Temperature Measurement—Gold Standard

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 649-649
Author(s):  
MARTIN E. WEISSE
Keyword(s):  
Temperature Measurement ◽  
Core Temperature ◽  
Conventional Method ◽  
Study Design ◽  
Rectal Temperature ◽  
Gold Standard ◽  
Relative Accuracy ◽  
Temperature Determination ◽  
Conventional Methods

To the Editor.— I would like to comment on the article by Freed and Fraley in the March 1992 issue of Pediatrics.1 I have no argument with their study design and in fact applaud them for using Altman and Bland's method of analysis. Their conclusions, as written, are correct, that the tympanic thermometer "is unreliable compared with conventional methods of temperature determination." The three issues that I would like to raise are: (1) the relative accuracy of rectal and tympanic temperatures in predicting core temperature, (2) rectal temperature as the "gold standard," and (3) axillary thermometry as an acceptable conventional method of clinical temperature.

Temperature Measurement—Gold Standard

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 649-649
Author(s):  
GARY L. FREED ◽  
J. KENNARD FRALEY
Keyword(s):  
Temperature Measurement ◽  
Gold Standard ◽  
New Technology ◽  
Clinical Information ◽  
Controversial Issue ◽  
Conventional Methods

In Reply.— We thank Dr Weiss for his insightful comments regarding the controversial issue of a "gold standard" in temperature assessment. However, the purpose of our paper was not to define a gold standard, nor to judge the acceptability of conventional methods of temperature assessment. Rather, we attempted to place a new technology in perspective with currently accepted methods. While Dr Weiss raises some important points about the adequacy of rectal, oral, or axillary temperatures, we feel our work provides useful "clinical" information for practitioners who struggle to decide between methods of temperature assessment.

A comparison of five methods of temperature measurement in febrile intensive care patients

1995 ◽  
Vol 4 (4) ◽  
pp. 286-292 ◽  
Author(s):  
T Schmitz ◽  
N Bair ◽  
M Falk ◽  
C Levine
Keyword(s):  
Intensive Care ◽  
Pulmonary Artery ◽  
Temperature Measurement ◽  
Core Temperature ◽  
Rectal Temperature ◽  
False Negative ◽  
Negative Likelihood Ratio ◽  
Likelihood Ratios ◽  
Axillary Temperature ◽  
Intensive Care Patients

BACKGROUND: A clinically useful temperature measurement method should correlate well with the body's core temperature. Although previous investigators have studied temperature readings from different sites in hypothermic and normothermic patients, none have compared methods specifically in febrile patients. OBJECTIVE: To compare temperature measurement methods in febrile intensive care patients. METHODS: Temperature readings were obtained in rapid sequence from an electronic thermometer for oral and axillary temperature, rectal probe, infrared ear thermometer on "core" setting, and pulmonary artery catheter, approximately every hour during the day and every 4 hours at night. The sample consisted of 13 patients with pulmonary artery catheters and with temperatures of at least 37.8 degrees C. RESULTS: Rectal temperature correlated most closely with pulmonary artery temperature. Rectal temperature showed closest agreement with pulmonary artery temperature, followed by oral, ear-based, and axillary temperatures. Rectal and ear-based temperatures were most sensitive in detecting temperatures greater than 38.3 degrees C. Likelihood ratios for detecting hyperthermia were 5.32 for oral, 2.46 for rectal, and 1.97 for ear-based temperature. Rectal and ear-based temperatures had the lowest negative likelihood ratios, indicating the least chance of a false negative reading. Axillary temperature had a negative likelihood ratio of 0.86. CONCLUSIONS: Rectal temperature measurement correlates most closely with core temperature. If the rectal site is contraindicated, oral or ear-based temperatures are acceptable. Axillary temperature does not correlate well with pulmonary artery temperature. These results underscore the importance of consistency in method when establishing temperature trends, and of awareness of method when interpreting clinical data.

scholarly journals Temporal Artery Temperature Measurement in the Neonate

2017 ◽  
Vol 34 (10) ◽  
pp. 1026-1031 ◽  
Author(s):  
Mashette Syrkin-Nikolau ◽  
Karen Johnson ◽  
Tarah Colaizy ◽  
Ruthann Schrock ◽  
Edward Bell
Keyword(s):  
Body Weight ◽  
Temperature Measurement ◽  
Study Design ◽  
Gold Standard ◽  
Temporal Artery ◽  
Temperature Measurements ◽  
Postmenstrual Age ◽  
The Mean ◽  
The Difference

