• Title/Summary/Keyword: 고막체온

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Effect of Otitis Media and Cerumen Occlusion on Body Temperature Measured by Thermometers (중이염과 귀지가 고막 체온에 미치는 영향)

  • Jeong, Seong Nam;Kim, Eun Sung;You, Ju Hee;Cho, Hyung Min;Yoo, Eun Jung;Kim, Eun Young;Kim, Kyoung Sim;Kim, Yong Wook
    • Pediatric Infection and Vaccine
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    • v.17 no.2
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    • pp.114-121
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    • 2010
  • Purpose : To examine the effect of unilateral otitis media and unilateral cerumen occlusion of the ear canal on thermometers. Methods : One hundred eighty six children with unilateral otitis media, fifty children with unilateral cerumen occlusion, and fifty children with neither otitis media nor cerumen were enrolled. Temperature was measured in both ear canals using thermometers. After 15 minutes, second temperature was measured again in both ears. Unilateral otitis media was graded by video otoscope for 7 grades. Differences in temperatures between affected ears and unaffected ears were analyzed. Results : No temperature difference between the normal and cerumen groups was observed. The mean temperature of the otitis media ear canal was $0.13{\pm}0.20^{\circ}C$ higher than that of the intact ear canal ($36.99{\pm}0.54^{\circ}C$ vs $36.86{\pm}0.52^{\circ}C$; P<0.001). There was no statistically significant temperature difference between grades. Conclusion : Unilateral otits media can affect estimation of body temperature measured by thermometers.

A Study for Accuracy and Usefulness of Tympanic Membrane and Forehead Thermometers (고막 체온계와 이마 체온계의 정확성 및 유용성에 대한 연구)

  • Yun, Gi Wook;Lim, In Seok
    • Clinical and Experimental Pediatrics
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    • v.48 no.8
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    • pp.820-825
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    • 2005
  • Purpose : The presence and degree of fever in children is a useful indicator of illness. This project aimed to assess the accuracy and usefulness of infrared tympanic membrane(TM) & forehead feverscan thermometers for measuring children's temperatures. Methods : Data were obtained from 1,050 children with a median age of 4.5 years. They visited the pediatric clinics at Chung-Ang University Yongsan Hospital from January 2004 to December 2004. We measured body temperatures at axilla by mercury thermometer, at ear by infrared TM thermometer and at forehead by feverscan. Then we analyzed the correlation between these data. Results : Mercury and TM thermometer, and Mercury and forehead feverscan thermometer very well correlated with each others(P<0.05). And the sensitivity of infrared TM thermometer(right and left) to correctly identify febrile children was 81.1 percent and 82.4 percent, the positive predictive value to detect a fever was 81.8 percent and 73.6 percent. The sensitivity of forehead feverscan was 83.3 percent and the positive predictive value was 74.4 percent. Conclusion : The tympanic membrane temperature measured by the BRAUN IRT $3020^{(R)}$ and forehead arterial temperature measured by the HubDIC $DOTORY^{(R)}$ feverscan accurately reflects mercury axillary temperature, validly assesses the presence of fever in children, and is easy to use. The Braun IRT $3020^{(R)}$ & HubDIC $DOTORY^{(R)}$ therefore is an adequate tool to assess fever and may be used both in a clinical setting and for research purposes.

Comparison of Rectal Temperature with Axillary and Tympanic Temperature (신생아의 직장체온과 고막 및 액와체온과의 비교)

  • Hwang Jin-Soon;Sohng Kyeong-Yae
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.4 no.2
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    • pp.351-358
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    • 1997
  • Body temperature should be measured accurately to assess neonate's condition for proper care. Temperatures measured in rectal, axillary and tympanic site were compared in 129 normal neonates to find out proper nursing time for measuring temperature and the validity of fever detection. The results were as follows : 1. Mean temperatures of axillary and tympanic site($36.85^{\circ}C,\;37.12^{\circ}C$) were significantly lower than those of rectal site($37.19^{\circ}C$). 2. Mean nursing time for measuring body temperature was significantly higher and lower in axillary and tympanic temperatures(159.49 seconds, 11.07 seconds) than in rectal temperature(105.62 seconds). 3. Tympanic and axillary temperatures were significantly correlated with rectal temperature (r=0.85, r=0.78) and the significant correlation was demonstrated between tympanic and axillary temperatures(r=0.76). 4. Sensitivity, specificity, positive and negative predictive values were 0.87, 0.90, 0.72, 0.96 for detecting fever respectively. The above findings indicated that the tympanic thermometer offers a useful alternative to conventional methods.

