scholarly journals Disruption of the Body Temperature Circadian Rhythm in Hospitalized Patients

2021 ◽  
Author(s):  
Ivayla I. Geneva ◽  
Waleed Javaid
Keyword(s):  
Circadian Rhythm ◽  
Body Temperature ◽  
Hospitalized Patients ◽  
The Body

scholarly journals 1220. Disruption of the Body Temperature Circadian Rhythm in Hospitalized Patients

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S631-S631
Author(s):  
Ivayla I Geneva ◽  
Waleed Javaid
Keyword(s):  
Circadian Rhythm ◽  
Body Temperature ◽  
Diurnal Variation ◽  
Hospitalized Patients ◽  
The Body ◽  
Healthy People ◽  
Diurnal Pattern ◽  
Body Temperatures ◽  
Measurement Site ◽  
Core Body

Abstract Background The circadian rhythm is believed to offer survival advantage with dysregulation being linked to immune response deficiencies and metabolic derangements. Diurnal temperature variation exists in humans, yet its preservation during illness is not well understood. Herein we present an analysis of diurnal body temperatures among hospitalized patients, with a focus on infectious versus non-infectious diagnoses. Methods Temperatures measured within 1/2 hour of 8am, 12pm, 4pm, 8pm, 12 am, and 4am from 16,245 hospitalized patients were analyzed using descriptive statistics and t-tests. Results Although we found a diurnal pattern when analyzing the ensemble of temperatures from all patients (Figure 1), stratified by measurement site (oral, axillary, temporal, and tympanic), the through-to-peak difference was only 0.2F (0.1C), while previously reported diurnal difference in healthy volunteers was 1.9 °F (1.06 °C). Data from the core body temperature sites monotherm and rectal did not show any diurnal pattern. The peaks in body temperature occurred at 8 pm for all patients, regardless of age, which is similar to healthy people. However, the minimum body temperature was shifted to later times compared with healthy people (6am or 2 hours before rising in health) – for young patients (age 20-30 years, N=1285) the through was at 8am and for elderly patients (age 70-80 years, N=1736), it was at 12pm (Figure 2). Analysis of body temperature of individual patients showed that less than 20% of patients exhibited diurnal variation and among those showing variation, the trend was present only on the minority of hospitalization days (Table 1). Interestingly, the presence or absence of an infectious process did not influence the proportion of patients showing diurnal variation. Figure 1 Figure 2 Table 1 Conclusion Hospitalization is associated with disruption in the circadian rhythm as reflected by patients’ body temperature, with shifting of the diurnal variation curve and blunting of the temperature range both in the ensemble and on the individual level. The trend is not influenced by having an infection. However, since core body temperatures tend to be the measurement site of choice in the ICU setting, we suspect that further obliteration of the diurnal rhythm occurs with more severe disease. Disclosures All Authors: No reported disclosures

The mechanisms which affect the periodic cycle of Pacific Wuchereria bancrofti microfilariae

1981 ◽  
Vol 55 (2) ◽  
pp. 95-100 ◽  
Author(s):  
F. Hawking ◽  
Tinousi Jennings ◽  
F. J. Louis ◽  
E. Tuira
Keyword(s):  
Carbon Dioxide ◽  
Circadian Rhythm ◽  
Body Temperature ◽  
Sodium Bicarbonate ◽  
Human Body ◽  
Venous Blood ◽  
Wuchereria Bancrofti ◽  
Early Morning ◽  
The Body ◽  
Small Rise

ABSTRACT1. Investigations were made of the effect of various procedures in raising or lowering the microfilaria count of Pacific type Wuchereria bancrofti in the peripheral blood.2. Raising the body temperature in the early morning was followed by a moderate fall in the counts. Breathing increased oxygen, or reduced oxygen (hypoxia) or increased carbon dioxide, or the ingestion of sodium bicarbonate produced no consistent and significant changes in the count. Ingestion of glucose (in one volunteer) was followed by a small rise in the count. Muscular exercise was followed by a fall in the count, which is interpreted as probably being a response to a lower concentration of oxygen in the venous blood returning to the lung.3. It has not been possible to identify the physiological components of the circadian rhythm of the human body which entrain the cycle of these microfilariae. Attempts to obtain evidence incriminating the stimuli described above have been unsuccessful.

scholarly journals EFFECTS OF CIRCADIAN RHYTHM ON BALANCE PERFORMANCE

2017 ◽  
Vol 24 (3) ◽  
pp. 155-161 ◽  
Author(s):  
Osman Karagul ◽  
Gulbin Rudarli Nalcakan ◽  
Yeliz Dogru ◽  
Murat Tas
Keyword(s):  
Physical Activity ◽  
Circadian Rhythm ◽  
Body Temperature ◽  
Physical Activity Level ◽  
Dynamic Equilibrium ◽  
Dynamic Balance ◽  
The Body ◽  
Activity Level ◽  
Leg Length ◽  
Balance Performance

