• 기본간호학회지
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• 제4권2호
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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.

• Child Health Nursing Research
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• 제11권2호
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• pp.203-210
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• 2005

Purpose: In order to identify the usability of inguinal temperature in a neonatal unit, this study was done to compare inguinal temperature of newborns with rectal, axillary, and tympanic temperatures. Method: Fifty-one normal newborns admitted to the nursery of a university affiliated hospital participated in the study. Tympanic temperatures were taken with a tympanic thermometer. Inguinal, rectal, and axillary temperatures were taken with glass mercury thermometers, and were recorded every 1 minute until the reading remained constant for 2 times. The data were analyzed using the SPSS program. Result: The measurement time for inguinal temperatures in newborns was significantly longer than that for rectal temperatures, but was shorter than that for axillary temperatures. The mean temperature for the newborn's inguinal site was lower than for rectal, axillary, and tympanic temperatures (the lower side), but wasn't different from tympanic temperature (the upper side). The inguinal temperature was significantly correlated with rectal, axillary, and tympanic temperature. The inguinal temperature was not different according to general characteristics of the newborn. Conclusion: These findings indicate that measurement of inguinal temperature is a useful alternative to rectal temperature.

• 대한간호학회지
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• 제5권2호
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• pp.38-50
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• 1975

This study was conducted to find the shortest optimum time for taking oral temperature and axillary temperature, which does not affect reliability of body temperature. For this purpose, first, the time at which all the samples are reaching maximum temperature is identified Second, the mean maximum temperature is compared with the mean temperature of each consecutive measurement by T-test to find the time at which no significant changes in temperature occurs along time sequence. Third, optimum temperatures are set at points of -0.2℉, -0.4℉, -0.6℉, -0.8℉, -1.0℉, -1.2℉, -1.4℉, from maximum temperature. A point of time at which 90% of samples reach at optimum temperature is identified and defined as optimum time. The study sample, a total of 164 cases were divided into two groups according to their measured body temperature. The group with body temperature below 37 $^{\circ}C$(A group) and above 37$^{\circ}$1'C (B group) were compared on the time required to reach maximum temperature and optimum temperature. The results are as follow. 1. The time required for total sample to reach maximum temperature was 13 minutes in both groups by oral method, 15 minutes in A group and 13 minutes in B group by axillary method. Time required for 90 % of cases reach maximum temperature by oral method was 10 minutes in both group. By axillary method, 12 minutes in A group. (Ref: table 2) 2. Statistical analysis by means of T-test, the time which does not show a significant change by oral method were 12 minutes in A group and 11 minutes in B group, and by axillary method 14 minutes in A group and 11 minutes in B group. (Ref: table 5, 6.) 3. Where optimum temperature was defined as maximum temperature minus 0.2 ℉, optimum time was found 8 minutes in both groups by oral method, and 11 minutes in A group and 9 minutes in B group by axillary method 4. Where optimum temperature was defined as maximum temperature minus 0.4 ℉, optimum time was found 7 minutes in A group and 6 minutes in B group by oral method, and 9 minutes in A group and 7 minutes in B group by axillary method 5. Where optimum temperature was defined as maximum temperature minus 0.8 ℉, optimum time was found 6 minutes in A group and 6 minutes in B group by axillary method (Ref: table 7, 8, 9, 10) 6. The commonly practiced temperature taking time, 3 minutes in oral method and 5 minutes in axillary method can be accepted as pertinent when physiological variation of body temperature at the mean level of -1, 2 ℉ is accepted. 7. The difference in time required to resister maximum temperature was compared between the group with body temperature below 37$^{\circ}C$ and above 37$^{\circ}$1'C, and found no significant difference in oral mettled and 1 - 4 minute difference in axillary method with shorter time requirement in feverish group.