Abstract Objective We compared an infrared temporal artery thermometer with our clinical standard axillary thermometer for temperature measurements in neonatal patients. Study Design We measured temporal artery (Tta), axillary (Tax, clinical standard), and rectal (Tr, gold standard) temperatures of 49 infants. The difference between Tr and Tta was compared with that between Tr and Tax, and the data were analyzed based on bed type and postmenstrual age. Results The mean Tta, Tax, and Tr were 37.16 (SD 0.36) °C, 36.61 (SD 0.30) °C, and 36.82 (SD 0.30) °C, respectively. The measurements by these methods were all significantly different. The mean Tr-Tax was 0.21 (SD 0.26) °C, and the mean Tr-Tta was −0.34 (SD 0.37) °C, indicating that Tax was closer to Tr than was Tta (p < 0.0001). Tta agreed more closely with Tr for infants in cribs than for those in incubators. Adjusting for bed type and body weight, with each week of postmenstrual age, the discrepancy between Tr-Tta and Tr-Tax decreased by 0.005°C (p = 0.034). Conclusion Compared with the gold standard, Tr, Tta is not more accurate than Tax. The temporal artery thermometer was less accurate for infants in incubators than for infants in cribs. The accuracy of temporal artery temperature increased with postmenstrual age.

scholarly journals Core Temperature Measurement—Principles of Correct Measurement, Problems, and Complications

2021 ◽  
Vol 18 (20) ◽  
pp. 10606
Author(s):  
Hubert Hymczak ◽  
Aleksandra Gołąb ◽  
Konrad Mendrala ◽  
Dariusz Plicner ◽  
Tomasz Darocha ◽  
...  
Keyword(s):  
Body Temperature ◽  
Temperature Measurement ◽  
Core Temperature ◽  
Gold Standard ◽  
Body Core Temperature ◽  
Anatomical Site ◽  
Esophageal Temperature ◽  
Internal Organs ◽  
Ongoing Debate ◽  
Body Core

Core temperature reflects the temperature of the internal organs. Proper temperature measurement is essential to diagnose and treat temperature impairment in patients. However, an accurate approach has yet to be established. Depending on the method used, the obtained values may vary and differ from the actual core temperature. There is an ongoing debate regarding the most appropriate anatomical site for core temperature measurement. Although the measurement of body core temperature through a pulmonary artery catheter is commonly cited as the gold standard, the esophageal temperature measurement appears to be a reasonable and functional alternative in the clinical setting. This article provides an integrative review of invasive and noninvasive body temperature measurements and their relations to core temperature.

scholarly journals Safety and Efficacy of All-In-One Percutaneous Pedicle Screw System

2021 ◽  
pp. 219256822110114
Author(s):  
Atsushi Kojima ◽  
Takato Aihara ◽  
Makoto Urushibara ◽  
Kenji Hatakeyama ◽  
Tomonori Sodeyama
Keyword(s):  
Pedicle Screw ◽  
Conventional Method ◽  
Surgical Time ◽  
Computed Tomography Images ◽  
Spine Stabilization ◽  
Percutaneous Pedicle Screw ◽  
Minimally Invasive Spine ◽  
Conventional Methods ◽  
Speed And Accuracy ◽  
Minimally Invasive Spine Stabilization

Study Design: Retrospective study of the prospectively collected outcomes data. Objective: The indications for PPS placement during minimally invasive spine stabilization (MISt) procedures have increased in recent years. To the best of our knowledge, no studies have documented the outcomes of PPS insertion using the all-in-one PPS system. This study compared the conventional methods and the use of all-in-one percutaneous pedicle screw (PPS) system with respect to the speed and accuracy of PPS placement. We also determined the advantages associated with the use of the all-in-one PPS system. Methods: We evaluated 54 patients who underwent PPS insertion using the conventional method and the all-in-one PPS system during MISt procedures. We also assessed the number of implanted PPSs, the time taken to implant PPSs, and the accuracy of PPS placement based on postoperative computed tomography images. Results: A total of 254 PPSs were inserted (126 using the conventional method and 128 using the all-in-one PPS system). The PPS insertion time with the all-in-one PPS system (mean, 25.3 ± 9.1 s) was significantly shorter than that using the conventional method (mean, 63.1 ± 13.0 s; P < 0.01). With respect to the accuracy of PPS insertion, ≥ 2 mm pedicle breach was noted in one case each in both groups. Conclusions: PPS placement using the all-in-one PPS system is as safe as conventional methods and has the potential to save the surgical time of MISt procedures.