AbstractIntroduction. The aim of the study was to examine the effect of circadian rhythm on dynamic balance performance and to determine the role of physical activity level, body temperature, chronotype, and gender in this possible effect. Material andmethods. Forty-two young male and female subjects with different physical activity levels participated in the study. A dynamic equilibrium test, a Star Excursion Balance Test (SEBT), was conducted at 9:00, 13:00, and 17:00 on three different days with at least two days of interval between tests. The test scores were calculated by dividing the reaching distances by the leg length and multiplying the quotient by 100. The physical activity level and sleep state were evaluated using questionnaires. Before each test, body temperatures were measured orally. Results. The best SEBT scores were found at 13:00 and 17:00 in the male group and in the trained group. The body temperature changes increased parallel to SEBT scores. The scores for the non-dominant leg were found to be significantly different in posterior test directions, and those for the dominant leg were different in anterior directions. Chronotype did not affect the test results. Conclusions. Circadian rhythm was found to have an effect on dynamic balance performance. Body temperature, gender, and physical activity level were also found to play a role in this effect.

scholarly journals Circadian Rhythm of Core Body Temperature (Part II): Hyperbaric Environment Influence on Circadian Rhythm of Core Body Temperature

2016 ◽  
Vol 57 (4) ◽  
pp. 19-25
Author(s):  
Joanna Słomko ◽  
Mariusz Kozakiewicz ◽  
Jacek J. Klawe ◽  
Małgorzata Tafil-Klawe ◽  
Piotr Siermontowsk ◽  
...  
Keyword(s):  
Circadian Rhythm ◽  
Body Temperature ◽  
Core Body Temperature ◽  
The Body ◽  
Hyperbaric Chamber ◽  
The Core ◽  
Hyperbaric Environment ◽  
The Mean ◽  
Core Body ◽  
Telemetric Measurement

Abstract The aim of this study was to analyse dynamic fluctuations in the circadian rhythm of the core body temperature in healthy adults exposed to conditions in a hyperbaric chamber, using fully objective-telemetric measurement methods. The study group consisted of 13 healthy males (age 32±6.4 years, height 1.85±0.1 m, body weight 84.00±6.3 kg; BMI 24.7±1.2 kg/m2). The core body temperature (CBT) was measured with the Vital Sense telemetry system. The volunteers were placed in a hyperbaric chamber, exposed to compression of 400 kPa, with the exposure plateau of approx. 30 minutes, followed by gradual decompression. The mean core temperature was 36.71°C when registered within 10 minutes before the exposure, 37.20°C during the exposure, 37.27°C one hour after the exposure, 37.36°C 2 hours after the exposure, and 37.42°C three hours after the exposure. The conducted observations show that one-hour stay in a hyperbaric chamber at a depth of 30 m results in an increase in the body temperature, particularly significant after the exposure ends, and maintained for at least 3 hours after the exposure.

Absence of the cholecystokinin-A receptor deteriorates homeostasis of body temperature in response to changes in ambient temperature

2004 ◽  
Vol 287 (3) ◽  
pp. R556-R561 ◽  
Author(s):  
Shigeki Nomoto ◽  
Minoru Ohta ◽  
Setsuko Kanai ◽  
Yuki Yoshida ◽  
Soichi Takiguchi ◽  
...  
Keyword(s):  
Circadian Rhythm ◽  
Body Temperature ◽  
Ambient Temperature ◽  
Gene Knockout ◽  
The Body ◽  
Body Core Temperature ◽  
Neck Muscle ◽  
Hypothalamic Region ◽  
Oletf Rats ◽  
Long Evans

The circadian rhythm of the body core temperature (Tc) and the effects of changes in ambient temperatures on the homeostasis of Tc in Otsuka Long Evans Tokushima Fatty (OLETF) rats, which are naturally occurring cholecystokinin (CCK)-A receptor (CCK-AR) gene knockout (−/−) rats, were examined. In addition, the peripheral responses to warming or cooling of the preoptic and anterior hypothalamic region (PO/AH) were determined. The circadian rhythm of Tc in OLETF rats was similar to that in Long-Evans Tokushima (LETO) rats; this rhythm was characterized by a higher Tc during the dark period and a lower Tc during the light period. When the ambient temperature was changed within the limits of 0°C to 30°C, the changes in Tc of LETO rats were associated with the changes in ambient temperature, whereas those in OLETF rats were dissociated from the temperature changes. The OLETF rats showed a large hysteresis. The peripheral responses to warming or cooling of PO/AH, including shivering of the neck muscle and changes in skin temperature of the tail and footpad, were similar in OLETF and LETO rats. To confirm the role of CCK-AR in the regulation of body temperature, the values of Tc in the CCK-AR(−/−) mice were compared with those in CCK-B receptor (CCK-BR) (−/−), CCK-AR(−/−)BR(−/−), and wild-type mice. In the mice, the circadian rhythms of Tc were the same, regardless of the genotype. Mice without CCK-AR showed larger hysteresis than mice with CCK-AR. From these results, we conclude that the lack of CCK-AR causes homeostasis of Tc in rats and mice to deteriorate.