• Child Health Nursing Research
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• 제28권1호
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• pp.62-69
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• 2022

Purpose: This study explored the validity of a new type of thermometer and parent satisfaction with the new device. This 24-hour continuous monitoring smart wearable wireless thermometer (TempTraq^®) uses a very small semiconductor sensor with a thin patch-like shape. Methods: We obtained 397 sets of TempTraq^® axillary temperatures and tympanic temperatures from 44 pediatric patients. Agreement between the axillary and tympanic measurements, as well as the validity of the TempTraq^® axillary temperatures, were evaluated. Satisfaction surveys were completed by 41 caregivers after the measurements. Results: The TempTraq^® axillary temperatures demonstrated a strong positive correlation with the tympanic temperatures. The Bland-Altman plot and analysis of TempTraq^® axillary temperatures and tympanic temperatures showed that the mean difference was +0.45 ℃, the 95% limits of agreement were -0.57 to +1.46 ℃. Based on a tympanic temperature of 38 ℃, the results of validity of fever detection were sensitivity 0.85 and specificity 0.86. Satisfaction scores for TempTraq^® temperature measurement were all > 4 points (satisfactory). Conclusion: TempTraq^® smart axillary temperature measurement is an appropriate method for measuring children's temperatures since it was highly correlated to tympanic temperatures, had a reliable level of sensitivity and specificity, and could be used safely and conveniently.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2003년도 하계학술대회 논문집 D
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• pp.2792-2794
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• 2003

In this paper, we measure the tympanic temperature and axillary temperature after far-infrared radiation. The subjects consist of 20 peoples($20s{\sim}60s$) regardless of age or sex. First of all, the subjects lied in mat without the hyperthermia induced by FIR(Far-infrared radiation) for 5 minutes(relaxation) and then lied in mat with the hyperthermia induced by FIR($40{\sim}65^{\circ}C$) for 30 minutes. At this all process, the tympanic temperature and axillary temperature were measured at every 5 minutes. Before FIR was radiating on the human body, the tympanic temperature were $1.05^{\circ}C$ higher than axillary temperature. But after FIR, axillary temperature were $0.217^{\circ}C$ higher than tympanic temperature and the difference of two parameters was decreased.

• 기본간호학회지
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• 제16권2호
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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.

• 한국의류학회지
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• 제23권7호
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• pp.980-986
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• 1999

This study was done to ivestigate the fabrics thatminimized harmfulness of UVB(ultraviolet B) and that might product Vit. {{{{ {D }`_{3 } ^{ } }} by UVB. Twelve female subjects wearing in three different types i.e fabric A(UVB 100% protection) fabric B(UVB 50% protection) and bikinii were exposed to outdoor environment (Air Temp : 25℃, 42% R,H Air velocity : 0.13m/s UV does :6KJ/m2) Blood samples were taken 24 hours before the after the experiment in order to examine concentration of vit.{{{{ {D }`_{3 } ^{ } }} in the blood. During the experiment axillary temperature skin temperature of 7 areas(forehead Chest Upper arm, Hand Thigh Lower leg, Foot) were measured. The more irradiated areas by UVB were the more the concentration of serum 25(OH){{{{ {D }`_{3 } ^{ } }} were significantly. Mean skin temperature was significantly low levekl in wearing the fabric of UVB 50% protection (p<0.001) Axillary temperature was significantly high level in wearing the fabric of UVB 50% protection (p<0.001). Therefore the fabric of UVB 50% protection intercepts the radiation and has advantage to give off body heat over other fabrics

• 성인간호학회지
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• 제26권6호
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• pp.668-680
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• 2014

Purpose: The aim of this study was to investigate the accuracy of infrared temperature measurements compared to axillary temperature in order to detect fever in patients. Methods: Studies published between 1946 and 2012 from periodicals indexed in Ovid Medline, Embase, CINAHL, Cochrane, KoreaMed, NDSL, KERIS and other databases were selected using the following key words: "infrared thermometer". QUADAS-II was utilized to assess the internal validity of the diagnostic studies. Selected studies were analyzed through a meta-analysis using MetaDisc 1.4. Results: Twenty-one diagnostic studies with high methodological quality were included representing 3,623 subjects in total. Results of the meta-analysis showed that the pooled sensitivity, specificity, and area under the curve (AUC) of infrared tympanic thermometers were 0.73 (95% CI 0.70~0.75), 0.92 (95% CI 0.91~0.92), and 0.90, respectively. For axillary temperature readings, the pooled sensitivity was 0.67 (95% CI 0.62~0.73), the pooled specificity was 0.87 (95% CI 0.85~0.90), and the AUC was 0.80. Conclusion: Infrared tympanic temperature can predict axillary temperature in normothermic and in febrile patients with an acceptable level of diagnostic accuracy. However, further research is necessary to substantiate this finding in patients with hyperthermia.

