outdoor spaces of the Mendoza Metropolitan Area, an intensely forested and open city located in an arid zone. Interviews and microclimatic measurements were carried out in winter 2010 and in summer 2011. Six widely used indices were selected according to different levels of complexity: the Temperature-Humidity Index (THI), Vinje's Comfort Index (PE), Thermal Sensation Index (TS), the Predicted Mean Vote (PMV), the COMFA model's energy balance (S), and the Physiological Equivalent Temperature (PET). The results show that the predictive models evaluated show percentages of predictive ability lower than 25 %. Despite this low indicator, inductive methods are adequate for obtaining a diagnosis of the degree and frequency in which a space is comfortable or not whereas deductive methods are recommended to influence urban design strategies. In addition, it is necessary to develop local models to evaluate perceived thermal comfort more adequately. This type of tool is very useful in the design and evaluation of the thermal conditions in outdoor spaces, based not only to climatic criteria but also subjective sensations.

Effects of shoe sole hardness on plantar pressure and comfort in older people with forefoot pain.

PubMed

Lane, Tamara J; Landorf, Karl B; Bonanno, Daniel R; Raspovic, Anita; Menz, Hylton B

2014-01-01

Plantar forefoot pain is common in older people and is related to increased peak pressures under the foot during gait. Variations in the hardness of the shoe sole may therefore influence both the magnitude of loading under the foot and the perceived comfort of the shoe in this population. The aim of this investigation was to determine the effect of varying shoe sole hardness on plantar pressures and comfort in older people with forefoot pain. In-shoe plantar pressures under the forefoot, midfoot and rearfoot were recorded from 35 older people (mean age 73.2, SD 4.5 years) with current or previous forefoot pain using the pedar-X(®) system. Participants walked at their normal comfortable speed along an 8m walkway in shoes with three different levels of sole hardness: soft (Shore A25), medium (Shore A40) and hard (Shore A58). Shoe comfort was measured on a 100mm visual analogue scale. There were statistically significant differences in peak pressure of between 5% and 23% across the forefoot, midfoot and rearfoot (p<0.01). The hard-soled shoe registered the highest peak pressures and the soft-soled shoe the lowest peak pressures. However, no differences in comfort scores across the three shoe conditions were observed. These findings demonstrate that as shoe sole hardness increases, plantar pressure increases, however this does not appear to have a significant effect on shoe comfort. Crown Copyright © 2013. Published by Elsevier B.V. All rights reserved.

Public Opinions Regarding Advanced Dental Hygiene Practitioners in a High-Need State.

PubMed

Walsh, Sarah E; Chubinski, Jennifer; Sallee, Toby; Rademacher, Eric W

2016-10-01

Purpose: The new Advanced Dental Hygiene Practitioner (ADHP) profession is expected to increase access to oral health care for the general population, particularly in rural and underserved areas. In order for this strategy to be successful, the public must feel comfortable with the care provided by ADHPs and seek out their services, yet consumer receptivity has been overlooked in the literature. The current study explores comfort with ADHPs for one high-need state: Kentucky. Methods: Consumer receptivity to the ADHP was assessed using a large, random sample telephone survey. As a point of comparison, respondents were first asked about their comfort with care provided by two other advanced practice clinicians already licensed in the state: advanced practice registered nurses (APRN) and physician assistants (PA). Results: After hearing a brief description of the profession, nearly 3 in 4 Kentucky adults said they would be somewhat (35.4%) or very (38.2%) comfortable seeing an ADHP for routine dental care. The total proportion of Kentucky adults who were comfortable seeking care from an ADHP (73.6%) was slightly less than the proportion indicating comfort seeing an APRN (79.7%) or PA (81.3%). Conclusion: Overall, this study demonstrates that adults are receptive to new models of care delivery and report high levels of comfort with ADHPs. Consumer concerns are unlikely to be a barrier to expanded licensure for dental hygienists in high-need areas like Kentucky. Copyright © 2016 The American Dental Hygienists’ Association.

Effects of street canyon design on pedestrian thermal comfort in the hot-humid area of China.

PubMed

Zhang, Yufeng; Du, Xiaohan; Shi, Yurong

2017-08-01

The design characteristics of street canyons were investigated in Guangzhou in the hot-humid area of China, and the effects of the design factors and their interactions on pedestrian thermal comfort were studied by numerical simulations. The ENVI-met V4.0 (BASIC) model was validated by field observations and used to simulate the micrometeorological conditions and the standard effective temperature (SET) at pedestrian level of the street canyons for a typical summer day of Guangzhou. The results show that the micrometeorological parameters of mean radiant temperature (MRT) and wind speed play key roles in pedestrian thermal comfort. Street orientation has the largest contribution on SET at pedestrian level, followed by aspect ratio and greenery, while surface albedo and interactions between factors have small contributions. The street canyons oriented southeast-northwest or with a higher aspect ratio provide more shade, higher wind speed, and better thermal comfort conditions for pedestrians. Compared with the east-west-oriented street canyons, the north-south-oriented street canyons have higher MRTs and worse pedestrian thermal comfort due to their wider building spacing along the street. The effects of greenery change with the road width and the time of the day. Street canyon design is recommended to improve pedestrian thermal comfort. This study provides a better understanding of the effects of street canyon design on pedestrian thermal comfort and is a useful guide on urban design for the hot-humid area of China.

Passenger thermal perceptions, thermal comfort requirements, and adaptations in short- and long-haul vehicles.

PubMed

Lin, Tzu-Ping; Hwang, Ruey-Lung; Huang, Kuo-Tsang; Sun, Chen-Yi; Huang, Ying-Che

2010-05-01

While thermal comfort in mass transportation vehicles is relevant to service quality and energy consumption, benchmarks for such comfort that reflect the thermal adaptations of passengers are currently lacking. This study reports a field experiment involving simultaneous physical measurements and a questionnaire survey, collecting data from 2,129 respondents, that evaluated thermal comfort in short- and long-haul buses and trains. Experimental results indicate that high air temperature, strong solar radiation, and low air movement explain why passengers feel thermally uncomfortable. The overall insulation of clothing worn by passengers and thermal adaptive behaviour in vehicles differ from those in their living and working spaces. Passengers in short-haul vehicles habitually adjust the air outlets to increase thermal comfort, while passengers in long-haul vehicles prefer to draw the drapes to reduce discomfort from extended exposure to solar radiation. The neutral temperatures for short- and long-haul vehicles are 26.2 degrees C and 27.4 degrees C, while the comfort zones are 22.4-28.9 degrees C and 22.4-30.1 degrees C, respectively. The results of this study provide a valuable reference for practitioners involved in determining the adequate control and management of in-vehicle thermal environments, as well as facilitating design of buses and trains, ultimately contributing to efforts to achieve a balance between the thermal comfort satisfaction of passengers and energy conserving measures for air-conditioning in mass transportation vehicles.

Investigating the adaptive model of thermal comfort for naturally ventilated school buildings in Taiwan.

PubMed

Hwang, Ruey-Lung; Lin, Tzu-Ping; Chen, Chen-Peng; Kuo, Nai-Jung

2009-03-01

Divergence in the acceptability to people in different regions of naturally ventilated thermal environments raises a concern over the extent to which the ASHRAE Standard 55 may be applied as a universal criterion of thermal comfort. In this study, the ASHRAE 55 adaptive model of thermal comfort was investigated for its applicability to a hot and humid climate through a long-term field survey performed in central Taiwan among local students attending 14 elementary and high schools during September to January. Adaptive behaviors, thermal neutrality, and thermal comfort zones are explored. A probit analysis of thermal acceptability responses from students was performed in place of the conventional linear regression of thermal sensation votes against operative temperature to investigate the limits of comfort zones for 90% and 80% acceptability; the corresponding comfort zones were found to occur at 20.1-28.4 degrees C and 17.6-30.0 degrees C, respectively. In comparison with the yearly comfort zones recommended by the adaptive model for naturally ventilated spaces in the ASHRAE Standard 55, those observed in this study differ in the lower limit for 80% acceptability, with the observed level being 1.7 degrees C lower than the ASHRAE-recommended value. These findings can be generalized to the population of school children, thus providing information that can supplement ASHRAE Standard 55 in evaluating the thermal performance of naturally ventilated school buildings, particularly in hot-humid areas such as Taiwan.

Investigating the adaptive model of thermal comfort for naturally ventilated school buildings in Taiwan

NASA Astrophysics Data System (ADS)

Hwang, Ruey-Lung; Lin, Tzu-Ping; Chen, Chen-Peng; Kuo, Nai-Jung

2009-03-01

Divergence in the acceptability to people in different regions of naturally ventilated thermal environments raises a concern over the extent to which the ASHRAE Standard 55 may be applied as a universal criterion of thermal comfort. In this study, the ASHRAE 55 adaptive model of thermal comfort was investigated for its applicability to a hot and humid climate through a long-term field survey performed in central Taiwan among local students attending 14 elementary and high schools during September to January. Adaptive behaviors, thermal neutrality, and thermal comfort zones are explored. A probit analysis of thermal acceptability responses from students was performed in place of the conventional linear regression of thermal sensation votes against operative temperature to investigate the limits of comfort zones for 90% and 80% acceptability; the corresponding comfort zones were found to occur at 20.1-28.4°C and 17.6-30.0°C, respectively. In comparison with the yearly comfort zones recommended by the adaptive model for naturally ventilated spaces in the ASHRAE Standard 55, those observed in this study differ in the lower limit for 80% acceptability, with the observed level being 1.7°C lower than the ASHRAE-recommended value. These findings can be generalized to the population of school children, thus providing information that can supplement ASHRAE Standard 55 in evaluating the thermal performance of naturally ventilated school buildings, particularly in hot-humid areas such as Taiwan.

Energy Performance Monitoring and Optimization System for DoD Campuses

DTIC Science & Technology

2014-02-01

estimated that, on average, the EPMO system exceeded the energy consumption reduction target of 20% and improved occupant thermal comfort by reducing the...dynamic models, operational and thermal comfort constraints, and plant efficiency in the same framework (Borrelli and Keviczky, 2008; Borrelli, Pekar...optimization modeling language uses the models described above in conjunction with information such as: thermal comfort constraints, equipment constraints, and

Automated Continuous Commissioning of Commercial Buildings

DTIC Science & Technology

2011-10-01

energy annually at the building level on two demonstration sites. Some faults would also cause issues related to thermal comfort . 2 $ Economizer...Unit (AHU) discharge air temperatures and room temperatures to deviate from their respective setpoints. This causes building thermal comfort issues...annual expenditure savings over the next three to five years. At the same time, the thermal comfort in DoD buildings would be improved to result in

Air Velocity Mapping of Environmental Test Chambers

DTIC Science & Technology

1989-07-01

variable that must be measured for the evaluations of the air diffusion performance index (ADPI), or the thermal comfort indices such as predicted mean...altered. The impact of asymmetrical airflow patterns undoubtedly affect human thermal comfort votes. The standardized 6 technique described in this...report could be easily employed prior to or along with specific studies requiring precise air velocity data, and coupled with human thermal comfort surveys

Energy Performance Monitoring and Optimization System for DoD Campuses

DTIC Science & Technology

2014-02-01

EPMO system exceeded the energy consumption reduction target of 20% and improved occupant thermal comfort by reducing the number of instances outside... thermal comfort constraints, and plant efficiency EW2011-42 Final Report 8 February 2014 in the same framework [30-33]. In this framework, 4-hour...conjunction with information such as: thermal comfort constraints, equipment constraints, energy performance objectives. All the information is

A Comparison Study on the Assessment of Ride Comfort for LRT Passengers

NASA Astrophysics Data System (ADS)

Tengku Munawir, Tengku Imran; Abqari Abu Samah, Ahmad; Afiq Akmal Rosle, Muhammad; Azlis-Sani, Jalil; Hasnan, Khalid; Sabri, S. M.; Ismail, S. M.; Yunos, Muhammad Nur Annuar Mohd; Yen Bin, Teo

2017-08-01

Ride comfort in railway transportation is very mind boggling and it relies on different dynamic performance criteria as well as subjective observation from the train passengers. Vibration discomfort from different elements such as vehicle condition, track area condition and working condition can prompt poor ride comfort. However, there are no universal applicable standards to analyse the ride comfort. There are several factors including local condition, vehicle condition and the track condition. In this current work, level of ride comfort by previous Adtranz-Walker light rapid transit (LRT) passengers at Ampang line were analysed. A comparison was done via two possible methods which are BS EN 12299 (2009) and Sperling’s Ride Index equation. BS EN 12299 standard is used to measure and evaluate the ride comfort of seating (Nvd) and standing (Nva) of train passenger in three different routes. Next, Sperling’s ride comfort equation is used to conduct validation and comparison between the obtained data. The result indicates a higher extent of vibration in the vertical axis which impacts the overall result. The standing position demonstrates a higher exposure of vibration in all the three tested routes. Comparison of the ride comfort assessment of passenger in sitting and standing position for both methods indicates that all the track sections exceeds “pronounced but not unpleasant (medium)” limit range. Nevertheless, the seating position at track section AU did not exceed the limit and stayed at the comfortable zone. The highest discomfort level achieved for both methods for seating position are 3.34 m/s2 for Nva and 2.63 m/s2 respectively, which is at route C uptrack that is from Chan Sow Lin station to Sri Petaling station. Meanwhile, the highest discomfort level achieved for both methods for standing are 3.80 m/s2 for Nvd and 2.88 m/s2 for Wz respectively, at uptrack section which is from Sri Petaling station to Chan Sow Lin station. Thus, the highest discomfort level was discovered to be at Route C.

Caregivers’ understanding of dementia predicts patients’ comfort at death: a prospective observational study

PubMed Central

2013-01-01

Background Patients with dementia frequently do not receive adequate palliative care which may relate to poor understanding of the natural course of dementia. We hypothesized that understanding that dementia is a progressive and terminal disease is fundamental to a focus on comfort in dementia, and examined how family and professional caregivers’ understanding of the nature of the disease was associated with patients’ comfort during the dying process. Methods We enrolled 372 nursing home patients from 28 facilities in The Netherlands in a prospective observational study (2007 to 2010). We studied both the families and the physicians (73) of 161 patients. Understanding referred to families’ comprehension of complications, prognosis, having been counseled on these, and perception of dementia as “a disease you can die from” (5-point agreement scale) at baseline. Physicians reported on this perception, prognosis and having counseled on this. Staff-assessed comfort with the End-of-Life in Dementia - Comfort Assessment in Dying (EOLD-CAD) scale. Associations between understanding and comfort were assessed with generalized estimating equations, structural equation modeling, and mediator analyses. Results A family’s perception of dementia as “a disease you can die from” predicted higher patient comfort during the dying process (adjusted coefficient −0.8, 95% confidence interval (CI): −1.5; -0.06 point increment disagreement). Family and physician combined perceptions (−0.9, CI: −1.5; -0.2; 9-point scale) were also predictive, including in less advanced dementia. Forty-three percent of the families perceived dementia as a disease you can die from (agreed completely, partly); 94% of physicians did. The association between combined perception and higher comfort was mediated by the families’ reporting of a good relationship with the patient and physicians’ perception that good care was provided in the last week. Conclusions Awareness of the terminal nature of dementia may improve patient comfort at the end of life. Educating families on the nature of dementia may be an important part of advance care planning. PMID:23577637

Thermal sensation prediction by soft computing methodology.

PubMed

Jović, Srđan; Arsić, Nebojša; Vilimonović, Jovana; Petković, Dalibor

2016-12-01

Thermal comfort in open urban areas is very factor based on environmental point of view. Therefore it is need to fulfill demands for suitable thermal comfort during urban planning and design. Thermal comfort can be modeled based on climatic parameters and other factors. The factors are variables and they are changed throughout the year and days. Therefore there is need to establish an algorithm for thermal comfort prediction according to the input variables. The prediction results could be used for planning of time of usage of urban areas. Since it is very nonlinear task, in this investigation was applied soft computing methodology in order to predict the thermal comfort. The main goal was to apply extreme leaning machine (ELM) for forecasting of physiological equivalent temperature (PET) values. Temperature, pressure, wind speed and irradiance were used as inputs. The prediction results are compared with some benchmark models. Based on the results ELM can be used effectively in forecasting of PET. Copyright © 2016 Elsevier Ltd. All rights reserved.

The spatial comfort study of shophouse at Kampung Madras

NASA Astrophysics Data System (ADS)

Ginting, Y. U. U.; Ginting, N.; Zahrah, W.

2018-03-01

This Research comes from the increasing quantity of shophouse in downtown Medan and the suburban area. The condition of shophouse tend to have narrowly spaced rooms, the middle area of the house are poorly lighted, and lots of space left unused. This research is supported by many spatial issues from previous studies. This study is conducted to determine the level of comfort of shophouse as a function of living space and focused on the spatial aspect namely anthropometry, indoor space circulation, space requirement and function, spatial design and indoor visual. This study uses the descriptive method with the qualitative and quantitative approach. Data collection technique is done by field observation, questionnaire method is also used to get the respondent perception of the spatial comfort of a shophouse. The result indicates that the level of spatial comfort of the shophouse is an uncomfort. So the improvements in the circulation of access to the building, spatial design, lighting, and aeration are needed to improve the spatial comfort of a shophouse.

Body Space in Social Interactions: A Comparison of Reaching and Comfort Distance in Immersive Virtual Reality

PubMed Central

Iachini, Tina; Coello, Yann; Frassinetti, Francesca; Ruggiero, Gennaro

2014-01-01

Background Do peripersonal space for acting on objects and interpersonal space for interacting with con-specifics share common mechanisms and reflect the social valence of stimuli? To answer this question, we investigated whether these spaces refer to a similar or different physical distance. Methodology Participants provided reachability-distance (for potential action) and comfort-distance (for social processing) judgments towards human and non-human virtual stimuli while standing still (passive) or walking toward stimuli (active). Principal Findings Comfort-distance was larger than other conditions when participants were passive, but reachability and comfort distances were similar when participants were active. Both spaces were modulated by the social valence of stimuli (reduction with virtual females vs males, expansion with cylinder vs robot) and the gender of participants. Conclusions These findings reveal that peripersonal reaching and interpersonal comfort spaces share a common motor nature and are sensitive, at different degrees, to social modulation. Therefore, social processing seems embodied and grounded in the body acting in space. PMID:25405344

A Series of Computational Neuroscience Labs Increases Comfort with MATLAB.

PubMed

Nichols, David F

2015-01-01

Computational simulations allow for a low-cost, reliable means to demonstrate complex and often times inaccessible concepts to undergraduates. However, students without prior computer programming training may find working with code-based simulations to be intimidating and distracting. A series of computational neuroscience labs involving the Hodgkin-Huxley equations, an Integrate-and-Fire model, and a Hopfield Memory network were used in an undergraduate neuroscience laboratory component of an introductory level course. Using short focused surveys before and after each lab, student comfort levels were shown to increase drastically from a majority of students being uncomfortable or with neutral feelings about working in the MATLAB environment to a vast majority of students being comfortable working in the environment. Though change was reported within each lab, a series of labs was necessary in order to establish a lasting high level of comfort. Comfort working with code is important as a first step in acquiring computational skills that are required to address many questions within neuroscience.

A Series of Computational Neuroscience Labs Increases Comfort with MATLAB

PubMed Central

Nichols, David F.

2015-01-01

Computational simulations allow for a low-cost, reliable means to demonstrate complex and often times inaccessible concepts to undergraduates. However, students without prior computer programming training may find working with code-based simulations to be intimidating and distracting. A series of computational neuroscience labs involving the Hodgkin-Huxley equations, an Integrate-and-Fire model, and a Hopfield Memory network were used in an undergraduate neuroscience laboratory component of an introductory level course. Using short focused surveys before and after each lab, student comfort levels were shown to increase drastically from a majority of students being uncomfortable or with neutral feelings about working in the MATLAB environment to a vast majority of students being comfortable working in the environment. Though change was reported within each lab, a series of labs was necessary in order to establish a lasting high level of comfort. Comfort working with code is important as a first step in acquiring computational skills that are required to address many questions within neuroscience. PMID:26557798

The thematic structure of passenger comfort experience and its relationship to the context features in the aircraft cabin.

PubMed

Ahmadpour, Naseem; Lindgaard, Gitte; Robert, Jean-Marc; Pownall, Bernard

2014-01-01

This paper describes passenger comfort as an experience generated by the cabin interior features. The findings of previous studies are affirmed regarding a set of 22 context features. Passengers experience a certain level of comfort when these features impact their body and elicit subjective perceptions. New findings characterise these perceptions in the form of eight themes and outline their particular eliciting features. Comfort is depicted as a complex construct derived by passengers' perceptions beyond the psychological (i.e. peace of mind) and physical (i.e. physical well-being) aspects, and includes perceptual (e.g. proxemics) and semantic (e.g. association) aspects. The seat was shown to have a focal role in eliciting seven of those themes and impacting comfort through its diverse characteristics. In a subsequent study, a group of aircraft cabin interior designers highlighted the possibility of employing the eight themes and their eliciting features as a framework for design and evaluation of new aircraft interiors.

[Evaluation of thermal comfort in a student population: predictive value of an integrated index (Fanger's predicted mean value].

PubMed

Catenacci, G; Terzi, R; Marcaletti, G; Tringali, S

1989-01-01

Practical applications and predictive values of a thermal comfort index (Fanger's PRV) were verified on a sample school population (1236 subjects) by studying the relationships between thermal sensations (subjective analysis), determined by means of an individual questionnaire, and the values of thermal comfort index (objective analysis) obtained by calculating the PMV index individually in the subjects under study. In homogeneous conditions of metabolic expenditure rate and thermal impedence from clothing, significant differences were found between the two kinds of analyses. At 22 degrees C mean radiant and operative temperature, the PMV values averaged 0 and the percentage of subjects who experienced thermal comfort did not exceed 60%. The high level of subjects who were dissatisfied with their environmental thermal conditions confirms the doubts regarding the use of the PMV index as a predictive indicator of thermal comfort, especially considering that the negative answers were not homogeneous nor attributable to the small thermal fluctuations (less than 0.5 degree C) measured in the classrooms.

Using Failure Mode and Effects Analysis to design a comfortable automotive driver seat.

PubMed

Kolich, Mike

2014-07-01

Given enough time and use, all designs will fail. There are no fail-free designs. This is especially true when it comes to automotive seating comfort where the characteristics and preferences of individual customers are many and varied. To address this problem, individuals charged with automotive seating comfort development have, traditionally, relied on iterative and, as a result, expensive build-test cycles. Cost pressures being placed on today's vehicle manufacturers have necessitated the search for more efficient alternatives. This contribution aims to fill this need by proposing the application of an analytical technique common to engineering circles (but new to seating comfort development), namely Design Failure Mode and Effects Analysis (DFMEA). An example is offered to describe how development teams can use this systematic and disciplined approach to highlight potential seating comfort failure modes, reduce their risk, and bring capable designs to life. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kumar, Satish; Fisk, William J.

Research into indoor environmental quality (IEQ) and its effects on health, comfort and performance of occupants is becoming increasingly essential. Facility managers are interested in IEQ's close relationship to energy use. Employers hope to enhance employee comfort and productivity, reduce absenteeism and health-care costs, and reduce risk of litigation. The rising interest in this field has placed additional pressure on the research community for practical guidelines on creating a safe, healthy and comfortable indoor environment.

Frostbite in Ski Boots for Marines

DTIC Science & Technology

2005-05-01

tested with regards to thermal comfort , manifested by insulation measurements, water vapour transport and water tightness of the combination. In the...et.al. 2004), you can determine the water vapour transport and heat resistance as important parameters for thermal comfort . On three subsequent...morbidity and risk factors. (in Dutch). Schols, E.H.M., Eijnde, W. van den & Heus, R (2004). A method for assessing thermal comfort of shoes using a

Evaluation of a Shoulder Fragmentation Protection Brassard Design

DTIC Science & Technology

2008-03-01

compatibility assessments. There were slight advantages of the shoulder caps over the brassard with regards to chaffing and thermal comfort during the fire...and movement task. Even though there were significant differences between the shoulder caps and brassard with respect to chaffing and thermal comfort , the...the brassard’s increased coverage design. The shoulder caps were preferred in areas such as thermal comfort and ease of attachment and removing

Joint Service Aircrew Mask (JSAM) Extended Wear Comfort Evaluation

DTIC Science & Technology

2009-10-01

JSAM eyeglass frames containing his optical prescription. Comfort Questionnaire (CQ). The CQ was completed ten times as scheduled by the USAF...and comfort of the JSAM while wearing eyeglass frames was very acceptable. Their ability to see was reported as acceptable. No fogging of the...Performance Wing acceleration and altitude test subject panels. The subjects were male, ranged in age from 28-39 years, physically fit , and considered

Prosthetic Smart Socket Technology to Improve Patient Interaction, Usability, Comfort, Fit and Function

DTIC Science & Technology

2017-10-01

AWARD NUMBER: W81XWH-16-1-0785 TITLE: Prosthetic Smart Socket Technology to Improve Patient Interaction, Usability, Comfort, Fit and Function...2016 - 29 Sep 2017 4. TITLE AND SUBTITLE Prosthetic Smart Socket Technology to Improve Patient Interaction, Usability, Comfort, Fit and Function 5a...discomfort. 2. KEYWORDS: Provide a brief list of keywords (limit to 20 words). Prosthesis, prosthesis fit, technology , skin problems, amputee

Thermal Face Protection Delays Finger Cooling and Improves Thermal Comfort during Cold Air Exposure

DTIC Science & Technology

2011-01-01

code) 2011 Journal Article-Eur Journal of Applied Physiology Thermal face protection delays Fnger cooling and improves thermal comfort during cold air...remains exposed. Facial cooling can decrease finger blood flow, reducing finger temperature (Tf). This study examined whether thermal face protection...limits Wnger cooling and thereby improves thermal comfort and manual dexterity during prolonged cold exposure. Tf was measured in ten volunteers dressed

Social marketing meets health literacy: Innovative improvement of health care providers' comfort with patient interaction.

PubMed

Primack, Brian A; Bui, Thuy; Fertman, Carl I

2007-09-01

It is essential to train health care providers to deliver care sensitive to the needs of diverse individuals with varying degrees of health literacy. We aimed to evaluate an innovative, theory-based, educational intervention involving social marketing and health literacy. In 2006 at a large medical school, all first-year students were exposed to the intervention. They completed pre- and post-test anonymous surveys including demographic data, covariates, and key outcome variables. Paired t-tests and multiple linear regression were used to evaluate the intervention and to determine independent associations among the key outcome variables. Post-intervention scores were significantly higher than pre-intervention scores for social marketing (3.31 versus 1.90, p<0.001), health literacy (3.41 versus 2.98, p<0.001), and comfort in brochure development (3.11 versus 2.52, p<0.001) (N=83). After controlling for demographic and covariate data, health literacy and comfort in brochure development were independent predictors of comfort interacting with diverse populations. A brief intervention involving social marketing and health literacy can improve skills that improve medical students' comfort with patients of diverse backgrounds. Health care providers can be taught educational principles and skills involved in developing effective patient education materials. These skills may improve providers' comfort with direct patient interaction.

Coupling of the Models of Human Physiology and Thermal Comfort

NASA Astrophysics Data System (ADS)

Pokorny, J.; Jicha, M.

2013-04-01

A coupled model of human physiology and thermal comfort was developed in Dymola/Modelica. A coupling combines a modified Tanabe model of human physiology and thermal comfort model developed by Zhang. The Coupled model allows predicting the thermal sensation and comfort of both local and overall from local boundary conditions representing ambient and personal factors. The aim of this study was to compare prediction of the Coupled model with the Fiala model prediction and experimental data. Validation data were taken from the literature, mainly from the validation manual of software Theseus-FE [1]. In the paper validation of the model for very light physical activities (1 met) indoor environment with temperatures from 12 °C up to 48 °C is presented. The Coupled model predicts mean skin temperature for cold, neutral and warm environment well. However prediction of core temperature in cold environment is inaccurate and very affected by ambient temperature. Evaluation of thermal comfort in warm environment is supplemented by skin wettedness prediction. The Coupled model is designed for non-uniform and transient environmental conditions; it is also suitable simulation of thermal comfort in vehicles cabins. The usage of the model is limited for very light physical activities up to 1.2 met only.

Corrections in Grasp Posture in Response to Modifications of Action Goals

PubMed Central

Hughes, Charmayne M. L.; Seegelke, Christian; Spiegel, Marnie Ann; Oehmichen, Corinna; Hammes, Julia; Schack, Thomas

2012-01-01

There is ample evidence that people plan their movements to ensure comfortable final grasp postures at the end of a movement. The end-state comfort effect has been found to be a robust constraint during unimanual movements, and leads to the inference that goal-postures are represented and planned prior to movement initiation. The purpose of this study was to examine whether individuals make appropriate corrections to ensure comfortable final goal postures when faced with an unexpected change in action goal. Participants reached for a horizontal cylinder and placed the left or right end of the object into the target disk. As soon as the participant began to move, a secondary stimuli was triggered, which indicated whether the intended action goal had changed or not. Confirming previous research, participants selected initial grasp postures that ensured end-state comfort during non-perturbed trials. In addition, participants made appropriate on-line corrections to their reach-to-grasp movements to ensure end-state comfort during perturbed trials. Corrections in grasp posture occurred early or late in the reach-to-grasp phase. The results indicate that individuals plan their movements to afford comfort at the end of the movement, and that grasp posture planning is controlled via both feedforward and feedback mechanisms. PMID:22970119

Young people's comfort receiving sexual health information via social media and other sources.

PubMed

Lim, Megan Sc; Vella, Alyce; Sacks-Davis, Rachel; Hellard, Margaret E

2014-12-01

Social media are growing in popularity and will play a key role in future sexual health promotion initiatives. We asked 620 survey participants aged 16 to 29 years about their time spent using social media and their comfort in receiving information about sexual health via different channels. Median hours per day spent using social network sites was two; 36% spent more than 2 hours per day using social network sites. In multivariable logistic regression, being aged less than 20 years and living in a major city (compared to rural/regional Australia) were associated with use of social media more than 2 hours per day. Most participants reported being comfortable or very comfortable accessing sexual health information from websites (85%), followed by a doctor (81%), school (73%), and the mainstream media (67%). Fewer reported being comfortable getting information from social media; Facebook (52%), apps (51%), SMS (44%), and Twitter (36%). Several health promotion programmes via social media have demonstrated efficacy; however, we have shown that many young people are not comfortable with accessing sexual health information through these channels. Further research is needed to determine how to best take advantage of these novel opportunities for health promotion. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Use of a novel smart heating sleeping bag to improve wearers’ local thermal comfort in the feet

PubMed Central

Song, W. F.; Zhang, C. J.; Lai, D. D.; Wang, F. M.; Kuklane, K.

2016-01-01

Previous studies have revealed that wearers had low skin temperatures and cold and pain sensations in the feet, when using sleeping bags under defined comfort and limit temperatures. To improve wearers’ local thermal comfort in the feet, a novel heating sleeping bag (i.e., MARHT) was developed by embedding two heating pads into the traditional sleeping bag (i.e., MARCON) in this region. Seven female and seven male volunteers underwent two tests on different days. Each test lasted for three hours and was performed in a climate chamber with a setting temperature deduced from EN 13537 (2012) (for females: comfort temperature of −0.4 °C, and for males: the limit temperature of −6.4 °C). MARHT was found to be effective in maintaining the toe and feet temperatures within the thermoneutral range for both sex groups compared to the linearly decreased temperatures in MARCON during the 3-hour exposure. In addition, wearing MARHT elevated the toe blood flow significantly for most females and all males. Thermal and comfort sensations showed a large improvement in feet and a small to moderate improvement in the whole body for both sex groups in MARHT. It was concluded that MARHT is effective in improving local thermal comfort in the feet. PMID:26759077

Comfort in High-Performance Homes in a Hot-Humid Climate

DOE Office of Scientific and Technical Information (OSTI.GOV)

Poerschke, A.; Beach, R.

2016-01-22

"9IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature alsomore » was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees F for 5% of the time. For 80% of the time, the rooms in each house were within 4 degrees F of each other. Additionally, the impact of system runtime on comfort is discussed. Finally, measurements made at the thermostat were used to better understand the occupant operation of each cooling system's thermostat setpoint. Builders were questioned on their perceived impact of offering a comfort and performance guarantee. Their feedback, which generally indicates a positive perception, has been summarized in the report.« less

Use of a novel smart heating sleeping bag to improve wearers’ local thermal comfort in the feet

NASA Astrophysics Data System (ADS)

Song, W. F.; Zhang, C. J.; Lai, D. D.; Wang, F. M.; Kuklane, K.

2016-01-01

Previous studies have revealed that wearers had low skin temperatures and cold and pain sensations in the feet, when using sleeping bags under defined comfort and limit temperatures. To improve wearers’ local thermal comfort in the feet, a novel heating sleeping bag (i.e., MARHT) was developed by embedding two heating pads into the traditional sleeping bag (i.e., MARCON) in this region. Seven female and seven male volunteers underwent two tests on different days. Each test lasted for three hours and was performed in a climate chamber with a setting temperature deduced from EN 13537 (2012) (for females: comfort temperature of -0.4 °C, and for males: the limit temperature of -6.4 °C). MARHT was found to be effective in maintaining the toe and feet temperatures within the thermoneutral range for both sex groups compared to the linearly decreased temperatures in MARCON during the 3-hour exposure. In addition, wearing MARHT elevated the toe blood flow significantly for most females and all males. Thermal and comfort sensations showed a large improvement in feet and a small to moderate improvement in the whole body for both sex groups in MARHT. It was concluded that MARHT is effective in improving local thermal comfort in the feet.

Surveying the comfort perception of the ergonomic design of bluetooth earphones.

PubMed

Chiu, Hsiao-Ping; Chiang, Hsin-Yu; Liu, Chien-Hsiou; Wang, Ming-Hsu; Chiou, Wen-Ko

2014-01-01

Bluetooth earphones can facilitate communications among workers engaged in manual (e.g., professional driver)or visual tasks (e.g., security guard). If workers remove their Bluetooth earphones due to poor fit, then communication effectiveness will decline, especially during manual or visual tasks. (1) To identify which design properties of Bluetooth earphones can contribute to user comfort, and (2) to identify if person characteristics (i.e., gender and ear shapes in this study) are related to differences in comfort perception during earphone use. 198 participants were recruited for this study.Individuals used four models of Bluetooth earphones in randomized order while performing computer tasks and then completed questionnaires on comfort perception specifically designed for this study. The 2 × 3 × 4 mixed design analysis of variance (ANOVA) was conducted to investigate the effects of gender, ear shape, and model condition. The results indicated that there were significant differences in model on comfort perception. For earplugs, the shape of the earphone and the elasticity of material are important ergonomic concerns to improve the comfort perception. In addition, the adjustable tail length is an important ergonomic design property for the ear-hook. The information gained in this study should be useful in improving the ergonomic fitness of Bluetooth earphones.

Use of a novel smart heating sleeping bag to improve wearers' local thermal comfort in the feet.

PubMed

Song, W F; Zhang, C J; Lai, D D; Wang, F M; Kuklane, K

2016-01-13

Previous studies have revealed that wearers had low skin temperatures and cold and pain sensations in the feet, when using sleeping bags under defined comfort and limit temperatures. To improve wearers' local thermal comfort in the feet, a novel heating sleeping bag (i.e., MARHT) was developed by embedding two heating pads into the traditional sleeping bag (i.e., MARCON) in this region. Seven female and seven male volunteers underwent two tests on different days. Each test lasted for three hours and was performed in a climate chamber with a setting temperature deduced from EN 13537 (2012) (for females: comfort temperature of -0.4 °C, and for males: the limit temperature of -6.4 °C). MARHT was found to be effective in maintaining the toe and feet temperatures within the thermoneutral range for both sex groups compared to the linearly decreased temperatures in MARCON during the 3-hour exposure. In addition, wearing MARHT elevated the toe blood flow significantly for most females and all males. Thermal and comfort sensations showed a large improvement in feet and a small to moderate improvement in the whole body for both sex groups in MARHT. It was concluded that MARHT is effective in improving local thermal comfort in the feet.

Field study of thermal comfort in non-air-conditioned buildings in a tropical island climate.

PubMed

Lu, Shilei; Pang, Bo; Qi, Yunfang; Fang, Kun

2018-01-01

The unique geographical location of Hainan makes its climate characteristics different from inland areas in China. The thermal comfort of Hainan also owes its uniqueness to its tropical island climate. In the past decades, there have been very few studies on thermal comfort of the residents in tropical island areas in China. A thermal environment test for different types of buildings in Hainan and a thermal comfort field investigation of 1944 subjects were conducted over a period of about two months. The results of the survey data show that a high humidity environment did not have a significant impact on human comfort. The neutral temperature for the residents in tropical island areas was 26.1 °C, and the acceptable temperature range of thermal comfort was from 23.1 °C to 29.1 °C. Residents living in tropical island areas showed higher heat resistance capacity, but lower cold tolerance than predicted. The neutral temperature for females (26.3 °C) was higher than for males (25.8 °C). Additionally, females were more sensitive to air temperature than males. The research conclusions can play a guiding role in the thermal environment design of green buildings in Hainan Province. Copyright © 2017 Elsevier Ltd. All rights reserved.

