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J J Nobel

Publications and source records attributed to J J Nobel.

16 recordsLinked to original sources

Infrared ear thermometry.

Many hospitals are considering using infrared (IR) ear thermometers (also called tympanic membrane thermometers) as an alternative to traditional temperature-measurement devices. IR technology allows users to quickly and noninvasively measure body temperature by inserting a directional probe into the ear canal. For infection control, ear thermometers offer the advantages of not contacting mucous membranes and eliminating the need for special handling procedures. For use on unconscious patients or those who are otherwise unwilling or unable to cooperate with traditional techniques, IR ear thermometers offer a more comfortable and less stressful method of temperature taking for both patients and nurses, especially where rectal temperatures are used. The recent entry into this market by major companies and distributors and the release of several new IR ear thermometers have helped to further stimulate interest in this technology. However, a complete transition to IR ear thermometers throughout the hospital may not be necessary and should be made only after these devices have been successfully used in selected clinical locations, such as emergency departments, critical care areas, recovery areas, and labor and delivery rooms. Clinical users must be familiar with the technique needed for temperature measurement with these instruments and understand the differences between temperatures taken in the ear canal and those obtained from traditional sites. In the following article, we first present an overview of clinical thermometry, describing traditional temperature-measurement sites and devices. We then discuss the advantages and disadvantages of using the ear canal, including the tympanic membrane (TM), as a site for temperature measurement. In addition, we guide readers in determining the usefulness of IR ear thermometers.(ABSTRACT TRUNCATED AT 250 WORDS)

Humans

Cribs.

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Beds

Infusion pumps.

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Humans

Apnea monitors.

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Apnea

Infant incubators.

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Body Temperature

Comparison of research quality guidelines in academic and nonacademic environments.

Only 2 medical schools in the United States and Canada of 133 that responded to a survey have policy guidelines that address most of the significant ethical and procedural issues related to misconduct and fraud in biomedical research. Some nonacademic research environments have superior guidelines that offer useful models and deserve examination. Prevention of misconduct and fraud in biomedical research and reporting requires thoughtful, proactive change by academic and clinical institutions. While the causes of misconduct and fraud may be sufficiently complex to engender long debate, the methods for minimizing it are relatively straightforward and start with a clear statement of values and acceptance of responsibility. Otherwise, the failure of the biomedical research community to meet this challenge forthrightly is soon likely to lead to damaging intervention by government agencies and elected officials. The time to act is now.

Biomedical Research

Small hospitals manage clinical equipment.

Small hospitals can develop clinical engineering programs that meet their needs by using regional shared clinical engineering services or by hiring engineering technicians.

Biomedical Engineering