• 기본간호학회지
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• 제4권1호
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• pp.19-30
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• 1997

This study was to investigate the method for shortening the body temperature (BT) because it takes a long time and is impractical to measure axillary or oral BT with mercury thermometer, The first approach was to identify BT change according to the measuring time and determine the clinically not statistically avaiable and optimal BT measuring time. The second was to test the accuracy of tympanic thermometer. It can measure BT within a few seconds, so if it is approved accurate, we can save BT measuring time by substitute tympanic thermometer for mercury thermometer. This study was conducted from 1, to 30 June, 1996. The subjects were 12men students of medicalk college and 29 women students of nursing school. The results were as follows ; 1) The 3, 5, 7, 9, 11, 13minute-measured axillary BT and 3, 5, 7, minute-measured BT showed somewhat linear relationship with time. It was difficult to find the optimum measuring time which were clinically significant. 2) For axillary tempeiature, the measuring time which were not statistically different was 11 and 13minute. But the real BT difference between 3 and 13minute, or between 5 and 13minute were very small and was within the range of daily variation. 3) For oral temperature, there was no intervals which showed the statistically insignificant. But like as axillary temperature, the difference between 3 and 7, or 5 and 7 minute were trivial by $0.3^{\circ}C$ and by $0.1^{\circ}C$ respectively. 4) Tympanic temperatures were lower than oral BTs which were measured with mercury thermometer by $0.26^{\circ}C$ (with ear tug) and $0.15^{\circ}C$(without ear tug). 5) The reliability of repeated measure tympanic temperature was better than without ear tug. With above results, we can't determine the optimal and cilically significant oral and axillary measuring time using mercury thermometer. However, because the real differences between measuring times were very small, so we recommend further study for the aged, the infants and the febrile patients. And we can't sure the accuracy of tympanic temperature but the reliability was better with ear tug than without ear tug.

• The Korean Journal of Pain
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• 제9권2호
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• pp.399-402
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• 1996

Endoscopic transthoracic sympathectomy (ETS) has recently become estabilished as a successful treatment for severe palmar and axillary hyperhidrosis. Descriptions have been published of neurolytic, operative and alternative endoscopic procedures involving thermocoagulation, laser coagulation, or or nonvideo-assisted ganglionectomy using equipment not widely available, with low morbidity and excellent results. All methods have advantage and disadvantages. A 19-year-old male who suffered from severe hyperhidrosis on face, palms and axillary areas, has been initially treated with stellate ganglion block in other pain clinic. He was transfered to our pain clinic for endoscopic thoracic sympathectomy. The patient was intubated left side 34 Fr. double lumen tube and positioned left semi-lateral position for right sympathectomy. Right side pneumothorax was created by clamping the ipsilateral side of the double lumen tube and aspiration of air. 11-mm trocar was introduced through incision at the third intercostal space in anterior axillary line, and then additional two 11-mm and 5-mm trocar was introduced through second and fifth intercostal space in mid axillary line. The lung was gently retracted and the parietal pleura over the heads of the appropriate ribs excised using 5-mm sharp insulated coagulating microprocesss. The T4, T3, and T2 ganglions, as well as accompanying rami communicantes, and other branchs arising from upper thoracic nerves to the brachial plexus and surrounding tissues were carefully dissected, coagulated. During sympathectomy, skin temperature of middle was continuously monitored. Elevation of palmar skin temperature intraoperatively indicated an adequate sympathectomy with a definite therapeutic effect. A No. 28 Fr. thoracotomy tube was introduced through a troca under video guidance, placed under water seal after the lung was reinflated. the controlateral side was performed same procedure. After bilateral sympathectomy, chest tubes were removed, and then, he was discharged 2 days after operation with great satisfaction. The ETS provides a well-tolerated, cost-effective alternative to thoracic sympathectomy for primary hyperhidrosis and sympathetic mediated neuropathic pain disorder. And T2 ganglion is considered the key ganglion for the treatment of primary hyperhidrosis. The low incidence of compensatory sweating may by explained by the limited extent of the sympathectomy.