An Open Source “Smart Lamp” for the Optimization of Plant Systems and Thermal Comfort of Offices

PubMed Central

Salamone, Francesco; Belussi, Lorenzo; Danza, Ludovico; Ghellere, Matteo; Meroni, Italo

2016-01-01

The article describes the design phase, development and practical application of a smart object integrated in a desk lamp and called “Smart Lamp”, useful to optimize the indoor thermal comfort and energy savings that are two important workplace issues where the comfort of the workers and the consumption of the building strongly affect the economic balance of a company. The Smart Lamp was built using a microcontroller, an integrated temperature and relative humidity sensor, some other modules and a 3D printer. This smart device is similar to the desk lamps that are usually found in offices but it allows one to adjust the indoor thermal comfort, by interacting directly with the air conditioner. After the construction phase, the Smart Lamp was installed in an office normally occupied by four workers to evaluate the indoor thermal comfort and the cooling consumption in summer. The results showed how the application of the Smart Lamp effectively reduced the energy consumption, optimizing the thermal comfort. The use of DIY approach combined with read-write functionality of websites, blog and social platforms, also allowed to customize, improve, share, reproduce and interconnect technologies so that anybody could use them in any occupied environment. PMID:26959035

Parental involvement in neonatal comfort care.

PubMed

Skene, Caryl; Franck, Linda; Curtis, Penny; Gerrish, Kate

2012-01-01

To explore how parents interact with their infants and with nurses regarding the provision of comfort care in a Neonatal Intensive Care Unit (NICU). Focused ethnography. A regional NICU in the United Kingdom. Eleven families (10 mothers, 8 fathers) with infants residing in the NICU participated in the study. Parents were observed during a caregiving interaction with their infants and then interviewed on up to four occasions. Twenty-five periods of observation and 24 semistructured interviews were conducted between January and November 2008. Five stages of learning to parent in the NICU were identified. Although the length and duration of each stage differed for individual parents, movement along the learning trajectory was facilitated when parents were involved in comforting their infants. Transfer of responsibility from nurse to parents for specific aspects of care was also aided by parental involvement in pain care. Nurses' encouragement of parental involvement in comfort care facilitated parental proximity, parent/infant reciprocity, and parental sense of responsibility. Findings suggest that parental involvement in comfort care can aid the process of learning to parent, which is difficult in the NICU. Parental involvement in infant comfort care may also facilitate the transfer of responsibility from nurse to parent and may facilitate antecedents to parent/infant attachment. © 2012 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.

Polyurethane gel liner usage in the Oxford Prosthetic Service.

PubMed

Hatfield, A G; Morrison, J D

2001-04-01

The objective was to investigate which lower limb amputees are using Alpha polyurethane gel liners and the effects of these on comfort and suspension of their prosthesis. A retrospective study was carried out of case records of all patients issued with Alpha cushion and locking liners between 1997 and the end of January 1999. The type of liner used was compared with age, sex, level and cause of amputation, time since amputation, comfort and suspension. Modified Stanmore/Harold-Wood mobility grades; duration of use and number of liners issued per patient were recorded. Sixteen (16) patients were identified who had been prescribed Alpha cushion liners. Improved comfort was reported by all. Forty (40) patients were identified who had been prescribed Alpha locking liners. Twenty (20) of these reported improved comfort and 10 improved suspension. The average time since amputation was 18.5 years for those using cushion liners and 14.1 years for locking liner users. Fifty-two (52) of all 56 patients using Alpha cushion and locking liners had mobility grades of 4 or more. Trauma was the most common cause of amputation. This group is a relatively mobile group of amputees. All those using cushion liners reported improved comfort. Some of the locking liner users reported improved comfort and suspension but this was not universally the case.

Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem

PubMed Central

Henderson, Claire; Robinson, Emily; Evans-Lacko, Sara; Thornicroft, Graham

2017-01-01

Background Anti-stigma programmes should aim to increase disclosure to those who can support someone with a mental health problem and appropriate professional help-seeking. Aims We investigated associations among public awareness of England's Time to Change anti-stigma campaign and: (a) comfort envisaged in disclosing a mental health problem to family and friends; (b) comfort in disclosing to an employer; and (c) intended professional help-seeking from a general practitioner, i.e. a physician working in primary care. Method Using data from a survey of a nationally representative sample of adults, we created separate logistic regression models to test for campaign awareness and other variables as predictors of comfort in disclosure and intended help-seeking. Results We found positive relationships between campaign awareness and comfort in disclosing to family and friends (odds ratio (OR) = 1.27, 95% CI 1.14–1.43) and to a current or prospective employer (OR=1.20, 95% CI 1.06–1.35); and likelihood of help-seeking (OR=1.18 95% CI 1.03–1.36). Conclusions Awareness of an anti-stigma campaign was associated with greater comfort in disclosing a mental health problem and intended help-seeking. PMID:28935661

Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem.

PubMed

Henderson, Claire; Robinson, Emily; Evans-Lacko, Sara; Thornicroft, Graham

2017-11-01

Background Anti-stigma programmes should aim to increase disclosure to those who can support someone with a mental health problem and appropriate professional help-seeking. Aims We investigated associations among public awareness of England's Time to Change anti-stigma campaign and: (a) comfort envisaged in disclosing a mental health problem to family and friends; (b) comfort in disclosing to an employer; and (c) intended professional help-seeking from a general practitioner, i.e. a physician working in primary care. Method Using data from a survey of a nationally representative sample of adults, we created separate logistic regression models to test for campaign awareness and other variables as predictors of comfort in disclosure and intended help-seeking. Results We found positive relationships between campaign awareness and comfort in disclosing to family and friends (odds ratio (OR) = 1.27, 95% CI 1.14-1.43) and to a current or prospective employer (OR=1.20, 95% CI 1.06-1.35); and likelihood of help-seeking (OR=1.18 95% CI 1.03-1.36). Conclusions Awareness of an anti-stigma campaign was associated with greater comfort in disclosing a mental health problem and intended help-seeking. © The Royal College of Psychiatrists 2017.

Psychiatrists’ Comfort Using Computers and Other Electronic Devices in Clinical Practice

PubMed Central

Fochtmann, Laura J.; Clarke, Diana E.; Barber, Keila; Hong, Seung-Hee; Yager, Joel; Mościcki, Eve K.; Plovnick, Robert M.

2015-01-01

This report highlights findings from the Study of Psychiatrists’ Use of Informational Resources in Clinical Practice, a cross-sectional Web- and paper-based survey that examined psychiatrists’ comfort using computers and other electronic devices in clinical practice. One-thousand psychiatrists were randomly selected from the American Medical Association Physician Masterfile and asked to complete the survey between May and August, 2012. A total of 152 eligible psychiatrists completed the questionnaire (response rate 22.2 %). The majority of psychiatrists reported comfort using computers for educational and personal purposes. However, 26 % of psychiatrists reported not using or not being comfortable using computers for clinical functions. Psychiatrists under age 50 were more likely to report comfort using computers for all purposes than their older counterparts. Clinical tasks for which computers were reportedly used comfortably, specifically by psychiatrists younger than 50, included documenting clinical encounters, prescribing, ordering laboratory tests, accessing read-only patient information (e.g., test results), conducting internet searches for general clinical information, accessing online patient educational materials, and communicating with patients or other clinicians. Psychiatrists generally reported comfort using computers for personal and educational purposes. However, use of computers in clinical care was less common, particularly among psychiatrists 50 and older. Information and educational resources need to be available in a variety of accessible, user-friendly, computer and non-computer-based formats, to support use across all ages. Moreover, ongoing training and technical assistance with use of electronic and mobile device technologies in clinical practice is needed. Research on barriers to clinical use of computers is warranted. PMID:26667248

An educational initiative to improve medical student awareness about brain death.

PubMed

Lewis, Ariane; Howard, Jonathan; Watsula-Morley, Amanda; Gillespie, Colleen

2018-04-01

Medical student knowledge about brain death determination is limited. We describe an educational initiative to improve medical student awareness about brain death and assess the impact of this initiative. Beginning in July 2016, students at our medical school were required to attend a 90-min brain death didactic and simulation session during their neurology clerkship. Students completed a test immediately before and after participating in the initiative. Of the 145 students who participated in this educational initiative between July 2016 and June 2017, 124 (86%) consented to have their data used for research purposes as part of a medical education registry. Students correctly answered a median of 53% of questions (IQR 47-58%) on the pretest and 86% of questions (IQR 78-89%) on the posttest (p < .001). Comfort with both performing a brain death evaluation and talking to a family about brain death improved significantly after this initiative (18% of students were comfortable performing a brain death evaluation before the initiative and 86% were comfortable doing so after the initiative, p < .001; 18% were comfortable talking to a family about brain death before the initiative and 76% were comfortable doing so after the initiative, p < .001). Incorporation of simulation in undergraduate medical education is high-yield. At our medical school, knowledge about brain death and comfort performing a brain death exam or talking to a family about brain death was limited prior to development of this initiative, but awareness and comfort dealing with brain death improved significantly after this initiative. Copyright © 2018 Elsevier B.V. All rights reserved.

Impact of shade on outdoor thermal comfort—a seasonal field study in Tempe, Arizona

NASA Astrophysics Data System (ADS)

Middel, Ariane; Selover, Nancy; Hagen, Björn; Chhetri, Nalini

2016-12-01

Shade plays an important role in designing pedestrian-friendly outdoor spaces in hot desert cities. This study investigates the impact of photovoltaic canopy shade and tree shade on thermal comfort through meteorological observations and field surveys at a pedestrian mall on Arizona State University's Tempe campus. During the course of 1 year, on selected clear calm days representative of each season, we conducted hourly meteorological transects from 7:00 a.m. to 6:00 p.m. and surveyed 1284 people about their thermal perception, comfort, and preferences. Shade lowered thermal sensation votes by approximately 1 point on a semantic differential 9-point scale, increasing thermal comfort in all seasons except winter. Shade type (tree or solar canopy) did not significantly impact perceived comfort, suggesting that artificial and natural shades are equally efficient in hot dry climates. Globe temperature explained 51 % of the variance in thermal sensation votes and was the only statistically significant meteorological predictor. Important non-meteorological factors included adaptation, thermal comfort vote, thermal preference, gender, season, and time of day. A regression of subjective thermal sensation on physiological equivalent temperature yielded a neutral temperature of 28.6 °C. The acceptable comfort range was 19.1 °C-38.1 °C with a preferred temperature of 20.8 °C. Respondents exposed to above neutral temperature felt more comfortable if they had been in air-conditioning 5 min prior to the survey, indicating a lagged response to outdoor conditions. Our study highlights the importance of active solar access management in hot urban areas to reduce thermal stress.

Psychiatrists' Comfort Using Computers and Other Electronic Devices in Clinical Practice.

PubMed

Duffy, Farifteh F; Fochtmann, Laura J; Clarke, Diana E; Barber, Keila; Hong, Seung-Hee; Yager, Joel; Mościcki, Eve K; Plovnick, Robert M

2016-09-01

This report highlights findings from the Study of Psychiatrists' Use of Informational Resources in Clinical Practice, a cross-sectional Web- and paper-based survey that examined psychiatrists' comfort using computers and other electronic devices in clinical practice. One-thousand psychiatrists were randomly selected from the American Medical Association Physician Masterfile and asked to complete the survey between May and August, 2012. A total of 152 eligible psychiatrists completed the questionnaire (response rate 22.2 %). The majority of psychiatrists reported comfort using computers for educational and personal purposes. However, 26 % of psychiatrists reported not using or not being comfortable using computers for clinical functions. Psychiatrists under age 50 were more likely to report comfort using computers for all purposes than their older counterparts. Clinical tasks for which computers were reportedly used comfortably, specifically by psychiatrists younger than 50, included documenting clinical encounters, prescribing, ordering laboratory tests, accessing read-only patient information (e.g., test results), conducting internet searches for general clinical information, accessing online patient educational materials, and communicating with patients or other clinicians. Psychiatrists generally reported comfort using computers for personal and educational purposes. However, use of computers in clinical care was less common, particularly among psychiatrists 50 and older. Information and educational resources need to be available in a variety of accessible, user-friendly, computer and non-computer-based formats, to support use across all ages. Moreover, ongoing training and technical assistance with use of electronic and mobile device technologies in clinical practice is needed. Research on barriers to clinical use of computers is warranted.

Full body photography in the massive weight loss population: an inquiry to optimize patient-centered care.

PubMed

Wasicek, Philip; Kaswan, Sumesh; Messing, Susan; Gusenoff, Jeffrey A

2013-11-01

Medical photography of body contouring patients often requires complete nudity, placing patients in a vulnerable situation. We investigated patient perspectives on full body photography in an effort to better protect the patients and enhance comfort with the photography process. Sixty-five massive weight loss patients were identified who underwent body contouring surgery with full body photography. Photographs were taken at the time of initial consult, time of marking, and postoperatively. A retrospective chart review was performed to assess body mass indices and comorbidities, and a telephone survey inquired about several aspects of the photographic process. Fifty-six (86%) patients participated. Patients were more comfortable at the time of markings (P = 0.0004) and at the postoperative session (P = 0.0009). Patients' perception of positive body image increased after body contouring surgery (P < 0.0001). Patients who reported being comfortable at their initial session had a higher body mass index (P = 0.0027). Professionalism of the staff was rated as the most important aspect of the photographic process. Patients preferring a chaperone of the same sex tended to be less comfortable with the process (P = 0.015). Most patients preferred the surgeon as the photographer (P = 0.03). Patient comfort with full body photography improves quickly as they move through the surgical process. Maintaining professionalism is the most important factor in achieving patient trust and comfort. Limiting the number of observers in the room, providing explicit details of the photography process, and having at least 1 person of the same sex in the room can optimize patient safety and comfort.

Outdoor thermal comfort characteristics in the hot and humid region from a gender perspective.

PubMed

Tung, Chien-Hung; Chen, Chen-Peng; Tsai, Kang-Ting; Kántor, Noémi; Hwang, Ruey-Lung; Matzarakis, Andreas; Lin, Tzu-Ping

2014-11-01

Thermal comfort is a subjective psychological perception of people based also on physiological thermoregulation mechanisms when the human body is exposed to a combination of various environmental factors including air temperature, air humidity, wind speed, and radiation conditions. Due to the importance of gender in the issue of outdoor thermal comfort, this study compared and examined the thermal comfort-related differences between male and female subjects using previous data from Taiwanese questionnaire survey. Compared with males, the results indicated that females in Taiwan are less tolerant to hot conditions and intensely protect themselves from sun exposure. Our analytical results are inconsistent with the findings of previous physiological studies concerning thermal comfort indicating that females have superior thermal physiological tolerance than males. On the contrary, our findings can be interpreted on psychological level. Environmental behavioral learning theory was adopted in this study to elucidate this observed contradiction between the autonomic thermal physiological and psychological-behavioral aspects. Women might desire for a light skin tone through social learning processes, such as observation and education, which is subsequently reflected in their psychological perceptions (fears of heat and sun exposure) and behavioral adjustments (carrying umbrellas or searching for shade). Hence, these unique psychological and behavioral phenomena cannot be directly explained by autonomic physiological thermoregulation mechanisms. The findings of this study serve as a reference for designing spaces that accommodates gender-specific thermal comfort characteristics. Recommendations include providing additional suitable sheltered areas in open areas, such as city squares and parks, to satisfy the thermal comfort needs of females.

Long-term perceptions of outdoor thermal environments in an elementary school in a hot-humid climate

NASA Astrophysics Data System (ADS)

Shih, Wen-Mei; Lin, Tzu-Ping; Tan, Ning-Xin; Liu, Mu-Hsien

2017-09-01

Previous studies on thermal comfort in school environments have focused more on indoor thermal environments than outdoor ones, thus providing a limited understanding of occupants' long-term thermal perceptions. Taiwan is located in a subtropical region, where it can be stiflingly hot outside in summer. This highlights the need to ensure proper thermal comfort on campus. In the present study, thermal environment parameters were measured and collected in several outdoor spaces of an elementary school in southern Taiwan. In addition, a questionnaire was used to explore occupants' long-term thermal perceptions of these spaces. During summer months, the physiological equivalent temperature (PET) of these outdoor spaces in over 60% of the daytime in summer between 10 a.m. and 4 p.m. was higher than 38 °C PET, indicating high heat stress. The results of occupants' long-term perceptions of the thermal comfort of these spaces suggested that dissatisfaction with thermal comfort was associated more with solar radiation than with wind speed. Finally, this study simulated a campus environment where more trees are planted and compared the thermal comfort indices before and after the simulation. The results indicated that this solution contributed to a decrease in the PET of these environments, thereby alleviating high heat stress. This study can inform the improvement of microclimates and thermal comfort during campus layout planning. Planting trees judiciously across a campus increases outdoor shades and creates outdoor spaces that are more comfortable and adaptable to hot weather conditions, thereby ensuring frequent use of these spaces.

Ankle Spatting Compared to Bracing or Taping during Maximal-Effort Sprint Drills

PubMed Central

REUTER, GRANT D; DAHL, ANGELA R; SENCHINA, DAVID S

2011-01-01

The purpose of this study was to compare the influences of 4 ankle conditions (no support, bracing, taping, taping + spatting; all in football cleats) during 2 maximal-effort field drills (40-yd dash and 34-yd cutting drill) on perceptions of comfort and stability and performance outcomes. Fourteen young adult males participated. Subjects’ perceptions of comfort and stability were assessed by visual analogue scales after each drill for each ankle condition. Time-to-completion and post-completion heart rate were recorded. For both drills, significant differences in comfort perception were found such that subjects perceived no support as equivocal to bracing but more comfortable than either taping or spatting + taping. Stability results differed by drill. For the dash, significant differences in stability perception were found such that subjects perceived no support as equivocal to bracing but less stable than either taping or spatting + taping. By contrast, for the cutting drill significant differences in stability perception were found such that subjects perceived their ankles as less stable during the no support condition as compared to all 3 other conditions. Generally, bracing was perceived as equivocal to all 3 other conditions for comfort and stability. There were no significant differences in time-to-completion or heart rate for any comparison. Compared to bracing or taping, spatting + taping (a) did not influence performance time in explosive/sprint-type drills, (b) was perceived as equivalent to taping alone in terms of ankle comfort and stability, and (c) was perceived as equivalent to bracing in terms of stability but not comfort. PMID:27478530

Comfort with motherhood in late pregnancy facilitates maternal role attainment in early postpartum.

PubMed

Nakamura, Yasuka; Takeishi, Yoko; Ito, Naoko; Ito, Mizuki; Atogami, Fumi; Yoshizawa, Toyoko

2015-01-01

Quality of life, comfort, and wellbeing during pregnancy are essential for every country in the world. Pregnancy is considered a preparation period for becoming a mother. Maternal role development, including confidence and satisfaction as a mother, is important in the transition to motherhood. Negative psychosocial affect, such as increased anxiety and distress, during pregnancy adversely influences the childbirth experience and childcare, which contributes to postpartum depression. However, the impact of positive feelings on the maternal role development remains unclear. Therefore, the study purpose was to clarify the relationship between comfort in late pregnancy and maternal role attainment and childcare during early postpartum. We designed a descriptive, longitudinal, correlational study by using the Prenatal Comfort Scale, the Postpartum Maternal Role Confidence Scale, and the Postpartum Maternal Satisfaction Scale. Among 339 participants who had received care at a university hospital located in Sendai city in Japan, 215 subjects completed the longitudinal study by answering a questionnaire for the respective Scale late in their pregnancy or during early postpartum. The subjects consisted of 114 primipara (32.0 ± 5.4 years) and 101 multipara (33.4 ± 4.9 years). In primipara, comfort with motherhood was significantly correlated with maternal confidence regarding knowledge and childcare skills and maternal satisfaction. In multipara, comfort in late pregnancy was related to maternal confidence and satisfaction. Positive affect was related to maternal confidence and maternal satisfaction in early postpartum. Therefore, a prenatal nursing intervention helps women become more comfortable with impending motherhood, thereby promoting maternal role attainment after delivery.

Respiratory comfort and breathing pattern during volume proportional assist ventilation and pressure support ventilation: a study on volunteers with artificially reduced compliance.

PubMed

Mols, G; von Ungern-Sternberg, B; Rohr, E; Haberthür, C; Geiger, K; Guttmann, J

2000-06-01

To assess respiratory comfort and associated breathing pattern during volume assist (VA) as a component of proportional assist ventilation and during pressure support ventilation (PSV). Prospective, double-blind, interventional study. Laboratory. A total of 15 healthy volunteers (11 females, 4 males) aged 21-31 yrs. Decreased respiratory system compliance was simulated by banding of the thorax and abdomen. Volunteers breathed via a mouthpiece with VA and PSV each applied at two levels (VA, 8 cm H2O/L and 12 cm H2O/L; PSV, 10 cm H2O and 15 cm H2O) using a positive end-expiratory pressure of 5 cm H2O throughout. The study was subdivided into two parts. In Part 1, volunteers breathed three times with each of the four settings for 2 mins in random order. In Part 2, the first breath effects of multiple, randomly applied mode, and level shifts were studied. In Part 1, the volunteers were asked to estimate respiratory comfort in comparison with normal breathing using a visual analog scale. In Part 2, they were asked to estimate the change of respiratory comfort as increased, decreased, or unchanged immediately after a mode shift. Concomitantly, the respiratory pattern (change) was characterized with continuously measured tidal volume, respiratory rate, pressure, and gas flow. Respiratory comfort during VA was higher than during PSV. The higher support level was less important during VA but had a major negative influence on comfort during PSV. Both modes differed with respect to the associated breathing pattern. Variability of breathing was higher during VA than during PSV (Part 1). Changes in respiratory variables were associated with changes in respiratory comfort (Part 2). For volunteers breathing with artificially reduced respiratory system compliance, respiratory comfort is higher with VA than with PSV. This is probably caused by a better adaptation of the ventilatory support to the volunteer's need with VA.

On the determination of the thermal comfort conditions of a metropolitan city underground railway.

PubMed

Katavoutas, George; Assimakopoulos, Margarita N; Asimakopoulos, Dimosthenis N

2016-10-01

Although the indoor thermal comfort concept has received increasing research attention, the vast majority of published work has been focused on the building environment, such as offices, residential and non-residential buildings. The present study aims to investigate the thermal comfort conditions in the unique and complex underground railway environment. Field measurements of air temperature, air humidity, air velocity, globe temperature and the number of passengers were conducted in the modern underground railway of Athens, Greece. Environmental monitoring was performed in the interior of two types of trains (air-conditioned and forced air ventilation cabins) and on selected platforms during the summer period. The thermal comfort was estimated using the PMV (predicted mean vote) and the PPD (predicted percentage dissatisfied) scales. The results reveal that the recommended thermal comfort requirements, although at relatively low percentages are met only in air-conditioned cabins. It is found that only 33% of the PPD values in air-conditioned cabins can be classified in the less restrictive comfort class C, as proposed by ISO-7730. The thermal environment is "slightly warm" in air-conditioned cabins and "warm" in forced air ventilation cabins. In addition, differences of the thermal comfort conditions on the platforms are shown to be associated with the depth and the design characteristics of the stations. The average PMV at the station with small depth is 0.9 scale points higher than that of the station with great depth. The number of passengers who are waiting at the platforms during daytime reveals a U-shaped pattern for a deep level station and an inverted course of PMV for a small depth station. Further, preliminary observations are made on the distribution of air velocity on the platforms and on the impact of air velocity on the thermal comfort conditions. Copyright © 2016 Elsevier B.V. All rights reserved.

The evaluation of the overall thermal comfort inside a vehicle

NASA Astrophysics Data System (ADS)

Neacsu, Catalin; Tabacu, Ion; Ivanescu, Mariana; Vieru, Ionel

2017-10-01

The thermal comfort is one of the most important aspects of the modern vehicles that can influence the safety, the fuel consumption and the pollutions regulation. The objective of this paper is to compare the global and absolute thermal comfort indexes for two vehicles with different distribution air systems inside the car cockpit, one using only front air vents, and the other using both front and rear air vents. The methodology of calculus consists in using the 3D model of the interior vehicle, generally in a CAD format. Then, using a meshing software to create the finite element model of the interior surfaces inside the cockpit and the volume of internal air. Using the obtained finite element geometry, there will be conducted a Theseus FE calculus using the given boundary conditions. The results of the numerical simulation are presented in terms of graphs and figures and also PMV, PPD and DTS thermal comfort indexes. With the obtained results, we will then create the graphs that allows us to evaluate the global and absolute thermal comfort indexes. The results of the evaluation show us that the use of the method allow us to evaluate with a greater accuracy the thermal comfort for the whole vehicle, not only for each passenger, like the standard methods. This shows us that in terms of general and absolute thermal comfort, the vehicle that use front and rear systems is better than the version that use only a front system. The thermal comfort is an important aspect to be taken into account from the beginning of the design stage of a vehicle, by choosing the right air conditioning system. In addition, by using the numerical simulation, we are able to reduce the time needed for preliminary tests and be able to provide the vehicle to the market earlier, at a lower development cost.

Micrometeorological simulations to predict the impacts of heat mitigation strategies on pedestrian thermal comfort in a Los Angeles neighborhood

NASA Astrophysics Data System (ADS)

Taleghani, Mohammad; Sailor, David; Ban-Weiss, George A.

2016-02-01

The urban heat island impacts the thermal comfort of pedestrians in cities. In this paper, the effects of four heat mitigation strategies on micrometeorology and the thermal comfort of pedestrians were simulated for a neighborhood in eastern Los Angeles County. The strategies investigated include solar reflective ‘cool roofs’, vegetative ‘green roofs’, solar reflective ‘cool pavements’, and increased street-level trees. A series of micrometeorological simulations for an extreme heat day were carried out assuming widespread adoption of each mitigation strategy. Comparing each simulation to the control simulation assuming current land cover for the neighborhood showed that additional street-trees and cool pavements reduced 1.5 m air temperature, while cool and green roofs mostly provided cooling at heights above pedestrian level. However, cool pavements increased reflected sunlight from the ground to pedestrians at a set of unshaded receptor locations. This reflected radiation intensified the mean radiant temperature and consequently increased physiological equivalent temperature (PET) by 2.2 °C during the day, reducing the thermal comfort of pedestrians. At another set of receptor locations that were on average 5 m from roadways and underneath preexisting tree cover, cool pavements caused significant reductions in surface air temperatures and small changes in mean radiant temperature during the day, leading to decreases in PET of 1.1 °C, and consequent improvements in thermal comfort. For improving thermal comfort of pedestrians during the afternoon in unshaded locations, adding street trees was found to be the most effective strategy. However, afternoon thermal comfort improvements in already shaded locations adjacent to streets were most significant for cool pavements. Green and cool roofs showed the lowest impact on the thermal comfort of pedestrians since they modify the energy balance at roof level, above the height of pedestrians.

Modelling the perception of weather conditions by users of outdoor public spaces

NASA Astrophysics Data System (ADS)

Andrade, H.; Oliveira, S.; Alcoforado, M.-J.

2009-09-01

Outdoor public spaces play an important role for the quality of life in urban areas. Their usage depends, among other factors, on the bioclimatic comfort of the users. Climate change can modify the uses of outdoor spaces, by changing temperature and rainfall patterns. Understanding the way people perceive the microclimatic conditions is an important tool to the design of more comfortable outdoor spaces and in anticipating future needs to cope with climate change impacts. The perception of bioclimatic comfort by users of two different outdoor spaces was studied in Lisbon. A survey of about one thousand inquires was carried out simultaneously with weather measurements (air temperature, wind speed, relative humidity and solar and long wave radiation), during the years 2006 and 2007. The aim was to assess the relationships between weather variables, the individual characteristics of people (such as age and gender, among others) and their bioclimatic comfort. The perception of comfort was evaluated through the preference votes of the interviewees, which consisted on their answers concerning the desire to decrease, maintain or increase the values of the different weather parameters, in order to improve their comfort at the moment of the interview. The perception of the atmospheric conditions and of the bioclimatic comfort are highly influenced by subjective factors, which are difficult to integrate in a model. Nonetheless, the use of the multiple logistic regression allows the definition of patterns in the quantitative relation between preference votes and environmental and personal parameters. The thermal preference depends largely on the season and is associated with wind speed. Comfort in relation to wind depends not only on the speed but also on turbulence: a high variability in wind speed is generally perceived as uncomfortable. It was also found that the acceptability of warmer conditions is higher than for cooler conditions and the majority of people declared preference for lower wind speed in all the seasons. It was observed that adaptive strategies are undertaken to improve their level of comfort, namely through changes in clothing and displacement between shade/sunshine conditions. Older people declared lower discomfort, possibly due to higher clothing insulation and lower climatic sensitivity. The perception of wind is strongly influenced by gender, with women declaring a lower level of comfort when wind speed increases. Other personal characteristics found to have a significant influence were: company - people accompanied declared higher thermal comfort than people alone - and geographic origin, e.g. Brazilian people demonstrated a much lower tolerance to cool conditions than other communities. It should be noted that most Brazilians arrived in Portugal much more recently than, for example, African people, whose responses, in turn, did not reveal a significant difference from the general population, probably due to a certain degree of climatic adaptation already acquired. This study provides a framework to assess the perception of the bioclimatic comfort in outdoor open spaces. Furthermore, it constitutes a potential contribution to the design of more satisfying leisure areas in a future context of warmer cities.

Thermophysiological Responses of Human Volunteers to Whole Body RF Exposure at 220 MHz

DTIC Science & Technology

2005-05-19

could make judgments of sensations and the test. A Fiso temperature probe was also taped to the thermal comfort at intervals during the test (cf. Table...general trends in individual responses. These responses sensation, thermal comfort , perceived sweating, and included six skin temperatures and weighted...Tankle). similar fashion, mean judgments of thermal sensation, The two right panels of the figure show M (upper) and thermal comfort , thermal preference

Physiological Efficacy of a Lightweight Ambient Air Cooling Unit for Various Applications

DTIC Science & Technology

1993-10-01

Acei 10. Mean skin temperature during continuous work . N*TIS. CRjI DTIC TAB 11. Thermal comfort rate during continuous work. . U nagnounf. 4...perceived exertion (RPE) and thermal comfort (TC) were taken every 10 min. Statistical analysis using a 3-way analysis of variance (ANOVA) was conducted...may account for the fact that no statistically significant differences were seen for thermal comfort and ratings of perceived exertion between the IC

The Effect of Load Position on Biomechanical and Physiological Measures during a Short Duration March

DTIC Science & Technology

2001-05-01

completed subjective evaluations of the load location after each loaded trial. The questionnaire asked about overall acceptability, balance, thermal comfort , load... thermal comfort when marching Results The results of this study are summarized in Table 2. Oxygen consumption levels across load distributions were not...acceptable in 7 out of 8 categories that were examined. The alternate configuration ranked most acceptable in all categories except thermal comfort , where

Design Information for Emergency Operations Centers.

DTIC Science & Technology

1983-06-01

STC 40-45 4. Visual privacy. Sound Reflectances: 5. Electrical survey. Ceiling: NRC 50 6. Adequate lighting. Floor: NRC 25 7. Adequate thermal comfort . 4...ceiling to 7. Adequate thermal comfort . reduce noise. 8. Image appropriate for authority 4. 60-in.-high minimum wall panels. given. 5. 110-V outlets as...tions. 5. Electrical supply. 2. 9-ft minimum for open plan office 6. Adequate lighting, schemes. 7. Adequate thermal comfort . 3. Enclosing walls: STC 40

Calculation of Level of Comfort of the Micro-Climate in Buildings During the Estimation of the Energy-Saving Measures

NASA Astrophysics Data System (ADS)

Prorokova, M. V.; Bukhmirov, V. V.

2016-02-01

The article describes the method of valuation of comfort of microclimate of residen-tial, public and administrative buildings. The method is based on calculation of the coefficient of thermal comfort of a person in the room. Further amendments are introduced to the asym-metry of the thermal radiation, radiation cooling and air quality. The method serves as the basis for a computer program.

The comfort and satisfaction of air travelers - Basis for a descriptive model

NASA Technical Reports Server (NTRS)

Jacobson, I. D.; Martinez, J.

1974-01-01

The results of a questionnaire and interview survey are used as a basis for proposing a descriptive model of the comfort and satisfaction of the commercial air traveler. Passenger attitudes toward the present commercial air travel system are examined. Comfort is interpreted as being represented by a four-dimensional composite of commonly encountered environmental variables. Satisfaction is represented as a composite of safety, cost-benefit, luxury, and in-flight activity dimensions.

Prediction of air temperature for thermal comfort of people in outdoor environments

NASA Astrophysics Data System (ADS)

Huang, Jianhua

2007-05-01

Current thermal comfort indices do not take into account the effects of wind and body movement on the thermal resistance and vapor resistance of clothing. This may cause public health problem, e.g. cold-related mortality. Based on the energy balance equation and heat exchanges between a clothed body and the outdoor environment, a mathematical model was developed to determine the air temperature at which an average adult, wearing a specific outdoor clothing and engaging in a given activity, attains thermal comfort under outdoor environment condition. The results indicated low clothing insulation, less physical activity and high wind speed lead to high air temperature prediction for thermal comfort. More accurate air temperature prediction is able to prevent wearers from hypothermia under cold conditions.

Are you sitting comfortably? Perspectives of the researchers and the researched on "being comfortable".

PubMed

Morris, Norma; Balmer, Brian

2006-01-01

In a study of volunteers in medical research, we found contrasting readings of "being comfortable" by the volunteer research subjects and the researchers. Although the experimental process (testing a new kind of diagnostic technology) involved some physical discomfort--and the researchers focused on this--the volunteers' concerns centred on feeling socially comfortable and managing feelings of embarrassment or isolation, and they generally made light of the physical aspects. The bias of volunteer concerns, which is understandable in terms of the different situations of researchers and volunteers and the different tensions they create, has potential implications for the engagement of researchers with their research subjects and prevailing standards for the ethical and accountable conduct of research.

Application of Markov chain model to daily maximum temperature for thermal comfort in Malaysia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Nordin, Muhamad Asyraf bin Che; Hassan, Husna

2015-10-22

The Markov chain’s first order principle has been widely used to model various meteorological fields, for prediction purposes. In this study, a 14-year (2000-2013) data of daily maximum temperatures in Bayan Lepas were used. Earlier studies showed that the outdoor thermal comfort range based on physiologically equivalent temperature (PET) index in Malaysia is less than 34°C, thus the data obtained were classified into two state: normal state (within thermal comfort range) and hot state (above thermal comfort range). The long-run results show the probability of daily temperature exceed TCR will be only 2.2%. On the other hand, the probability dailymore » temperature within TCR will be 97.8%.« less

Dying comfortably in very old age with or without dementia in different care settings - a representative "older old" population study.

PubMed

Fleming, Jane; Calloway, Rowan; Perrels, Anouk; Farquhar, Morag; Barclay, Stephen; Brayne, Carol

2017-10-05

Comfort is frequently ranked important for a good death. Although rising numbers of people are dying in very old age, many with dementia, little is known about symptom control for "older old" people or whether care in different settings enables them to die comfortably. This study aims to examine, in a population-representative sample, associations between factors potentially related to reported comfort during very old people's final illness: physical and cognitive disability, place of care and transitions in their final illness, and place of death. Retrospective analyses linked three data sources for n = 180 deceased study participants (68% women) aged 79-107 in a representative population-based UK study, the Cambridge City over-75s Cohort (CC75C): i) prospective in-vivo dementia diagnoses and cognitive assessments, ii) certified place of death records, iii) data from interviews with relatives/close carers including symptoms and "How comfortable was he/she in his/her final illness?" In the last year of life 83% were disabled in basic activities, 37% had moderate/severe dementia and 45% minimal/mild dementia or cognitive impairment. Regardless of dementia/cognitive status, three-quarters died following a final illness lasting a week or longer. 37%, 44%, 13% and 7% of the deceased were described as having been "very comfortable", "comfortable", "fairly comfortable" or "uncomfortable" respectively during their final illness, but reported symptoms were common: distress, pain, depression and delirium or confusion each affected 40-50%. For only 10% were no symptoms reported. There were ≥4-fold increased odds of dying comfortably associated with being in a care home during the final illness, dying in a care home, and with staying in place (dying at what death certificates record as "usual address"), whether home or care home, compared with hospital, but no significant association with disability or dementia/cognitive status, regardless of adjustment. These findings are consistent with reports that care homes can provide care akin to hospice for the very old and support an approach of supporting residents to stay in their care home or own home if possible. Findings on reported high prevalence of multiple symptoms can inform policy and training to improve older old people's end-of-life care in all settings.

