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At least 1,459 records · Page 81Linked to original sources
PubMed1992

Taking an infant's temperature: axillary or rectal thermometer?

AIM: to examine the validity of routine use of axillary thermometers to measure body temperature in infants. METHODS: comparison of 49 simultaneous paired axillary and rectal temperature recordings in infants between one and 11 months of age, who were considered afebrile by their clinicians. Regression analysis of the paired measurements, and a plot of the differences between the paired measurements against their means, were used to examine the limits of agreement of the two methods. RESULTS: the limits of agreement ranged from 0.2 to 1.6 degrees C difference between simultaneous paired measurements. As there was no consistent relationship between axillary and rectal temperatures, the use of a correction factor added to axillary values is invalid. The axillary thermometer may record almost the same as the rectal temperature or more than 1.5 degrees C lower at the same point in time. CONCLUSION: we question the validity of current clinical practice in assessing infant body temperature by using axillary thermometers, and we suggest that such measurement does not reflect the rectal temperature in a reliable or consistent fashion. If infant body temperature is sought, a rectal thermometer should be used.

Axilla↗
PubMed2004

Lung cancer treatment in New Zealand: physician's attitudes.

AIMS: To determine treatment practices of New Zealand physicians who manage non-small cell lung cancer (NSCLC). METHODS: A questionnaire on the treatment of NSCLC was emailed to all respiratory physicians, medical oncologists, and radiation oncologists in New Zealand. Respondents were asked to select the treatment they would offer in six lung cancer case scenarios. RESULTS: Thirty-one (81%) respiratory physicians, 15 (71%) medical oncologists, and 8 (30%) radiation oncologists responded to the questionnaire. Surgery was selected (by all groups) as the best option for early-stage disease NSCLC. Radiotherapy or combination chemo/radiotherapy (for locally advanced disease) was favoured by 37% of respiratory physicians for stage IIIa and 28% for stage IIIb--compared with medical oncologists (100% and 80%) and radiation oncologists (86% and 28%). Chemotherapy for 'fit' patients with advanced disease was favoured by only 11% of respiratory physicians, compared with 67% of medical oncologists and 33% of radiation oncologists. Best supportive care (BSC) was the favoured treatment for patients with advanced disease with poor performance patients. CONCLUSION: This study demonstrates considerable heterogeneity in the choice of treatment for NSCLC between specialities, particularly for locally advanced and advanced disease. These findings suggest international guidelines are not being adhered to, and variations in treatment may potentially have outcome implications for patients.

Aged↗
PubMedDate not supplied

Municipal efforts.

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Child↗
PubMed2005

Effectiveness of a multidisciplinary team approach to hip fracture management.

The purpose of the current study was to evaluate the effectiveness of a multidisciplinary Hip Fracture Service in the treatment of hip fractures in elderly patients. Baseline information and hospital outcomes were compared for 510 patients over the age of 65 with hip fracture treated before and after the institution of the Hip Fracture Service. Data included basic demographic data, admission laboratory results, surgical information, number of comorbidities, mortality, medical complications, discharge information, time to surgery, and length of stay in hospital. The demographics of the two groups of patients were similar. Patients treated as part of the Hip Fracture Service had fewer medical complications (36% vs. 51%), more often had surgery within 24 hours (63% vs. 35%), and had shorter hospital stays (mean, 5.7 days vs. 8.1 days) than patients treated before the Hip Fracture Service. These findings provide the rationale for a prospective, randomized trial of the service.

Aged↗