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Development of Hybrid Temperature Measurement System (복합형 체온계 개발)

  • Han, Young-Hwan;Park, Seung-Hwan
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2010.07a
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    • pp.195-197
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    • 2010
  • 체온은 가장 기본적인 진단 정보로써 여러 가지 생리 변화를 반영하는 지표이므로 거의 모든 질환에 대해 반드시 측정하도록 되어있다. 그러므로 체온을 정확하고 빠르게 측정하는 것은 매우 중요하다. 본 논문은 복합형 체온측정 시스템의 개발에 목적이 있다. 즉, 하나의 복합 시스템으로 고막과 이마에서의 체온을 측정하려고 한다. 개발 결과, 이 시스템은 IR 센서를 사용한 비접촉식 방식이며 빠른 응답시간과 $0.2^{\circ}C$의 정밀도를 가지고 있다. 또한 체온 측정을 위한 주변온도 보상을 고려하여 온도 측정의 정확도를 높였다.

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Comparison of Tympanic and Axillary Temperatures (고막체온과 액와체온의 비교 연구 - 성인대상자를 중심으로 -)

  • Yea, Jae-Hee;Jo, Hyun-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.2
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    • pp.162-170
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    • 2009
  • Purpose: To verify the usability of tympanic temperature measurement for adults, a comparison of tympanic and axillary temperatures was done. Method: The study was conducted during October 2008, and participants were 110 female nursing students. Axillary temperatures were taken with glass mercury thermometers for 5, 7 and 10 minutes. Tympanic temperatures were taken with Infrared Thermometer IRT 4520 on both ears, twice at a 5-second interval. The data were analyzed using the SPSS 12.0 program. Results: In the 1st measurement, the mean for right tympanic temperatures ($0.06^{\circ}C$) and for left ($0.03^{\circ}C$) were significantly higher than the 2nd. A comparison of mean temperatures for right and left, showed that the mean for the left side on the 1st measurement was significantly higher ($0.01^{\circ}C$) than the right. Also the temperature on left side in the 2nd measurement was higher ($0.04^{\circ}C$) than the right 2nd, but not significantly higher. The mean temperature for right and left tympanic on 1 st and 2nd measurements were significantly higher than axilla for 5 minutes ($0.58^{\circ}C$), for 7 minutes ($0.52^{\circ}C$), and for 10 minutes ($0.43^{\circ}C$). The tympanic temperature was the most closely correlated with the axillary temperature at 10 minutes. Conclusion: Findings indicate that measurement of tympanic temperature is a useful alternative to axillary temperature taken for 10 minutes.

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A comparison study of measured values and subjective experience of mercury thermometer and tympanic thermometer (수은체온계와 고막체온계의 측정치와 측정시 경험에 관한 비교연구)

  • Min Soon
    • The Journal of Korean Academic Society of Nursing Education
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    • v.4 no.1
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    • pp.95-106
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    • 1998
  • This study aims to provide a better nursing service in the dimension of economizing time and human efforts. This is to present some basic knowledge necessary to improving a nursing quality in measuring body temperature by analyzing the contents that the objects experienced at the time of measure with tympanic thermometer and mercury thermometer Subjects of the survey consisted of 71 college students, 47 adult patients and 40 pediatric patients. The results were as follows : 1. The oral temperature by mercury thermometer and tympanic thermometer with oral mode was : $36.83^{\circ}C$ by mercury thermometer and $37.02^{\circ}C$ by tympanic thermometer in college students : it showed an significant difference statistically. 2. Comparsion between oral mode and rectal mode by tympanic thermometer in college students : $37.03^{\circ}C$ by oral mode and $37.55^{\circ}C$ by rectal mode and this defference was significant statistically 3. Comparision between rectal temperature by mercury thermometer and rectal mode of tympanic thermometer : $37.54^{\circ}C$ by mercury thermometer and $37.73^{\circ}C$ by tympanic thermometer, it showed a significant difference statistically. 4. Comparision between oral temperature by mercury thermometer and oral mode of tympanic thermometer of the pediatric patients : $36.51^{\circ}C$ by mercury temperature and $36.94^{\circ}C$ by tympanic thermometer, it showed a significant difference statistically. 5. Comparision between oral body temperature by mercury thermometer and oral mode of tympanic thermometer of the adult patients : $36.56^{\circ}C$ by mercury thermometer and $36.90^{\circ}C$ by tympanic thermometer, it did not show statistically any difference. 6. At the measure by mercury thermometer this data can classified In three main categorise : their feeling to a thermometer, thermometer itself and aspect physical of the clients. It is considered that an subjective experience to tympanic thermometer was more positive.