RAAAF's office landscape The End of Sitting: Energy expenditure and temporary comfort when working in non-sitting postures.

PubMed

Caljouw, Simone R; de Vries, Rutger; Withagen, Rob

2017-01-01

An earlier study suggested that the activity-inviting office landscape called "The End of Sitting", designed by Rietveld Architecture Art Affordances (RAAAF), should be considered as an alternative working environment to prevent sedentary behavior. The End of Sitting lacks chairs and tables but consists instead of a myriad of sloped surfaces at different heights that afford workers to stand, lean or recline at different locations. In this study, we assessed the impact of four of its workspaces on physical intensity, temporary comfort and productivity of office work and compared the outcomes with sitting and standing behind a desk. Twenty-four participants worked for 10 minutes in each of the six test conditions. Energy expenditure, measured by indirect calorimetry, and heart rate were recorded. Questionnaires were used to assess the perceived comfort. The number of words found in the word search test was counted as a measure of productivity. The majority of The End of Sitting workspaces led to a significant increase in energy expenditure compared with sitting behind a desk (ps < .05). Average MET values ranged from 1.40 to 1.58 which is a modest rise in energy expenditure compared to sitting (1.32 METs) and not significantly different from standing (1.47 METs). The scores on the general comfort scale indicated that some workspaces were less comfortable than sitting (ps < .05), but the vast majority of participants reported that at least one of The End of Sitting workspaces was equally or more comfortable than sitting. No differences in productivity between the test conditions were found. Further long-term studies are required to assess the behavioral adaptations, productivity and the level of comfort when using The End of Sitting as a permanent office.

Dental vs. Medical Students' Comfort with Smoking Cessation Counseling: Implications for Dental Education.

PubMed

Allen, Staci Robinson; Kritz-Silverstein, Donna

2016-08-01

The aim of this study was to determine if dental and medical students have similar feelings of professional responsibility, comfort, and confidence with counseling patients about smoking cessation during their clinical years. All third- and fourth-year osteopathic medical (N=580) and dental students (N=144) at Western University of Health Sciences were invited to participate in a survey in April-July 2014, either electronically or in person, regarding their perceived professional responsibility, comfort, and confidence in counseling smokers about quitting and major constraints against counseling smokers about quitting. Respondents' demographic characteristics, smoking history, and history of living with a smoker were also assessed. Response rates were 21% (124/580) for medical and 82% (118/144) for dental students. Most of the responding medical (99.2%) and dental (94.9%) students reported feeling it was their professional responsibility to counsel patients about smoking cessation. Medical student respondents were significantly more comfortable and confident counseling patients about smoking cessation than dental student respondents (p<0.001). Students in the third year were just as comfortable and confident counseling patients about smoking cessation as students in the fourth year (p>0.10). There were no differences by age, but students who were former smokers were significantly more comfortable and confident counseling about smoking cessation than were nonsmokers (p=0.001). While almost all of the responding students reported feeling responsible for counseling patients about smoking cessation, the medical students and former smokers were more comfortable and confident performing this counseling. These results suggest the need for additional training in counseling techniques for dental students and nonsmokers. Future studies should assess the impact of medical and dental students' smoking cessation counseling.

Assessing Thermal Comfort Due to a Ventilated Double Window

NASA Astrophysics Data System (ADS)

Carlos, Jorge S.; Corvacho, Helena

2017-10-01

Building design and its components are the result of a complex process, which should provide pleasant conditions to its inhabitants. Therefore, indoor acceptable comfort is influenced by the architectural design. ISO and ASHRAE standards define thermal comfort as the condition of mind that expresses satisfaction with the thermal environment. The energy demand for heating, beside the building’s physical properties, also depend on human behaviour, like opening or closing windows. Generally, windows are the weakest façade element concerning to thermal performance. A lower thermal resistance allows higher thermal conduction through it. When a window is very hot or cold, and the occupant is very close to it, it may result in thermal discomfort. The functionality of a ventilated double window introduces new physical considerations to a traditional window. In consequence, it is necessary to study the local effect on human comfort in function of the boundary conditions. Wind, solar availability, air temperature and therefore heating and indoor air quality conditions will affect the relationship between this passive system and the indoor environment. In the present paper, the influence of thermal performance and ventilation on human comfort resulting from the construction and geometry solutions is shown, helping to choose the best solution. The presented approach shows that in order to save energy it is possible to reduce the air changes of a room to the minimum, without compromising air quality, enhancing simultaneously local thermal performance and comfort. The results of the study on the effect of two parallel windows with a ventilated channel in the same fenestration on comfort conditions for several different room dimensions, are also presented. As the room dimensions’ rate changes so does the window to floor rate; therefore, under the same climatic conditions and same construction solution, different results are obtained.

Asking patients about their religious and spiritual beliefs: Cross-sectional study of family physicians.

PubMed

Lee-Poy, Michael; Stewart, Moira; Ryan, Bridget L; Brown, Judith Belle

2016-09-01

To examine family physicians' practices in and opinions on asking patients about their religious and spiritual beliefs, as well as physicians' comfort levels in asking. Cross-sectional study using self-administered questionnaires. Kitchener-Waterloo, Ont. A total of 155 family physicians with office practices. Frequency of asking patients about their religious and spiritual beliefs and physicians' comfort levels in asking. Separate multiple linear regression analyses were conducted for each of these outcomes. A total of 139 questionnaires were returned for a response rate of 89.7 %. Of the respondents, 51.8 % stated that they asked patients about their religious and spiritual beliefs sometimes. Physician opinion that it was important to ask patients about religious and spiritual beliefs (P = .001) and physician comfort level with asking (P < .001) were significantly associated with physicians' frequency of asking patients about their religious and spiritual beliefs. Comfort level with asking patients about their religious and spiritual beliefs was significantly associated with the opinions that it was important to ask (P = .004) and that it was their business to ask (P = .003), as well as with lack of training as the reason for not asking (P = .007). This study found that family physicians were more likely to ask patients about their religious and spiritual beliefs if they had higher comfort levels in asking or if they believed that asking was important. Further, this study found that family physicians' comfort level with asking was higher if they believed that it was important to ask and that it was their business to ask about religious and spiritual beliefs. Physician comfort levels with asking patients about religious and spiritual beliefs can be addressed through adequate training and education. Copyright© the College of Family Physicians of Canada.

Cytokine changes in tears and relationship to contact lens discomfort.

PubMed

Willcox, Mark D P; Zhao, Zhenjun; Naduvilath, Thomas; Lazon de la Jara, Percy

2015-01-01

To determine the reproducibility of a multiplex bead assay for measuring cytokines in tears and correlations between ocular discomfort with or without contact lens wear and the concentration of cytokines in tears. Ninety participants (divided into two groups) were enrolled in this prospective study. They were asked to rate their ocular comfort and collect their tears in the morning and just before sleep for 10 days with or without contact lenses. The participants collected their tears using a glass microcapillary tube for both stages. Galyfilcon A lenses were worn on a daily disposable basis during the contact lens stage, and comfort scores and tears were collected before lens insertion and prior to lens removal at the end of the day. Tears were analyzed for cytokine concentrations using a 27-plex multibead assay. Correlations were sought between cytokine concentrations and comfort. There was a significant (p<0.022) decrease in ocular comfort over the day with or without lens wear. The magnitude of ocular discomfort was significantly greater (p<0.009) with lens wear. The concentrations of 12 cytokines differed significantly between the groups; thus, these cytokines were not analyzed further. For the remaining 15 cytokines, interleukin-8 (IL-8) was the only cytokine that changed in both groups during the day without (reduced by >-0.5 Log pg/ml, p<0.001) or with lens wear (reduced by >-0.2 Log pg/ml, p<0.001). The change in the vascular endothelial growth factor (VEGF) concentration only in tears was correlated to ocular comfort, but this was not changed by contact lens wear. Ocular comfort during the day is magnified by contact lens wear. However, the increase in the change in comfort during lens wear was not associated with changes in 15 cytokines in the tear film.

Self-administered, inhaled methoxyflurane improves patient comfort during nasoduodenal intubation for computed tomography enteroclysis for suspected small bowel disease: a randomized, double-blind, placebo-controlled trial.

PubMed

Moss, A; Parrish, F J; Naidoo, P; Upton, A; Prime, H; Leaney, B; Gibson, P R

2011-02-01

To determine the efficacy and safety of self-administered, inhaled analgesic, methoxyflurane, used to improve patient comfort during computed tomography enteroclysis (CTE). A randomized, double-blind, placebo-controlled trial was performed at two Australian hospitals (one tertiary referral public hospital and one private hospital). Patients were randomized to 3 ml methoxyflurane or saline (scented to maintain blindness) via hand-held inhaler. The main outcome measures were patient comfort during each stage of CTE and an overall rating as recorded by patients 1h post-procedure on a 10 cm visual analogue scale. Patient willingness to undergo repeat CTE, radiologist-rated ease of nasoduodenal intubation, and patient-rated ease of use of the inhaler were also assessed. Sixty patients (mean age 45 years; 41 women) were enrolled; 30 received methoxyflurane and were well matched to 30 receiving placebo. Procedural success was 98%. The mean dose of methoxyflurane consumed was 0.9 ml (SD 0.5). Patient comfort during nasoduodenal intubation was better with methoxyflurane {5.0 [95% confidence intervals (CI) 4.0-6.0]} than with placebo [2.7 (95% CI 1.8-3.7); p=0.002, t-test), but there were no significant differences for comfort levels at other times or overall. The inhaler was easy to use, was well tolerated, and there were no episodes of oxygen desaturation, aspiration, or anaphylaxis. Inhalational methoxyflurane safely improves patient comfort during nasoduodenal intubation, but does not improve overall procedure comfort. Copyright © 2010 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Use of Video to Facilitate End-of-Life Discussions With Patients With Cancer: A Randomized Controlled Trial

PubMed Central

El-Jawahri, Areej; Podgurski, Lisa M.; Eichler, April F.; Plotkin, Scott R.; Temel, Jennifer S.; Mitchell, Susan L.; Chang, Yuchiao; Barry, Michael J.; Volandes, Angelo E.

2010-01-01

Purpose To determine whether the use of a goals-of-care video to supplement a verbal description can improve end-of-life decision making for patients with cancer. Methods Fifty participants with malignant glioma were randomly assigned to either a verbal narrative of goals-of-care options at the end of life (control), or a video after the same verbal narrative (intervention) in this randomized controlled trial. The video depicts three levels of medical care: life-prolonging care (cardiopulmonary resuscitation [CPR], ventilation), basic care (hospitalization, no CPR), and comfort care (symptom relief). The primary study outcome was participants' preferences for end-of-life care. The secondary outcome was participants' uncertainty regarding decision making (score range, 3 to 15; higher score indicating less uncertainty). Participants' comfort level with the video was also measured. Results Fifty participants were randomly assigned to either the verbal narrative (n = 27) or video (n = 23). After the verbal description, 25.9% of participants preferred life-prolonging care, 51.9% basic care, and 22.2% comfort care. In the video arm, no participants preferred life-prolonging care, 4.4% preferred basic care, 91.3% preferred comfort care, and 4.4% were uncertain (P < .0001). The mean uncertainty score was higher in the video group than in the verbal group (13.7 v 11.5, respectively; P < .002). In the intervention arm, 82.6% of participants reported being very comfortable watching the video. Conclusion Compared with participants who only heard a verbal description, participants who viewed a goals-of-care video were more likely to prefer comfort care and avoid CPR, and were more certain of their end-of-life decision making. Participants reported feeling comfortable watching the video. PMID:19949010

Regional thermal comfort zone in males and females.

PubMed

Ciuha, Ursa; Mekjavic, Igor B

2016-07-01

Skin regions differ in their sensitivity to temperature stimuli. The present study examined whether such regional differences were also evident in the perception of thermal comfort. Regional thermal comfort was assessed in males (N=8) and females (N=8), by having them regulate the temperature of the water delivered to a water-perfused suit (WPS), within a temperature range considered thermally comfortable. In separate trials, subjects regulated the temperature of the WPS, or specific regions of the suit covering different skin areas (arms, legs, front torso and back torso). In the absence of subjective temperature regulation (TR), the temperature changed in a sinusoidal manner from 10°C to 50°C; by depressing a switch and reversing the direction of the temperature at the limits of the thermal comfort zone (TCZ), each subject defined TCZ for each body region investigated. The range of regulated temperatures did not differ between genders and skin regions. Local Tsk at the lower and upper limits of the TCZ was similar for both genders. Higher (p<0.05) local Tsk was preferred for the arms (35.4±2.1°C), compared to other regions (legs: 34.4±5.4°C, front torso: 34.6±2.8°C, 34.3±6.6°C), irrespective of gender. In thermally comfortable conditions, the well-established regional differences in thermosensitivity are not reflected in the TCZ, with similar temperature preferences by both genders. Thermal comfort of different skin regions and overall body is not achieved at a single skin temperature, but at range of temperatures, defined as the TCZ. Copyright © 2016 Elsevier Inc. All rights reserved.

Influence of Social and Behavioural Characteristics of Users on Their Evaluation of Subjective Loudness and Acoustic Comfort in Shopping Malls

PubMed Central

Meng, Qi; Kang, Jian

2013-01-01

A large-scale subjective survey was conducted in six shopping malls in Harbin City, China, to determine the influence of social and behavioural characteristics of users on their evaluation of subjective loudness and acoustic comfort. The analysis of social characteristics shows that evaluation of subjective loudness is influenced by income and occupation, with correlation coefficients or contingency coefficients of 0.10 to 0.40 (p<0.05 or p<0.01). Meanwhile, evaluation of acoustic comfort evaluation is influenced by income, education level, and occupation, with correlation coefficients or contingency coefficients of 0.10 to 0.60 (p<0.05 or p<0.01). The effect of gender and age on evaluation of subjective loudness and acoustic comfort is statistically insignificant. The effects of occupation are mainly caused by the differences in income and education level, in which the effects of income are greater than that of education level. In terms of behavioural characteristics, evaluation of subjective loudness is influenced by the reason for visit, frequency of visit, and length of stay, with correlation coefficients or contingency coefficients of 0.10 to 0.40 (p<0.05 or p<0.01). Evaluation of acoustic comfort is influenced by the reason for visit to the site, the frequency of visit, length of stay, and also season of visit, with correlation coefficients of 0.10 to 0.30 (p<0.05 or p<0.01). In particular, users who are waiting for someone show lower evaluation of acoustic comfort, whereas users who go to shopping malls more than once a month show higher evaluation of acoustic comfort. On the contrary, the influence of the period of visit and the accompanying persons are found insignificant. PMID:23336003

Primary Care Physicians' Collection, Comfort, and Use of Race and Ethnicity in Clinical Practice in the United States.

PubMed

Bonham, Vence L; Umeh, Nkeiruka I; Cunningham, Brooke A; Abdallah, Khadijah E; Sellers, Sherrill L; Cooper, Lisa A

2017-01-01

The clinical utility of race and ethnicity has been debated. It is important to understand if and how race and ethnicity are communicated and collected in clinical settings. We investigated physicians' self-reported methods of collecting a patient's race and ethnicity in the clinical encounter, their comfort with collecting race and ethnicity, and associations with use of race in clinical decision-making. A national cross-sectional study of 787 clinically active general internists in the United States. Physicians' self-reported comfort with collecting patient race and ethnicity, their collection practices, and use of race in clinical care were assessed. Bivariate and multivariable regression analyses were conducted to examine associations between comfort, collection practices, and use of race. Most physicians asked patients to self-report their race or ethnicity (26.5%) on an intake form or collected this information directly from patients (26.2%). Most physicians were comfortable collecting patient race and ethnicity (84.3%). Physicians who were more comfortable collecting patient race and ethnicity ( β = 1.65; [95% confidence interval; CI 0.03-3.28]) or who directly collected patients' race and ethnicity ( β = 1.24 [95% CI 0.07-2.41]) were more likely to use race in clinical decision-making than physicians who were uncomfortable. This study documents variation in physician comfort level and practice patterns regarding patient race and ethnicity data collection. As the U.S. population becomes more diverse, future work should examine how physicians speak about race and ethnicity with patients and their use of race and ethnicity data impact patient-physician relationships, clinical decision-making, and patient outcomes.

Perceived knowledge and clinical comfort with genetics among Taiwanese nurses enrolled in a RN-to-BSN program.

PubMed

Hsiao, Chiu-Yueh; Lee, Shu-Hsin; Chen, Suh-Jen; Lin, Shu-Chin

2013-08-01

Advances in genetics have had a profound impact on health care. Yet, many nurses, as well as other health care providers, have limited genetic knowledge and feel uncomfortable integrating genetics into their practice. Very little is known about perceived genetic knowledge and clinical comfort among Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program. To examine perceived knowledge and clinical comfort with genetics among Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program and to assess how genetics has been integrated into their past and current nursing programs. The study also sought to examine correlations among perceived knowledge, integration of genetics into the nursing curriculum, and clinical comfort with genetics. A descriptive, cross-sectional study. Taiwanese nurses enrolled in a Registered Nurse to Bachelor of Science in Nursing program were recruited. A total of 190 of 220 nurses returned the completed survey (86.36% response rate). Descriptive statistics and the Pearson product-moment correlation were used for data analysis. Most nurses indicated limited perceived knowledge and clinical comfort with genetics. Curricular hours focused on genetics in a current nursing program were greater than those in past nursing programs. The use of genetic materials, attendance at genetic workshops and conferences, and clinically relevant genetics in nursing practice significantly related with perceived knowledge and clinical comfort with genetics. However, there were no correlations between prior genetic-based health care, perceived knowledge, and clinical comfort with genetics. This study demonstrated the need for emphasizing genetic education and practice to ensure health-related professionals become knowledgeable about genetic information. Given the rapidly developing genetic revolution, nurses and other health care providers need to utilize genetic discoveries to optimize health outcomes. Copyright © 2012 Elsevier Ltd. All rights reserved.

Improving Comfort in Hot-Humid Climates with a Whole-House Dehumidifier, Windermere, Florida (Fact Sheet)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

2013-11-01

Maintaining comfort in a home can be challenging in hot-humid climates. At the common summer temperature set point of 75 degrees F, the perceived air temperature can vary by 11 degrees F because higher indoor humidity reduces comfort. Often the air conditioner (AC) thermostat set point is lower than the desirable cooling level to try to increase moisture removal so that the interior air is not humid or "muggy." However, this method is not always effective in maintaining indoor relative humidity (RH) or comfort. In order to quantify the performance of a combined whole-house dehumidifier (WHD) AC system, researchers frommore » the U.S. Department of Energy's Building America team Consortium of Advanced Residential Buildings (CARB) monitored the operation of two Lennox AC systems coupled with a Honeywell DH150 TrueDRY whole-house dehumidifier for a six-month period. By using a WHD to control moisture levels (latent cooling) and optimizing a central AC to control temperature (sensible cooling), improvements in comfort can be achieved while reducing utility costs. Indoor comfort for this study was defined as maintaining indoor conditions at below 60% RH and a humidity ratio of 0.012 lbm/lbm while at common dry bulb set point temperatures of 74 degrees -80 degrees F. In addition to enhanced comfort, controlling moisture to these levels can reduce the risk of other potential issues such as mold growth, pests, and building component degradation. Because a standard AC must also reduce dry bulb air temperature in order to remove moisture, a WHD is typically needed to support these latent loads when sensible heat removal is not desired.« less

RAAAF’s office landscape The End of Sitting: Energy expenditure and temporary comfort when working in non-sitting postures

PubMed Central

de Vries, Rutger; Withagen, Rob

2017-01-01

Abstract An earlier study suggested that the activity-inviting office landscape called “The End of Sitting”, designed by Rietveld Architecture Art Affordances (RAAAF), should be considered as an alternative working environment to prevent sedentary behavior. The End of Sitting lacks chairs and tables but consists instead of a myriad of sloped surfaces at different heights that afford workers to stand, lean or recline at different locations. In this study, we assessed the impact of four of its workspaces on physical intensity, temporary comfort and productivity of office work and compared the outcomes with sitting and standing behind a desk. Twenty-four participants worked for 10 minutes in each of the six test conditions. Energy expenditure, measured by indirect calorimetry, and heart rate were recorded. Questionnaires were used to assess the perceived comfort. The number of words found in the word search test was counted as a measure of productivity. The majority of The End of Sitting workspaces led to a significant increase in energy expenditure compared with sitting behind a desk (ps < .05). Average MET values ranged from 1.40 to 1.58 which is a modest rise in energy expenditure compared to sitting (1.32 METs) and not significantly different from standing (1.47 METs). The scores on the general comfort scale indicated that some workspaces were less comfortable than sitting (ps < .05), but the vast majority of participants reported that at least one of The End of Sitting workspaces was equally or more comfortable than sitting. No differences in productivity between the test conditions were found. Further long-term studies are required to assess the behavioral adaptations, productivity and the level of comfort when using The End of Sitting as a permanent office. PMID:29125854

Assessment Methods for Restrictions in Manual Dexterity: Suitability for Exposure to the Cold

DTIC Science & Technology

2009-10-01

palm is goat leather. The thermal comfort range of the gloves had been described recently (Zimmermann et al. 2008). Figure 1: Military five...sufficient to maintain the thermal comfort of the body. In the screw/bolt skill test restrictions in manual dexterity due to mechanical and haptical...temperature of the human body. J. Appl. Physiol. 19: 531-533 (1964). [10] Zimmermann, C., Uedelhoven, W. H., Kurz, B., Glitz, K. J.: Thermal comfort range

Assessment of Thermal Protection Afforded by Hot Water Diving Suits

DTIC Science & Technology

1980-07-03

Assessment of Thermal Protect! " Afforded by Hot Water Diving Suits A AA L. A. Kuehn Diver thermal comfort in cold water is presently only...with proper control oj inlet suit water flow% and temperature, as well as heating of inspired gas, this suit technology suffices for thermal comfort for...technology provides in part to the convective heat loss that it prpsents, sustained long-term thermal comfort in cold water, Webb (W) has defined a

The Development of a Portable Modular Component Building System for the Armed Forces

DTIC Science & Technology

1985-11-08

environment and provide optimum thermal comfort and energy performance throughout a wide climatic range. Finally, such a system would provide optimum user...I I I I I l i 56. ind thermal comfort . The low humidity of the atmosphere allows temperatures to fal. deeply at night so buildings constructed of hig...site topographies. Extensive support equipment is also required for their transport, erection and sustained thermal comfort for the occupants. Off the

Improvement of the U.S. Army Intermediate Cold Wet Boot

DTIC Science & Technology

2002-04-01

thermal comfort of the human foot during exposure to cold ambient temperatures. 33-5 Figure 4. Photograph showing human volunteers during the 1990 ICWB...boot indicating that it would provide an increased level of thermal comfort . The then-current U.S. Army Intermediate Cold-Wet Boot, 34 33 32 31 E 30 E...has been recommended that the U.S. Army continue to evaluate future improvements in these materials designed to increase individual thermal comfort and

Human Factors Engineering in the Development of a New Load Carriage System for the Canadian Forces

DTIC Science & Technology

2001-05-01

range of clothing conditions "* physical and thermal comfort "* compatibility with soldier clothing, equipment, weapons, communications gear, vehicles...of movement, load balance, load stability and casualty extraction. The 82-pattern webbing was preferred over all other options only for thermal comfort . Since... thermal comfort was a concern in the decision to develop a vest, the results will be highlighted here. After each 5 km march, subjects were

Physiological and Subjective Evaluation of the Temperate Battle Dress Uniform (TBDU) and Three Other Uniforms Worn by Men and Women in Tropical Climatic Conditions

DTIC Science & Technology

1983-05-01

worn in the heat affects thermal comfort and with an added solar heat load subsequently interferes with the ability to dissipate stored body heat...worn in the heat affects thermal comfort and with an added solar heat load subsequently interferes with the ability to dissipate stored body heat...ratio; thermal comfort ; evaporative cooling; permeability; physiological responses mA]X .................................... INTRODUCTION The Temperate

Comparison of Air Shower and Vest Auxiliary Cooling during Simulated Tank Operations in the Heat

DTIC Science & Technology

1983-04-01

would suggest that the crews’ thermal comfort was greater during vest auxiliary cooling. Despite the fact that the environmental conditions were...effective use of the turbine bleed air than is provided by an air shower. The vest approach seems to improve the thermal comfort of these tank crew members...in an environment which normally would be thermally stressful. This improved thermal comfort from vest cooling is probably associated with the reduced

Black Versus Gray T-Shirts: Comparison of Spectrophotometric and Other Biophysical Properties of Physical Fitness Uniforms and Modeled Heat Strain and Thermal Comfort

DTIC Science & Technology

2016-09-01

test method for measuring the thermal insulation of clothing using a heated manikin. 2010. 2. ASTM International. F2370-10 Standard test method for...PROPERTIES OF PHYSICAL FITNESS UNIFORMS AND MODELED HEAT STRAIN AND THERMAL COMFORT DISCLAIMER The opinions or assertions contained herein are the...SHIRTS: COMPARISON OF SPECTROPHOTOMETRIC AND OTHER BIOPHYSICAL PROPERTIES OF PHYSICAL FITNESS UNIFORMS AND MODELED HEAT STRAIN AND THERMAL COMFORT

Medical students' comfort with pregnant women with substance-use disorders: a randomized educational study.

PubMed

Albright, Brittany; Skipper, Betty; Riley, Shawne; Wilhelm, Peggy; Rayburn, William F

2012-11-01

The study objective was to determine whether medical students' attendance at a rehabilitation residence for pregnant women with substance-use disorders yielded changes in their attitudes and comfort levels in providing care to this population. This randomized educational trial involved 96 consecutive medical students during their obstetrics and gynecology clerkship. In addition to attending a half-day prenatal clinic designed for women with substance-use disorders, every student was randomly assigned either to attend (Study group) or not to attend (Control group) a rehabilitation residence for pregnant women with substance-use disorders. The primary objective was to measure differences in responses to a confidential 12-question survey addressing comfort levels and attitudes, at the beginning and end of the clerkship. Survey responses revealed improvements in students' comfort levels and attitudes toward pregnant women with substance-use disorders by attending the clinic alone or the clinic and residence. Those who attended the residence reported becoming more comfortable in talking with patients about adverse effects from substance abuse, more understanding of "street" terms, and stronger belief that patients will disclose their substance use to providers. Residents expressed more openly their hardships and barriers while trying to set therapeutic goals. Medical students became more comfortable and insightful about pregnant women with substance-use disorders after attending a rehabilitation residence in addition to a prenatal clinic dedicated to this population.

Children's exposure to indoor air in urban nurseries-part I: CO{sub 2} and comfort assessment

DOE Office of Scientific and Technical Information (OSTI.GOV)

Branco, P.T.B.S.; Alvim-Ferraz, M.C.M.; Martins, F.G.

2015-07-15

Indoor air quality (IAQ) in nurseries is an emerging case-study. Thus, this study, as the Part I of the larger study “Children's exposure to indoor air in urban nurseries”, aimed to: i) evaluate nurseries’ indoor concentrations of carbon dioxide (CO{sub 2}), a global IAQ indicator, in class and lunch rooms; ii) assess indoor comfort parameters–temperature (T) and relative humidity (RH); and iii) analyse them according to guidelines and references for IAQ, comfort and children's health. Indoor continuous measurements were performed. Non-compliances with guidelines were found in comfort parameters, which could cause discomfort situations and also microbial proliferation. Exceedances in CO{submore » 2} concentrations were also found and they were caused by poor ventilation and high classroom occupation. More efficient ventilation and control of comfort parameters, as well as to reduce occupation by reviewing Portuguese legislation on that matter, would certainly improve IAQ and comfort in nurseries and consequently safeguard children's health. - Highlights: • High occupation and poor ventilation were main determinants of IAQ in nurseries. • T and RH indoor values found in nurseries are likely to cause thermal discomfort. • Building characteristics and an inadequate ventilation determined T and RH values. • High CO{sub 2} concentrations found could indicate accumulation of other air pollutants.« less

Communication between parents and their children about sexual health.

PubMed

Ogle, Sharron; Glasier, Anna; Riley, Simon C

2008-04-01

Communicating about sex with parents has been shown to influence some aspects of sexual behavior in young people. The aim of this study was to investigate how comfortable parents and children find this type of discussion and to compare parental responses with those of their children. Self-completed questionnaires were distributed to 317 teenagers from a state school in Edinburgh, Scotland, and to 575 of their parents. The questionnaire was designed to appraise relative levels of comfort/discomfort about discussing six sexual health topics. Where a parent and their child had both completed questionnaires, their responses were compared. Three hundred forty-five parents, 162 girls and 155 boys, completed questionnaires. Most parents considered themselves "comfortable" or "very comfortable" discussing sexual health issues with their children, with "boyfriends/girlfriends" as the most comfortable (p< or =.001) and "sexual intercourse" the least comfortable topic (p<.0005). However, many children stated they "definitely would not" talk to parents (19-65% of participants, depending on the topic), citing "embarrassment" as the main reason. Eight-six pairs of parent-child responses were matched and compared showing that on all topics the least communication occurred between fathers and their daughters. There are clearly barriers to communicating about sexual health issues between parents and their children in this population, and this seems to stem from reluctance on the part of the children rather than of their parents.

Psychiatric Sequelae of Former "Comfort Women," Survivors of the Japanese Military Sexual Slavery during World War II.

PubMed

Lee, Jeewon; Kwak, Young-Sook; Kim, Yoon-Jung; Kim, Eun-Ji; Park, E Jin; Shin, Yunmi; Lee, Bun-Hee; Lee, So Hee; Jung, Hee Yeon; Lee, Inseon; Hwang, Jung Im; Kim, Dongsik; Lee, Soyoung Irene

2018-04-01

"Comfort women" refers to young women and girls who were forced into sexual slavery by the Imperial Japanese military during World War II. They were abducted from their homes in countries under Imperial Japanese rule, mostly from Korea, and the rest from China, Philippines, Malaysia, Taiwan, Indonesia, the Netherlands, etc. "Comfort women" endured extreme trauma involving rape, sexual torture, physical abuse, starvation, threats of death, and witnessed many others being tortured and killed. This article reviews all the studies that have investigated the psychiatric or psychosocial sequelae of the survivors of the Japanese military sexual slavery. Most importantly, a recent study which conducted a psychiatric evaluation on the former "comfort women" currently alive in South Korea is introduced. The participants' unmarried rate was relatively high and their total fertility rate was relatively low. Majority of the participants reported having no education and being the low economic status. They showed high current and lifetime prevalence of posttraumatic disorder, major depressive disorder, somatic symptom disorder, social anxiety disorder, panic disorder, and alcohol use disorder. Participants showed high suicidality and majority of the participants still reported being ashamed of being former "comfort women" after all these years. This article high-lights the fact that the trauma has affected the mental health and social functioning of former "comfort women" throughout their lives, and even to the present day.

Applying Outdoor Environment to Develop Health, Comfort, and Energy Saving in the Office in Hot-Humid Climate

PubMed Central

Chen, Rong; Sung, Wen-Pei; Chang, Hung-Chang; Chi, Yi-Rou

2013-01-01

A human life demand set to emerge in the future is the achievement of sustainability by maintaining a comfortable indoor environment without excessive reliance on energy-consuming air conditioners. The major research processes in this study are: (1) measuring indoor air quality and thermal comfort to evaluate the comfort of an indoor environment; (2) implementing questionnaire survey analysis to explore people's environmental self-perceptions and conducting a meta-analysis of the measurement results for air quality and physical aspects; and (3) constructing an indoor monitoring and management system. The experimental and analysis results of this research reveal that most of the office occupants preferred a cooler environment with a lower temperature. Additionally, because the summers in Taiwan are humid and hot, the occupants of an indoor space tend to feel uncomfortable because of the high humidity and poor indoor air quality. Therefore, Variable Air Volume (VAV), two air intakes, and exhaust plant are installed to improve indoor environment. After improvement, a lower temperature (approximately 21.2–23.9°C) indirectly reduces humidity, thereby making the occupants comfortable. Increasing air velocity to 0.1 ~ 0.15 m/s, the carbon dioxide concentrations decrease below the requirement of the WHO. Ninety-five percent of the workers corresponded to the standard comfort zone after this improvement. PMID:24311976

Social marketing meets health literacy: Innovative improvement of health care providers’ comfort with patient interaction

PubMed Central

Primack, Brian A.; Bui, Thuy; Fertman, Carl I.

2010-01-01

Objective It is essential to train health care providers to deliver care sensitive to the needs of diverse individuals with varying degrees of health literacy. We aimed to evaluate an innovative, theory-based, educational intervention involving social marketing and health literacy. Methods In 2006 at a large medical school, all first-year students were exposed to the intervention. They completed pre- and post-test anonymous surveys including demographic data, covariates, and key outcome variables. Paired t-tests and multiple linear regression were used to evaluate the intervention and to determine independent associations among the key outcome variables. Results Post-intervention scores were significantly higher than pre-intervention scores for social marketing (3.31 versus 1.90, p < 0.001), health literacy (3.41 versus 2.98, p < 0.001), and comfort in brochure development (3.11 versus 2.52, p < 0.001) (N = 83). After controlling for demographic and covariate data, health literacy and comfort in brochure development were independent predictors of comfort interacting with diverse populations. Conclusion A brief intervention involving social marketing and health literacy can improve skills that improve medical students’ comfort with patients of diverse backgrounds. Practice implications Health care providers can be taught educational principles and skills involved in developing effective patient education materials. These skills may improve providers’ comfort with direct patient interaction. PMID:17418522

The relationship between psychological comfort space and self-esteem in people with mental disorders.

PubMed

Kunikata, Hiroko; Shiraishi, Yuko; Nakajima, Kazuo; Tanioka, Tetsuya; Tomotake, Masahito

2011-02-01

The purpose of this study was to demonstrate a causal model of the sense of having psychological comfortable space that is call 'ibasho' in Japanese and self-esteem in people with mental disorders who had difficulty in social activities. The subjects were 248 schizophrenia patients who were living in the community and receiving day care treatment. Data were collected from December 2007 to April 2009 using the Scale for the Sense of ibasho for persons with mentally ill (SSI) and the Rosenberg Self-Esteem Scale (RSES), and analyzed for cross-validation of construct validity by conducting covariance structure analysis. A relationship between the sense of having comfortable space and self-esteem was investigated. Multiple indicator models of the sense of having psychological comfortable space and self-esteem were evaluated using structural equation modeling. Furthermore, the SSI scores were compared between the high- and low-self-esteem groups. The path coefficient from the sense of having comfortable space to self-esteem was significant (0.80). High-self-esteem group scored significantly higher in the SSI subscales, 'the sense of recognizing my true self' and 'the sense of recognizing deep person-to-person relationships' than the low-self-esteem group. It was suggested that in order to help people with mental disorders improve self-esteem, it might be useful to support them in a way they can enhance the sense of having comfortable space.

How doctors' communication style and race concordance influence African-Caribbean patients when disclosing depression.

PubMed

Adams, A; Realpe, A; Vail, L; Buckingham, C D; Erby, L H; Roter, D

2015-10-01

To determine the impact of doctors' communication style and doctor-patient race concordance on UK African-Caribbeans' comfort in disclosing depression. 160 African-Caribbean and 160 white British subjects, stratified by gender and history of depression, participated in simulated depression consultations with video-recorded doctors. Doctors were stratified by black or white race, gender and a high (HPC) or low patient-centred (LPC) communication style, giving a full 2×2×2 factorial design. Afterwards, participants rated aspects of doctors' communication style, their comfort in disclosing depression and treatment preferences Race concordance had no impact on African-Caribbeans' comfort in disclosing depression. However a HPC versus LPC communication style made them significantly more positive about their interactions with doctors (p=0.000), their overall comfort (p=0.003), their comfort in disclosing their emotional state (p=0.001), and about considering talking therapy (p=0.01); but less positive about considering antidepressant medication (p=0.01). Doctors' communication style was shown to be more important than patient race or race concordance in influencing African Caribbeans' depression consultation experiences. Changing doctors' communication style may help reduce disparities in depression care. Practitioners should cultivate a HPC style to make African-Caribbeans more comfortable when disclosing depression, so that it is less likely to be missed. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

[Comfort and discomfort: the role of emotions in GPs' prescription practices].