Knowledge Graph Completion to Solve University Campus Issues

2020 ◽  
Vol 1 (3) ◽  
pp. 333-350
Author(s):  
Yuto Tsukagoshi ◽  
Takahiro Kawamura ◽  
Yuichi Sei ◽  
Yasuyuki Tahara ◽  
Akihiko Ohsuga
Keyword(s):  
Data Integration ◽  
Conventional Method ◽  
Current Literature ◽  
Statistical Data ◽  
Mean Absolute Error ◽  
Absolute Error ◽  
Knowledge Graph ◽  
University Campus ◽  
Combining Data ◽  
Conventional Methods

A number of urban challenges are encountered by modern societies. Governments, businesses and public bodies need to make statistical data widely available in order to tackle these challenges. Nonetheless, current literature and data are problematic; they have inaccuracies which lead to less effective methods of resolving these issues. This research aims to solve this challenge by thinking of a university campus as a microcosm of society, implementing a data integration schema, and combining data into a knowledge graph. Existing completion methods will then be applied and updated. Especially in regards to bicycle environment, our knowledge graph was tailored and evaluated in line with conventional methods, and secondly with our proposed derivative methods. Roughly 650 pieces of parking data, with various dates and times, was contrasted with each time's mean absolute error. Our approach accurately projected 54.5 more bicycles than the conventional method.

Temperature Measurement

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 649-650
Author(s):  
DAVID ALEXANDER ◽  
THOMAS TERNDRUP
Keyword(s):  
Temperature Measurement ◽  
Tympanic Membrane ◽  
Private Practice ◽  
Temperature Measurements ◽  
Practice Setting ◽  
Pediatric Setting ◽  
Tympanic Membrane Temperature ◽  
Conventional Methods

To the Editor.— In the March 1992 issue of Pediatrics, Freed and Fraley published an article entitled, "Lack of Agreement of Tympanic Membrane Temperature Assessments with Conventional Methods in a Private Practice Setting."1 This study concluded that the FIRST Temp thermometer was unreliable, compared with conventional methods of temperature-taking in the private pediatric setting. I would like to raise two methodologic concerns which may have influenced their results. Under "Methods," the authors state that their tympanic thermometer provided a choice of two modes: "tympanic" and "surface," They further state that the tympanic mode was used for all temperature measurements.

scholarly journals Content Visualization: An Evaluation of PowerPoint Effectiveness as a Learning Tool for Students

2018 ◽  
Vol 7 (2.29) ◽  
pp. 840
Author(s):  
Devi Pratami ◽  
Asti Amalia Nur Fajrillah ◽  
Tien Fabrianti Kusumasari
Keyword(s):  
Conventional Method ◽  
Test Score ◽  
Visual Presentation ◽  
Statistical Test ◽  
Learning Tool ◽  
The World ◽  
Slide Show ◽  
Conventional Methods ◽  
Education Field

PowerPoint is a slide show presentation program from Microsoft, which also one of the most widely used programs to develop visual presentation all over the world. PowerPoint has become enormously popular because of the functionalities offered and since it is designed to be easy to use. Previous researchers stated PowerPoint as one of the best tool to facilitate users to deliver idea/objective/goal, especially in education field. But some of the researchers argue that in today’s environment, PowerPoint no longer be the best tool to deliver information. This research aims to evaluate and design the content of the slide which influences the level of students understanding on information being presented. This research will be comparing three methods at once, which are a conventional method where the material course will be presented without any PowerPoint and are limited to boards and books. The second method will be a material-course presentation using a PowerPoint where it was using an aesthetically pleasing and methodically correct PowerPoint. And the last method would be the combination between the two. By using a statistical test ANOVA that among three methods there is no significance impact to the students understanding. Nevertheless, based on the test score that are done after treatment the results show that the quality of PowerPoint slide has an influence to the level of students understanding compared to conventional methods (blackboard and textbook). But only attractive slide itself is insufficient to improve students understanding, this study will incorporate conventional method and attractive slide through content visualization in order to gives a better impact on students understanding.  

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