The Bathing Death in the Summer(From May to September) / 日本温泉気候物理医学会雑誌

Recently, many deaths while bathing in the home bath have been reported. During the winter season, hot water at a high temperature is commonly used for bathing. The circulatory system may thus be seriously affected by the hyperthermia load produced by undressing in a cold environment and subsequent bathing in a bathtub at a high temperature followed by a rapid temperature change due to exposure to cold air after bathing. However, death while bathing also occurs in the summer season.<br>From the cases of death while bathing in the summer season, we found commonality in terms of sex, age, water temperature, bathtub size, and causes of death.<br>The average age in all cases was 69.7. There were 47 male and 46 female deaths indicating an almost equal ratio. The average water temperature at the time of deaths while bathing was 40.7°C. The typical bathtub size was small, 750 to 900mm. In a small Japanese style bathtub, one must compress the body and therefore become more vulnerable to water pressure.<br>From these results, warming, drawing in of limbs, and effects of water pressure on the body may contribute to deaths while bathing in the summer season and also are factors produced by bathing throughout the year.

Effects of 38.DEG.C. Bathing for 30 min on Hemostatic Function and Autonomic Nervous Function in Patients with Cerebral Infarction / 日本温泉気候物理医学会雑誌

Effects of 38°C 30-minute bathing on hemostatic function and autonomic nervous function were studied in 15 48-to-72-year-old patients with cerebral infarction. Blood samples were collected three times: immediately before the bathing, at the end of 30 minutes of bathing, and 30 minutes after the bathing. Hematocrit values and fibrinogen concentrations decreased during bathing and returned to the pre-bathing levels 30 minutes after bathing. This indicates that bathing caused hemodilution due to the fluid shift. During bathing, noradrenaline decreased at a rate significantly higher than that of hemodilution while the sympathetic nervous function, which was evaluated by spectral analysis of sequential variation in arterial blood pressure, was not suppressed. The autonomic nervous system seemed to be inactive in these patients. Coagulation time (PT and APTT) and platelet factor (β-TG and PF4) showed few changes. In the fibrinolytic system, however, tissue plasminogen activator (t-PA) antigen levels increased and plasminogen activator inhibitor type-1 (PAI-1) levels decreased after 30 minutes of bathing. This suggests that fibrinolytic activity was enhanced by 38°C bathing for 30 minutes. Thus, subthermal bathing with comfort may be useful in preventing cerebral infarction.

Attempts to Correctly Measure Axillary Temperatures Taking into Account Body Temperature Curves / 日本温泉気候物理医学会雑誌

We recently conducted 10-minute axillary temperature measurements on 699 healthy individuals, ranging in age from 5 to 83 years (mean: 36.5±15.3 years).<br>Axillary temperature readings are sometimes inaccurate because the thermometer is not inserted in the correct place (i.e. the point of the highest temperature) or due to incomplete closure of the axilla during measurement. As the result of analysis of temperature rises during the 10-minute axillary temperature measurement, we found that the results are not always accurate because of incorrect conditions of measurement such as when the thermometer reading does not reflect the surrounding temperature.<br>In this study, the following temperature readings were regarded to be inaccurate when: (1) the temperature temporarily fell during the rising phase; and (2) the rise in temperature was accelerated during measurement and the temperature had not become stable after 10 minutes. As a result of analyzing 10-minute axillary temperature measurements, we believe the temperature rise during the measurement must be considered to obtain more accurate readings.<br>When analyzing the readings of short-term temperature measurements using a predictive algorithm, awareness required of possible errors which may be caused by the measurement method employed. Error factors other than the algorithm used for prediction become large when the thermometer is temporarily withdrawn from the axillary pit or its direction is changed during measurement to check an interim reading. After error factors associated with the measurement method have been eliminated, high accuracy is obtained and the difference between predicted reading and 10-minute becomes 0.01±0.13°C. A difference smaller than±0.2°C has been achieved in 98.0% of all measurements. Such a difference causes no problem from a clinical point of view.

Experimental studies on the alteration of NPN (non-protein nitrogen) with cold / 日本温泉気候物理医学会雑誌

Experiments to determine the relationship between the exposure time following death from cold and the amount of residual NPN in blood and organs.<br>Sixty rabbits weighing about 2500 grams were used in these experiments. Their whole bodies except the head and face were immersed in water at a temperature of 2 to 10°C and fastened by tight binding. Their rectal temperatures were measured five minutes apart using a thermocouple thermometer. The measured amount of residual NPN in tissues and blood with each experiment group by the Kjeldahl method after the death are as follows:<br>1) The amount of residual NPN in organs and blood differed depnding on aggressiveness and the length of time until death.<br>2) When the length of time until death was relatively short, the amount of NPN in organs decreased and that in blood increased.<br>3) When the length of time until death was relatively long, the amount of NPN inorgans increased extremely and that in blood also increased.<br>4) The amount of residual NPN in organs and blood starts to change at the initial stage of aggression.