PubMed

Henriksen, Kristin; Hansen, Ebba Holme

2005-12-05

The role of emotions in GPs' prescribing has been ignored. The present article describes 20 GPs' reflections about what precedes comfort and discomfort in prescribing situations. In-depth interviews were done with 20 GPs who contributed with examples on an open comfort-discomfort scale. Analysis of the data was inspired by grounded theory. The GPs experienced a broad spectrum of emotions when prescribing. In every prescribing situation, conditions could pull towards both comfort and discomfort. Comfort appeared when the indication was correct and the patient's condition was serious, when the patient experienced the problem as serious, when the situation was acute and the medicine effective, and when the GP experienced himself as competent. Medicines were placed between comfort and discomfort when prescribing was perceived as indifferent, unproblematic and easy, when the GP was concerned about inflicting a sick role on the patients, and when patients were not convinced about the appropriateness of the medication. Discomfort appeared when there was a great risk of dependence, when GPs experienced and gave in to pressure, when they had to convince patients, and when they prescribed addictive medicine regularly. The totality of conditions in the situation determined the emotional state in the prescribing situation. The GPs' emotions reflected how they evaluated the appropriateness of their prescribing. This should be taken advantage of in rational pharmacotherapy. Future interventions should address both the rationality of GPs and their emotions.

Transitions in Care for Infants with Trisomy 13 or 18.

PubMed

Patterson, Jacquelyn; Taylor, Genevieve; Smith, Melissa; Dotters-Katz, Sarah; Davis, Arlene M; Price, Wayne

2017-07-01

Background and Objectives  The scope of interventions offered to infants with trisomy 13 (T13) or trisomy 18 (T18) is increasing. We describe the spectrum of care provided, highlighting transitions in care for individual patients. Patients and Methods  This is a single-center, retrospective cohort of infants with T13 or T18 born between 2004 and 2015. Initial care was classified as comfort care or intervention using prenatal counseling notes. Transitions in care were identified in the medical record. Results  In this study, 25 infants were divided into two groups based on their care: neonates who experienced no transition in care and neonates who experienced at least one transition. Eleven neonates experienced no transition in care with 10 receiving comfort care. Fourteen neonates experienced at least one transition: three transitioned from comfort care to intervention and 11 from intervention to comfort care. The three initially provided comfort care were discharged home with hospice and readmitted. Among the 11 cases who transitioned from intervention to comfort care, 9 transitioned during the birth hospitalization, 6 had no prenatal suspicion for T13 or T18, and 5 experienced elective withdrawal of intensive care. Conclusion  The spectrum of care for infants with T13 or T18 illustrates the need for individualized counseling that is on-going, goal directed, collaborative, and responsive. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Thermal comfort in naturally ventilated buildings in Maceio, Brazil

NASA Astrophysics Data System (ADS)

Djamila, Harimi

2017-11-01

This article presents the results from thermal comfort survey carried out in classrooms over two different seasons in Maceio, Brazil. The secondary data were collected from thermal comfort field study conducted in naturally ventilated classrooms. Objective and subjective parameters were explored to evaluate thermal comfort conditions. The potential effect of air movement on subjects' vote under neutrality was evaluated. Overall, the indoor climate of the surveyed location was classified warm and humid. Conflicting results were depicted when analyzing the effect of air movements on subjects' vote. The mean air temperature for subjects feeling hot was found to be lower than those feeling warm. A reasonable approach to tackle these two unpredictable results was suggested. Correlation matrix between selected thermal comfort variables was developed. Globe temperature recorded the highest correlation with subjects' response on ASHRAE seven-point scale. The correlation was significant at the 0.01 level. On the other hand, the correlation between air movement and subjects' response on ASHRAE seven-point scale was weak but significant. Further field studies on the current topic were recommended.

The influence of anxiety and personality factors on comfort and reachability space: a correlational study.

PubMed

Iachini, Tina; Ruggiero, Gennaro; Ruotolo, Francesco; Schiano di Cola, Armando; Senese, Vincenzo Paolo

2015-09-01

Although the effects of several personality factors on interpersonal space (i.e. social space within personal comfort area) are well documented, it is not clear whether they also extend to peripersonal space (i.e. reaching space). Indeed, no study has directly compared these spaces in relation to personality and anxiety factors even though such a comparison would help to clarify to what extent they share similar mechanisms and characteristics. The aim of the present paper was to investigate whether personality dimensions and anxiety levels are associated with reaching and comfort distances. Seventy university students (35 females) were administered the Big Five Questionnaire and the State-Trait Anxiety Inventory; afterwards, they had to provide reachability- and comfort-distance judgments towards human confederates while standing still (passive) or walking towards them (active). The correlation analyses showed that both spaces were positively related to anxiety and negatively correlated with the Dynamism in the active condition. Moreover, in the passive condition higher Emotional Stability was related to shorter comfort distance, while higher cognitive Openness was associated with shorter reachability distance. The implications of these results are discussed.

The relation between patient discomfort and uncompensated forces of a patient support device for breast and regional lymph node radiotherapy.

PubMed

Boute, Bert; Veldeman, Liv; Speleers, Bruno; Van Greveling, Annick; Van Hoof, Tom; Van de Velde, Joris; Vercauteren, Tom; De Neve, Wilfried; Detand, Jan

2018-10-01

Although many authors stated that a user-centred design approach in medical device development has added values, the most common research approach within healthcare is evidence-based medicine, which tend to focus on functional data rather than patient wellbeing and comfort. End user comfort is well addressed in literature for commercial products such as seats and hand tools but no data was found for medical devices. A commercial patient support device for breast radiotherapy was analysed and a relation was found between discomfort and uncompensated internal body forces. Derived from CT-images, simplified patient free-body diagrams were analysed and pain and comfort evaluated. Subsequently, a new patient position was established and prototypes were developed. Patient comfort- and prototype optimization was done through iterative prototyping. With this approach, we were able to compensate all internal body forces and establish a force neutral patient free-body diagram. This resulted in comfortable patient positioning and favourable medical results. Copyright © 2018 Elsevier Ltd. All rights reserved.

Comparison of Various Kangaroo Mother Care Carriers on Maternal Comfort: A Pilot Study.

PubMed

Amaliya, Sholihatul; Rustina, Yeni; Agustini, Nur

Kangaroo mother care (KMC) is an evidence-based approach that has been scientifically proven to have a positive effect on mothers and infants. One of the barriers to performing KMC at home is the absence of a special KMC carrier. The most widely used KMC carriers in Indonesia are kangaroo pouch, thari, wrap and traditional wraps in the form of a long strip of fabric. This study's aim was to compare the level of maternal comfort when performing KMC with three different KMC carriers. The study used crossover design involving 20 mothers with low birth weight (LBW) infants as responders, selected through a consecutive sampling method. Data were collected using a maternal comfort questionnaire, maternal anxiety questionnaire, and KMC observation sheet. The results of repeated analysis of variance (ANOVA) showed that there was no significant difference in maternal comfort when performing KMC with any of three KMC carriers (maternal comfort p = .366, α = .05). Therefore, KMC can be implemented using any of the types of carriers including kangaroo pouch, thari wrap, and traditional wrap.

Effects of aircraft cabin noise on passenger comfort.

PubMed

Pennig, Sibylle; Quehl, Julia; Rolny, Vinzent

2012-01-01

The effects of cabin noise on subjective comfort assessments were systematically investigated in order to reveal optimisation potentials for an improved passenger noise acceptance. Two aircraft simulation studies were conducted. An acoustic laboratory test facility provided with loudspeaker systems for realistic sound presentations and an aircraft cabin simulator (Dornier Do 728) with a high degree of ecological validity were used. Subjects were exposed to nine different noise patterns (three noise levels ranging from 66 to 78 dB(A) combined with three different frequency spectra). Regression analysis demonstrated a significant increase of passengers' acceptance with lower noise levels and significant effects of different frequency spectra determined by seat position in the aircraft cabin (front, middle, rear). Acoustic cabin design should therefore consider measures beyond noise level reduction altering noise characteristics to improve passengers' comfort and well-being in the aircraft cabin. To improve passenger comfort in the aircraft with respect to cabin noise, passengers' reactions to specific noise conditions were systematically investigated. Two laboratory studies showed significant dose-response relationships between sound pressure level and subjective comfort ratings which differed due to the noise at specific seat positions in the aircraft.

Hybrid heating systems optimization of residential environment to have thermal comfort conditions by numerical simulation.

PubMed

Jahantigh, Nabi; Keshavarz, Ali; Mirzaei, Masoud

2015-01-01

The aim of this study is to determine optimum hybrid heating systems parameters, such as temperature, surface area of a radiant heater and vent area to have thermal comfort conditions. DOE, Factorial design method is used to determine the optimum values for input parameters. A 3D model of a virtual standing thermal manikin with real dimensions is considered in this study. Continuity, momentum, energy, species equations for turbulent flow and physiological equation for thermal comfort are numerically solved to study heat, moisture and flow field. K - ɛRNG Model is used for turbulence modeling and DO method is used for radiation effects. Numerical results have a good agreement with the experimental data reported in the literature. The effect of various combinations of inlet parameters on thermal comfort is considered. According to Pareto graph, some of these combinations that have significant effect on the thermal comfort require no more energy can be used as useful tools. A better symmetrical velocity distribution around the manikin is also presented in the hybrid system.

GPs' communication skills - a study into women's comfort to disclose intimate partner violence.

PubMed

Tan, Eleanor; O'Doherty, Lorna; Hegarty, Kelsey

2012-07-01

Quantitative research investigating the effects of general practitioner communication on a patient's comfort to disclose intimate partner violence is lacking. We explored the association between GPs' communication and patients' comfort to discuss fear of an intimate partner. A health/lifestyle survey mailed to 14 031 women (aged 16-50 years) who attended the participating GPs of 40 Victorian general practices during the previous year. There was a 32% response rate (n=4467). The results showed that female GPs were perceived as having better communication; an association between female GPs and comfort to disclose was not apparent in multivariate analyses. Time, caring, involving the patient in decisions and putting the patient at ease maintained associations with comfort to discuss, as did language, lower education, age >25 years and current fear. This study advocates increasing communication competence to allow for greater disclosure of sensitive issues such as intimate partner violence in the primary care context. However, it also signals a need in research and practice to focus on marginalised groups and intimate partner violence.

Outdoor thermal comfort and behaviour in urban area

NASA Astrophysics Data System (ADS)

Inavonna, I.; Hardiman, G.; Purnomo, A. B.

2018-01-01

Outdoor comfort is important due to the public spaces functions. Open spaces provide thermal comfort and a pleasant experience to improve the city life quality effectively. The influence of thermal comfort in outdoor activities is a complex problem. This paper presents a literature review and discussion of aspects of physical, psychology, and social behaviour toward outdoor thermal comfort. The valuation is determined not only by the “physical state” but also by the “state of mind”. The assessment is static and objective (i.e., physical and physiological characteristics) that it should be measured. Furthermore, an effective model to provide the knowledge of climatic conditions, as well as the dynamic and subjective aspects (i.e., psychological and social characteristics and behaviour), requires a comprehensive interview and observation. The model will be examined to describe the behaviour that is a reflection of perception and behaviour toward the environment. The adaptation process will constantly evolve so that it becomes a continuous cause between human behaviour and the spatial setting of the formation, which is eventually known as places and not just spaces. This evolutionary process is a civic art form.

The Analysis of Thermal Comfort in Kitchen

NASA Astrophysics Data System (ADS)

Ilma Rahmillah, Fety; Hotma Uli Tumanggor, Agustina; Dila Sari, Amarria

2017-06-01

Human also has a thermoreceptor which is a non-specialized sensory receptor that has relative changes in temperature. Thermal comfort is a very important element for human body. Kitchen as an important part of a home is often forgotten. Cooking in the kitchen is a routine activity which is done from the morning until the evening; begin with preparing breakfast, lunch and dinner. The problem in this study was the occurance of heat when cooking in the kitchen without air conditioning in tropical countries. This research analyzes thermal comfort while doing cooking activities in conventional kitchen with gas stoves in tropical dry season. Two residential kitchens are observed by measuring the temperature and humidity as well as analyze other possible factors. Psychometric chart is used to assess the comfort zone in the kitchen. This research is using Predicted Mean Vote (PMV) Index and Predicted Percentage Dissatisfied (PPD) Index. By using online psychometric chart, the sensation is in warm condition with the range value of PMV between 1.73 up to 2.36 and PPD 63% untill 90%. However, 71% respondents perceived morning kitchen thermal as comfortable.

Building America Case Study: Occupant Comfort from a Mini-Split Heat Pump, San Antonio, Texas

DOE Office of Scientific and Technical Information (OSTI.GOV)

IBACOS worked with builder Imagine Homes to evaluate the performance of an occupied new construction test house following construction of the house in the hot, humid climate of San Antonio, Texas. The project measures the effectiveness of a space conditioning strategy using a multihead mini-split heat pump (MSHP) system in a reduced-load home to achieve acceptable comfort levels (temperature and humidity) and energy performance. IBACOS collected long-term data and analyzed the energy consumption and comfort conditions of the occupied house after one year of operation. Although measured results indicate that the test system provides comfort both inside and outside themore » ASHRAE Standard 55-2010 range, the occupants of the house claimed both adequate comfort and appreciation of the ease of use and flexibility of the installed MSHP system. IBACOS also assisted the builder to evaluate design and specification changes necessary to comply with Zero Energy Ready Home, but the builder chose to not move forward with it because of concerns about the 'solar ready' requirements of the program.« less

Faith leaders' comfort implementing an HIV prevention curriculum in a faith setting.

PubMed

Pichon, Latrice C; Griffith, Derek M; Campbell, Bettina; Allen, Julie Ober; Williams, Terrinieka T; Addo, Angela Y

2012-08-01

YOUR Blessed Health (YBH) is a faith-based HIV prevention pilot program designed to increase faith-based organizations' capacity to address HIV/AIDS among African American congregations. Faith leaders (e.g., pastors, pastors' spouses) were trained to deliver youth and adult HIV education sessions. Perceptions of comfort with discussing 11 sexual health topics were assessed after program implementation. Twenty-nine faith leaders self-reported their comfort discussing sexual behaviors, sexual communication, and sexual abuse. Overall, faith leaders were comfortable discussing these sexual health topics; however, denominational and leadership role differences were found. These findings suggest African American faith leaders are willing to lead faith-based HIV prevention efforts, but that consideration of denominational differences and organizational roles in faith-based health promotion programs is critical.

Female high heel shoes: a study of comfort

NASA Astrophysics Data System (ADS)

Broega, A. C.; Righetto, M.; Ribeiro, R.

2017-10-01

Protection was the basic principle underlying the creation of footwear, once humankind felt the need to protect feet from direct contact with soil, heat, cold and sharp objects. However, this accessory soon acquired cultural, aesthetic, symbolic significance, and apparently it was not related to comfort. This work aims to analyze comfort in women footwear, especially high heels shoe. We intended to understand the emotional relationship of consumers with this type of accessory, as well as to understand to what extent women are willing to give up comfort in favor of aesthetics. For this purpose, a questionnaire was designed, aimed at the female audience in order to understand the relevance of women’s footwear, their daily relationship with shoes, the specificity of heels and the problems caused by it.

Subjective response to combined noise and vibration during flight of a large twin-jet airplane

NASA Technical Reports Server (NTRS)

Clevenson, S. A.

1976-01-01

A NASA twin-jet airplane was used to obtain controlled noise and vibration environments during flight while obtaining subjective responses from 13 passenger-subjects (6 females and 7 males). Subjective ratings of overall comfort, comfort when considering only vibration, and comfort when considering only noise were obtained during times of different vibration and noise environments. Passenger-subjects were able to distinguish and rate noise better than vibration. In addition, there was a statistically significant difference in ratings of ride comfort due to both sex type and flight experience. Males rated flying discomfort much more severely than females when rating the overall ride and the ride when considering only the noise environment. Experienced passengers also rated the overall ride to be more uncomfortable than inexperienced passengers.

Administration of Anesthesia

MedlinePlus Videos and Cool Tools

... more. Anesthesia Download Download the ebook for further information Anesthesia: Safety and Comfort in the OMS Office ... comfortable as possible when you get home. The information provided here is not intended as a substitute ...

Efficacy of Liquid, Air, and Phase Change Material Torso Cooling During Light Exercise While Wearing NBC Clothing

DTIC Science & Technology

1998-03-01

and Thermal Comfort 6 Blood Sampling 6 Statistical Analyses 6 RESULTS 7 Indices of Hydration Status 7 Liquid-Cooling and PCM Cooling Vests...of Uncooled Sites 12 Vapour Pressure 12 Ratings of Thermal Comfort and Perceived Exertion 18 Indices of Heat Tolerance 18 DISCUSSION 20...ill Figures 8A and B Changes in ratings of thermal comfort of the torso and whole body during light exercise at 40°C and 30% relative humidity while

Evaluation of a Cooling Headpiece during Work in a Hot Environment

DTIC Science & Technology

1987-10-01

Press, 1960. 3. Brown, GA, and Willims, GM: The effects of head cooling on deep body temperature and thermal comfort in man. Aviat. Space & Environ...1971. 18. Williams, BA, and Shitzer, A,. A modular liquid-cooled helmet for thermal comfort . Aerospace Med. 45(g):1030-1036, 1974. 11J i. E Appendix A...to physiological benefits, soldier comfort and performance mey I also be enhanced by the CHP. Scalp temperature may be a factor in whole body thermal

Thermal Stress in Seven Types of Chemical Defense Ensembles During Moderate Exercise in Hot Environments

DTIC Science & Technology

1993-08-01

calculated by dividing sweat production by trial length. Subjective Measures Subjective evaluations of rated perceived exertion (RPE) (10) and thermal comfort (TC...correlate with HR (10) . Thermal comfort is believed to be a relative indicator of Trask (11) . Significant differences in •’C ratings were seen only...activity. Data for mean RPE as a function of mean thermal comfort reveal a better relationship than that of RPE and HR. RPE may also be influenced by

Models for the indices of thermal comfort

PubMed Central

Adrian, Streinu-Cercel; Sergiu, Costoiu; Maria, Mârza; Anca, Streinu-Cercel; Monica, Mârza

2008-01-01

The current paper propose the analysis and extension formulation required for establishing decision in the management of the medical national system from the point of view of quality and efficiency such as: conceiving models for the indices of thermal comfort, defining the predicted mean vote (on the thermal sensation scale) „PMV”, defining the metabolism „M”, heat transfer between the human body and the environment, defining the predicted percent of dissatisfied people „PPD”, defining all indices of thermal comfort. PMID:20108461

Effect of Kuwait oil field fires on human comfort and environment in Jubail, Saudi Arabia

NASA Astrophysics Data System (ADS)

Riley, James J.; Hicks, Neal G.; Thompson, T. Lewis

1992-03-01

The plumes from the Kuwait oil field fires reduced hemispheric (total) solar radiation by 26 36% during January June 1991 in Jubail (300 km SE of Kuwait City), Saudi Arabia. Residents feel noticeably cooler even though air temperatures have not been lowered significantly (up to June 1991). These observations support human comfort theories and demonstrate the importance of shade to comfort. The desirability of complete solar radiation measurements, including those of diffuse radiation, is indicated.

Summary of Laboratory and Field Comfort Studies on Candidate Fabrics for a Year-Round Uniform

DTIC Science & Technology

1986-06-01

differences were particularly sharp under wearing conditions involving mild to heavy sweating at the skin- garment interface. 5 The evaluation of comfort using...34 would be inter- preted as meaning that the garment was "mildly scratchy". If no comment was made by the wearer, a rating of 5, "totally comfortable...25 women used in this study had no difficulty in detecting these differences even though the garments were presented randomly without identifying

Automatic control of human thermal comfort with a liquid-cooled garment

NASA Technical Reports Server (NTRS)

Kuznetz, L. H.

1977-01-01

Water cooling in a liquid-cooled garment is used to maintain the thermal comfort of crewmembers during extravehicular activity. The feasibility of a simple control that will operate automatically to maintain the thermal comfort is established. Data on three test subjects are included to support the conclusion that heat balance can be maintained well within allowable medical limits. The controller concept was also successfully demonstrated for ground-based applications and shows potential for any tasks involving the use of liquid-cooled garments.

Investigating comfort properties of 3/1 Z twill weaved denim fabrics

NASA Astrophysics Data System (ADS)

Taştan Özkan, E.; Kaplangiray, B.

2017-10-01

Denim jeans are preferred because of durability and easy washing properties. Nowadays the expectations of consumers from denim fabrics are changed towards design and comfort properties. Fort this reason, thermal and moisture comfort properties of denim fabrics should be examined. This paper aims to investigate thermal, air permeability and moisture management properties of 3/1 Z twill weaved denim fabrics. These fabrics are produced mainly from cotton with different yarn count and cover factors are close to each other.

Efficacy of Home-use Bleaching Agents Delivered in Customized or Prefilled Disposable Trays: A Randomized Clinical Trial.

PubMed

Carlos, N R; Bridi, E C; Amaral, Flb; França, Fmg; Turssi, C P; Basting, R T

The purpose of this study was to evaluate bleaching methods containing hydrogen peroxide (HP) or carbamide peroxide (CP), dispensed in customized or prefilled trays, in terms of color change, tooth sensitivity, gingival irritation, acceptance, and comfort. Seventy-five volunteers were randomly selected and distributed according to the whitening agent (n=25): 10% HP dispensed in prefilled trays (Opalescence Go 10%) and 9.5% HP (Pola Day) and 10% CP both delivered in customized trays (Opalescence PF 10%). HP was applied for 30 min/d for 14 days (d), and CP for 8 h/d for 14 days. Evaluations were performed at baseline and at 7 days and 14 days of treatment. Color change was measured with Commission internationale de l'éclairage color coordinates (L*, a*, b*), Vita Classical, and 3D Master scales. A visual analog scale was used to assess tooth sensitivity, acceptance of the method and degree of comfort of the tray. Gingival irritation was evaluated as present or absent and localized or generalized. Regarding gingival irritation, tray acceptance, and tooth sensitivity, no differences were observed among the groups at any time (p>0.05). As for degree of comfort, 10% HP showed lower scores (comfortable) than 10% CP, with significant differences (p<0.05) from the other groups (comfortable to very comfortable). In terms of ΔL, Δa, and ΔE, no difference was observed among the groups or between the time periods (p>0.05). The Δb average was higher at 14 days (p<0.05), and there was no difference among the groups (p>0.05). Localized gingival irritation was observed in both tray methods. Mild tooth sensitivity was observed with time, regardless of the bleaching agent concentration or the application time. Color change was similar for all the groups at 7 days and 14 days, but there was a greater reduction in the yellow hue at 14 days. All the bleaching methods were highly accepted and effective in promoting whitening. Although prefilled trays are generally comfortable, they proved less comfortable than customized trays.

Cultural adaptation of patient and observational outcome measures: a methodological example using the COMFORT behavioral rating scale.

PubMed

Andersen, Randi Dovland; Jylli, Leena; Ambuel, Bruce

2014-06-01

There is little empirical evidence regarding the translation and cultural adaptation of self-report and observational outcome measures. Studies that evaluate and further develop existing practices are needed. This study explores the use of cognitive interviews in the translation and cultural adaptation of observational measures, using the COMFORT behavioral scale as an example, and demonstrates a structured approach to the analysis of data from cognitive interviews. The COMFORT behavioral scale is developed for assessment of distress and pain in a pediatric intensive care setting. Qualitative, descriptive methodological study. One general public hospital trust in southern Norway. N=12. Eight nurses, three physicians and one nurse assistant, from different wards and with experience caring for children. We translated the COMFORT behavior scale into Norwegian before conducting individual cognitive interviews. Participants first read and then used the translated version of the COMFORT behavioral scale to assess pain based on a 3-min film vignette depicting an infant in pain/distress. Two cognitive interview techniques were applied: Thinking Aloud (TA) during the assessment and Verbal Probing (VP) afterwards. In TA the participant verbalized his/her thought process while completing the COMFORT behavioral scale. During VP the participant responded to specific questions related to understanding of the measure, information recall and the decision process. We audio recorded, transcribed and analyzed interviews using a structured qualitative method (cross-case analysis based on predefined categories and development of a results matrix). Our analysis revealed two categories of problems: (1) Scale problems, warranting a change in the wording of the scale, including (a) translation errors, (b) content not understood as intended, and (c) differences between the original COMFORT scale and the revised COMFORT behavioral scale; and (2) Rater-context problems caused by (a) unfamiliarity with the scale, (b) lack of knowledge and experience, and (c) assessments based on a film vignette. Cognitive interviews revealed problems with both the translated and the original versions of the scale and suggested solutions that enhanced the validity of both versions. Cognitive interviews might be seen as a complement to current published best practices for translation and cultural adaptation. Copyright © 2013 Elsevier Ltd. All rights reserved.

The influence of outdoor thermal environment on young Japanese females.

PubMed

Kurazumi, Yoshihito; Ishii, Jin; Kondo, Emi; Fukagawa, Kenta; Bolashikov, Zhecho Dimitrov; Sakoi, Tomonori; Tsuchikawa, Tadahiro; Matsubara, Naoki; Horikoshi, Tetsumi

2014-07-01

The influence of short wave solar radiation appears to be strong outdoors in summer, and the influence of airflow appears to be strong outdoors in winter. The purpose of this paper was to clarify the influence of the outdoor environment on young Japanese females. This research shows the relationship between the physiological and psychological responses of humans and the enhanced conduction-corrected modified effective temperature (ETFe). Subjective experiments were conducted in an outdoor environment. Subjects were exposed to the thermal environment in a standing posture. Air temperature, humidity, air velocity, short wave solar radiation, long wave radiation, ground surface temperature, sky factor, and the green solid angle were measured. The temperatures of skin exposed to the atmosphere and in contact with the ground were measured. Thermal sensation and thermal comfort were measured by means of rating the whole-body thermal sensation (cold-hot) and the whole body thermal comfort (comfortable-uncomfortable) on a linear scale. Linear rating scales are given for the hot (100) and cold (0), and comfortable (100) and uncomfortable (0) directions only. Arbitrary values of 0 and 100 were assigned to each endpoint, the reported values read in, and the entire length converted into a numerical value with an arbitrary scale of 100 to give a linear rating scale. The ETFe considered to report a neither hot nor cold, thermally neutral sensation of 50 was 35.9 °C, with 32.3 °C and 42.9 °C, respectively, corresponding to the low and high temperature ends of the ETFe considered to report a neither comfortable nor uncomfortable comfort value of 50. The mean skin temperature considered to report a neither hot nor cold, thermally neutral sensation of 50 was 33.3 °C, with 31.0 °C and 34.3 °C, respectively, corresponding to the low and high temperature ends of the mean skin temperature considered to report a neither comfortable nor uncomfortable comfort value of 50. The acceptability raised the mean skin temperature even for thermal environment conditions in which ETFe was high.

The influence of outdoor thermal environment on young Japanese females

NASA Astrophysics Data System (ADS)

Kurazumi, Yoshihito; Ishii, Jin; Kondo, Emi; Fukagawa, Kenta; Bolashikov, Zhecho Dimitrov; Sakoi, Tomonori; Tsuchikawa, Tadahiro; Matsubara, Naoki; Horikoshi, Tetsumi

2014-07-01

The influence of short wave solar radiation appears to be strong outdoors in summer, and the influence of airflow appears to be strong outdoors in winter. The purpose of this paper was to clarify the influence of the outdoor environment on young Japanese females. This research shows the relationship between the physiological and psychological responses of humans and the enhanced conduction-corrected modified effective temperature (ETFe). Subjective experiments were conducted in an outdoor environment. Subjects were exposed to the thermal environment in a standing posture. Air temperature, humidity, air velocity, short wave solar radiation, long wave radiation, ground surface temperature, sky factor, and the green solid angle were measured. The temperatures of skin exposed to the atmosphere and in contact with the ground were measured. Thermal sensation and thermal comfort were measured by means of rating the whole-body thermal sensation (cold-hot) and the whole body thermal comfort (comfortable-uncomfortable) on a linear scale. Linear rating scales are given for the hot (100) and cold (0), and comfortable (100) and uncomfortable (0) directions only. Arbitrary values of 0 and 100 were assigned to each endpoint, the reported values read in, and the entire length converted into a numerical value with an arbitrary scale of 100 to give a linear rating scale. The ETFe considered to report a neither hot nor cold, thermally neutral sensation of 50 was 35.9 °C, with 32.3 °C and 42.9 °C, respectively, corresponding to the low and high temperature ends of the ETFe considered to report a neither comfortable nor uncomfortable comfort value of 50. The mean skin temperature considered to report a neither hot nor cold, thermally neutral sensation of 50 was 33.3 °C, with 31.0 °C and 34.3 °C, respectively, corresponding to the low and high temperature ends of the mean skin temperature considered to report a neither comfortable nor uncomfortable comfort value of 50. The acceptability raised the mean skin temperature even for thermal environment conditions in which ETFe was high.

Immediate Changes After Manual Therapy in Patients With Persistent, Nonspecific Back Pain: A Randomized Controlled Trial.

PubMed

Espí-López, Gemma Victoria; Ruescas-Nicolau, Maria-Arantzazu; Sanchez-Sanchez, M Luz; Arnal-Gómez, Anna; Balasch-Bernat, Mercè; Marques-Sule, Elena

2018-02-10

Context • Thoracic manipulation decreases pain and disability. However, when such manipulation is contraindicated, the use of other manual techniques based on the regional interdependence of the thoracic spine, upper ribs, and shoulders is an alternative approach. Objective • The study intended to investigate the immediate changes resulting from 3 manual therapy treatments on spinal mobility, flexibility, comfort, and pain perception in patients with persistent, nonspecific back pain as well as changes in their sense of physical well-being and their perception of change after treatment. Design • The study was a randomized, double-blind, controlled trial. Setting • The study took place in the Department of Physiotherapy of the Faculty of Physiotherapy at the University of Valencia (Valencia, Spain). Participants • Participants were 112 individuals from the community-56.6% female, with a mean age of 21.8 ± 0.2 y-who had persistent, nonspecific back pain. Intervention • Participants were randomly assigned to 1 of 3 groups, receiving (1) neurolymphatic therapy (NL group), (2) articulatory spinal manual therapy (AS group), or (3) articulatory costal manual therapy (AC group). Outcome Measures • Cervical mobility, lumbar flexibility, comfort, pain perception, and physical well-being were assessed at baseline and immediately postintervention. Perception of change was evaluated postintervention. Results • Between baseline and postintervention, the AC group showed a significant increase in cervical flexion (P = .010), whereas the NL and AS groups improved in lumbar flexibility, P = .047 and P = .012, respectively. For that period, significant changes were found in lumbar comfort for the AS group (P < .001) and the NL group (P < .026) and in thoracic comfort (P < .001) for the AC group. All groups improved in physical well-being and pain perception (P < .05). Changes in thoracic comfort, lumbar comfort, and physical well-being differed among the groups, with some differences being statistically significant. Conclusions • All treatments improved pain perception and increased physical well-being. The NL and AS treatments were more effective in lumbar flexibility, the AC treatment in cervical flexion and thoracic comfort, and the NL treatment in lumbar comfort.

A Comfortability Level Scale for Performance of Cardiopulmonary Resuscitation.

ERIC Educational Resources Information Center

Otten, Robert Drew

1984-01-01

This article discusses the development of an instrument to appraise the comfortability level of college students in performing cardiopulmonary resuscitation. Methodology and findings of data collection are given. (Author/DF)

10 CFR 434.101 - Scope.

Code of Federal Regulations, 2010 CFR

2010-01-01

... occupant comfort and sanitation, and which impose thermal loads in excess of 5% of the loads that would otherwise be required for occupant comfort and sanitation without the process; 101.2.4Envelope requirements...

Human comfort response to random motions with a dominant vertical motion

NASA Technical Reports Server (NTRS)

Stone, R. W., Jr.

1975-01-01

Subjective ride comfort response ratings were measured on the Langley Visual Motion Simulator with vertical acceleration inputs with various power spectra shapes and magnitudes. The data obtained are presented.

The development of interior noise and vibration criteria

NASA Technical Reports Server (NTRS)

Leatherwood, J. D.; Clevenson, S. A.; Stephens, D. G.

1990-01-01

A generalized model was developed for estimating passenger discomfort response to combined noise and vibration. This model accounts for broadband noise and vibration spectra and multiple axes of vibration as well as the interactive effects of combined noise and vibration. The model has the unique capability of transforming individual components of noise/vibration environment into subjective comfort units and then combining these comfort units to produce a total index of passenger discomfort and useful sub-indices that typify passenger comfort within the environment. An overview of the model development is presented including the methodology employed, major elements of the model, model applications, and a brief description of a commercially available portable ride comfort meter based directly upon the model algorithms. Also discussed are potential criteria formats that account for the interactive effects of noise and vibration on human discomfort response.

Comfort in High-Performance Homes in a Hot-Humid Climate

DOE Office of Scientific and Technical Information (OSTI.GOV)

Poerschke, A.; Beach, R.

2016-01-01

IBACOS monitored 37 homes during the late summer and early fall of 2014 in a hot and humid climate to better understand indoor comfort conditions. These homes were constructed in the last several years by four home builders that offered a comfort and performance guarantee for the homes. The homes were located in one of four cities: Tampa, Florida; Orlando, Florida; Houston, Texas; and San Antonio, Texas. Temperature and humidity data were collected from the thermostat and each room of the house using small, battery-powered data loggers. To understand system runtime and its impact on comfort, supply air temperature alsomore » was measured on a 1-minute interval. Overall, the group of homes only exceeded a room-to-room temperature difference of 6 degrees Fahrenheit for 5% of the time.« less

The continuous end-state comfort effect: weighted integration of multiple biases.

PubMed

Herbort, Oliver; Butz, Martin V

2012-05-01

The grasp orientation when grasping an object is frequently aligned in anticipation of the intended rotation of the object (end-state comfort effect). We analyzed grasp orientation selection in a continuous task to determine the mechanisms underlying the end-state comfort effect. Participants had to grasp a box by a circular handle-which allowed for arbitrary grasp orientations-and then had to rotate the box by various angles. Experiments 1 and 2 revealed both that the rotation's direction considerably determined grasp orientations and that end-postures varied considerably. Experiments 3 and 4 further showed that visual stimuli and initial arm postures biased grasp orientations if the intended rotation could be easily achieved. The data show that end-state comfort but also other factors determine grasp orientation selection. A simple mechanism that integrates multiple weighted biases can account for the data.

A review on the major sources of the interior sound vibration and riding comfort in vehicles

NASA Astrophysics Data System (ADS)

AlDhahebi, Adel Mohammed; Junoh, Ahmad Kadri; Ahmed, Amran

2016-10-01

Vehicle interior comfort is a crucial criteria that is considered by the perspective customer when purchasing a new vehicle. Meanwhile, automotive industries face the challenges for producing vehicles with better design criteria that meet the expectations of customers and eventually promote higher competitive advantages in areas of acoustic performance, cost effectiveness, product weight, and global competitive market. This review presents the major sources that influence the generation of noise and vibration in the interior part of the vehicles. It also demonstrates the relative methods that are used to assess the interior acoustics and vibration and further improve the riding comfort. This study is of a particular importance for acoustical researchers and automobile engineers, where it brings about suggestions and fundamentals that can contribute to acoustical comfort in vehicles.

An ACC Design Method for Achieving Both String Stability and Ride Comfort

NASA Astrophysics Data System (ADS)

Yamamura, Yoshinori; Seto, Yoji; Nishira, Hikaru; Kawabe, Taketoshi

An investigation was made of a method for designing adaptive cruise control (ACC) so as to achieve a headway distance response that feels natural to the driver while at the same time obtaining high levels of both string stability and ride comfort. With this design method, the H∞ norm is adopted as the index of string stability. Additionally, two norms are introduced for evaluating ride comfort and natural vehicle behavior. The relationship between these three norms and headway distance response characteristics was analyzed, and an evaluation method was established for achieving high levels of the various performance characteristics required of ACC. An ACC system designed with this method was evaluated in driving tests conducted on a proving ground course, and the results confirmed that it achieved the targeted levels of string stability, ride comfort and natural vehicle behavior.

Monitoring results and analysis of thermal comfort conditions in experimental buildings for different heating systems and ventilation regimes during heating and cooling seasons

NASA Astrophysics Data System (ADS)

Gendelis, S.; Jakovičs, A.; Ratnieks, J.; Bandeniece, L.

2017-10-01

This paper focuses on the long-term monitoring of thermal comfort and discomfort parameters in five small test buildings equipped with different heating and cooling systems. Calculations of predicted percentage of dissatisfied people (PPD) index and discomfort factors are provided for the room in winter season running three different heating systems - electric heater, air-air heat pump and air-water heat pump, as well as for the summer cooling with split type air conditioning systems. It is shown that the type of heating/cooling system and its working regime has an important impact on thermal comfort conditions in observed room. Recommendations for the optimal operating regimes and choice of the heating system from the thermal comfort point of view are summarized.

The Differential role of parenting, peers, and temperament for explaining interindividual differences in 18-months-olds' comforting and helping.

