scholarly journals Does skin surface temperature variation account for Buruli ulcer lesion distribution?

2019 ◽  
Author(s):  
Nicola K. Sexton-Oates ◽  
Andrew J. Stewardson ◽  
Arvind Yerramilli ◽  
Paul D.R. Johnson

AbstractBackgroundBuruli ulcer is a necrotising infection of skin and soft tissue caused by Mycobacterium ulcerans (M. ulcerans). Buruli ulcer most often occurs on limbs, and it is hypothesized this is explained by direct exposure to the environment. However, even on exposed areas Buruli ulcer is not randomly distributed. M. ulcerans prefers an in vitro temperature of 30-33°C and growth is inhibited at higher temperatures. This study investigated whether variations in skin surface temperature distribution in healthy volunteers could partly account for Buruli ulcer lesion distribution.Methodology/Principal FindingsIn this observational study, a thermal camera (FLIR E8) was used to measure skin surface temperature at the sternal notch and at 44 predetermined locations on the limbs of 18 human participants. Body locations of high, middle and low Buruli ulcer incidence were identified from existing density maps of lesion distribution. Skin temperature of the three incidence location groups were compared, and differences in age and sex groups were also analysed.We found an inverse relationship between skin temperature and lesion distribution, where high incidence locations were significantly cooler and low incidence locations significantly warmer (Kruskal-Wallis test p<0.0001). Linear mixed effects regression analysis estimated that skin surface temperature accounts for 9.5% of the variance in Buruli ulcer lesion distribution (marginal R-squared = 0.095). Men had warmer upper and lower limbs than females (Mann-Whitney U test p=0.0003 and p<0.0001 respectively).Conclusions/SignificanceWe have found an inverse relationship between skin temperature and Buruli ulcer lesion distribution, however this association is weak. Additional unknown factors are likely to be involved that explain the majority of the variation in Buruli lesion distribution.Author SummaryBuruli ulcer is a destructive soft tissue infection caused by the bacterium Mycobacterium ulcerans. The precise mode of transmission remains unknown. One theory proposes that transmission occurs by direct contact with a contaminated environment. Lesions occur mostly on limbs, and it is hypothesized this is explained by direct exposure to the environment. However even on exposed areas, lesions are not randomly distributed. This study investigated whether skin surface temperature can partly explain Buruli ulcer lesion distribution. We measured the skin surface temperature of 18 healthy participants using a thermal camera and compared temperature distribution to the distribution of Buruli ulcer lesions investigated in a previously published study. We found that there is a negative correlation between skin temperature and Buruli ulcer lesion incidence. However, the association is weak and other factors e.g. clothing choice and insect biting patterns may explain the majority of Buruli ulcer lesion distribution.

2020 ◽  
Vol 14 (4) ◽  
pp. e0007732
Author(s):  
Nicola K. Sexton-Oates ◽  
Andrew J. Stewardson ◽  
Arvind Yerramilli ◽  
Paul D. R. Johnson

2020 ◽  
Vol 39 (1) ◽  
Author(s):  
Inaho Shishido ◽  
Issei Konya ◽  
Rika Yano

Abstract Background Bed baths are a daily nursing activity to maintain patients’ hygiene. Those may provide not only comfort but also relaxation. Notably, applying a hot towel to the skin for 10 s (AHT10s) during bed baths helped to reduce the risk of skin tears and provided comfort and warmth in previous studies. However, it is still unclear whether autonomic nervous system is affected by bed baths. Thus, this study investigated the effect on the autonomic nervous activity of applying hot towels for 10 s to the back during bed baths. Methods This crossover study had 50 participants (25 men and women each; average age 22.2 ± 1.6 years; average body mass index 21.4 ± 2.2 kg/m2) who took bed baths with and without (control condition: CON) AHT10s on their back. Skin temperature, heart rate variability (HRV), and blood pressure (BP) were measured. Subjective evaluations and the State-Trait Anxiety Inventory in Japanese were also performed. Results A significant interaction of time and bed bath type on skin surface temperature was observed (p < .001). Regarding the means of skin surface temperature at each measurement time point, those for AHT10s were significantly higher than those for CON. Although the total state-anxiety score significantly decreased in both the bed bath types after intervention, the mean values of comfort and warmth were higher for bed baths with AHT10s than for CON (p < .05) during bed baths; AHT10s was significantly higher in warmth than CON after 15 min (p = .032). The interaction and main effects of time on HRV and BP and that of bed bath type were not significant. Conclusion Bed baths that involved AHT10s caused participants to maintain a higher skin temperature and warmer feeling than under the wiping-only condition; they also provided comfort during the interventions. However, the bed baths with AHT10s did not allow participants to reach a relaxed state; moreover, there was no change in autonomic nerve activity. This may be due to participants’ increased anxiety from skin exposure and the intervention being limited to one part of the body.


