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Heat Balance In line with the first law of thermodynamics, energy exchange between the body and the external environment is summarized by the conceptual heat balance equation: The rate of heat storage (S) equals the difference between metabolic rate (M), the external work rate (Wk), the rates of dry heat transfer via conduction (K), radiation (R), convection (C), and evaporation (E) from the skin surface, and the rates of heat transfer via convection (C res ) and evaporation (E res ) from the respiratory tract