ABSTRACT
This research verified changes in composition in various parts of the body caused by conductive heat and the influence of the body composition on the effect of the contra-lateral thermal reaction in order to clarify factors for improving the effect of local bathing. The body composition was investigated by means of Segmental Bioelectrical Impedance Analysis. The percentage of fat was 14.23±2.40% in men and 29.60±7.66% in women, indicating a higher percentage in women than in men (p<0.01). The volume of body fluids in lower limbs was 6.46±0.83<i>l</i> in the right limb and 6.39±0.86<i>l</i> in the left limb of men, and 4.78±0.49<i>l</i> in the right limb and 4.78±0.49<i>l</i> in the left limb of women, indicating a higher value in men than in women (both p<0.01). During each bathing, the volume of body fluids on the surface, in deep part 1 and deep part 2 of men reached a maximum earlier than that of women.<br>Conclusions: 1) In bathing using external conductive heat, sebaceous is a large factor for changes in temperature both on the surface and in deep parts. 2) In bathing part of the body, there is little movement of total body water (TBW) and fluids inside the body eliminating risk factors of bathing such as the oligohidria, suggesting that bathing is a safe treatment for elderly people. 3) In the contra-lateral thermal reaction using conductive heat, the possibility of increasing the effect of raising the temperature on the surface and in deep parts on the non-bathing side was suggested.
ABSTRACT
The purpose of this study was to confirm the efficient umbilical cord care of healthy newborns in nursery. In order to determine the efficient care, the time of umbilical cord separation and the skin condition of periumbilical area were evaluated. The data were collected in sample of 529 normal, healthy newborns of C hospital in Seoul, from September 1st, 1999 to January 16th, 2000. The babies were randomly selected and allocated into four groups-alcohol swab/tub bath, alcohol swab/partial bath, natural dry/tub bath, natural dry/partial bath- by the methods of care. The mothers of babies were also surveyed by questionnaire about general characteristics. The data were analyzed by SAS program. The results of this study were as follows : 1. The average gestation period of newborns was 39 + 3 weeks. The average birth weight was 3.27Kg. In gender of babies, boys were 51.7% and girls were 48.3%. The 65% of newborns were born normal vaginal delivery, 35% were C-section. The feeding methods were 55.3% of the babies fed by mixed type, 22.9% by breast, and 21.8% by bottle. There was no significance among four groups by general characteristics. 2. The average time of umbilical cord separation was 8.27 days(SD=2.3). The time was no difference significantly among four groups(F=1.68, P=0.17). 3.The prevalence of the umbilical care complication did not show differences among four groups( 2=3.93, P=0.27). In conclusion, Nurses have preferred the traditional alcohol swab/partial bath method in care of newborns. But there was no difference among the ways to take care of umbilicus according to this study. The way to naturally is more efficient due to reduce the time and expense in umbilical care for normal babies of nursery. This also matched the change in approach to healthy population from intervention to nonintervention way. This could be suggested in education for normal and healthy babies care at home and nursery as a useful way. Endly, the further study about bacterial colony and infection rate at umbilicus by ways of care is needed.