PubMed

Schuhmacher, Nils; Collard, Jenny; Kärtner, Joscha

2017-02-01

This study analyzes temperamental and social correlates of 18-month-olds' (N=58) instrumental helping (i.e., handing over out-of-reach objects) and comforting (i.e., alleviating experimenter's distress). While out-of-reach helping as a basic type of prosocial behavior was not associated with any of the social and temperamental variables, comforting was associated with maternal responsible parenting, day care attendance, and temperamental fear, accounting for 34% of the total variance in a corresponding regression model. The data of the present study suggest that, while simple instrumental helping seems to be a robust developmental phenomenon, comforting is associated with specific social experiences and child temperament that constitute interindividual differences and thereby help to explain the domain-specific development of prosociality. Copyright © 2017 Elsevier Inc. All rights reserved.

Environmental comfort as criteria for energy management: a case study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rhee, E.K.

This study is a field experiment aimed at evaluating environmental comfort by investigating the impact of different environmental conditions on the perceptions, behaviors and performance of building occupants. The development of a prediction model for thermal comfort and the determination of actual energy savings achieved by altering environmental conditions are other major goals of this study. The research approach is a case study applying a pretest-posttest experimental design. An office building in Ann Arbor is selected for the study. It represents a typical office building in terms of design, occupancy, building systems and environmental conditions, suggesting that the study resultsmore » may be applicable to other office settings. It was found that building occupants were satisfied with the pretest environmental conditions which were within the range of current comfort standards, and with the posttest conditions which were lower than current standards. Changes in environmental conditions had little effect on the occupants' perceptions, behavior and performance, although the changes achieved considerable energy savings during the heating season. Among the other major findings, it was demonstrated that psychological factors were more decisive than objective environmental conditions in determining thermal comfort. The study concludes that an energy management program in an office building that is based on 69/sup 0/F indoor temperature, 30% relative humidity, 10-15 cfm/person ventilation rate, 50 fc lighting level, and 105 F domestic hot water can save energy while maintaining environmental comfort among occupants.« less

Impact of a Pediatric and Adolescent Gynecology Curriculum on an Obstetrics and Gynecology Residency.

PubMed

Palaszewski, Dawn M; Miladinovic, Branko; Caselnova, Petra M; Holmström, Shelly W

2016-12-01

To determine the effectiveness of a new pediatric and adolescent gynecology (PAG) curriculum for improving obstetrics/gynecology resident physician knowledge and comfort level in patient management and to describe the current deficiencies in resident physician knowledge and comfort level in PAG. A PAG curriculum was implemented for the obstetrics/gynecology resident physicians (n = 20) at the University of South Florida in July 2013. Before and after the curriculum was introduced, resident physicians and recent graduates of the residency program completed a survey to assess their comfort level and a knowledge assessment consisting of 20 case-based questions. University-based residency program. Resident physicians and recent resident physician graduates in the Department of Obstetrics and Gynecology. Introduction of a PAG curriculum during the 2013-2014 academic year. Improvement in resident physicians' comfort level and knowledge in PAG. After the curriculum was introduced, comfort increased in examining the genitals of a pediatric gynecology patient (median difference = 1.5; P = .003) and history-taking, physical examination skills, and management (median difference = 1; P = .002) compared with before the curriculum. There was no significant difference in overall quiz score (15.5 ± 1.87 vs 15.8 ± 1.3; P = .78). A curriculum in PAG did improve resident comfort level in managing PAG patients, but did not significantly improve knowledge of this topic. Copyright © 2016.

Estimating a just-noticeable difference for ocular comfort in contact lens wearers.

PubMed

Papas, Eric B; Keay, Lisa; Golebiowski, Blanka

2011-06-21

To estimate the just-noticeable difference (JND) in ocular comfort rating by human, contact lens-wearing subjects using 1 to 100 numerical scales. Ostensibly identical, new contact lenses were worn simultaneously in both eyes by 40 subjects who made individual comfort ratings for each eye using a 100-point numerical ratings scale (NRS). Concurrently, interocular preference was indicated on a five-point Likert scale (1 to 5: strongly prefer right, slightly prefer right, no preference, slightly prefer left, strongly prefer left, respectively). Differences in NRS comfort score (ΔC) between the right and left eyes were determined for each Likert scale preference criteria. The distribution of group ΔC scores was examined relative to alternative definitions of JND as a means of estimating its value. For Likert scores indicating the presence of a slight interocular preference, absolute ΔC ranged from 1 to 30 units with a mean of 7.4 ± 1.3 (95% confidence interval) across all lenses and trials. When there was no Likert scale preference expressed between the eyes, absolute ΔC did not exceed 5 units. For ratings of comfort using a 100-point numerical rating scale, the inter-ocular JND is unlikely to be less than 5 units. The estimate for the average value in the population was approximately 7 to 8 units. These numbers indicate the lowest level at which changes in comfort measured with such scales are likely to be clinically significant.

Relative importance of different surface regions for thermal comfort in humans.

PubMed

Nakamura, Mayumi; Yoda, Tamae; Crawshaw, Larry I; Kasuga, Momoko; Uchida, Yuki; Tokizawa, Ken; Nagashima, Kei; Kanosue, Kazuyuki

2013-01-01

In a previous study, we investigated the contribution of the surface of the face, chest, abdomen, and thigh to thermal comfort by applying local temperature stimulation during whole-body exposure to mild heat or cold. In hot conditions, humans prefer a cool face, and in cold they prefer a warm abdomen. In this study, we extended investigation of regional differences in thermal comfort to the neck, hand, soles, abdomen (Experiment 1), the upper and lower back, upper arm, and abdomen (Experiment 2). The methodology was similar to that used in the previous study. To compare the results of each experiment, we utilized the abdomen as the reference area in these experiments. Thermal comfort feelings were not particularly strong for the limbs and extremities, in spite of the fact that changes in skin temperature induced by local temperature stimulation of the limbs and extremities were always larger than changes that were induced in the more proximal body parts. For the trunk areas, a significant difference in thermal comfort was not observed among the abdomen, and upper and lower back. An exception involved local cooling during whole-body mild cold exposure, wherein the most dominant preference was for a warmer temperature of the abdomen. As for the neck and abdomen, clear differences were observed during local cooling, while no significant difference was observed during local warming. We combined the results for the current and the previous study, and characterized regional differences in thermal comfort and thermal preference for the whole-body surface.

Evaluating the climate capabilities of the coastal areas of southeastern Iran for tourism: a case study on port of Chabahar

NASA Astrophysics Data System (ADS)

Sabzevari, Azadeh Arbabi; Miri, Morteza; Raziei, Tayeb; Oroji, Hassan; Rahimi, Mojtaba

2018-03-01

The present study aims to evaluate the influence of climate conditions on tourism in the port of Chabahar, southeastern Iran, using the climate comfort indices (CIT, PMV, and TCI) and the field data relative to the tourist satisfaction. According to the computed TCI, the autumn-winter season (October-April) is climatically favorable for tourism in Chabahar, but it is ideal during January to March. Based on the computed PMV index, the studied region is in the range of climate comfort in most parts of the year. However, when the PMV thermal comfort limits (- 0.5 < PMV < 0.5) and the PPD limits (0 < PPD < 10) are considered, only the March and November are included in the thermal comfort range. The CIT index also indicates that all months of the year are acceptable for tourism that does not coincide with the reality of the region. However, by blending the PMV and the tourist's degree of satisfaction, a slight modification was made to the CIT index to better represent the reality of the region regarding the climate comfort. The modified CIT gave a different result, reflecting the importance of tourists' perceptions in defining the climate comfort rather than merely relying on the climate variables. The modified CIT also suggests November-March as a period with favorable to ideal climate condition for tourism in Chabahar which is a more realistic assessment of climate condition of the region as perceived by the tourists interviewed.

Do rotational shear-cushioning shoes influence horizontal ground reaction forces and perceived comfort during basketball cutting maneuvers?

PubMed

Lam, Wing-Kai; Qu, Yi; Yang, Fan; Cheung, Roy T H

2017-01-01

Court shoe designs predominantly focus on reducing excessive vertical ground reaction force, but shear force cushioning has received little attention in the basketball population. We aimed to examine the effect of a novel shoe-cushioning design on both resultant horizontal ground reaction forces and comfort perception during two basketball-specific cutting movements. Fifteen university team basketball players performed lateral shuffling and 45-degree sidestep cutting at maximum effort in basketball shoes with and without the shear-cushioning system (SCS). Paired t -tests were used to examine the differences in kinetics and comfort perception between two shoes. SCS shoe allowed for larger rotational material deformation compared with control shoes, but no significant shoe differences were found in braking phase kinetics during both cutting movements ( P  = 0.35). Interestingly, a greater horizontal propulsion impulse was found with the SCS during 45-degree cutting ( P  < 0.05), when compared with the control. In addition, players wearing SCS shoes perceived better forefoot comfort ( P  = 0.012). During lateral shuffling, there were no significant differences in horizontal GRF and comfort perception between shoe conditions ( P  > 0.05). The application of a rotational shear-cushioning structure allowed for better forefoot comfort and enhanced propulsion performance in cutting, but did not influence the shear impact. Understanding horizontal ground reaction force information may be useful in designing footwear to prevent shear-related injuries in sport populations.

Psychiatric Sequelae of Former “Comfort Women,” Survivors of the Japanese Military Sexual Slavery during World War II

PubMed Central

Lee, Jeewon; Kwak, Young-Sook; Kim, Yoon-Jung; Kim, Eun-Ji; Park, E Jin; Shin, Yunmi; Lee, Bun-Hee; Lee, So Hee; Jung, Hee Yeon; Lee, Inseon; Hwang, Jung Im; Kim, Dongsik; Lee, Soyoung Irene

2018-01-01

“Comfort women” refers to young women and girls who were forced into sexual slavery by the Imperial Japanese military during World War II. They were abducted from their homes in countries under Imperial Japanese rule, mostly from Korea, and the rest from China, Philippines, Malaysia, Taiwan, Indonesia, the Netherlands, etc. “Comfort women” endured extreme trauma involving rape, sexual torture, physical abuse, starvation, threats of death, and witnessed many others being tortured and killed. This article reviews all the studies that have investigated the psychiatric or psychosocial sequelae of the survivors of the Japanese military sexual slavery. Most importantly, a recent study which conducted a psychiatric evaluation on the former “comfort women” currently alive in South Korea is introduced. The participants’ unmarried rate was relatively high and their total fertility rate was relatively low. Majority of the participants reported having no education and being the low economic status. They showed high current and lifetime prevalence of posttraumatic disorder, major depressive disorder, somatic symptom disorder, social anxiety disorder, panic disorder, and alcohol use disorder. Participants showed high suicidality and majority of the participants still reported being ashamed of being former “comfort women” after all these years. This article high-lights the fact that the trauma has affected the mental health and social functioning of former “comfort women” throughout their lives, and even to the present day. PMID:29669407

Annual Energy Savings and Thermal Comfort of Autonomously Heated and Cooled Office Chairs

DOE Office of Scientific and Technical Information (OSTI.GOV)

Carmichael, Scott; Booten, Chuck; Robertson, Joseph

Energy use in offices buildings is largely driven by air conditioning demands. But the optimal temperature is not the same for all building occupants, leading to the infamous thermostat war. And many occupants have independently overcome building comfort weaknesses with their own space heaters or fans. NREL tested is a customized office chair that automatically heats and cools the occupant along the seat and chair back according to the occupants' personal preferences. This product is shown to deliver markedly better comfort at room temperatures well above typical office cooling setpoints. Experimental subjects reported satisfaction in these elevated air temperatures, partlymore » because the chair's cooling effect was tuned to their own individual needs. Simulation of the chair in office buildings around the U.S. shows that energy can be saved everywhere, with impacts varying due to the climate. Total building HVAC energy savings exceeded 10% in hot-dry climate zones. Due to high product cost, simple payback for the chair we studied is beyond the expected chair life. We then understood the need to establish cost-performance targets for comfort delivery packages. NREL derived several hypothetical energy/cost/comfort targets for personal comfort product systems. In some climate regions around the U.S., these show the potential for office building HVAC energy savings in excess of 20%. This report documents this research, providing an overview of the research team's methods and results while also identifying areas for future research building upon the findings.« less

Default Options In Advance Directives Influence How Patients Set Goals For End-Of-Life Care

PubMed Central

Halpern, Scott D.; Loewenstein, George; Volpp, Kevin G.; Cooney, Elizabeth; Vranas, Kelly; Quill, Caroline M.; Mckenzie, Mary S.; Harhay, Michael O.; Gabler, Nicole B.; Silva, Tatiana; Arnold, Robert; Angus, Derek C.; Bryce, Cindy

2015-01-01

Although decisions regarding end-of-life care are personal and important, they may be influenced by the ways in which options are presented. To test this hypothesis, we randomly assigned 132 seriously ill patients to complete one of three types of advance directives. Two types had end-of-life care options already checked—a default choice—but one of these favored comfort-oriented care, and the other, life-extending care. The third type was a standard advance directive with no options checked. We found that most patients preferred comfort-oriented care, but the defaults influenced those choices. For example, 77 percent of patients in the comfort-oriented group retained that choice, while 43 percent of those in the life-extending group rejected the default choice and selected comfort-oriented care instead. Among the standard advance directive group, 61 percent of patients selected comfort-oriented care. Our findings suggest that patients may not hold deep-seated preferences regarding end-of-life care. The findings provide motivation for future research examining whether using default options in advance directives may improve important outcomes, including patients’ receipt of wanted and unwanted services, resource use, survival, and quality of life. PMID:23381535

The effect of shaped wheelchair cushion and lumbar supports on under-seat pressure, comfort, and pelvic rotation.

PubMed

Samuelsson, Kersti; Björk, Maarit; Erdugan, Ann-Marie; Hansson, Anna-Karin; Rustner, Birgitta

2009-09-01

A wheelchair seat and position help clients perform daily activities. The comfort of the wheelchair can encourage clients to participate in daily activities and can help prevent future complications. This study evaluates how a shaped seat-cushion and two different back supports affect under-seat pressure, comfort, and pelvic rotation. Thirty healthy subjects were tested using two differently equipped manual wheelchairs. One wheelchair had a Velcro adjustable back seat and a plane seat-cushion. The other wheelchair had a non-adjustable sling-back seat and a plane cushion. The second wheelchair was also equipped with a shaped cushion and/or a detachable lumbar support. Under-seat pressure, estimated comfort, and pelvic rotation were measured after 10 min in each wheelchair outfit. Peak pressure increased with the shaped cushion compared to the plane cushion. No significant difference in estimated comfort was found. Pelvic posterior-rotation was reduced with the adjustable or detachable back-support irrespective of the shape of the seat cushion. To support a neutral pelvic position and spinal curvature, a combination of a shaped cushion and a marked lumbar support is most effective.

Northwestern University Flexible Subischial Vacuum Socket for persons with transfemoral amputation: Part 2 Description and Preliminary evaluation.

PubMed

Fatone, Stefania; Caldwell, Ryan

2017-06-01

Current transfemoral prosthetic sockets are problematic as they restrict function, lack comfort, and cause residual limb problems. Development of a subischial socket with lower proximal trim lines is an appealing way to address this problem and may contribute to improving quality of life of persons with transfemoral amputation. The purpose of this study was to illustrate the use of a new subischial socket in two subjects. Case series. Two unilateral transfemoral prosthesis users participated in preliminary socket evaluations comparing functional performance of the new subischial socket to ischial containment sockets. Testing included gait analysis, socket comfort score, and performance-based clinical outcome measures (Rapid-Sit-To-Stand, Four-Square-Step-Test, and Agility T-Test). For both subjects, comfort was better in the subischial socket, while gait and clinical outcomes were generally comparable between sockets. While these evaluations are promising regarding the ability to function in this new socket design, more definitive evaluation is needed. Clinical relevance Using gait analysis, socket comfort score and performance-based outcome measures, use of the Northwestern University Flexible Subischial Vaccum Socket was evaluated in two transfemoral prosthesis users. Socket comfort improved for both subjects with comparable function compared to ischial containment sockets.

Comparison of 3 bonded lingual appliances by auditive analysis and subjective assessment.

PubMed

Hohoff, Ariane; Stamm, Thomas; Goder, Gerhard; Sauerland, Cristina; Ehmer, Ulrike; Seifert, Eberhard

2003-12-01

The aim of this prospective study was to compare for the first time the influences of lingual appliances of different dimensions on sound performance and oral comfort. The study group comprised 12 subjects (10 women, 2 men; mean age, 33.96 years). Their sound production was recorded by means of a digital audio tape recorder before, 10 minutes after, and 24 hours after placement of the different appliances for semiobjective assessment by 3 blinded speech professionals. This was followed by supplementary subjective ratings of sound performance and oral comfort by the patients. All lingual appliances induced significant impairment in sound performance and oral comfort. However, they varied significantly with respect to the degree of impairment. The smaller the appliance, the less pronounced the impairments it induced. The smallest changes were induced by a bonded canine-to-canine retainer, followed by customized lingual brackets and prefabricated lingual brackets. By using lower-profile customized brackets, the orthodontist can significantly enhance patient comfort and significantly reduce impairments of sound performance in comparison with prefabricated brackets with larger dimensions. Before placing a lingual appliance, however, patients should be briefed on possible effects such as impaired sound production and decreased oral comfort.

Concordance between VDU-users' ratings of comfort and perceived exertion with experts' observations of workplace layout and working postures.

PubMed

Lindegård, A; Karlberg, C; Wigaeus Tornqvist, E; Toomingas, A; Hagberg, M

2005-05-01

The aim of the present study was to evaluate the concordance (agreement) between VDU-users' ratings of comfort and ergonomists' observations of workplace layout, and the concordance between VDU-users' ratings of perceived exertion and ergonomists' observations of working postures during VDU-work. The study population consisted of 853 symptom free subjects. Data on perceived comfort in different dimensions and data regarding perceived exertion in different body locations were collected by means of a questionnaire. Data concerning workplace layout and working postures were collected with an observation protocol, by an ergonomist. Concordance between ratings of comfort and observations of workplace layout was reasonably good for the chair and the keyboard (0.60, 0.58) and good regarding the screen and the input device (0.72, 0.61). Concordance between ratings of perceived exertion and observations of working postures indicated good agreement (0.63-0.77) for all measured body locations (neck, shoulder, wrist and trunk). In conclusion ratings of comfort and perceived exertion could be used as cost-efficient and user-friendly methods for practitioners to identify high exposure to poor workplace layout and poor working postures.

A foreground object features-based stereoscopic image visual comfort assessment model

NASA Astrophysics Data System (ADS)

Jin, Xin; Jiang, G.; Ying, H.; Yu, M.; Ding, S.; Peng, Z.; Shao, F.

2014-11-01

Since stereoscopic images provide observers with both realistic and discomfort viewing experience, it is necessary to investigate the determinants of visual discomfort. By considering that foreground object draws most attention when human observing stereoscopic images. This paper proposes a new foreground object based visual comfort assessment (VCA) metric. In the first place, a suitable segmentation method is applied to disparity map and then the foreground object is ascertained as the one having the biggest average disparity. In the second place, three visual features being average disparity, average width and spatial complexity of foreground object are computed from the perspective of visual attention. Nevertheless, object's width and complexity do not consistently influence the perception of visual comfort in comparison with disparity. In accordance with this psychological phenomenon, we divide the whole images into four categories on the basis of different disparity and width, and exert four different models to more precisely predict its visual comfort in the third place. Experimental results show that the proposed VCA metric outperformance other existing metrics and can achieve a high consistency between objective and subjective visual comfort scores. The Pearson Linear Correlation Coefficient (PLCC) and Spearman Rank Order Correlation Coefficient (SROCC) are over 0.84 and 0.82, respectively.

The comparison of vernacular residences' thermal comfort in coastal with that in mountainous regions of tropical areas

NASA Astrophysics Data System (ADS)

Hermawan, Prianto, Eddy; Setyowati, Erni; Sunaryo

2017-11-01

Adaptive thermal comfort is the latest theory used to analyze thermal acceptability of the naturally ventilated buildings for occupants in tropical areas. Vernacular residences are considered capable to meet the thermal comfort for the occupants. The combination between adaptive and passive theory is still rarely conducted. This study aims to compare the adaptive and passive thermal comfort for occupants of vernacular residences in mountainous and coastal regions using AMV (Actual Mean Vote) and PMV (Predicted Mean Vote). This research uses a quantitative method with a statistical analysis on variables of air temperature, globe temperature, velocity, relative humidity, age, weight, and height. AMV data are collected based on questionnaires with ASHRAE (American Society of Heating, Refrigeration, Air conditioning Engineering) standards. The samples consist of 100 vernacular residences of both coastal and mountainous regions. The results show that there are AMV and PMV differences in each region. The AMV values in those vernacular residences in mountainous and coastal regions are respectively -0.4982 and 0.1673. It indicates that the occupants of vernacular residences in coastal regions accept the thermal conditions better. Thus, it can be concluded that vernacular residences in coastal areas comfort the occupants more.

Prior experiences associated with residents' scores on a communication and interpersonal skill OSCE.

PubMed

Yudkowsky, Rachel; Downing, Steven M; Ommert, Dennis

2006-09-01

This exploratory study investigated whether prior task experience and comfort correlate with scores on an assessment of patient-centered communication. A six-station standardized patient exam assessed patient-centered communication of 79 PGY2-3 residents in Internal Medicine and Family Medicine. A survey provided information on prior experiences. t-tests, correlations, and multi-factorial ANOVA explored relationship between scores and experiences. Experience with a task predicted comfort but did not predict communication scores. Comfort was moderately correlated with communication scores for some tasks; residents who were less comfortable were indeed less skilled, but greater comfort did not predict higher scores. Female gender and medical school experiences with standardized patients along with training in patient-centered interviewing were associated with higher scores. Residents without standardized patient experiences in medical school were almost five times more likely to be rejected by patients. Task experience alone does not guarantee better communication, and may instill a false sense of confidence. Experiences with standardized patients during medical school, especially in combination with interviewing courses, may provide an element of "deliberate practice" and have a long-term impact on communication skills. The combination of didactic courses and practice with standardized patients may promote a patient-centered approach.

Trajectories of regulatory behaviors in early infancy: Determinants of infant self-distraction and self-comforting.

PubMed

Planalp, Elizabeth M; Braungart-Rieker, Julia M

2015-03-01

The ability to effectively regulate emotions is an important marker for early socioemotional development. The uses of self-comforting behaviors and self-distraction have been empirically supported as effective regulatory strategies for infants, though research on determinants of such behaviors is scarce. Thus, a more thorough examination of the development of regulatory behaviors is needed. For the current study, 135 mothers, fathers, and their infants participated in laboratory visits at 3-, 5-, and 7-months of age where parent sensitivity and infant regulatory strategies were coded from the Still Face Paradigm. Parents also filled out questionnaires about infant temperament and parental involvement. Using multi-level modeling to examine levels and trajectories of self-comforting and self-distraction, the current study found: 1) infants higher in temperamental surgency used more self-distraction and self-comforting, 2) infants lower in surgency with highly involved parents increased in self-distraction at a faster rate, particularly with highly involved fathers, and 3) infants used self-comforting more than average with fathers when the infant was also lower in temperamental regulation. In addition, we examined trajectories of parent involvement and temperament in relation to infant regulatory strategy.

On-Orbit Evaluation of a New Treadmill Harness for Improved Crewmember Comfort and Load Distribution

NASA Technical Reports Server (NTRS)

Perusek, G. P.; Sheehan, C. C.; Savina, M. C.; Owings, T. M.; Davis, B. L.; Ryder, J. W.

2011-01-01

The current design of the International Space Station (ISS) Treadmill Harness has been reported to cause pain and discomfort to crewmembers during exercise. The Harness Station Development Test Objective (SDTO) provided participating crewmembers (n = 6) with a new harness design, the "Glenn Harness," to evaluate for comfort and loading as compared to the current Treadmill Harness. A novel suite of load-sensing instrumentation was developed to noninvasively measure load distribution and provided a first-ever quantification of actual dynamic loads during treadmill exercise. In addition, crew debriefs provided feedback on harness preference and overall impressions. Conclusions: Post-flight analysis in returned Glenn Harnesses (n = 3) showed minimal wear and tear. Four of the six subjects found the Glenn Harness to be more comfortable in this on-orbit, side-by-side comparison as measured by the crew comfort questionnaire and crew debriefs. Specific areas for improvement have been identified, and forward recommendations will be provided to the Human Research Program. The protocol developed for the SDTO provided valuable insight into crew comfort issues, design improvements, and loading preferences for exercise harnessing, which lays the groundwork for better harnessing systems and training protocols.

A comparison of gradual sedation levels using the Comfort-B scale and bispectral index in children on mechanical ventilation in the pediatric intensive care unit

PubMed Central

Silva, Cláudia da Costa; Alves, Marta Maria Osório; El Halal, Michel Georges dos Santos; Pinheiro, Sabrina dos Santos; Carvalho, Paulo Roberto Antonacci

2013-01-01

Objective Compare the scores resulting from the Comfort-B scale with the bispectral index in children in an intensive care unit. Methods Eleven children between the ages of 1 month and 16 years requiring mechanical ventilation and sedation were simultaneously classified based on the bispectral index and the Comfort-B scale. Their behavior was recorded using digital photography, and the record was later evaluated by three independent evaluators. Agreement tests (Bland-Altman and Kappa) were then performed. The correlation between the two methods (Pearson correlation) was tested. Results In total, 35 observations were performed on 11 patients. Based on the Kappa coefficient, the agreement among evaluators ranged from 0.56 to 0.75 (p<0.001). There was a positive and consistent association between the bispectral index and the Comfort-B scale [r=0.424 (p=0.011) to r=0.498 (p=0.002)]. Conclusion Due to the strong correlation between the independent evaluators and the consistent correlation between the two methods, the results suggest that the Comfort-B scale is reproducible and useful in classifying the level of sedation in children requiring mechanical ventilation. PMID:24553512

Comfort, Energy Efficiency and Adoption of Personal Cooling Systems in Warm Environments: A Field Experimental Study.

PubMed

He, Yingdong; Li, Nianping; Wang, Xiang; He, Meiling; He, De

2017-11-17

It is well known that personal cooling improves thermal comfort and save energy. This study aims to: (1) compare different personal cooling systems and (2) understand what influences users' willingness to adopt them. A series of experiments on several types of personal cooling systems, which included physical measurements, questionnaires and feedback, was conducted in a real office environment. The obtained results showed that personal cooling improved comfort of participants in warm environments. Then an improved index was proposed and used to compare different types of personal cooling systems in terms of comfort and energy efficiency simultaneously. According to the improved index, desk fans were highly energy-efficient, while the hybrid personal cooling (the combination of radiant cooling desk and desk fan) consumed more energy but showed advantages of extending the comfortable temperature range. Moreover, if personal cooling was free, most participants were willing to adopt it and the effectiveness was the main factor influencing their willingness, whereas if participants had to pay, they probably refused to adopt it due to the cost and the availability of conventional air conditioners. Thus, providing effective and free personal cooling systems should be regarded as a better way for its wider application.

Predicting passenger seat comfort and discomfort on the basis of human, context and seat characteristics: a literature review.

PubMed

Hiemstra-van Mastrigt, Suzanne; Groenesteijn, Liesbeth; Vink, Peter; Kuijt-Evers, Lottie F M

2017-07-01

This literature review focused on passenger seat comfort and discomfort in a human-product-context interaction. The relationships between anthropometric variables (human level), activities (context level), seat characteristics (product level) and the perception of comfort and discomfort were studied through mediating variables, such as body posture, movement and interface pressure. It is concluded that there are correlations between anthropometric variables and interface pressure variables, and that this relationship is affected by body posture. The results of studies on the correlation between pressure variables and passenger comfort and discomfort are not in line with each other. Only associations were found between the other variables (e.g. activities and seat characteristics). A conceptual model illustrates the results of the review, but relationships could not be quantified due to a lack of statistical evidence and large differences in research set-ups between the reviewed papers. Practitioner Summary: This literature review set out to quantify the relationships between human, context and seat characteristics, and comfort and discomfort experience of passenger seats, in order to build a predictive model that can support seat designers and purchasers to make informed decisions. However, statistical evidence is lacking from existing literature.

Thermal comfort and safety of cotton blankets warmed at 130°F and 200°F.

PubMed

Kelly, Patricia A; Cooper, Susan K; Krogh, Mary L; Morse, Elizabeth C; Crandall, Craig G; Winslow, Elizabeth H; Balluck, Julie P

2013-12-01

In 2009, the ECRI Institute recommended warming cotton blankets in cabinets set at 130°F or less. However, there is limited research to support the use of this cabinet temperature. To measure skin temperatures and thermal comfort in healthy volunteers before and after application of blankets warmed in cabinets set at 130 and 200°F, respectively, and to determine the time-dependent cooling of cotton blankets after removal from warming cabinets set at the two temperatures. Prospective, comparative, descriptive. Participants (n = 20) received one or two blankets warmed in 130 or 200°F cabinets. First, skin temperatures were measured, and thermal comfort reports were obtained at fixed timed intervals. Second, blanket temperatures (n = 10) were measured at fixed intervals after removal from the cabinets. No skin temperatures approached levels reported in the literature that cause epidermal damage. Thermal comfort reports supported using blankets from the 200°F cabinet, and blankets lost heat quickly over time. We recommend warming cotton blankets in cabinets set at 200°F or less to improve thermal comfort without compromising patient safety. Copyright © 2013 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.

A novel medical bandage with enhanced clothing comfort

NASA Astrophysics Data System (ADS)

Oğlakcioğlu, N.; Sari, B.; Bedez Üte, T.; Marmarali, A.

2016-07-01

Compression garments are special textile products which apply a pressure on needed body zones for supporting medical, sport or casual activities. Medical bandages are a group of these garments and they have a very common usage for compression effect on legs or arms. These bandages are generally produced by using synthetic raw materials such as polyamide or polyester fibres. Medical bandages are in contact with skin. Even if the synthetic fibres are used, they may cause both comfort and health problems like allergies. Nowadays in textile sector, the expectations of clients include using of natural fibres as far as possible in all garments. Natural fibres have good advantages such as breathability, softness, moisture management ability, non-allergenic and ecologic structure and these characteristics present optimum utilization conditions. In this study, tubular medical bandages were manufactured by using core spun yarns (sheath fibres are selected as tencel, bamboo and cotton, core material is elastane) and their pressure and comfort (air and water vapour permeability) characteristics were investigated. The results indicated that the bandages have good comfort abilities beside adequate pressure values for compression effect. These garments can constitute a new production field for medical bandages with their comfort properties in addition to pressure characteristics.

Using Saliency-Weighted Disparity Statistics for Objective Visual Comfort Assessment of Stereoscopic Images

NASA Astrophysics Data System (ADS)

Zhang, Wenlan; Luo, Ting; Jiang, Gangyi; Jiang, Qiuping; Ying, Hongwei; Lu, Jing

2016-06-01

Visual comfort assessment (VCA) for stereoscopic images is a particularly significant yet challenging task in 3D quality of experience research field. Although the subjective assessment given by human observers is known as the most reliable way to evaluate the experienced visual discomfort, it is time-consuming and non-systematic. Therefore, it is of great importance to develop objective VCA approaches that can faithfully predict the degree of visual discomfort as human beings do. In this paper, a novel two-stage objective VCA framework is proposed. The main contribution of this study is that the important visual attention mechanism of human visual system is incorporated for visual comfort-aware feature extraction. Specifically, in the first stage, we first construct an adaptive 3D visual saliency detection model to derive saliency map of a stereoscopic image, and then a set of saliency-weighted disparity statistics are computed and combined to form a single feature vector to represent a stereoscopic image in terms of visual comfort. In the second stage, a high dimensional feature vector is fused into a single visual comfort score by performing random forest algorithm. Experimental results on two benchmark databases confirm the superior performance of the proposed approach.

A prototype urine collection device for female aircrew

NASA Technical Reports Server (NTRS)

Bisson, Roger U.; Delger, Karlyna L.

1993-01-01

Women are gaining increased access to small military cockpits. This shift has stimulated the search for practical urine containment and disposal methods for female aircrew. There are no external urine collection devices (UCD) for women that are comfortable, convenient, and leak free. We describe a prototype UCD that begins to meet this need. Materials used to make custom aviator masks were adapted to mold a perineal mask. First, a perineal cast (negative) was used to make a mold (positive). Next, a perineal mask made of wax was formed to fit the positive mold. Finally, a soft, pliable perineal mask was fabricated using the wax model as a guide. The prototype was tested for comfort, fit, and leakage. In the sitting position, less than 5 cc of urine leakage occurred with each 600 cc of urine collected. Comfort was mostly satisfactory, but ambulation was limited and the outlet design could lead to kinking and obstruction. We concluded that a perineal mask may serve as a comfortable and functional external UCD acceptable for use by females in confined environments. Changes are needed to improve comfort, fit, and urine drainage. Integration into cockpits, pressure suits, chemical defense gear, and environments where access to relief facilities is restricted is planned.

Thermal Manikin Evaluation of Passive and Active Cooling Garments to Improve Comfort of Military Body Armor

DTIC Science & Technology

2007-08-01

increased TM evaporative cooling potential approximately 18%. Military use of these garments could allow for increases in sweat evaporation and overall thermal comfort during operational heat exposure.

Comfort and convenience analysis of advanced restraint systems

DOT National Transportation Integrated Search

1975-08-25

Five restraint systems were evaluated in terms of comfort and convenience by ten subjects. Statistical analysis of particular questions and system comparisons uncovered potential problems. The standard lap and shoulder belt system (1974 Chevrolet Imp...

DOE Office of Scientific and Technical Information (OSTI.GOV)

Rohles, F.H. Jr.

Studies by the Institute for Environmental Research, Kansas State University, show that in terms of comfort, health, and performance, humidity control is an important element of environmental control and should not be eliminated for the sake of energy conservation. A constant level of comfort can be maintained if the humidity is increased and the temperature is decreased and vice versa; school absenteeism due to upper respiratory infection is related to classroom humidifcation; and psychomotor performance is better under warm, dry conditions than under warm, moist conditions. Humidification may be valuable in thermostat-setback programs by making cooler conditions comfortable.

SPiRiT Scoring Through Self-Assessment Charrettes

DTIC Science & Technology

2004-09-01

Continued) 0 Max 17 5.C5 Indoor Chemical and Pollutant Source Control 1 5.C6 Controllability of Systems 2 5.C7 Thermal Comfort 2 5.C8...Pollutant Source Control 1 5.C6 Controllability of Systems 2 5.C7 Thermal Comfort 2 5.C8 Daylight and Views 2 5.C9 Acoustic Environment...1 5.C6 Controllability of Systems 2 5.C7 Thermal Comfort 2 5.C8 Daylight and Views 2 5.C9 Acoustic Environment /Noise Control 1 5

Annoyance rate evaluation method on ride comfort of vehicle suspension system

NASA Astrophysics Data System (ADS)

Tang, Chuanyin; Zhang, Yimin; Zhao, Guangyao; Ma, Yan

2014-03-01

The existing researches of the evaluation method of ride comfort of vehicle mainly focus on the level of human feelings to vibration. The level of human feelings to vibration is influenced by many factors, however, the ride comfort according to the common principle of probability and statistics and simple binary logic is unable to reflect these uncertainties. The random fuzzy evaluation model from people subjective response to vibration is adopted in the paper, these uncertainties are analyzed from the angle of psychological physics. Discussing the traditional evaluation of ride comfort during vehicle vibration, a fuzzily random evaluation model on the basis of annoyance rate is proposed for the human body's subjective response to vibration, with relevant fuzzy membership function and probability distribution given. A half-car four degrees of freedom suspension vibration model is described, subject to irregular excitations from the road surface, with the aid of software Matlab/Simulink. A new kind of evaluation method for ride comfort of vehicles is proposed in the paper, i.e., the annoyance rate evaluation method. The genetic algorithm and neural network control theory are used to control the system. Simulation results are obtained, such as the comparison of comfort reaction to vibration environments between before and after control, relationship of annoyance rate to vibration frequency and weighted acceleration, based on ISO 2631/1(1982), ISO 2631-1(1997) and annoyance rate evaluation method, respectively. Simulated assessment results indicate that the proposed active suspension systems prove to be effective in the vibration isolation of the suspension system, and the subjective response of human being can be promoted from very uncomfortable to a little uncomfortable. Furthermore, the novel evaluation method based on annoyance rate can further estimate quantitatively the number of passengers who feel discomfort due to vibration. A new analysis method of vehicle comfort is presented.

The experience of critically ill children: A phenomenological study of discomfort and comfort.