Author(s):  
Yang Yang ◽  
Jing Liu

This paper reports the effects of atherosclerosis plaque on the human cervicum skin surface temperature. The classical Pennes bioheat equation and a 3-D model consisting of cervical vertebra, muscle, and skin layer is adopted to characterize the heat transfer in the cervicum. Since the formation of atherosclerotic plaque is random, several parametric analyses are conducted to simulate actual situations. A medical far-infrared thermal imaging system is employed on two healthy human subjects to evaluate the feasibility of this technique. According to the simulations, there are variations in the temperature contours on the surface of the skin due to the axial variations in thermal parameters between healthy arterial intimae and atherosclerosis plaque. This suggests that far-infrared thermal imaging can be used to detect the marker safely via a noncontact way. Additional parametric studies indicated that the cervicum skin surface temperature distribution discloses the information regarding the plaque such as position, depth, pattern, quantity, and metabolic heat generation, etc. Furthermore, the external thermal conditions and calm physiological state can be implemented to enhance the detection of the plaque via mapping skin temperature. To test this strategy, a far-infrared imaging system was applied to record the dynamic thermal pictures on the cervicum of two human subjects, and the intentional cooling by the alcohol was proposed to improve detection. The thermograph reveals the surface effects of the main blood vessel and organs in the cervicum. The present study sets up a theoretical foundation for using noncontact far-infrared imaging method for a reliable assessment of atherosclerosis plaque without causing any wound or radiation to human body.


Author(s):  
Irina V. May ◽  
Nikolai K. Voznesensky ◽  
Vladimir M. Chigvintsev ◽  
Dmitrii I. Kusnetsov

The study was aimed to refine a method evaluating level and dynamics of skin surface temperature as an indicator of heat state in a worker exposed to intermittent influence of workplace ambient high temperatures during a working shift. The measurement technique was automated continuous detection with registration of parameters every 5 seconds and the data backup to memory card. Findings are that actual scenarios of heat load on the workers significantly differ from the calculated ones. Mathematic models of relationships between air temperature and skin temperature were obtained and helped to play various scenarios of the workers’ presence in “heat” zones and evaluate them according to criteria of weighted average and maximal skin temperature. Results are thatoCcupational conditions of workers engaged into underground oil thermal mining necessitate specification and implementation of preventive measures and improved regulatory support, concerning creation of safe microclimate parameters.


2021 ◽  
Vol 30 (8) ◽  
pp. 632-641
Author(s):  
Sumiati Tarigan ◽  
Saldy Yusuf ◽  
Yuliana Syam

Objective: This study aimed to evaluate the interface pressure and skin surface temperature in relation to the incidence of pressure injury (PI) using three different turning schedules. Method: This was a pilot study with a three-armed randomised clinical trial design. Participants at risk of PI and treated in the high dependency care unit in a regional hospital in Makassar, Indonesia participated in this study. Patients were repositioned at three different turning schedules (two-, three- and four-hourly intervals). Interface pressure measurement and skin surface temperature were measured between 14:00 and 18:00 every three days. The incidence of PI was assessed during the two-week observation period. Results: A total of 44 participants took part in the study. A one-way ANOVA test revealed no difference in interface pressure among the three different turning schedule groups within two weeks of observations: day zero, p=0.56; day four, p=0.95; day seven, p=0.56; day 10, p=0.63; and day 14, p=0.92. Although the average periumbilical temperature and skin surface temperature were not significant (p>0.05), comparison between these observation sites was significant on all observation days (p<0.05). Regarding the incidence of PI, the proportional hazard test for the development of PI in the three groups was considered not different (hazard ratio: 1.46, 95% confidence interval: 0.43–4.87, p=0.54). Conclusion: No difference in interface pressure and incidence of PI on the three turning schedules was observed; however, there was a potential increase in skin surface temperature in comparison with periumbilical temperature for all three turning schedules.


2018 ◽  
Vol 85 (2) ◽  
pp. 201-203 ◽  
Author(s):  
Chunhe Yang ◽  
Gan Li ◽  
Xiaojun Zhang ◽  
Xianhong Gu

The objectives of the research reported in this Research Communication were to compare the variation of hind quarter skin surface temperature pre- and post- milking in dairy cows and to determine the optimal time to capture images by infrared thermography for improving the sensitivity and specificity of mastitis detection in dairy cows. Hind quarter infrared images of 102 Holstein dairy cows were captured from the caudal view by an infrared camera pre-milking and post-milking. The udder skin surface temperature was measured with the help of the image processing software. No significant difference was found between the left and right quarter skin surface temperature pre- and post- milking. The hind quarter skin surface temperature pre-milking was not significantly influenced by milk yield, but exhibited a rising trend along with the increase of milk yield. The hind quarter skin surface temperature post-milking was significantly influenced by milk yield. This leads us to conclude that the sensitivity and specificity of IRT in mastitis detection may be influenced by milk yield and it may be better to capture the infrared images of cow udders pre-milking.


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