Control of the circadian rhythm of the body temperature in the rat

Life Sciences ◽  
1974 ◽  
Vol 14 (11) ◽  
pp. 2111-2119 ◽  
Author(s):  
Maria Cristina Fioretti ◽  
Carlo Riccardi ◽  
Emma Menconi ◽  
Luciano Martini
Keyword(s):  
Circadian Rhythm ◽  
Body Temperature ◽  
The Body

scholarly journals A Tangled Threesome: Circadian Rhythm, Body Temperature Variations, and the Immune System

Biology ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 65
Author(s):  
Benjamin Coiffard ◽  
Aïssatou Bailo Diallo ◽  
Soraya Mezouar ◽  
Marc Leone ◽  
Jean-Louis Mege
Keyword(s):  
Immune Response ◽  
Circadian Rhythm ◽  
Immune System ◽  
Body Temperature ◽  
Molecular Clock ◽  
Biological Effects ◽  
The Body ◽  
Circadian Disruption ◽  
Peripheral Tissues ◽  
Potential Implication

The circadian rhythm of the body temperature (CRBT) is a marker of the central biological clock that results from multiple complex biological processes. In mammals, including humans, the body temperature displays a strict circadian rhythm and has to be maintained within a narrow range to allow optimal physiological functions. There is nowadays growing evidence on the role of the temperature circadian rhythm on the expression of the molecular clock. The CRBT likely participates in the phase coordination of circadian timekeepers in peripheral tissues, thus guaranteeing the proper functioning of the immune system. The disruption of the CRBT, such as fever, has been repeatedly described in diseases and likely reflects a physiological process to activate the molecular clock and trigger the immune response. On the other hand, temperature circadian disruption has also been described as associated with disease severity and thus may mirror or contribute to immune dysfunction. The present review aims to characterize the potential implication of the temperature circadian rhythm on the immune response, from molecular pathways to diseases. The origin of CRBT and physiological changes in body temperature will be mentioned. We further review the immune biological effects of temperature rhythmicity in hosts, vectors, and pathogens. Finally, we discuss the relationship between circadian disruption of the body temperature and diseases and highlight the emerging evidence that CRBT monitoring would be an easy tool to predict outcomes and guide future studies in chronotherapy.

Antipyretic Plants: An Updated Review

2020 ◽  
Vol 16 (1) ◽  
pp. 4-12
Author(s):  
Vandana Garg ◽  
Rohit Dutt
Keyword(s):  
Side Effects ◽  
Body Temperature ◽  
Medicinal Plants ◽  
Inflammatory Mediators ◽  
Review Paper ◽  
The Body ◽  
Hypothalamic Area ◽  
Antipyretic Activity ◽  
Disease States ◽  
Elevated Body Temperature

Background: Fever, is known as pyrexia, may occur due to infection, inflammation, or any tissue damage and disease states. Normally, the infected or damaged tissue initiates the enhanced formation of pro-inflammatory mediators like cytokines which further increases the synthesis of prostaglandin E2 (PgE2) near the hypothalamic area and thereby trigger the hypothalamus to elevate the body temperature. Objective: Antipyretics are the agents which reduce the elevated body temperature. The most commonly used antipyretic agent, paracetamol, may be fatal due to its side effects. Methods: In this review paper, Chemical Abstracts, Google Scholar, PubMed, and Science Direct were the sources for the published article to collect information regarding antipyretic activity. Results: This review compiles the antipyretic plants that may be useful to treat fever due to various diseases. Conclusion: These medicinal plants could be good alternatives for traditional allopathic antipyretics.

A Litreary Review of Vishama Jwara and its principle of treatment

2016 ◽  
Vol 1 (2) ◽  
Author(s):  
Dr.Saurabh Parauha ◽  
Hullur M. A. ◽  
Prashanth A. S.
Keyword(s):  
High Temperature ◽  
Body Temperature ◽  
The State ◽  
The Body ◽  
Cardinal Symptoms

In Ayurveda, Jwara is not merely the concept of raised body temperature, but as is said in Charaka Samhita, 'Deha- Indriya- Manah- Santap' is the cardinal symptoms of Jwara. This can be defined as the state where the body, mind as well as sense oragans suffer due to the high temperature. Vishamajwara is a type of fever, which is described in all Ayurvedic texts. Charaka mentioned Vishamajwara and Chakrapani have commented on Vishamajwara as Bhutanubanda, Susruta affirmed that Aagantuchhanubhandohi praysho Vishamajware. Madhavakara has also recognised Vishamajwara as Bhutabhishangajanya (infected by microorganism). Vishamajwara is irregular (inconsistent) in it's Arambha (nature of onset commitment), Kriya (action production of symptoms) and Kala (time of appearance) and possesses Anushanga (persistence for long periods). The treatment of this disease depends upon Vegavastha and Avegavastha of Jwara. Various Shodhana and Shamana procedures are mentioned in classics to treat Visham Jwara.

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