PubMed

Carnevale, Franco A; Gaudreault, Josée

2013-01-01

Emerging evidence indicates that critically ill children are particularly at risk for incurring significant psychological harm. Little is known about these children's actual experiences. The aim of the study was to examine children's experience of critical illness. The research question was: What are a critically ill child's sources of discomfort and comfort? Interpretive phenomenology was selected as the study's method. Children's accounts were examined to identify what they considered meaningful, in terms of their experienced discomfort and comfort. Data sources included formal and informal interviews with child-participants, drawings provided by some participants, and field-notes documenting observed non-verbal data. Twelve children were enrolled in the study, ranging from 3 to 17years of age; including four girls and eight boys. Although all participants were able to discuss the discomfort and comfort they experienced, they reported difficulties in remembering part or most of their experience. Some participants characterized their Pediatric Intensive Care Unit stay quite favourably or as "not that bad", while some described their experience unfavourably. Diverse types of discomforts were reported, including fears and worries, hurt and pain, invasive interventions, missing significant people, noise, food or eating problems, boredom, physical symptoms, as well as four additional discomforts reported by individual participants. Several sources of comfort were described, including parents, visitors and friends, hospital staff (principally nurses), stuffed animal/favourite blanket, entertainment and play, food, selected medical interventions, thinking of going home, being able to walk or run, sleep, waking up, gifts, along with two other comforts reported by individual participants. Embodiment and a tension between aloneness and being with were identified as the principal phenomena underlying these children's experiences. The findings complement existing knowledge regarding the psychological impact of critical illness by highlighting how children regard specific phenomena as discomforting or comforting. This sheds light on future directions for practice and research development in pediatric critical care.

Cytokine changes in tears and relationship to contact lens discomfort

PubMed Central

Zhao, Zhenjun; Naduvilath, Thomas; Lazon de la Jara, Percy

2015-01-01

Purpose To determine the reproducibility of a multiplex bead assay for measuring cytokines in tears and correlations between ocular discomfort with or without contact lens wear and the concentration of cytokines in tears. Methods Ninety participants (divided into two groups) were enrolled in this prospective study. They were asked to rate their ocular comfort and collect their tears in the morning and just before sleep for 10 days with or without contact lenses. The participants collected their tears using a glass microcapillary tube for both stages. Galyfilcon A lenses were worn on a daily disposable basis during the contact lens stage, and comfort scores and tears were collected before lens insertion and prior to lens removal at the end of the day. Tears were analyzed for cytokine concentrations using a 27-plex multibead assay. Correlations were sought between cytokine concentrations and comfort. Results There was a significant (p<0.022) decrease in ocular comfort over the day with or without lens wear. The magnitude of ocular discomfort was significantly greater (p<0.009) with lens wear. The concentrations of 12 cytokines differed significantly between the groups; thus, these cytokines were not analyzed further. For the remaining 15 cytokines, interleukin-8 (IL-8) was the only cytokine that changed in both groups during the day without (reduced by >-0.5 Log pg/ml, p<0.001) or with lens wear (reduced by >-0.2 Log pg/ml, p<0.001). The change in the vascular endothelial growth factor (VEGF) concentration only in tears was correlated to ocular comfort, but this was not changed by contact lens wear. Conclusions Ocular comfort during the day is magnified by contact lens wear. However, the increase in the change in comfort during lens wear was not associated with changes in 15 cytokines in the tear film. PMID:25814827

Keeping you at arm's length: modifying peripersonal space influences interpersonal distance.

PubMed

Quesque, F; Ruggiero, G; Mouta, S; Santos, J; Iachini, T; Coello, Y

2017-07-01

Peripersonal space represents the area around the body where objects are coded in motor terms for the purpose of voluntary goal-directed actions. Previous studies have suggested that peripersonal space is also a safe space linked with our private area, influencing interpersonal space in social contexts. However, whether these two spaces rely on similar embodied processes remains an open issue. In the present study, participants observed a point-light walker (PLW) approaching them from different directions and passing near them at different distances from their right or left shoulder. While approaching, the PLW disappeared at a distance of 2 m and the task for the participants was to estimate if the interpersonal distance, at the time the PLW would have reached their level, was comfortable or not. Between two sessions of comfort judgments, the participants manipulated a 70 cm tool entailing an extension of peripersonal space, or a 10 cm tool entailing no extension of peripersonal space. The results revealed that the comfortable interpersonal distance was larger when the PLW crossed the mid-sagittal plane of the participants than when it approached them laterally, with a concomitant increase of response time. After participants manipulated the long tool, comfortable interpersonal distance increased, but predominantly when the PLW trajectory implied crossing the participants' mid-sagittal plane. This effect was not observed when participants manipulated the short tool. Two control tasks showed that using the long tool modified the reachability (control 1), but not the time to passage (control 2) estimates of PLW stimuli, suggesting that tool use extended peripersonal space without changing perceived visual distances. Overall, the data show that comfortable interpersonal distance is linked to the representation of peripersonal space. As a consequence, increasing peripersonal space through tool use has the immediate consequence that comfortable interpersonal distance from another person also increases, suggesting that interpersonal-comfort space and peripersonal-reaching space share a common motor nature.

Reports.

ERIC Educational Resources Information Center

Science, 1980

1980-01-01

Proposes that human comfort could be provided in otherwise chilly surroundings by filling the occupied space with electromagnetic energy of cm wavelength. Considerable energy savings could be realized from the resultant ability to lower interior temperatures and maintain comfort in the building. (Author/RE)

Dynamic Model of Aircraft Passenger Seats for Vibration Comfort Evaluation and Control

NASA Astrophysics Data System (ADS)

Šika, Z.; Valášek, Michael; Vampola, T.; Füllekrug, U.; Klimmek, T.

The paper deals with the development of the seat dynamical model for vibration comfort evaluation and control. The aircraft seats have been tested extensively by vibrations on the 6 DOF vibrating platform. The importance of the careful comfort control together with the flight mechanics control is namely stressed for the blended wing body (BWB) aircrafts. They have a very large fuselage, where the mechanical properties (accelerations, angular accelerations) vary considerably for different seat places. The model have been improved by adding of dynamical models of the aircraft passenger seats identified by the measurements on the 6 DOF vibrating platform. The experiments, their results and the identification of the dynamical seat model are described. The model is further modified by adding of the comfort evaluation norms represented by dynamical filters. The structure and identification of the seat model is briefly described and discussed.

Guidelines on Thermal Comfort of Air Conditioned Indoor Environment

NASA Astrophysics Data System (ADS)

Miura, Toyohiko

The thermal comfort of air conditioned indoor environment for workers depended, of course, on metabolic rate of work, race, sex, age, clothing, climate of the district and state of acclimatization. The attention of the author was directed to the seasonal variation and the sexual difference of comfortable temperature and a survey through a year was conducted on the thermal comfort, and health conditions of workers engaged in light work in a precision machine factory, in some office workers. Besides, a series of experiments were conducted for purpose of determinning the optimum temperature of cooling in summer time in relation to the outdoor temperature. It seemed that many of workers at present would prefer somewhat higher temperature than those before the World War II. Forty years ago the average homes and offices were not so well heated as today, and clothing worn on the average was considerably heavier.

Emotion Reactivity, Comfort Expressing Emotions, and Future Suicidal Ideation in Emerging Adults.

PubMed

Polanco-Roman, Lillian; Moore, Alyssa; Tsypes, Aliona; Jacobson, Colleen; Miranda, Regina

2018-01-01

Emotion reactivity and difficulties in expressing emotions have been implicated in risk for suicidal behavior. This study examined comfort in expressing emotions (positive vs. negative) and depressive symptoms as mediators of the prospective relation between emotion reactivity and suicidal ideation. Emerging adults (N = 143; 72% female; 28% White) completed measures of emotion reactivity, comfort expressing emotions, and suicidal ideation at baseline and of depressive symptoms and suicidal ideation 12 months later. Emotion reactivity predicted suicidal ideation at follow-up through depressive symptoms. Difficulty expressing love-but not happiness, sadness, and anger-partially mediated the relationship between emotion reactivity and suicidal ideation at follow-up before but not after adjusting for baseline ideation. The relation between high emotion reactivity and suicidal ideation may be explained by discomfort in the expression of positive emotions and by depressive symptoms. Promotion of comfort in positive emotion expression may reduce vulnerability to suicidal ideation. © 2017 Wiley Periodicals, Inc.

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kwok, A.G.

This paper examines the comfort criteria of ANSI/ASHRAE Standard 55-1992 for their applicability in tropical classrooms. A field study conducted in Hawaii used a variety of methods to collect the data: survey questionnaires, physical measurements, interviews, and behavioral observations. A total of 3,544 students and teachers completed questionnaires in 29 naturally ventilated and air-conditioned classrooms in six schools during two seasons. The majority of classrooms failed to meet the physical specifications of the Standard 55 comfort zone. Thermal neutrality, preference, and acceptability results are compared with other field studies and the Standard 55 criteria. Acceptability votes by occupants of bothmore » naturally ventilated and air-conditioned classrooms exceeded the standard`s 80% acceptability criteria, regardless of whether physical conditions were in or out of the comfort zone. Responses from these two school populations suggest not only a basis for separate comfort standards but energy conservation opportunities through raising thermostat set points.« less

Evaluation of ceiling lifts: transfer time, patient comfort and staff perceptions.

PubMed

Alamgir, Hasanat; Li, Olivia Wei; Yu, Shicheng; Gorman, Erin; Fast, Catherine; Kidd, Catherine

2009-09-01

Mechanical lifting devices have been developed to reduce healthcare worker injuries related to patient handling. The purpose of this study was to evaluate ceiling lifts in comparison to floor lifts based on transfer time, patient comfort and staff perceptions in three long-term care facilities with varying ceiling lift coverage. The time required to transfer or reposition patients along with patient comfort levels were recorded for 119 transfers. Transfers performed with ceiling lifts required on average less time (bed to chair transfers: 156.9 seconds for ceiling lift, 273.6 seconds for floor lift) and were found to be more comfortable for patients. In the three facilities, 143 healthcare workers were surveyed on their perceptions of patient handling tasks and equipment. For both transferring and repositioning tasks, staff preferred to use ceiling lifts and also found them to be less physically demanding. Further investigation is needed on repositioning tasks to ensure safe practice.

Research on the ride comfort of elevator monitoring using smartphone

NASA Astrophysics Data System (ADS)

Zhang, Yang; Sun, Xiaowei; Xie, Zhao; Su, Wensheng; Xue, Zhigang; Zhao, Xuefeng

2017-04-01

With the rapid development of high-rise buildings, the requirement of the elevator's speed is growing higher. And the vibration amplitude of elevator will also increasing with the improvement of running speed. The vibration problems of elevator have become the important factors that affect the comfort feeling of elevator. At the same time, the strong vibration will affect the normal work of elevator, and even cause accidents. So it's necessary to study the vibration characteristics of the elevator. In recent years, smartphone has developed rapidly, with a variety of sophisticated sensors; it has the powerful data processing and transmission capacity. In this paper, the author has presented an elevator comfort monitoring method based on smartphone. This method using Monitoring App can monitor the acceleration and inclination information using MEMS sensors embedded in smartphone. Then a confirmatory test for an elevator was designed, experimental results show that elevator comfort monitoring method based on smartphone is stable and reliable.

Effects of Listening to Music on the Comfort of Chemotherapy Patients.

PubMed

Bilgiç, Şebnem; Acaroğlu, Rengin

2017-06-01

The symptoms of an illness that requires chemotherapy and the corresponding effects of such treatment exacerbate the pain and discomfort that patients typically experience. Listening to music may help patients cope with chemotherapy symptoms, thereby contributing to their physical ease and well-being. Seventy patients who were receiving treatment at the outpatient chemotherapy unit were invited to participate in this work. During chemotherapy sessions and the week after the sessions, the patients listened to music with headphones. The occurrence of chemotherapy symptoms such as pain, tiredness, nausea, depression, anxiety, drowsiness, lack of appetite, not feeling well, and shortness of breath in the intervention group was statistically significant after listening to music ( p < .05). Improvements in total general comfort, as well as physical, psychospiritual, and sociocultural comfort, were also statistically significant ( p < .05). These findings indicate that listening to music effectively reduces the severity of chemotherapy symptoms and enhances the comfort of patients receiving the treatment.

Hostile sexism (de)motivates women's social competition intentions: The contradictory role of emotions.

PubMed

Lemonaki, Elena; Manstead, Antony S R; Maio, Gregory R

2015-09-01

In the present research, we examine the ways in which exposure to hostile sexism influences women's competitive collective action intentions. Prior to testing our main model, our first study experimentally induced high versus low levels of security-comfort with the aim of providing experimental evidence for the proposed causal link between these emotions and intentions to engage in social competition. Results showed that lower levels of security-comfort reduced women's readiness to compete socially with men. Experiment 2 investigated the effect of hostile sexism on women's emotional reactions and readiness to engage in social competition. Consistent with the proposed model, results showed that exposure to hostile beliefs about women (1) increased anger-frustration and (2) decreased security-comfort. More specifically, exposure to hostile sexism had a positive indirect effect on social competition intentions through anger-frustration, and a negative indirect effect through security-comfort. © 2015 The British Psychological Society.

Fear of causing harm: use of mannequin-based simulation to decrease student anxiety prior to interacting with female teaching associates.

PubMed

Pugh, Carla M; Obadina, Eniola T; Aidoo, Kofi A

2009-01-01

There is a paucity of research assessing the potential benefits of mannequin trainers when preparing students to interact with teaching associates. The goal of this study was to better understand the effects of mannequin-based simulators on student comfort toward learning specific aspects of the clinical female pelvic exam. First-year medical students (N = 344) were surveyed before and after a mannequin-based simulation curriculum to assess their comfort levels toward learning the female pelvic exam. Causing harm was the top cause of student anxiety toward learning the pelvic exam. Although the mannequin-based simulation curriculum was effective in significantly increasing (p < .001) student comfort levels toward learning the pelvic exam, the majority of students progressed from being "very uncomfortable" with the exam to being "somewhat comfortable." We suggest that mannequin-based simulators be used prior to students' learning experience with pelvic exam teaching associates.

New level of vehicle comfort and vehicle stability via utilisation of the suspensions anti-dive and anti-squat geometry

NASA Astrophysics Data System (ADS)

Lindvai-Soos, Daniel; Horn, Martin

2018-07-01

In this article a novel vehicle dynamics control concept is designed for a vehicle equipped with wheel individual electric traction machines, electronically controlled brakes and semi-active suspensions. The suspension's cross-couplings between traction forces and vertical forces via anti-dive and anti-squat geometry is utilised in the control concept to improve driving comfort and driving stability. The control concept is divided into one main and two cascaded branches. The main controller consists of a multivariable vehicle dynamics controller and a control allocation scheme to improve the vehicle's driving comfort. The cascaded feedback loops maintain the vehicle's stability according to wheel slip and vehicle sideslip. The performance of the combined vehicle dynamics controller is compared to a standard approach in simulation. It can be stated that the controller piloting semi-active suspensions together with brake and traction devices enables a superior performance regarding comfort and stability.

Energy usage while maintaining thermal comfort: A case study of a UNT dormitory

NASA Astrophysics Data System (ADS)

Gambrell, Dusten

Campus dormitories for the University of North Texas house over 5500 students per year; each one of them requires certain comfortable living conditions while they live there. There is an inherit amount of money required in order to achieve minimal comfort levels; the cost is mostly natural gas for water and room heating and electricity for cooling, lighting and peripherals. The US Department of Energy has developed several programs to aid in performing energy simulations to help those interested design more cost effective building designs. Energy-10 is such a program that allows users to conduct whole house evaluations by reviewing and altering a few parameters such as building materials, solar heating, energy efficient windows etc. The idea of this project was to recreate a campus dormitory and try to emulate existent energy consumption then try to find ways of lowering that usage while maintaining a high level of personal comfort.

Parental influences on the self-esteem of gay and lesbian youths: a reflected appraisals model.

PubMed

Savin-Williams, R C

1989-01-01

Based on a population of 317 gay and lesbian youths, the current investigation explores the appropriateness of a reflected appraisals perspective in predicting the degree to which parental attitudes, as perceived by youth, affects their self-esteem and comfortableness being gay. A lesbian was most comfortable with her sexual orientation if she also reported that her parents accepted her homosexuality; these variables did not, however, predict her level of self-esteem. Among the gay males, parental acceptance predicted comfortable being gay if the parents were also perceived as important components of a youth's self-worth; a male most comfortable with his sexual orientation had the highest level of self-esteem. Results are discussed in terms of: (a) sex of parent, (b) sex-role development, (c) comparisons of gays and lesbians, and (d) research on gay and lesbian youth.

Interventions to increase physician efficiency and comfort with an electronic health record system.

PubMed

Jalota, L; Aryal, M R; Mahmood, M; Wasser, T; Donato, A

2015-01-01

To determine comfort when using the Electronic Health Record (EHR) and increase in documentation efficiency after an educational intervention for physicians to improve their transition to a new EHR. This study was a single-center randomized, parallel, non-blinded controlled trial of real-time, focused educational interventions by physician peers in addition to usual training in the intervention arm compared with usual training in the control arm. Participants were 44 internal medicine physicians and residents stratified to groups using a survey of comfort with electronic media during rollout of a system-wide EHR and order entry system. Outcomes were median time to complete a progress note, notes completed after shift, and comfort with EHR at 20 and 40 shifts. In the intervention group, 73 education sessions averaging 14.4 (SD: 7.7) minutes were completed with intervention group participants, who received an average of 3.47 (SD: 2.1) interventions. Intervention group participants decreased their time to complete a progress note more quickly than controls over 30 shifts (p < 0.001) and recorded significantly fewer progress notes after scheduled duty hours (77 versus 292, p < 0.001). Comfort with EHRs increased significantly in both groups from baseline but did not differ significantly by group. Intervention group participants felt that the intervention was more helpful than their standard training (3.47 versus 1.95 on 4-point scale). Physicians teaching physicians during clinical work improved physician efficiency but not comfort with EHRs. More study is needed to determine best methods to assist those most challenged with new EHR rollouts.

Evaluating the climate capabilities of the coastal areas of southeastern Iran for tourism: a case study on port of Chabahar.

PubMed

Sabzevari, Azadeh Arbabi; Miri, Morteza; Raziei, Tayeb; Oroji, Hassan; Rahimi, Mojtaba

2018-03-14

The present study aims to evaluate the influence of climate conditions on tourism in the port of Chabahar, southeastern Iran, using the climate comfort indices (CIT, PMV, and TCI) and the field data relative to the tourist satisfaction. According to the computed TCI, the autumn-winter season (October-April) is climatically favorable for tourism in Chabahar, but it is ideal during January to March. Based on the computed PMV index, the studied region is in the range of climate comfort in most parts of the year. However, when the PMV thermal comfort limits (- 0.5 < PMV < 0.5) and the PPD limits (0 < PPD < 10) are considered, only the March and November are included in the thermal comfort range. The CIT index also indicates that all months of the year are acceptable for tourism that does not coincide with the reality of the region. However, by blending the PMV and the tourist's degree of satisfaction, a slight modification was made to the CIT index to better represent the reality of the region regarding the climate comfort. The modified CIT gave a different result, reflecting the importance of tourists' perceptions in defining the climate comfort rather than merely relying on the climate variables. The modified CIT also suggests November-March as a period with favorable to ideal climate condition for tourism in Chabahar which is a more realistic assessment of climate condition of the region as perceived by the tourists interviewed.

The development of tool use: Planning for end-state comfort

PubMed Central

Comalli, David M.; Keen, Rachel; Abraham, Evelyn S.; Foo, Victoria J.; Lee, Mei-Hua; Adolph, Karen E.

2016-01-01

Some grips on the handle of a tool can be planned based on information directly available in the scene. Other grips, however, must be planned based on the final position of the hand. “End-state comfort” grips require an awkward or uncomfortable initial grip so as to later implement the action comfortably and efficiently. From a cognitive perspective, planning for end-state comfort requires a consistent representation of the entire action sequence, including the latter part, which is not based on information directly available in the scene. Many investigators have found that young children fail to demonstrate planning for end-state comfort and that adult-like performance does not appear until about 12 years of age. In two experiments, we used a hammering task that engaged children in a goal-directed action with multiple steps. We assessed end-state-comfort planning in novel ways by measuring children’s hand choice, grip choice, and tool implementation over multiple trials. The hammering task also uniquely allowed us to assess the efficiency of implementation. We replicated the previous developmental trend in 4-, 8-, and 12-year-old children with our novel task. Most important, our data revealed that 4-year-olds are in a transitional stage with several competing strategies exhibited during a single session. Preschoolers changed their grip within trials and across trials, indicating awareness of errors and a willingness to sacrifice speed for more efficient implementation. The end-state-comfort grip initially competes as one grip type among many, but gradually displaces all others. Children’s sensitivity to and drive for efficiency may motivate this change. PMID:27786531

Controlled Release of Multiple Therapeutics from Silicone Hydrogel Contact Lenses.

PubMed

White, Charles James; DiPasquale, Stephen Anthony; Byrne, Mark Edward

2016-04-01

The majority of contact lens wearers experience a significant level of ocular discomfort associated with lens wear, often within hours of wear, related to dry lenses, inflammation, protein adhesion to the lens surface, etc. Application of controlled drug release techniques has focused on the incorporation and/or release of a single comfort molecule from a lens including high molecular weight comfort agents or pharmaceutical agents. Previous studies have sought to mitigate the occurrence of only single propagators of discomfort. Clinical studies with eye drop solutions have shown that a mixture of diverse comfort agents selected to address multiple propagators of discomfort provide the greatest and longest lasting sensations of comfort for the patient. In this paper, multiple propagators of discomfort are addressed through the simultaneous release of four molecules from a novel contact lens to ensure high level of lens wear comfort. Silicone hydrogel contact lenses were engineered via molecular imprinting strategies to simultaneously release up to four template molecules including hydropropyl methylcellulose (HPMC), trehalose, ibuprofen, and prednisolone. By adjusting the ratio of functional monomer to comfort molecule, a high level of control was demonstrated over the release rate. HPMC, trehalose, ibuprofen, and prednisolone were released at therapeutically relevant concentrations with varying rates from a single lens. The results indicate use as daily disposable lenses for single day release or extended-wear lenses with multiple day release. Imprinted lenses are expected to lead to higher efficacy for patients compared to topical eye drops by improving compliance and mitigating concentration peaks and valleys associated with multiple drops.

Controlled Release of Multiple Therapeutics from Silicone Hydrogel Contact Lenses

PubMed Central

White, Charles J.; DiPasquale, Stephen A.; Byrne, Mark E.

2016-01-01

Purpose The majority of contact lens wearers experience a significant level of ocular discomfort associated with lens wear, often within hours of wear, related to dry lenses, inflammation, protein adhesion to the lens surface, etc. Application of controlled drug release techniques has focused on the incorporation and/or release of a single comfort molecule from a lens including high molecular weight comfort agents or pharmaceutical agents. Previous studies have sought to mitigate the occurrence of only single propagators of discomfort. Clinical studies with eye drop solutions have shown that a mixture of diverse comfort agents selected to address multiple propagators of discomfort provide the greatest and longest lasting sensations of comfort for the patient. In this paper, multiple propagators of discomfort are addressed through the simultaneous release of four molecules from a novel contact lens to ensure high level of lens wear comfort. Methods Silicone hydrogel contact lenses were engineered via molecular imprinting strategies to simultaneously release up to four template molecules including hydropropyl methylcellulose (HPMC), trehalose, ibuprofen, and prednisolone. Results By adjusting the ratio of functional monomer to comfort molecule, a high level of control was demonstrated over the release rate. HPMC, trehalose, ibuprofen, and prednisolone were released at therapeutically relevant concentrations with varying rates from a single lens. Conclusions The results indicate use as daily disposable lenses for single day release or extended-wear lenses with multiple day release. Imprinted lenses are expected to lead to higher efficacy for patients compared to topical eye drops by improving compliance and mitigating concentration peaks and valleys associated with multiple drops. PMID:26945177

Thermal comfort assessment in Moscow during the summer 2010

NASA Astrophysics Data System (ADS)

Malinina, Elizaveta; Konstantinov, Pavel

2013-04-01

Biometeorological indices are used to asses thermal comfort conditions and evaluate the influence of the weather on the human organism and health. Despite of the fact, that some biometeorological indices are already used in weather forecast, the assessment of these indices is especially important during the extreme weather conditions like continuous heat or cold waves. One of the very urgent issues in the applied climatology is the assessment of thermal comfort conditions in the urban areas, because nowadays more than half population of the planet lives there. Especially important is to study thermal comfort conditions in biggest and, thus, densely populated cities, because the effect of heat waves becomes stronger by the urban heat island effect. In July and August 2010 in the biggest city in Russia - Moscow, where more than 11 million people live, the longest and the strongest heat wave as well as the warmest day (29th of July 2010) were recorded since the meteorological observations in Russian capital were started. The main objective of this work is to evaluate the thermal comfort conditions of the warmest day in Moscow. For that purpose several biometeorological indices, particularly PET (physiological equivalent temperature), were analyzed and calculated for the warmest day in Russian capital. The calculations were done for the certain city canyon on the territory of the Moscow State University as well as for the places with natural vegetation. The results were compared with each other and, thus, the complex thermal comfort assessment was done. Also, the results of the calculations for the 29th of July 2010 were compared with the mean meteorological data for this period.

Assessment of Medical Student and Resident/Fellow Knowledge, Comfort, and Training With Sexual History Taking in LGBTQ Patients.

PubMed

Hayes, Victoria; Blondeau, Whitney; Bing-You, Robert G

2015-05-01

Sexual health is an important aspect of overall health. Barriers to taking an adequate patient sexual history exist. Few studies have explored medical learners' comfort, knowledge, and training surrounding taking sexual histories with lesbian, gay, bisexual, transgender, questioning/queer (LGBTQ) patients specifically. A 10-question survey was offered to medical students and resident/fellows at one US institution. Survey questions reflected participants' knowledge, comfort, and training related to sexual history taking with attention to LGBTQ care. A total of 159 surveys were returned (rate of 42%). A significantly lower level of comfort existed with taking sexual histories and managing sexual health issues in the LGBTQ segment of the patient population versus all patients, especially in the advanced training group. Participants recognized the importance of understanding their patients' overall sexual health, though medical students rated this as more important than the resident/fellow group did. A correlation existed between both comfort with taking sexual histories and discussing safe sexual practices and management of sexual issues, suggesting that further training would be helpful in this area. Twenty percent of the respondents reported receiving no training at all in eliciting sexual histories in LGBTQ patients. The most preferred format in this study for future training was interviewing standardized patients. Medical students and resident/fellows reported a significantly lower level of comfort with sexual history-taking and management of sexual issues in the LGBTQ population. A comprehensive training format that not only views sexual health as an integral part of overall patient health, but also integrates LGBTQ care, is needed in medical education.

Improving education for the management of contrast reactions: an online didactic model.

PubMed

Niell, Bethany L; Vartanians, Vartan M; Halpern, Elkan P

2014-02-01

Radiologists could improve their knowledge of contrast reaction management. The aim of this study was to evaluate to what degree the implementation of a didactic module resulted in improved technologist, nurse, and physician knowledge and comfort levels regarding the appropriate management of adverse reactions to contrast media. After institutional review board approval was obtained, nurses, technologists, and physicians involved in contrast administration were required to complete the educational module. Premodule and postmodule assessments were designed online. Each assessment included knowledge-based questions regarding the appropriate management of different types of contrast reactions, as well as questions regarding each respondent's comfort level with the treatment of various types of adverse contrast reactions. Comfort level was measured using a 6-point, Likert-type scale. Premodule and postmodule assessment scores were compared using McNemar's test. After module completion, physicians demonstrated a statistically significant improvement in knowledge regarding the proper administration route, concentration, and dose of intramuscular epinephrine. Physicians demonstrated significantly increased comfort with the administration of intramuscular epinephrine to adult and pediatric patients after module completion (P < .05). Module completion resulted in statistically significant improvements in respondents' comfort levels with the treatment of an adverse reaction to contrast media, although 19% of personnel still reported feeling uncomfortable after completing the module. Didactic instruction in contrast reaction management results in improved knowledge and comfort levels for physicians, nurses, and technologists. However, a significant percentage of personnel still reported feeling uncomfortable treating an adverse contrast reaction after module completion, suggesting that didactic instruction alone may be inadequate. Copyright © 2014 American College of Radiology. Published by Elsevier Inc. All rights reserved.

Hardness and posting of foot orthoses modify plantar contact area, plantar pressure, and perceived comfort when cycling.

PubMed

Bousie, Jaquelin A; Blanch, Peter; McPoil, Thomas G; Vicenzino, Bill

2018-07-01

To evaluate the effects of hardness and posting of orthoses on plantar profile and perceived comfort and support during cycling. A repeated measures study with randomised order of orthoses, hardness, and posting conditions. Twenty-three cyclists cycled at a cadence of 90rpm and a perceived exertion rating of twelve. Contoured soft and hard orthoses with or without a medial forefoot or lateral forefoot post were evaluated. Plantar contact area, mean pressure and peak pressure were measured for nine plantar regions using the pedar ® -X system and represented as a percentage of the total (CA%, MP%, and PP% respectively). Perceived comfort and support was rated on a visual analogue scale. The softer orthosis significantly increased CA% (p=0.014) across the midfoot and heel with a decrease in the toe region and forefoot. MP% (p=0.034) and PP% (p=0.012) were significantly increased at the mid and lateral forefoot with reductions in MP% at the midfoot and in PP% at the hallux and toes. Forefoot posting significantly increased CA% (p=0.018) at the toes and forefoot and decreased it at the heel. PP% was significantly altered (p=0.013) based on posting position. Lateral forefoot posting significantly decreased heel comfort (p=0.036). When cycling, a soft, contoured orthosis increased contact across the midfoot and heel, modulating forefoot and midfoot plantar pressures but not altering comfort or support. Forefoot postings significantly modified contact areas and plantar pressures and reduced comfort at the heel. Copyright © 2017. Published by Elsevier Ltd.

Thermal comfort of various building layouts with a proposed discomfort index range for tropical climate.

PubMed

Md Din, Mohd Fadhil; Lee, Yee Yong; Ponraj, Mohanadoss; Ossen, Dilshan Remaz; Iwao, Kenzo; Chelliapan, Shreeshivadasan

2014-04-01

Recent years have seen issues related to thermal comfort gaining more momentum in tropical countries. The thermal adaptation and thermal comfort index play a significant role in evaluating the outdoor thermal comfort. In this study, the aim is to capture the thermal sensation of respondents at outdoor environment through questionnaire survey and to determine the discomfort index (DI) to measure the thermal discomfort level. The results indicated that most respondents had thermally accepted the existing environment conditions although they felt slightly warm and hot. A strong correlation between thermal sensation and measured DI was also identified. As a result, a new discomfort index range had been proposed in association with local climate and thermal sensation of occupants to evaluate thermal comfort. The results had proved that the respondents can adapt to a wider range of thermal conditions.Validation of the questionnaire data at Putrajaya was done to prove that the thermal sensation in both Putrajaya and UTM was almost similar since they are located in the same tropical climate region. Hence, a quantitative field study on building layouts was done to facilitate the outdoor human discomfort level based on newly proposed discomfort index range. The results showed that slightly shaded building layouts of type- A and B exhibited higher temperature and discomfort index. The resultant adaptive thermal comfort theory was incorporated into the field studies as well. Finally, the study also showed that the DI values were highly dependent on ambient temperature and relative humidity but had fewer effects for solar radiation intensity. Copyright © 2014 Elsevier Ltd. All rights reserved.

Experimental study on the human thermal comfort based on the heart rate variability (HRV) analysis under different environments.

PubMed

Zhu, Hui; Wang, Hanqing; Liu, Zhiqiang; Li, Duanru; Kou, Guangxiao; Li, Can

2018-03-01

In order to study the human thermal comfort under different environments, the electrocardiogram (ECG) data of 6 subjects were recorded continuously under 60 environments composed by different air temperature, relative humidity and air speed that were created by an environmental chamber. Based on the ECG data, the frequency-domain method was adopted to obtain the heart rate variability (HRV) results. Among the HRV indices, the ratio of the low frequency power and high frequency power of the HRV analysis results (LF/HF), which reflects the balance of the autonomic nervous system, was selected as an indicator of the thermal comfort in the study. And the effects of air temperature, relative humidity and air speed on LF/HF were scrutinized. Meanwhile, a questionnaire survey was conducted during the experiment to evaluate the thermal comfort of the subjects. And the relationships between mean LF/HF and thermal sensation, mean thermal comfort were established based on the survey. The results showed that different LF/HF was observed under different environments, and that the air temperature had the most significant effects on LF/HF. The changes in the air temperature could easily lead to the excitation of the sympathetic nerve that could promote the activities of the thermoregulatory effectors thus thermal discomfort. Additionally, the fitting curves illustrating the relationships between LF/HF and thermal sensation and thermal comfort showed that the higher LF/HF yielded thermal discomfort, while the low LF/HF indicated a thermally acceptable state. Copyright © 2017 Elsevier B.V. All rights reserved.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care--an intervention study.

PubMed

Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

2015-01-01

The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

Comparison of different cooling regimes within a shortened liquid cooling/warming garment on physiological and psychological comfort during exercise

NASA Technical Reports Server (NTRS)

Leon, Gloria R.; Koscheyev, Victor S.; Coca, Aitor; List, Nathan

2004-01-01

The aim of this study was to compare the effectiveness of different cooling regime intensities to maintain physiological and subjective comfort during physical exertion levels comparable to that engaged in during extravehicular activities (EVA) in space. We studied eight subjects (six males, two females) donned in our newly developed physiologically based shortened liquid cooling/warming garment (SLCWG). Rigorous (condition 1) and mild (condition 2) water temperature cooling regimes were compared at physical exertion levels comparable to that performed during EVA to ascertain the effectiveness of a lesser intensity of cooling in maintaining thermal comfort, thus reducing energy consumption in the portable life support system. Exercise intensity was varied across stages of the session. Finger temperature, rectal temperature, and subjective perception of overall body and hand comfort were assessed. Finger temperature was significantly higher in the rigorous cooling condition and showed a consistent increase across exercise stages, likely due to the restriction of heat extraction because of the intensive cold. In the mild cooling condition, finger temperature exhibited an overall decline with cooling, indicating greater heat extraction from the body. Rectal temperature was not significantly different between conditions, and showed a steady increase over exercise stages in both rigorous and mild cooling conditions. Ratings of overall comfort were 30% higher (more positive) and more stable in mild cooling (p<0.001). The mild cooling regime was more effective than rigorous cooling in allowing the process of heat exchange to occur, thus maintaining thermal homeostasis and subjective comfort during physical exertion.

Comfort and pressure distribution in a human contour shaped aircraft seat (developed with 3D scans of the human body).

PubMed

Smulders, M; Berghman, K; Koenraads, M; Kane, J A; Krishna, K; Carter, T K; Schultheis, U

2016-08-12

The concept of comfort is one way for the growing airline market to differentiate and build customer loyalty. This work follows the idea that increasing the contact area between human and seat can have a positive effect on comfort [5, 6, 7]. To improve comfort, reduce weight and optimise space used, a human contour shaped seat shell and cushioning was developed. First the most common activities, the corresponding postures and seat inclination angles were defined. The imprints of these postures on a rescue mat were 3D scanned and an average human contour curve was defined. The outcome was transferred to a prototype seat that was used to test the effect on perceived comfort/discomfort and pressure distribution. The resulting human contour based prototype seat has comfort and discomfort scores comparable to a traditional seat. The prototype seat had a significantly lower average pressure between subjects' buttocks and the seat pan over a traditional seat. This study shows that it is possible to design a seat pan and backrest based on the different contours of study subjects using 3D scan technology. However, translating the 3D scans into a prototype seat also showed that this can only be seen as a first step; additionally biomechanical information and calculations are needed to create ergonomic seats. Furthermore, it is not possible to capture all different human shapes and postures and translate these into one human contour shape that fits all activities and all human sizes.

WESBES: A Wireless Embedded Sensor for Improving Human Comfort Metrics using Temporospatially Correlated Data

DOE Office of Scientific and Technical Information (OSTI.GOV)

Joel Hewlett; Milos Manic; Craig Rieger

2012-08-01

When utilized properly, energy management systems (EMS) can offer significant energy savings by optimizing the efficiency of heating, ventilation, and air-conditioning (HVAC) systems. However, difficulty often arises due to the constraints imposed by the need to maintain an acceptable level of comfort for a building’s occupants. This challenge is compounded by the fact that human comfort is difficult to define in a measurable way. One way to address this problem is to provide a building manager with direct feedback from the building’s users. Still, this data is relative in nature, making it difficult to determine the actions that need tomore » be taken, and while some useful comfort correlations have been devised, such as ASHRAE’s Predicted Mean Vote index, they are rules of thumb that do not connect individual feedback with direct, diverse feedback sensing. As they are a correlation, quantifying effects of climate, age of buildings and associated defects such as draftiness, are outside the realm of this correlation. Therefore, the contribution of this paper is the Wireless Embedded Smart Block for Environment Sensing (WESBES); an affordable wireless sensor platform that allows subjective human comfort data to be directly paired with temporospatially correlated objective sensor measurements for use in EMS. The described device offers a flexible research platform for analyzing the relationship between objective and subjective occupant feedback in order to formulate more meaningful measures of human comfort. It could also offer an affordable and expandable option for real world deployment in existing EMS.« less

26 CFR 20.7520-3 - Limitation on the application of section 7520.

Code of Federal Regulations, 2010 CFR

2010-04-01

... surviving spouse for the spouse's comfort and happiness. In this case, because the trustee's power to invade..., comfort, happiness, and other purposes. Any portion of the property or its sale proceeds remaining at the...