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Comparison by Measurement Sites in Temperature of Neonates : Ear-based rectal, Rectal, Axilla, Abdominal Temperature (측정부위별 신생아의 체온 비교 : 고막기준 직장체온, 직장체온, 액와체온, 복부체온)

  • 김화순;안영미
    • Journal of Korean Academy of Nursing
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    • v.29 no.4
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    • pp.903-916
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    • 1999
  • The purpose of this study was to compare the ear-based rectal temperature measured with a tympanic thermometer with the rectal temperature measured with a glass mercury thermometer in order to test the accuracy of tympanic thermometer and to determine relationship among rectal, axilla, and abdominal temperature in neonates. The samples consisted of thirty four neonates admitted to the neonatal intensive care unit and nursery at an university affiliated hospital. The mean age of the subjects was 4.9 days. The ear-based rectal temperatures were taken with a tympanic thermometer in rectal mode (First Temp Genius 3000). Rectal and axilla temperatures were taken with a glass mercury thermometer, Abdominal temperature was continuously monitored with the probe connected to the servo controller of incubator. The results of the study can be summarized as follows : 1. Intrarater comparison : Agreement between the first and the second ear-based rectal temperature was 97% within 0.1$^{\circ}C$. 2. Comparison of ear-based rectal temperature and the rectal temperature from a glass mercury thermometer : ear-based rectal temperature ranged from 36.95$^{\circ}C$d to 37.95$^{\circ}C$, with a mean of 37.58$^{\circ}C$(SD=0.22$^{\circ}C$). Rectal temperature from a glass mercury thermometer ranged from 36.2$0^{\circ}C$ to 37.2$0^{\circ}C$, with a mean 36.75$^{\circ}C$(SD=0.29). The mean difference between both temperatures was 0.84$^{\circ}C$. The correlation coefficient between both temperatures was r=0.77(p=0.00). 3. Comparison of rectal and axilla temperature : Axilla temperature ranged from 35.8$0^{\circ}C$ to 37.1$0^{\circ}C$, with a mean of 36.55$^{\circ}C$. The mean absolute difference between the rectal and axilla temperature was 0.23$^{\circ}C$. The correlation coefficient between rectal and axilla was r=0.67. 4. Comparison of axilla and abdominal temperature : Abdominal temperature ranged from 36.2$0^{\circ}C$ to 37.0$0^{\circ}C$, with a mean of 36.58$^{\circ}C$. The mean absolute difference between axilla and abdominal temperature was only -0.03$^{\circ}C$. Findings of this study suggest that ear-based rectal temperature overestimates the actual rectal temperatures in neonates. Therefore, the interchangeble use of both temperatures in clinics seems problematic. The site offset(adjustment value) programmed in rectal mode of the tympanic thermometer needs to be readjusted. Choosing one optimal site for temperature measurement for each patient, and using the specific site consistently would result in more consistent measurements of changes in body temperature, and thus can be more effective in diagnosing fever or hypothermia.

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The Effect of Pre and Intra-Operative Warming Therapy on Tympanic Temperature Changes during Perioperative Phase in Receiving Patients with Total Hip Replacement (수술전과 수술중 피부가온요법 적응이 고관절 전치환술 환자의 수술 주기 고막체온 변화에 미치는 영향)

  • Kwon Young-Sook;Kim Eun-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.1
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    • pp.86-96
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    • 2000
  • The purpose of the study was to investigate the effects of Warming Therapy used with patients consistantly before and during surgery to on changes in their body temperatures. The data were collected from patients in a university hospital in Taegu between December 1, 1998 and May 31, 1999. The subjects were selected from patients who were hospitalized for total hip replacement surgery. Thirty participants were assigned to two groups : experimental(Warming Therapy) group and control group. Each group consisted of 15 patients. The research design was a repeated measurement design, using a nonequivalent control group. The Warming Therapy, using a forced-air warming blanket, that is a, 'Bair Hugger' was applied to subjects in the experimental group. The subjects in the group were treated with the 'Bair Hugger' to warm up the whole body for 40 minutes before surgery and upper body and face during the operation. The core temperature was measured using a tympanic thermometer. The body temperature of the patients was measured 13 times every 15 minutes during the surgery. After the operation the body temperature of the patients was measured 4 times every 15 minutes, from the time of arrivial in the recovery room to the time of leaving the recovery room. The SPSS Win 9.0 program was used for data analysis. Specific methods tested were done using ${\chi}^2-test$, t-test, repeated measures ANOVA. The findings of the study are as follows. 1. The first hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group during the operation', was supported (F=32.16, p=.000). 2. The second hypothesis, 'The level of tympanic temperature for the experimental group which received Warming Therapy will be higher than that of the control group after the operation', was supported.(F=33.36, p=.000) 3. During recovery, shivering was observed one patient in the experimental group and seven patients in the control group. In summary, the findings of the study suggest that the 'Warming Therapy' applied before and during the surgery was a very effective treatment for surgical patients in maintaining the core temperature during surgery

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