26 CFR 20.7520-3 - Limitation on the application of section 7520.

Code of Federal Regulations, 2011 CFR

2011-04-01

... surviving spouse for the spouse's comfort and happiness. In this case, because the trustee's power to invade..., comfort, happiness, and other purposes. Any portion of the property or its sale proceeds remaining at the...

26 CFR 20.7520-3 - Limitation on the application of section 7520.

Code of Federal Regulations, 2013 CFR

2013-04-01

... surviving spouse for the spouse's comfort and happiness. In this case, because the trustee's power to invade..., comfort, happiness, and other purposes. Any portion of the property or its sale proceeds remaining at the...

26 CFR 20.7520-3 - Limitation on the application of section 7520.

Code of Federal Regulations, 2012 CFR

2012-04-01

... surviving spouse for the spouse's comfort and happiness. In this case, because the trustee's power to invade..., comfort, happiness, and other purposes. Any portion of the property or its sale proceeds remaining at the...

26 CFR 20.7520-3 - Limitation on the application of section 7520.

Code of Federal Regulations, 2014 CFR

2014-04-01

... surviving spouse for the spouse's comfort and happiness. In this case, because the trustee's power to invade..., comfort, happiness, and other purposes. Any portion of the property or its sale proceeds remaining at the...

The Place Where Hope Lives

MedlinePlus

... Inn at NIH comforts kids and their families. Children need the comfort and security of their families—especially when they are being treated for a life-threatening illness far from home. The Children's Inn is a private, non-profit, family-centered ...

Effect of urban design on microclimate and thermal comfort outdoors in warm-humid Dar es Salaam, Tanzania

NASA Astrophysics Data System (ADS)

Yahia, Moohammed Wasim; Johansson, Erik; Thorsson, Sofia; Lindberg, Fredrik; Rasmussen, Maria Isabel

2018-03-01

Due to the complexity of built environment, urban design patterns considerably affect the microclimate and outdoor thermal comfort in a given urban morphology. Variables such as building heights and orientations, spaces between buildings, plot coverage alter solar access, wind speed and direction at street level. To improve microclimate and comfort conditions urban design elements including vegetation and shading devices can be used. In warm-humid Dar es Salaam, the climate consideration in urban design has received little attention although the urban planning authorities try to develop the quality of planning and design. The main aim of this study is to investigate the relationship between urban design, urban microclimate, and outdoor comfort in four built-up areas with different morphologies including low-, medium-, and high-rise buildings. The study mainly concentrates on the warm season but a comparison with the thermal comfort conditions in the cool season is made for one of the areas. Air temperature, wind speed, mean radiant temperature (MRT), and the physiologically equivalent temperature (PET) are simulated using ENVI-met to highlight the strengths and weaknesses of the existing urban design. An analysis of the distribution of MRT in the areas showed that the area with low-rise buildings had the highest frequency of high MRTs and the lowest frequency of low MRTs. The study illustrates that areas with low-rise buildings lead to more stressful urban spaces than areas with high-rise buildings. It is also shown that the use of dense trees helps to enhance the thermal comfort conditions, i.e., reduce heat stress. However, vegetation might negatively affect the wind ventilation. Nevertheless, a sensitivity analysis shows that the provision of shade is a more efficient way to reduce PET than increases in wind speed, given the prevailing sun and wind conditions in Dar es Salaam. To mitigate heat stress in Dar es Salaam, a set of recommendations and guidelines on how to develop the existing situation from microclimate and thermal comfort perspectives is outlined. Such recommendations will help architects and urban designers to increase the quality of the outdoor environment and demonstrate the need to create better urban spaces in harmony with microclimate and thermal comfort.

Effect of urban design on microclimate and thermal comfort outdoors in warm-humid Dar es Salaam, Tanzania.

PubMed

Yahia, Moohammed Wasim; Johansson, Erik; Thorsson, Sofia; Lindberg, Fredrik; Rasmussen, Maria Isabel

2018-03-01

Due to the complexity of built environment, urban design patterns considerably affect the microclimate and outdoor thermal comfort in a given urban morphology. Variables such as building heights and orientations, spaces between buildings, plot coverage alter solar access, wind speed and direction at street level. To improve microclimate and comfort conditions urban design elements including vegetation and shading devices can be used. In warm-humid Dar es Salaam, the climate consideration in urban design has received little attention although the urban planning authorities try to develop the quality of planning and design. The main aim of this study is to investigate the relationship between urban design, urban microclimate, and outdoor comfort in four built-up areas with different morphologies including low-, medium-, and high-rise buildings. The study mainly concentrates on the warm season but a comparison with the thermal comfort conditions in the cool season is made for one of the areas. Air temperature, wind speed, mean radiant temperature (MRT), and the physiologically equivalent temperature (PET) are simulated using ENVI-met to highlight the strengths and weaknesses of the existing urban design. An analysis of the distribution of MRT in the areas showed that the area with low-rise buildings had the highest frequency of high MRTs and the lowest frequency of low MRTs. The study illustrates that areas with low-rise buildings lead to more stressful urban spaces than areas with high-rise buildings. It is also shown that the use of dense trees helps to enhance the thermal comfort conditions, i.e., reduce heat stress. However, vegetation might negatively affect the wind ventilation. Nevertheless, a sensitivity analysis shows that the provision of shade is a more efficient way to reduce PET than increases in wind speed, given the prevailing sun and wind conditions in Dar es Salaam. To mitigate heat stress in Dar es Salaam, a set of recommendations and guidelines on how to develop the existing situation from microclimate and thermal comfort perspectives is outlined. Such recommendations will help architects and urban designers to increase the quality of the outdoor environment and demonstrate the need to create better urban spaces in harmony with microclimate and thermal comfort.

Assessment of Thermal Comfort in a Building Heated with a Tiled Fireplace with the Function of Heat Accumulation

NASA Astrophysics Data System (ADS)

Telejko, Marek; Zender-Świercz, Ewa

2017-10-01

Thermal comfort determines the state of satisfaction of a person or group of people with thermal conditions of the environment in which the person or group of persons is staying. This state of satisfaction depends on the balance between the amount of heat generated by the body’s metabolism, and the dissipation of heat from the body to the surrounding environment. Due to differences in body build, metabolism, clothing etc. individuals may feel the parameters of the environment in which they are staying differently. Therefore, it is impossible to ensure the thermal comfort of all users of the room. However, properly designed building systems (heating, ventilation, air conditioning) allow for creating optimal thermal conditions that will evaluated positively by the vast majority of users. Due to the fact that currently we spend even 100% of the day indoors, the subject becomes extremely important. The article presents the evaluation of thermal comfort in rooms heated with a tiled fireplace with the function of accumulation of heat using the PMV (Predicted Mean Vote) and PPD (Predicted Percentage Dissatisfied) indices. It also presents the results of studies, on the quality of the micro-climate in such spaces. The system of heating premises described in the article is not a standard solution, but is now more and more commonly used as a supplement to the heating system, or even as a primary heating system in small objects, e.g. single-family houses, seasonal homes, etc. The studies comprised the measurements and analysis of typical internal micro-climate parameters: temperature, relative humidity and CO2 concentration. The results obtained did not raise any major reservations. In order to fully assess the conditions of use, the evaluation of thermal comfort of the analyzed rooms was made. Therefore, additionally the temperature of radiation of the surrounding areas, and the insulation of the users’ clothing was determined. Based on the data obtained, the PPD and PMV indices were determined according to EN ISO 7730: 2005 Ergonomics of the thermal environment - Analytical determination and interpretation of thermal comfort using calculation of the PMV and PPD indices and local thermal comfort criteria [1]. The obtained PMV values did not fit within the limits of thermal comfort, and the percentage of people dissatisfied reached almost 20%.

2014 Princeton-CEFRC Summer School on Combustion

DTIC Science & Technology

2014-11-20

of Technology ? New Developments in Combustion Technology: George A. Richards of NETL, DOE; • Participants lived in comfortable dormitory setting...Institute of Technology  New Developments in Combustion Technology: George A. Richards of NETL, DOE;  Participants lived in comfortable dormitory

Religion and Death: A Test of Homans' Thesis.

ERIC Educational Resources Information Center

Leming, Michael R.

1979-01-01

Tests George Homans' contention that religion arouses a sense of anxiety concerning death and then alleviates the anxiety it creates. Evidence seems to indicate that religiosity may serve the dual function of afflicting the comforted and comforting the afflicted. (Author)

Personalizing Behavior Modification.

ERIC Educational Resources Information Center

White, Debra G.; And Others

1987-01-01

Process reinforcement is proposed as a reinforcement method that is more comfortable, personal, comprehensive, and interactive than traditional behavior modification. Process reinforcement strengthens desired behaviors by engaging learners in a one-on-one examination of how they achieved correct responses and by practicing comfortable eye contact…

Modeling of the thermal comfort in vehicles using COMSOL multiphysics

NASA Astrophysics Data System (ADS)

Gavrila, Camelia; Vartires, Andreea

2016-12-01

The environmental quality in vehicles is a very important aspect of building design and evaluation of the influence of the thermal comfort inside the car for ensuring a safe trip. The aim of this paper is to modeling and simulating the thermal comfort inside the vehicles, using COMSOL Multiphysics program, for different ventilation grilles. The objective will be the implementing innovative air diffusion grilles in a prototype vehicle. The idea behind this goal is to introduce air diffusers with a special geometry allowing improving mixing between the hot or the cold conditioned air introduced in the cockpit and the ambient.

Objective and subjective evaluation of the acoustic comfort in classrooms.

PubMed

Zannin, Paulo Henrique Trombetta; Marcon, Carolina Reich

2007-09-01

The acoustic comfort of classrooms in a Brazilian public school has been evaluated through interviews with 62 teachers and 464 pupils, measurements of background noise, reverberation time, and sound insulation. Acoustic measurements have revealed the poor acoustic quality of the classrooms. Results have shown that teachers and pupils consider the noise generated and the voice of the teacher in neighboring classrooms as the main sources of annoyance inside the classroom. Acoustic simulations resulted in the suggestion of placement of perforated plywood on the ceiling, for reduction in reverberation time and increase in the acoustic comfort of the classrooms.

Ride quality assessment. III - Questionnaire results of a second flight programme

NASA Technical Reports Server (NTRS)

Richards, L. G.; Jacobson, I. D.

1977-01-01

A questionnaire was completed by 861 passengers on regularly-scheduled flights of four commuter airlines. Four types of aircraft were involved. Questions assessed major demographic variables, attitudes toward flying, frequency of flying, experience of airsickness, and passenger perceptions of detailed aspects of the physical environment. Passengers also rated their overall comfort level and their willingness to fly again. Passengers perceive motion, noise, and seat factors as the primary determinants of their comfort. Rated comfort is strongly related to willingness to fly again. Incidence of airsickness was low. Sex differences in reactions to aspects of the environment were found.

Analysis of Thermal Comfort in an Intelligent Building

NASA Astrophysics Data System (ADS)

Majewski, Grzegorz; Telejko, Marek; Orman, Łukasz J.

2017-06-01

Analysis of thermal comfort in the ENERGIS Building, an intelligent building in the campus of the Kielce University of Technology, Poland is the focus of this paper. For this purpose, air temperature, air relative humidity, air flow rate and carbon dioxide concentration were measured and the mean radiant temperature was determined. Thermal sensations of the students occupying the rooms of the building were evaluated with the use of a questionnaire. The students used a seven-point scale of thermal comfort. The microclimate measurement results were used to determine the Predicted Mean Vote and the Predicted Percentage Dissatisfied indices.

Northwestern University Flexible Subischial Vacuum Socket for persons with transfemoral amputation: Part 2 Description and Preliminary evaluation

PubMed Central

Fatone, Stefania; Caldwell, Ryan

2017-01-01

Background: Current transfemoral prosthetic sockets are problematic as they restrict function, lack comfort, and cause residual limb problems. Development of a subischial socket with lower proximal trim lines is an appealing way to address this problem and may contribute to improving quality of life of persons with transfemoral amputation. Objectives: The purpose of this study was to illustrate the use of a new subischial socket in two subjects. Study design: Case series. Methods: Two unilateral transfemoral prosthesis users participated in preliminary socket evaluations comparing functional performance of the new subischial socket to ischial containment sockets. Testing included gait analysis, socket comfort score, and performance-based clinical outcome measures (Rapid-Sit-To-Stand, Four-Square-Step-Test, and Agility T-Test). Results: For both subjects, comfort was better in the subischial socket, while gait and clinical outcomes were generally comparable between sockets. Conclusion: While these evaluations are promising regarding the ability to function in this new socket design, more definitive evaluation is needed. Clinical relevance Using gait analysis, socket comfort score and performance-based outcome measures, use of the Northwestern University Flexible Subischial Vaccum Socket was evaluated in two transfemoral prosthesis users. Socket comfort improved for both subjects with comparable function compared to ischial containment sockets. PMID:28132589

Socket Interface Pressure and Amputee Reported Outcomes for Comfortable and Uncomfortable Conditions of Patellar Tendon Bearing Socket: A Pilot Study.

PubMed

Safari, Mohammad Reza; Tafti, Nahid; Aminian, Gholamreza

2015-01-01

The objectives of the current study were to compare intra-socket pressure differences between comfortable and uncomfortable socket conditions, and the usefulness of subject perception of satisfaction, activity limitations, and socket comfort in distinguishing between these two socket conditions. Five unilateral trans-tibial amputees took part in the study. They answered the Socket Comfort Score (SCS) and Trinity Amputation and Prosthetic Experience Scale (TAPES) questionnaires before the interface pressure (in standing and walking) was measured for the uncomfortable socket condition at five regions of the residual limb. Participants were then provided with a comfortable socket and wore it for two weeks. Participants who were satisfied with the socket fit after two weeks repeated the SCS and TAPES questionnaires and interface pressure measurements. The differences between the test results of the two conditions were not statistically significant, except for the interface pressure at the popliteal region during the early stance phase, TAPES socket fit subscale, and the SCS. Due to large variability of the data and the lack of statistical significance, no firm conclusion can be made on the possible relationship between the interface pressure values and the patient-reported outcomes of the two socket conditions. A larger sample size and longer acclimation period are required to locate significant differences.

Effects of progressive relaxation exercises on anxiety and comfort of Turkish breast cancer patients receiving chemotherapy.

PubMed

Yilmaz, Seher Gurdil; Arslan, Sevban

2015-01-01

Breast cancer is the second most common cancer in the world and by far the most frequent cancer among women. This study was conducted to observe the effect of progressive relaxation exercises on anxiety and comfort level of breast cancer patients receiving chemotherapy. A control group pre-test/post-test quasi-experimental model was applied with experimental (30) and control (30) groups, who agreed to participate in this study. Data collection was with the "Personnel Information Form, State-Trait Anxiety Inventory and General Comfort Scale". The average age of the patients that participated in the study was 49.1±7.96 years. Eighty-three point three percent (n=25) of the patients in the experiment group and 86.7 (n=26) percent of patients in control group were married. Patient state of anxiety post-test mean scores were 36.2±8.21 in the experimental group and 43.4±7.96 in the control group, the difference being statistically significant (p<0.05). The general comfort scale post-test mean scores were 149.5±13.9 in the experimental group and 137.7±15.0 in the control group, again statistically significant (p<0.05). Progressive relaxation exercises positively affect patient comfort and anxiety levels in Turkey.

A subjective framework for seat comfort based on a heuristic multi criteria decision making technique and anthropometry.

PubMed

Fazlollahtabar, Hamed

2010-12-01

Consumer expectations for automobile seat comfort continue to rise. With this said, it is evident that the current automobile seat comfort development process, which is only sporadically successful, needs to change. In this context, there has been growing recognition of the need for establishing theoretical and methodological automobile seat comfort. On the other hand, seat producer need to know the costumer's required comfort to produce based on their interests. The current research methodologies apply qualitative approaches due to anthropometric specifications. The most significant weakness of these approaches is the inexact extracted inferences. Despite the qualitative nature of the consumer's preferences there are some methods to transform the qualitative parameters into numerical value which could help seat producer to improve or enhance their products. Nonetheless this approach would help the automobile manufacturer to provide their seats from the best producer regarding to the consumers idea. In this paper, a heuristic multi criteria decision making technique is applied to make consumers preferences in the numeric value. This Technique is combination of Analytical Hierarchy Procedure (AHP), Entropy method, and Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS). A case study is conducted to illustrate the applicability and the effectiveness of the proposed heuristic approach. Copyright © 2010 Elsevier Ltd. All rights reserved.

The entry-level physical therapist: a case for COMFORT communication training.

PubMed

Goldsmith, Joy; Wittenberg-Lyles, Elaine; Frisby, Brandi N; Platt, Christine Small

2015-01-01

Entry-level physical therapists provide clinical care for patients with functional mobility limitations. Their care spans the continuum of settings, disease processes, and diagnoses. Although effective communication skills are required to conduct physical therapy work, there is limited instruction provided in physical therapy education and students receive little exposure to seriously or chronically ill patients. The goal of this study was to assess the effects of communication training for the entry-level physical therapist facing palliative and end-of-life communication with patients/families. A pre-post survey design and narrative writing were used to assess the effect of the COMFORT communication training curriculum provided to doctorally trained, graduating physical therapists. The study demonstrated decreased student apprehension about communicating with dying patients and their families, and a comparison of mean scores reflecting the students' communication knowledge, confidence, and behaviors increased in a positive direction. As students became more willing to communicate, they were also more adept at integrating task and relational messages, as well as assimilating emotional support messages for patients and families. This study shows promise for the feasibility and utilization of the COMFORT curriculum for entry-level physical therapists. Further research should address the integration of COMFORT earlier into physical therapy education, as well as assess evidence of COMFORT communication skills in the clinical context.

Calibration of the physiological equivalent temperature index for three different climatic regions

NASA Astrophysics Data System (ADS)

Krüger, E.; Rossi, F.; Drach, P.

2017-07-01

In human biometeorology, the integration of several microclimatic variables as a combined index facilitates the understanding of how users perceive thermal environments. Indices, such as the physiological equivalent temperature (PET) index, translate the combined effects of meteorological variables on humans in terms of thermal stress or comfort and serve as important aids to climate-responsive urban and regional planning as well as heat stress and thermal comfort analyses. However, there is a need for adjusting proposed comfort/stress ranges of a given index when using it in different climatic contexts. The purpose of this study is to present a preliminary calibration procedure for the PET index for three different climatic regions: Curitiba, Brazil, a subtropical location; Rio de Janeiro, Brazil, a tropical city; and Glasgow, UK, a high-latitude location. Field studies have been carried out by the authors according to a similar protocol and using similar equipment, yielding actual thermal sensation votes and microclimate data, post-processed as PET data. The calibration procedure uses exclusively thermal sensation data as reported by pedestrians during outdoor comfort campaigns and concurrent microclimatic data recorded during the interviews. PET comfort/stress classes differ among the three locations and, in general, are less restrictive as in the original ranges proposed by the index developers.

The Study of Thermal Comfort in Transforming Residential Area in Bandung using ENVI-met Software. Case Study: Progo Street

NASA Astrophysics Data System (ADS)

Aziz Soelaiman, Tubagus M.; Soedarsono, Woerjantari K.; Donny Koerniawan, M.

2018-05-01

Bandung has a high potential in attracting tourists. This potential impact on building function near tourist attraction that can transform residential uses into commercial uses. Progo Street and its surrounding area used as the case study, which is close to Gedung Sate and Riau Street as tourist destinations in Bandung. Moreover, this transformation is also reinforced by the spatial planning policies in Bandung, known as RTRW and RDTR, said that this area will be fully non-residential area. This condition in some cases could affect thermal comfort. This paper provides the changes of thermal comfort phenomenon that occurs using EnviMet software. The study compares Predicted Mean Voted (PMV) as thermal comfort indicator between existing and Bandung detailed spatial plan (RDTR) condition. The result shows that the PMV value of current condition is higher than future planning, nonetheless the planned area will be changed into higher non-residential buildings and less greeneries. Some environmental factors that are used to calculate PMV such as air temperature, mean radiant temperature, humidity, and wind speed are also examined to find out what makes the plan more comfortable than the existing. Simulations using ENVI-met software could be considered in making more objective planning policy in the future.

Development of a simulation model of semi-active suspension for monorail

NASA Astrophysics Data System (ADS)

Hasnan, K.; Didane, D. H.; Kamarudin, M. A.; Bakhsh, Qadir; Abdulmalik, R. E.

2016-11-01

The new Kuala Lumpur Monorail Fleet Expansion Project (KLMFEP) uses semiactive technology in its suspension system. It is recognized that the suspension system influences the ride quality. Thus, among the way to further improve the ride quality is by fine- tuning the semi-active suspension system on the new KL Monorail. The semi-active suspension for the monorail specifically in terms of improving ride quality could be exploited further. Hence a simulation model which will act as a platform to test the design of a complete suspension system particularly to investigate the ride comfort performance is required. MSC Adams software was considered as the tool to develop the simulation platform, where all parameters and data are represented by mathematical equations; whereas the new KL Monorail being the reference model. In the simulation, the model went through step disturbance on the guideway for stability and ride comfort analysis. The model has shown positive results where the monorail is in stable condition as an outcome from stability analysis. The model also scores a Rating 1 classification in ISO 2631 Ride Comfort performance which is very comfortable as an overall outcome from ride comfort analysis. The model is also adjustable, flexibile and understandable by the engineers within the field for the purpose of further development.

Indoor Thermal Factors and Symptoms in Office Workers: Findings from the U.S. EPA BASE Study

DOE Office of Scientific and Technical Information (OSTI.GOV)

Mendell, Mark; Mirer, Anna

2008-06-01

Some prior research in office buildings has associated higher indoor temperatures even within the recommended thermal comfort range with increased worker symptoms. We reexamined this relationship in data from 95 office buildings in the U.S. Environmental Protection Agency's Building Assessment Survey and Evaluation (BASE) Study. We investigated relationships between building-related symptoms and thermal metrics constructed from real-time measurements. We estimated odds ratios (ORs) and 95percent confidence intervals in adjusted logistic regression models with general estimating equations, overall and by season. Winter indoor temperatures spanned the recommended winter comfort range; summer temperatures were mostly colder than the recommended summer range. Increasingmore » indoor temperatures, overall, were associated with increases in few symptoms. Higher winter indoor temperatures, however, were associated with increases in all symptoms analyzed. Higher summer temperatures, above 23oC, were associated with decreases in most symptoms. Humidity ratio, a metric of absolute humidity, showed few clear associations. Thus, increased symptoms with higher temperatures within the thermal comfort range were found only in winter. In summer, buildings were overcooled, and only the higher observed temperatures were within the comfort range; these were associated with decreased symptoms. Confirmation of these findings would suggest that thermal management guidelines consider health effects as well as comfort.« less

Thermal comfort of people in the hot and humid area of China-impacts of season, climate, and thermal history.

PubMed

Zhang, Y; Chen, H; Wang, J; Meng, Q

2016-10-01

We conducted a climate chamber study on the thermal comfort of people in the hot and humid area of China. Sixty subjects from naturally ventilated buildings and buildings with split air conditioners participated in the study, and identical experiments were conducted in a climate chamber in both summer and winter. Psychological and physiological responses were observed over a wide range of conditions, and the impacts of season, climate, and thermal history on human thermal comfort were analyzed. Seasonal and climatic heat acclimatization was confirmed, but they were found to have no significant impacts on human thermal sensation and comfort. The outdoor thermal history was much less important than the indoor thermal history in regard to human thermal sensation, and the indoor thermal history in all seasons of a year played a key role in shaping the subjects' sensations in a wide range of thermal conditions. A warmer indoor thermal history in warm seasons produced a higher neutral temperature, a lower thermal sensitivity, and lower thermal sensations in warm conditions. The comfort and acceptable conditions were identified for people in the hot and humid area of China. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

An investigation of thermal comfort inside a bus during heating period within a climatic chamber.

PubMed

Pala, Uzeyir; Oz, H Ridvan

2015-05-01

By this study, it was aimed to define a testing and calculation model for thermal comfort assessment of a bus HVAC design and to compare effects of changing parameters on passenger's thermal comfort. For this purpose, a combined theoretical and experimental work during heating period inside a coach was carried out. The bus was left under 20 °C for more than 7 h within a climatic chamber and all heat sources were started at the beginning of a standard test. To investigate effects of fast transient conditions on passengers' physiology and thermal comfort, temperatures, air humidity and air velocities were measured. Human body was considered as one complete piece composed of core and skin compartments and the Transient Energy Balance Model developed by Gagge et al. in 1971 was used to calculate changes in thermal parameters between passenger bodies and bus interior environment. Depending on the given initial and environmental conditions, the graphs of passengers Thermal Sensation and Thermal Discomfort Level were found. At the end, a general mathematical model supported with a related experimental procedure was developed for the use of automotive HVAC engineers and scientists working on thermal comfort as a human dimension. Copyright © 2014 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Female upper body and breast skin temperature and thermal comfort following exercise.

PubMed

Ayres, B; White, J; Hedger, W; Scurr, J

2013-01-01

Breast support reduces breast pain and movement during exercise, however, an extra layer of clothing may affect thermoregulation. This preliminary study investigated female upper body and breast skin temperature and thermal comfort following short-duration exercise. Eight female participants with C-cup breasts had thermal images (infra-red camera, FLIR systems) of the bare breasts, the breasts in two sports bras (composite and polyester) and the abdomen, taken before and after 20 min of exercise at 28(o)C. Following exercise, bare-breast, bra and abdomen temperatures reduced by 0.61(o)C, 0.92(o)C and 2.06(o)C, respectively. The polyester sports bra demonstrated greater thermal comfort and enabled a greater change in skin temperature than the composite sports bra. It is concluded that following short-duration exercise, sports bras reduced the cooling ability of the breast. Material properties of the bras affect thermal comfort and post-exercise skin temperature; this should be an important consideration for sports bra manufacturers. This study investigates the effect of sports bras on thermal regulation of the breast following exercise. Sports bras negatively affected the cooling ability of the skin on the breast, with the material properties of the bra affecting thermal comfort following exercise. These results present important considerations for sports bra manufacturers.

Multi-objective decoupling algorithm for active distance control of intelligent hybrid electric vehicle

NASA Astrophysics Data System (ADS)

Luo, Yugong; Chen, Tao; Li, Keqiang

2015-12-01

The paper presents a novel active distance control strategy for intelligent hybrid electric vehicles (IHEV) with the purpose of guaranteeing an optimal performance in view of the driving functions, optimum safety, fuel economy and ride comfort. Considering the complexity of driving situations, the objects of safety and ride comfort are decoupled from that of fuel economy, and a hierarchical control architecture is adopted to improve the real-time performance and the adaptability. The hierarchical control structure consists of four layers: active distance control object determination, comprehensive driving and braking torque calculation, comprehensive torque distribution and torque coordination. The safety distance control and the emergency stop algorithms are designed to achieve the safety and ride comfort goals. The optimal rule-based energy management algorithm of the hybrid electric system is developed to improve the fuel economy. The torque coordination control strategy is proposed to regulate engine torque, motor torque and hydraulic braking torque to improve the ride comfort. This strategy is verified by simulation and experiment using a forward simulation platform and a prototype vehicle. The results show that the novel control strategy can achieve the integrated and coordinated control of its multiple subsystems, which guarantees top performance of the driving functions and optimum safety, fuel economy and ride comfort.

Comfort, Energy Efficiency and Adoption of Personal Cooling Systems in Warm Environments: A Field Experimental Study

PubMed Central

He, Yingdong; Li, Nianping; Wang, Xiang; He, Meiling; He, De

2017-01-01

It is well known that personal cooling improves thermal comfort and save energy. This study aims to: (1) compare different personal cooling systems and (2) understand what influences users’ willingness to adopt them. A series of experiments on several types of personal cooling systems, which included physical measurements, questionnaires and feedback, was conducted in a real office environment. The obtained results showed that personal cooling improved comfort of participants in warm environments. Then an improved index was proposed and used to compare different types of personal cooling systems in terms of comfort and energy efficiency simultaneously. According to the improved index, desk fans were highly energy-efficient, while the hybrid personal cooling (the combination of radiant cooling desk and desk fan) consumed more energy but showed advantages of extending the comfortable temperature range. Moreover, if personal cooling was free, most participants were willing to adopt it and the effectiveness was the main factor influencing their willingness, whereas if participants had to pay, they probably refused to adopt it due to the cost and the availability of conventional air conditioners. Thus, providing effective and free personal cooling systems should be regarded as a better way for its wider application. PMID:29149078

Articulation at shoulder level--a pilot experimental study on car seat comfort.

PubMed

Coelho, Denis Alves; Dahlman, Sven

2012-01-01

This article reports on a pilot experimental study aimed at a first evaluation of the introduction of an articulation in the upper part of the seat backrest. The idea of introducing this articulation sprang from prevention of whiplash injuries and this study tentatively assesses its potential for improvement in comfort. This was done considering a pre-defined articulation height. A height for the articulation of 43.5 cm above the H-point of a reference seat was theoretically deduced based on a population with an average sitting height of 88 cm. Participants evaluated the articulated seat in comparison with the reference seat. Twelve participants were divided into three groups of sitting height. In a laboratory environment subjective comfort evaluations and preferred values of deployment of the articulation and of counter-tilting of the headrest were registered. Driving on the roads completed and validated the laboratory assessments. The reference seat was deemed less comfortable for the participants with short and medium sitting height than for the tall ones. There was a notable improvement in comfort for most of the medium and short sitting height participants when using the articulated seat. The articulation was fully deployed by most participants. Copyright © 2011 Elsevier Ltd and The Ergonomics Society. All rights reserved.

Beyond the drugs: nonpharmacologic strategies to optimize procedural care in children.

PubMed

Leroy, Piet L; Costa, Luciane R; Emmanouil, Dimitris; van Beukering, Alice; Franck, Linda S

2016-03-01

Painful and/or stressful medical procedures mean a substantial burden for sick children. There is good evidence that procedural comfort can be optimized by a comprehensive comfort-directed policy containing the triad of nonpharmacological strategies (NPS) in all cases, timely or preventive procedural analgesia if pain is an issue, and procedural sedation. Based both on well-established theoretical frameworks as well as an increasing body of scientific evidence NPS need to be regarded an inextricable part of procedural comfort care. Procedural comfort care must always start with a child-friendly, nonthreatening environment in which well-being, confidence, and self-efficacy are optimized and maintained. This requires a reconsideration of the medical spaces where we provide care, reduction of sensory stimulation, normalized professional behavior, optimal logistics, and coordination and comfort-directed and age-appropriate verbal and nonverbal expression by professionals. Next, age-appropriate distraction techniques and/or hypnosis should be readily available. NPS are useful for all types of medical and dental procedures and should always precede and accompany procedural sedation. NPS should be embedded into a family-centered, care-directed policy as it has been shown that family-centered care can lead to safer, more personalized, and effective care, improved healthcare experiences and patient outcomes, and more responsive organizations.

Seat belt use and fit among drivers aged 75 years and older in their own vehicles.

PubMed

Fong, Cameron K; Keay, Lisa; Coxon, Kristy; Clarke, Elizabeth; Brown, Julie

2016-01-01

This article aims to describe seat belt wearing patterns and quality of seat belt fit among drivers aged 75 years and older. A secondary aim is to explore associations between body shape, comfort, and seat belt use patterns. This is an observation and survey study of a cohort of 380 drivers aged 75 years and over. During home visits, photographs were taken of the drivers in their vehicles for later analysis of belt fit and a short survey was also administered to collect demographic data and information about seat belt use and comfort. Seat belt fit and use of belt and seat accessories were analyzed from the photographs. Data from 367 participants with photographs were analyzed. Whereas 97% reported using a seat belt and 90% reported their seat belt to be comfortable, 21% reported repositioning their seat belt to improve comfort. Good sash and lap belt fit were achieved in 53 and 59% of participants, respectively, but only 35% achieved overall good fit. Both poor sash and lap belt fit were observed in 23% of participants. Drivers who were in the obese category had over twice the odds (95% confidence interval [CI], 1.2-4.1) of having a poor lap belt fit than those in the normal body mass index [BMI] range, and drivers who were overweight had 1.8 times the odds (95% CI, 1.1-2.9) of having poor lap belt fit. Older females also had twice the odds (95% CI, 1.3-3.5) of poor lap belt fit compared to older males, regardless of BMI. Sash belt fit did not vary significantly by BMI, stature, or gender. However older drivers who reported that they had not made any adjustments to the D-ring height had 1.7 times the odds of having poor sash belt fit than those who made adjustments (1.2-2.9). Females were 7.3 times more likely to report comfort problems than males (95% CI, 3.2, 16.3) but there was no association between reported comfort and BMI or seat belt fit. Drivers who reported comfort problems had 6 times the odds (3.2-13.6) of also reporting active repositioning of the belt. The results suggest that older drivers face challenges in achieving comfortable and correct seat belt fit. This may have a negative impact on crash protection. Belt fit problems appear to be associated with body shape, particularly high BMI and gender. There is a need for further investigation of comfort accessories; in the interim, older drivers and occupants should be encouraged to use features such as D-ring adjusters to improve sash belt fit.

A comparison of bareroot and containerized seedling production

Treesearch

John McRae; Tom Starkey

2002-01-01

Most nursery managers and culturists are comfortable growing bareroot seedlings. A few have become comfortable growing containerized seedlings. This discussion will compare the two systems, with a focus on SYP production, and will include a discussion on capital, equipment, space, and personnel requirements.

Behavioural Indices of Central Auditory Processing

DTIC Science & Technology

2009-06-01

materials were presented monaurally or binaurally over a headset at a comfortable listening level. All but the Gaps-in-Noise Test were presented twice...Milford, New Hampshire). Stimulus materials were pesented monaurally or binaurally at a comfortable listening level of approximately 50 decibels above

Ductless Mini-Split Heat Pump Comfort Evaluation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Roth, K.; Sehgal, N.; Akers, C.

2013-03-01

Field tests were conducted in two homes in Austin, TX, to evaluate the comfort performance of ductless minisplit heat pumps (DMSHPs), measuring temperature and relative humidity measurements in four rooms in each home before and after retrofitting a central HVAC system with DMSHPs.

Ductless Mini-Split Heat Pump Comfort Evaluation

DOE Office of Scientific and Technical Information (OSTI.GOV)

Roth, K.; Sehgal, N.; Akers, C.

2013-03-01

Field tests were conducted in two homes in Austin, TX to evaluate the comfort performance of ductless mini-split heat pumps (DMSHPs), measuring temperature and relative humidity measurements in four rooms in each home before and after retrofitting a central HVAC system with DMSHPs.

Interactive effects of dietary restraint and adiposity on stress-induced eating and the food choice of children.

PubMed

Roemmich, James N; Lambiase, Maya J; Lobarinas, Christina L; Balantekin, Katherine N

2011-12-01

The Individual Differences Model posits that individual differences in physiological and psychological factors explain eating behaviors in response to stress. The purpose was to determine the effects of individual differences in adiposity, dietary restraint and stress reactivity on children's energy intake and food choices. A total of 40 boys and girls, age 8-12 years, with wide ranges of dietary restraint, adiposity, and stress reactivity were measured for total energy intake and choice of energy dense 'comfort' and lower density 'healthy' foods following reading and speech stressor manipulations. When exploring the interaction of dietary restraint and stress reactivity, lower restraint/lower reactivity and lower restraint/higher reactivity were associated with reductions in energy intake (37-62 kcal) and comfort food (33-89 kcal). Higher restraint/lower reactivity was associated with consuming 86 fewer total kcal and 45 fewer kcal of comfort food. Only higher restraint/higher reactivity predicted increased energy intake (104 kcal) and comfort food (131 kcal). The interaction of dietary restraint and percentage body fat revealed that lower restraint/lower adiposity was associated with consuming 123 fewer kcal after being stressed with the entire reduction due to a decrease in comfort food. Lower restraint/higher adiposity was associated with consuming 116 kcal more after being stressed with 70% (81 kcal) of the increase in the form of comfort foods. Higher restraint/lower adiposity and higher restraint/higher adiposity were associated with smaller changes in total energy intake of 22 kcal and 1 kcal; respectively. Both restraint and adiposity moderated the effect of stress on energy intake and food choice. Children with greater adiposity may be at risk for stress-induced eating to contribute to their obesity. Copyright © 2011 Elsevier Ltd. All rights reserved.

Simulation to Improve Trainee Knowledge and Comfort About Twin Vaginal Birth.

PubMed

Easter, Sarah Rae; Gardner, Roxane; Barrett, Jon; Robinson, Julian N; Carusi, Daniela

2016-10-01

To describe a simulation-based curriculum on twin vaginal delivery and evaluate its effects on trainee knowledge and comfort about twin vaginal birth. Trainees participated in a three-part simulation consisting of a patient counseling session, a twin delivery scenario, and a breech extraction skills station. Consenting trainees completed a 21-item presimulation survey and a 22-item postsimulation survey assessing knowledge, experience, attitudes, and comfort surrounding twin vaginal birth. Presimulation and postsimulation results were compared using univariate analysis. Our primary outcomes were change in knowledge and comfort before and after the simulation. Twenty-four obstetrics and gynecology residents consented to participation with 18 postsimulation surveys available for comparison (75%). Trainees estimated their participation in 445 twin deliveries (median 19, range 0-52) with only 20.4% of these as vaginal births. Participants reported a need for more didactic or simulated training on this topic (64% and 88%, respectively). Knowledge about twin delivery improved after the simulation (33.3% compared with 58.3% questions correct, P<.01). Before training, 33.3% of participants reported they would strongly counsel a patient to attempt vaginal birth instead of elective cesarean delivery for twins compared with 50% after training (P=.52). Personal comfort with performing a breech extraction of a nonvertex second twin improved from 5.5% to 66.7% after the simulation (P<.01). Resident exposure to twin vaginal birth is infrequent and variable with a demonstrable need for more training. Our contemporary obstetric climate is prioritizing vaginal birth despite less frequent operative obstetric interventions. We describe a reproducible twin delivery simulation associated with a favorable effect on resident knowledge and comfort levels.

Pressure Ulcer Incidence in Patients Wearing Nasal-Oral Versus Full-Face Noninvasive Ventilation Masks.

PubMed

Schallom, Marilyn; Cracchiolo, Lisa; Falker, Antoinette; Foster, Jennifer; Hager, JoAnn; Morehouse, Tamara; Watts, Peggy; Weems, Linda; Kollef, Marin

2015-07-01

Device-related pressure ulcers from noninvasive ventilation masks alter skin integrity and cause patients discomfort. To examine the incidence, location, and stage of pressure ulcers and patients' comfort with a nasal-oral mask compared with a full-face mask. A before-after study of a convenience sample of patients with noninvasive ventilation orders in 5 intensive care units was conducted. Two groups of 100 patients each received either the nasal-oral mask or the full-face mask. Skin was assessed before the mask was applied and every 12 hours after that or upon mask removal. Comfort levels were assessed every 12 hours on a Likert scale of 1 to 5 (1, most comfortable). A pressure ulcer developed in 20% of patients in the nasal-oral mask group and 2% of patients in the full-face mask group (P < .001). Comfort scores were significantly lower (more comfortable) with the full-face mask (mean [SD], 1.9 [1.1]) than with the nasal-oral mask (mean [SD], 2.7 [1.2], P < .001). Neither mean hours worn nor percentage adherence differed significantly: 28.9 (SD, 27.2) hours and 92% for full-face mask and 25 (SD, 20.7) and 92% for nasal-oral mask. No patients who had a pressure ulcer develop with the nasal-oral mask had a pressure ulcer develop with the full-face mask. The full-face mask resulted in significantly fewer pressure ulcers and was more comfortable for patients. The full-face mask is a reasonable alternative to traditional nasal-oral masks for patients receiving noninvasive ventilation. ©2015 American Association of Critical-Care Nurses.

Identifying outdoor thermal risk areas and evaluation of future thermal comfort concerning shading orientation in a traditional settlement.

PubMed

Huang, Kuo-Tsang; Yang, Shing-Ru; Matzarakis, Andreas; Lin, Tzu-Ping

2018-06-01

The outdoor thermal environment is expected to be deteriorated under climate change. An approach of risk identification including assessment from aspects of thermal stress effect, people's exposure, and local's vulnerability were adopted to study a hot-and-humid traditional rural community located at Tainan, Taiwan. Layers of each aspect were either constructed by in-situ measurements or simulations. To evaluate the future thermal comfort changes by simulations, the prerequisite hourly climate data of three future time slices were produced. Prognostic simulation model, ENVI-met, in combination with diagnostic model, RayMan, were respectively used for identifying current spatial distribution of thermal stress and for assessing the future thermal comfort changes. High thermal risk area was identified by superimposing layers of hazard, exposure and vulnerability. It revealed that because of the tourists' vulnerability to adapt local climate and the inflexibleness of choosing visiting time, it exhibited a high thermal stress at the Main Courtyard where its thermal comfort conditions will be deteriorated due to climate change. Furthermore, the thermal comfort conditions in various shading orientation were analyzed based on the changing climate in three future time slices, i.e. 2011-2040, 2041-2070, and 2071-2100. The results show the area with shading in the East and West side is more comfort than in the North side. In hot season, shading in the West side contributes less PET increasing, especially in the afternoon period. The severest overheat problem (the physiological equivalent temperature, PET>40°C) at the Main Courtyard will increase from current 10% to 28% in 2071-2100 in terms of overheating occurrence frequency. The results of this study can be used as the guidelines for environment analysis before planning or redesign community. Copyright © 2018 Elsevier B.V. All rights reserved.

Effects of foot strike on low back posture, shock attenuation, and comfort in running.

PubMed

Delgado, Traci L; Kubera-Shelton, Emilia; Robb, Robert R; Hickman, Robbin; Wallmann, Harvey W; Dufek, Janet S

2013-03-01

Barefoot running (BF) is gaining popularity in the running community. Biomechanical changes occur with BF, especially when initial contact changes from rearfoot strike (RFS) to forefoot strike (FFS). Changes in lumbar spine range of motion (ROM), particularly involving lumbar lordosis, have been associated with increased low back pain. However, it is not known if changing from RFS to FFS affects lumbar lordosis or low back pain. The purpose of this study was to determine whether a change from RFS to FFS would change lumbar lordosis, influence shock attenuation, or change comfort levels in healthy recreational/experienced runners. Forty-three subjects performed a warm-up on the treadmill where a self-selected foot strike pattern was determined. Instructions on running RFS/FFS were taught, and two conditions were examined. Each condition consisted of 90 s of BF with RFS or FFS, order randomly assigned. A comfort questionnaire was completed after both conditions. Fifteen consecutive strides from each condition were extracted for analyses. Statistically significant differences between FFS and RFS shock attenuation (P < 0.001), peak leg acceleration (P < 0.001), and overall lumbar ROM (P = 0.045) were found. There were no statistically significant differences between FFS and RFS in lumbar extension or lumbar flexion. There was a statistically significant difference between FFS and RFS for comfort/discomfort of the comfort questionnaire (P = .007). There were no statistically significant differences between other questions or the average of all questions. Change in foot strike from RFS to FFS decreased overall ROM in the lumbar spine but did not make a difference in flexion or extension in which the lumbar spine is positioned. Shock attenuation was greater in RFS. RFS was perceived a more comfortable running pattern.

Effectiveness of a 2-year menopause medicine curriculum for obstetrics and gynecology residents.

PubMed

Christianson, Mindy S; Washington, Chantel I; Stewart, Katherine I; Shen, Wen

2016-03-01

Previous work has shown American obstetrics and gynecology (OB/GYN) residents are lacking in menopause training. Our objective was to assess the effectiveness of a 2-year menopause medicine curriculum in improving OB/GYN residents' knowledge and self-assessed competency in menopause topics. We developed a menopause medicine-teaching curriculum for OB/GYN residents at our academic hospital-based residency program. The 2-year curriculum was composed of year 1: four 1-hour lectures and one 2-hour lab with cases presentations, and year 2: three 1-hour lectures and one 2-hour lab. Core topics included menopause physiology, hormone therapy, breast health, bone health, cardiovascular disease, and autoimmune disease. Pre- and posttests assessed resident knowledge and comfort in core topics, and a pre- and postcurriculum survey assessed utility and learning satisfaction. From July 2011 to June 2013, 34 OB/GYN residents completed the menopause curriculum annually with an average attendance at each module of 23 residents. Pre-/posttest scores improved from a mean pretest score of 57.3% to a mean posttest score of 78.7% (P < 0.05). Before the curriculum, most residents did not feel comfortable managing menopause patients with 75.8% reporting feeling "barely comfortable" and 8.4% feeling "not at all comfortable." After the 2-year curriculum, 85.7% reported feeling "comfortable/very comfortable" taking care of menopause patients. The majority of residents (95.2%) reported the menopause curriculum was "extremely useful." A 2-year menopause medicine curriculum for OB/GYN residents utilizing lectures and a lab with case studies is an effective modality to improve resident knowledge required to manage menopause patients.

Comfort vs risk: a grounded theory about female adolescent behaviour in the sun.

PubMed

Norton, Elizabeth; Holloway, Immy; Galvin, Kathleen

2014-07-01

To generate a grounded theory about female adolescent behaviour in the sun. Nurses have key roles in health promotion and skin cancer prevention. Adolescents' resistance to sun safety messages and their vulnerability to sunburn are of concern internationally. Understanding why young women do as they do in the sun may enhance skin cancer prevention, but their behaviour has not been explained before in the UK. The study incorporated a qualitative grounded theory design using the approach of Glaser. Qualitative data were gleaned from group and one-to-one, semi-structured interviews with 20 female participants aged 14-17, research memos and literature. Sampling was purposive and theoretical. Data collection, analysis and theory generation occurred concurrently. Data were analysed using the constant comparative method. Data collection ended when a substantive theory had been generated. Data analysis revealed five categories of findings: fitting in, being myself, being physically comfortable, slipping up and being comfortable (the core category). The theory generated around the core explains how young women direct their sun-related activities towards meeting their physical and psychosocial comfort needs. A contribution of this research is the grounded theory explaining the behaviour of young women in the sun. Further, the theory challenges assumptions that female adolescents necessarily take risks; it explains their sun-related activities in terms of comfort. The theory extends findings from other researchers' descriptive qualitative studies and also appears to apply to young people in countries other than the UK. Understanding the sun-related activity of young women in terms of physical and psychosocial comfort may help nurses to develop new approaches to skin cancer prevention. These could complement existing messages and humanise health promotion. © 2013 John Wiley & Sons Ltd.

Decreasing an Offloading Device's Size and Offsetting Its Imposed Limb Length Discrepancy Lead to Improved Comfort and Gait.

PubMed

Crews, Ryan T; Candela, Joseph

2018-04-17

Patient adherence is a challenge in offloading diabetic foot ulcers (DFUs) with removable cast walkers (RCWs). The size and weight of an RCW, changes to gait, and imposed limb length discrepancies may all discourage adherence. This study sought to determine whether RCW size and provision of a contralateral limb lift affected users' comfort and gait. Twenty-five individuals at risk for DFUs completed several 20-m walking trials under five footwear conditions: bilateral standardized shoes, a knee-high RCW with shoe with or without an external shoe lift contralaterally, and an ankle-high RCW with shoe with or without an external shoe lift contralaterally. Perceived comfort ratings were assessed through the use of visual analog scales. Spatial and temporal parameters of gait were captured by an instrumented walkway, and plantar pressure was measured and recorded using pedobarographic insoles. The bilateral shoes condition was reported to be most comfortable; both RCW conditions without the lift were significantly less comfortable ( P < 0.01). In contrast to the ankle-high RCW, the knee-high RCW resulted in significantly slower walking (5.6%; P < 0.01) but greater offloading in multiple forefoot regions of the offloaded foot (6.8-8.1%; P < 0.01). Use of the contralateral shoe lift resulted in significantly less variability in walking velocity (52.8%; P < 0.01) and reduced stance time for the offloaded foot (2.6%; P = 0.01), but it also reduced offloading in multiple forefoot regions of the offloaded foot (3.7-6.0%; P < 0.01). Improved comfort and gait were associated with the ankle-high RCW and contralateral limb lift. Providing this combination to patients with active DFUs may increase offloading adherence and subsequently improve healing. © 2018 by the American Diabetes Association.

Comparison of tear osmolarity and ocular comfort between daily disposable contact lenses: hilafilcon B hydrogel versus narafilcon A silicone hydrogel.

PubMed

Sarac, Ozge; Gurdal, Canan; Bostancı-Ceran, Basak; Can, Izzet

2012-06-01

The aim of this study was to evaluate tear osmolarity and ocular comfort with two different types of hydrogel daily disposable lenses. The right eyes of 15 first-time contact lens users were included in this prospective study. All eyes wore hilafilcon B silicone hydrogel contact lenses for 8 h (group 1). After 1 week without contact lenses, all eyes wore narafilcon A silicone hydrogel contact lenses for 8 h (group 2). Tear osmolarity measurement was performed before and after 4 and 8 h of each contact lens wear. Ocular comfort was assessed after 4 and 8 h of each contact lens wear. In group 1, the mean baseline, 4- and 8-h tear osmolarity values were 293 ± 10.57, 303.00 ± 10.5 mOsm/L (p = 0.023), and 295.0 ± 1.4 mOsm/L (p > 0.05), respectively. In group 2, the mean baseline, 4- and 8-h tear osmolarity values were 294 ± 13.65, 300.9 ± 11.3 mOsm/L (p = 0.007), and 298.80 ± 7.2 mOsm/L (p > 0.05), respectively. In group 1, the mean comfort score was 7.20 ± 0.45 and 8.60 ± 0.45 at 4 and 8 h, respectively (p = 0.038). In group 2, the mean comfort score significantly decreased from 9.80 ± 0.45 to 7.80 ± 0.84 at 4 h (p = 0.039). Both hydrogel and silicone hydrogel daily disposable contact lenses elevated tear osmolarity during 8 h of contact lens wear. The increase in tear osmolarity with both contact lenses was below the cut-off value for dry eye and was not associated with ocular comfort.

Using a pocket card to improve end-of-life care on internal medicine clinical teaching units: a cluster-randomized controlled trial.

PubMed

Mikhael, Joseph; Baker, Lindsay; Downar, James

2008-08-01

End-of-life care is suboptimally taught in undergraduate and postgraduate education in Canada. Previous interventions to improve residents' knowledge and comfort have involved lengthy comprehensive educational modules or dedicated palliative care rotations. To determine the effectiveness of a cheap, portable, and easily implemented pocket reference for improving residents' knowledge and comfort level in dealing with pain and symptom management on the medical ward. Cluster-randomized controlled trial conducted from August 2005 to June 2006. Medical clinical teaching units (CTUs) in 3 academic hospitals in Toronto, Canada. All residents rotating through the medical CTUs who consented to participate in the study. Residents at 1 hospital received a pocket reference including information about pain and symptom control, as well as 1-2 didactic end-of-life teaching sessions per month normally given as part of the rotation. Residents at the other 2 hospitals received only the didactic sessions. A 10-question survey assessing knowledge and comfort level providing end-of-life care to medical inpatients, as well as focus group interviews. One hundred thirty-six residents participated on 3 CTUs for a participation rate of approximately 75%. Comfort levels improved in both control (p < .01) and intervention groups (p < .01), but the increase in comfort level was significantly higher in the intervention group (z = 2.57, p < .01). Knowledge was not significantly improved in the control group (p = .06), but was significantly improved in the intervention group (p = .01). Greater than 90% of residents in the intervention group used the card at least once per week, and feedback from the focus groups was very positive. Our pocket card is a feasible, economical, and educational intervention that improves resident comfort level and knowledge in delivering end-of-life care on CTUs.

Addressing cost barriers to medications: a survey of patients requesting financial assistance.

PubMed

Grande, David; Lowenstein, Margaret; Tardif, Madeleine; Cannuscio, Carolyn

2014-12-01

Given that many patients with chronic diseases face cost-related barriers to care, we evaluated patients' views on which providers (both physicians and nonphysicians) to involve and which methods to use to screen for those barriers. We also examined patients' preferences for how physicians consider cost-efficacy trade-offs in decisions. A national survey of 1400 randomly sampled adults with a chronic disease seeking financial assistance (842 respondents). Participants rated their comfort with various providers and tools for identifying cost barriers. Then they rated a randomly assigned clinical vignette that described how a clinical decision was made in the context of a cost-efficacy tradeoff. Vignettes depicted 3 decision types: cost-conscious physician, cost-indifferent physician, or patient-directed. Comfort was rated from 1 to 10-ratings above 7 indicated high comfort. More respondents reported high comfort with physicians screening for cost barriers (81.1%) than with pharmacists (74.8%; P=.002), nurses (69.4%; P<.001), professional counselors (68.3%; P<.001), and trained volunteers (50.5%; P<.001). Regarding screening for cost barriers using administrative records, more respondents reported higher comfort with doctors' offices (58.8%) than with insurance companies (53.3%; P=.03), but similar levels of comfort compared to pharmacies (62.1%; P=.17). Participants favored "patient-directed" decisions with physician input (odds ratio, 4.64; 95% CI, 3.14-6.84; P<.001) compared with "cost-conscious" decisions in which physicians unilaterally decided how to manage cost-efficacy tradeoffs. Patients were open to a range of cost-barrier screening approaches, but most favor direct conversations with their doctor and shared decision making in decisions involving cost-efficacy trade-offs.

Becoming comfortable with "my" epilepsy: Strategies that patients use in the journey from diagnosis to acceptance and disclosure.

PubMed

Pembroke, Sinead; Higgins, Agnes; Pender, Niall; Elliott, Naomi

2017-05-01

Proponents of resilience theory have highlighted the importance of understanding the processes of resilience. The objective of the study was to explore how people with epilepsy reach a stage of being comfortable with their epilepsy. Identifying the processes used is important to developing effective self-management for people who are newly diagnosed with epilepsy. A grounded theory approach involving forty-nine consenting adult people with epilepsy (18 years and over), was used to explore their first-hand experiences of coming to terms with their epilepsy. Data were collected using one-to-one interview to elicit in-depth personal accounts of people with epilepsy's experiences of adjusting to their diagnosis of epilepsy. Using grounded theory's systematic inductive-deductive process data of analysis, the core findings that emerged from the open coding and inductive phase were analyzed independently by two researchers to ensure that findings were verified and validated across the interview dataset. Three core categories emerged as central to the journey that people experience after receiving their diagnosis of epilepsy towards becoming comfortable with their epilepsy. These were: i) meaning of "my" epilepsy diagnosis, to capture people with epilepsy's feelings, reactions and concerns after being diagnosed with epilepsy, ii) useful strategies, to identify what people with epilepsy did to become comfortable with their diagnosis, and iii) being comfortable with my epilepsy, to account for the frame of mind of people with epilepsy when they reach a point of accepting their diagnosis. The findings provide important insights into the personal experiences of people with epilepsy after receiving their diagnosis and identifies a range of strategies they find useful in helping them reach a position of acceptance and being 'comfortable with my epilepsy'. Copyright © 2017 Elsevier Inc. All rights reserved.

The Effect of Administering a Boundary Course to Third-Year Medical Students During Their Psychiatry Clerkship.

PubMed

Kunaparaju, Sindhura; Hidalgo, Michael Sposito; Bennett, David S; Sedky, Karim

2018-06-01

Due to lack of experience, third-year medical students (MS3) may be vulnerable to boundary violations. Investigators aimed to increase awareness regarding boundary issues among MS3s and assess the effect of using videotaped scenarios and case-based discussion on medical students' comfort in managing boundary issues. A nine-question pre-course survey was administered to MS3s enrolled at Cooper Medical School of Rowan University that asked students to rate their comfort in managing various boundary challenges. MS3s then viewed seven pre-recorded boundary-related cases followed by a 10-15-min discussion after each case. A post-course survey reassessed comfort in managing boundary challenges using the same nine questions, with three additional questions assessing satisfaction with the course. Change in pre- and post-course scores were analyzed using paired t tests and effect sizes. Internal consistency was assessed using Cronbach's alpha. There was a significant difference between pre- and post-course total scores as well as seven of the nine individual scores. Effect sizes were large (d > .08). These findings indicate that students became more comfortable managing boundary issues following the course. In addition, satisfaction ratings were high indicating the course was perceived favorably. Medical students perceived the course to be beneficial and reported that it increased their awareness of boundary issues. A boundary course at the beginning of the psychiatry clerkship can improve MS3s' comfort in managing boundary challenges. With increased comfort in managing boundary, students can better focus on other aspects of their psychiatry education and on building therapeutic alliances with their patients.

Evaluating the behaviour of different thermal indices by investigating various outdoor urban environments in the hot dry city of Damascus, Syria

NASA Astrophysics Data System (ADS)

Yahia, Moohammed Wasim; Johansson, Erik

2013-07-01

Consideration of urban microclimate and thermal comfort is an absolute neccessity in urban development, and a set of guidelines for every type of climate must be elaborated. However, to develop guidelines, thermal comfort ranges need to be defined. The aim of this study was to evaluate the behaviour of different thermal indices by investigating different thermal environments in Damascus during summer and winter. A second aim was to define the lower and upper limits of the thermal comfort range for some of these indices. The study was based on comprehensive micrometeorological measurements combined with questionnaires. It was found that the thermal conditions of different outdoor environments vary considerably. In general, Old Damascus, with its deep canyons, is more comfortable in summer than modern Damascus where there is a lack of shade. Conversely, residential areas and parks in modern Damascus are more comfortable in winter due to more solar access. The neutral temperatures of both the physiologically equivalent temperature (PET) and the outdoor standard effective temperature (OUT_SET*) were found to be lower in summer than in winter. At 80 % acceptability, the study defined the lower comfort limit in winter to 21.0 °C and the upper limit in summer to 31.3 °C for PET. For OUT_SET*, the corresponding lower and upper limits were 27.6 °C and 31.3 °C respectively. OUT_SET* showed a better correlation with the thermal sensation votes than PET. The study also highlighted the influence of culture and traditions on people's clothing as well as the influence of air conditioning on physical adaptation.

[The comprehensive evaluation of the bioclimatic comfort at the territories of the Russian Far East with reference to winter-time recreational activities and primary wellness tourism].

PubMed

Pestereva, N M; Khechumyan, A F; Vorozbit, N

2018-05-21

in the framework of the current tendency toward the further development of the socio-economic sphere in the Russian Far East (RFE), the relevant investigations aimed at creating the comfortable conditions for recreational and touristic activities as well as for rehabilitative therapy of the local population acquire the increasingly greater importance. The objective of the present study was the comprehensive evaluation of the bioclimatic comfort at the territories of interest with special reference to winter-time recreational activities and primary wellness tourism. This study was designed to evaluate the health resort, recreational, and therapeutic resources of the selected areas of the Russian Far East with special reference to the data provided by the climate monitoring stations during the periods from December to March of 1965-2014. The following methods were used for the purpose: the comparative analysis of climatic information and elementary methods of mathematical statistics. The evaluation of the study territory in terms of the bioclimatic comfort gave evidence that the southern regions of Primorye as well as Sakhalin island, and Kamchatka peninsula provide the most favorable conditions for the therapeutic and recreational activities, leisure and sports in the winter seasons. The analysis of the studied bioclimatic indices of comfort at different territories of the Russian Far East has demonstrated their great potential for the further development of recreation services, rehabilitation, sporting and touristic activities. The study has revealed the new opportunities for the enhancement of bioclimatic comfort of the region and for the improvement of the quality of life and employment of the local population.

Some Aspects of the Investigation of Random Vibration Influence on Ride Comfort

NASA Astrophysics Data System (ADS)

DEMIĆ, M.; LUKIĆ, J.; MILIĆ, Ž.

2002-05-01

Contemporary vehicles must satisfy high ride comfort criteria. This paper attempts to develop criteria for ride comfort improvement. The highest loading levels have been found to be in the vertical direction and the lowest in lateral direction in passenger cars and trucks. These results have formed the basis for further laboratory and field investigations. An investigation of the human body behaviour under random vibrations is reported in this paper. The research included two phases; biodynamic research and ride comfort investigation. A group of 30 subjects was tested. The influence of broadband random vibrations on the human body was examined through the seat-to-head transmissibility function (STHT). Initially, vertical and fore and aft vibrations were considered. Multi-directional vibration was also investigated. In the biodynamic research, subjects were exposed to 0·55, 1·75 and 2·25 m/s2 r.m.s. vibration levels in the 0·5- 40 Hz frequency domain. The influence of sitting position on human body behaviour under two axial vibrations was also examined. Data analysis showed that the human body behaviour under two-directional random vibrations could not be approximated by superposition of one-directional random vibrations. Non-linearity of the seated human body in the vertical and fore and aft directions was observed. Seat-backrest angle also influenced STHT. In the second phase of experimental research, a new method for the assessment of the influence of narrowband random vibration on the human body was formulated and tested. It included determination of equivalent comfort curves in the vertical and fore and aft directions under one- and two-directional narrowband random vibrations. Equivalent comfort curves for durations of 2·5, 4 and 8 h were determined.

Tolerability of loteprednol/tobramycin versus dexamethasone/tobramycin in healthy volunteers: results of a 4-week, randomized, double-masked, parallel-group study.

PubMed

Bartlett, Jimmy D; Holland, Edward J; Usner, Dale W; Paterno, Michael R; Comstock, Timothy L

2008-08-01

To compare the ocular comfort and tolerability of loteprednol etabonate 0.5%/tobramycin 0.3% (LE/T; Zylet) with dexamethasone 0.1%/tobramycin 0.3% (DM/T; TobraDex) in healthy volunteers. In this multicenter, randomized, double-masked, parallel-group study, healthy volunteers (n = 306) were randomized to receive LE/T or DM/T four times per day for 28 days. Subjects recorded subjective ratings for seven comfort/tolerability parameters using an electronic patient diary (EPD). The primary endpoint was the difference at week 4 from the ratings of an artificial tear at baseline in comfort/tolerability parameters between treatment groups, using a noninferiority paradigm. ClinicalTrials. gov, NCT 00532961. The 97.5% confidence intervals for the lower bound were within -10 for all of the seven comfort/ tolerability parameters evaluated (pain, stinging/burning, irritation, itchiness, foreign-body sensation, dryness, and light sensitivity). Secondary analysis revealed small but significant within-treatment differences in pain favoring LE/T over tears and in light sensitivity favoring tears over DM/T (p < 0.01). Small between-treatment differences in the changes from baseline tear ratings to individual study visits favored LE/T for pain, stinging/burning, irritation, itchiness, foreign-body sensation, and light sensitivity at visit 4 (p < or = 0.04); for pain, stinging/burning, and foreignbody sensation at visit 5 (p < or = 0.03), and for dryness and light sensitivity at visit 6 (p < or = 0.05). LE/T satisfied all conditions of noninferiority to DM/T in comfort and tolerability. Subjects receiving LE/T were more likely to report better ocular comfort/tolerability ratings relative to baseline artificial tears than subjects receiving DM/T. The study population consisted of healthy volunteers.

Modelled spatiotemporal variability of outdoor thermal comfort in local climate zones of the city of Brno, Czech Republic.

PubMed

Geletič, Jan; Lehnert, Michal; Savić, Stevan; Milošević, Dragan

2018-05-15

This study uses the MUKLIMO_3 urban climate model (in German, Mikroskaliges Urbanes KLImaMOdell in 3-Dimensionen) and measurements from an urban climate network in order to simulate, validate and analyse the spatiotemporal pattern of human thermal comfort outdoors in the city of Brno (Czech Republic) during a heat-wave period. HUMIDEX, a heat index designed to quantify human heat exposure, was employed to assess thermal comfort, employing air temperature and relative humidity data. The city was divided into local climate zones (LCZs) in order to access differences in intra-urban thermal comfort. Validation of the model results, based on the measurement dates within the urban monitoring network, confirmed that the MUKLIMO_3 micro-scale model had the capacity to simulate the main spatiotemporal patterns of thermal comfort in an urban area and its vicinity. The results suggested that statistically significant differences in outdoor thermal comfort exist in the majority of cases between different LCZs. The most built-up LCZ types (LCZs 2, 3, 5, 8 and 10) were disclosed as the most uncomfortable areas of the city. Hence, conditions of great discomfort (HUMIDEX >40) were recorded in these areas, mainly in the afternoon hours (from 13.00 to 18.00 CEST), while some thermal discomfort continued overnight. In contrast, HUMIDEX values in sparsely built-up LCZ 9 and non-urban LCZs were substantially lower and indicated better thermal conditions for the urban population. Interestingly, the model captured a local increase of HUMIDEX values arising out of air humidity in LCZs with the presence of more vegetation (LCZs A and B) and in the vicinity of larger bodies of water (LCZ G). Copyright © 2017 Elsevier B.V. All rights reserved.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care - an intervention study.

PubMed

Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

2015-01-01

Background The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. Methods A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Results Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

A comparison between the dimensions of positive transtibial residual limb molds prepared by air pressure casting and weight-bearing casting methods.

PubMed

Hajiaghaei, Behnam; Ebrahimi, Ismail; Kamyab, Mojtaba; Saeedi, Hassan; Jalali, Maryam

2016-01-01

Creating a socket with proper fit is an important factor to ensure the comfort and control of prosthetic devices. Several techniques are commonly used to cast transtibial stumps but their effect on stump shape deformation is not well understood. This study compares the dimensions, circumferences and volumes of the positive casts and also the socket comfort between two casting methods. Our hypothesis was that the casts prepared by air pressure method have less volume and are more comfortable than those prepared by weight bearing method. Fifteen transtibial unilateral amputees participated in the study. Two weight bearing and air pressure casting methods were utilized for their residual limbs. The diameters and circumferences of various areas of the residual limbs and positive casts were compared. The volumes of two types of casts were measured by a volumeter and compared. Visual Analogue Scale (VAS) was used to measure the sockets fit comfort. Circumferences at 10 and 15 cm below the patella on the casts were significantly smaller in air pressure casting method compared to the weight bearing method (p=0.00 and 0.01 respectively). The volume of the cast in air pressure method was lower than that of the weight bearing method (p=0.006). The amputees found the fit of the sockets prepared by air pressure method more comfortable than the weight bearing sockets (p=0.015). The air pressure casting reduced the circumferences of the distal portion of residual limbs which has more soft tissue and because of its snug fit it provided more comfort for amputees, according to the VAS measurements.

Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in prehospital emergency care – an intervention study

PubMed Central

Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

2015-01-01

Background The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients’ exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in the prehospital emergency care. Methods A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Results Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions The use of active heat from underneath increases the patients’ thermal comfort and may prevent the negative consequences of cold stress. PMID:26374468

Use of cadaver models in point-of-care emergency ultrasound education for diagnostic applications.

PubMed

Zaia, Brita E; Briese, Beau; Williams, Sarah R; Gharahbaghian, Laleh

2012-10-01

As the use of bedside emergency ultrasound (US) increases, so does the need for effective US education. To determine 1) what pathology can be reliably simulated and identified by US in human cadavers, and 2) feasibility of using cadavers to improve the comfort of emergency medicine (EM) residents with specific US applications. This descriptive, cross-sectional survey study assessed utility of cadaver simulation to train EM residents in diagnostic US. First, the following pathologies were simulated in a cadaver: orbital foreign body (FB), retrobulbar (RB) hematoma, bone fracture, joint effusion, and pleural effusion. Second, we assessed residents' change in comfort level with US after using this cadaver model. Residents were surveyed regarding their comfort level with various US applications. After brief didactic sessions on the study's US applications, participants attempted to identify the simulated pathology using US. A post-lab survey assessed for change in comfort level after the training. Orbital FB, RB hematoma, bone fracture, joint effusion, and pleural effusion were readily modeled in a cadaver in ways typical of a live patient. Twenty-two residents completed the pre- and post-lab surveys. After training with cadavers, residents' comfort improved significantly for orbital FB and RB hematoma (mean increase 1.6, p<0.001), bone fracture (mean increase 2.12, p<0.001), and joint effusion (1.6, p<0.001); 100% of residents reported that they found US education using cadavers helpful. Cadavers can simulate orbital FB, RB hematoma, bone fracture, joint effusion, and pleural effusion, and in our center improved the comfort of residents in identifying all but pleural effusion. Copyright © 2012 Elsevier Inc. All rights reserved.

Eye cosmetic usage and associated ocular comfort.

PubMed

Ng, Alison; Evans, Katharine; North, Rachel; Purslow, Christine

2012-11-01

Eye cosmetics usage is commonplace and whilst some products such as eyeliner are applied with close proximity to the ocular surface, there is little knowledge of the short- and long-term ocular effects of eye cosmetic formulations. This study aimed to investigate the use of eye cosmetics and identify any relationships between ocular comfort and cosmetic usage. Results were collated from an online survey comprising 23 questions that recorded demographics, Ocular Surface Disease Index (OSDI) score, extent and range of eye cosmetic use and perceived comfort differences with and without eye cosmetics. The 1360 female respondents (median age 25, interquartile range 20-34 years) completed the survey; 83% reported using eye cosmetics regularly (≥ 3 times per week) with mascara being most commonly used. Fifty three per cent used at least three different eye cosmetics products regularly. OSDI scores of cosmetics users were similar to non-users (p = 0.083), but perceived comfort was greater when cosmetics were not used (p < 0.001). In occasional cosmetics users (use of products < 3 times per week), 65% reported a reduction in comfort when cosmetics were used. Median OSDI scores suggested a trend towards reduced comfort amongst eyeliner users (p = 0.07) although frequency and type of cosmetic products used did not appear to influence OSDI scores. This study shows the use of multiple eye cosmetics is extensive and associated with the perception of ocular discomfort. With such widespread use of these products, more research is required to assess the effect on the ocular surface and tear film, which may be underestimated. Ophthalmic & Physiological Optics © 2012 The College of Optometrists.

Sleep Deprivation and Exercise Tolerance.

DTIC Science & Technology

1986-01-01

thermoneutral environment) is alike unchanged by loss of sleep. 5) Seven subjects were allowed to exercise to thermal comfort in a very cold (OC, 2.5...Subjects selected identical work loads for thermal comfort , and became exhausted/miserable after similar period of exposure. Physiologi- cal response and

Preparing Global Citizens

ERIC Educational Resources Information Center

Roberts, Dennis C.; Welch, Lucas; Al-Khanji, Khalid

2013-01-01

Global citizens are those who are aware of, demonstrate respect for, and are comfortable engaging across cultural boundaries. This article explores why preparing global citizens is important and how positive psychology can inform our understanding of those who engage comfortably in today's complicated world. Soliya's Connect program is described…

The Benefit of Positive Visualization on the U.S. Army

DTIC Science & Technology

2014-06-13

calm, guided imagery allows individuals to envision what it would be like to be in an ideally peaceful, serene , and comforting scene. Typically...ideally peaceful, serene , and comforting scene. Typically, guided imagery is conducted by a qualified mental health specialist hence the term

Physical and Thermal Comfort Properties of Viscose Fabrics made from Vortex and Ring Spun Yarns

NASA Astrophysics Data System (ADS)

Thilagavathi, G.; Muthukumar, N.; Kumar, V. Kiran; Sadasivam, Sanjay; Sidharth, P. Mithun; Nikhil Jain, G.

2017-06-01

Viscose fiber is frequently preferred for various types of inner and outer knitwear products for its comfort and visual characteristics. In this study, the physical and thermal comfort properties of viscose fabrics made from ring and vortex yarns have been studied to explore the impact of spinning process on fabric properties. 100% viscose fibers were spun into yarns by ring and vortex spinning and the developed yarns were converted to single jersey fabrics. The results indicated that fabrics made from vortex spun yarns had better pilling resistance over that of those from ring spun yarns. There was no significant difference between bursting strength values of vortex and ring spun yarn fabrics. Fabrics made from ring yarn had better dimensional stability compared to fabrics made from vortex yarn. The air permeability and water vapour permeability of vortex yarn fabrics were higher than ring spun yarn fabrics. The vortex yarn fabrics had better thermal comfort properties compared to ring yarn fabrics.

Adhesive retention dressings are more comfortable than alginate dressings on split-skin-graft donor sites.

PubMed

Hormbrey, E; Pandya, A; Giele, H

2003-07-01

Painful split-skin-graft donor sites remain a common problem for patients. We undertook a prospective randomised trial to examine the comparative comfort and ease of care of two different donor-site dressings. One dressing is the alginate Kaltostat, the standard plastic-surgical dressing in the UK and abroad, and the other is the adhesive retention tape Mefix, a novel use of a readily available dressing. We randomised 50 patients requiring split-skin grafts to receive either alginate (Kaltostat) or retention (Mefix) donor-site dressings. Dressings were assessed by interview and questionnaire at 24, 72 h and 2 weeks, and by wound review at 2 weeks. Retention dressings were found to be more comfortable, required less nursing intervention and allowed patients easier mobility with a greater range of daily activities, especially washing, without compromising wound healing. We recommend adhesive retention dressings as cost-effective comfortable dressings, which readily conform to any donor site.