क्लिनिकल स्टडीज (नैदानिक अध्ययन)
भारत से दो महत्वपूर्ण क्लिनिकल स्टडीज
डॉ प्रेरणा बत्रा, डॉ एस. गोयल। बाल चिकित्सा आपातकालीन कक्ष में रेक्टल, एक्सिलरी, टाइम्पेनिक और टेम्पोरल आर्टरी थर्मोमेट्री की तुलना। बाल चिकित्सा इमर्ज केयर। 2013 जनवरी;29(1):63-6. डोई: 10.1097/PEC.0b013e31827b5427.
डॉ पी. बत्रा, डॉ. ए. साहा, फरीदी एम.एम. बच्चों में थर्मोमेट्री। जे इमर्ज ट्रॉमा शॉक। 2012 जुलाई;5(3):246-9।
नंगी त्वचा पर आर्टरी हीट बैलेंस थर्मोमेट्री: रोगी और चिकित्सक के लिए सटीकता,आराम और सुविधा।
There has in the past been no method of thermometry that is considered by patients and clinicians to be comfortable, convenient, and accurate. Rectal, oral, axilla, and ear thermometry all have either significant discomfort due to the use of a body cavity, artifactual inaccuracies due to physiological/device phenomena, or both, thus making them less than desirable for the needs of both patient and clinician. The exposed skin eliminates the use of a body cavity, but an accurate method using the skin has heretofore not been demonstrated.
अतीत में थर्मोमेट्री की कोई विधि नहीं रही है जिसे रोगियों और चिकित्सकों द्वारा आरामदायक, सुविधाजनक और सटीक माना जाता है। रेक्टल, ओरल, एक्सिला और ईयर थर्मोमेट्री सभी में या तो शरीर की गुहा के उपयोग के कारण असुविधा होती है, शारीरिक / उपकरण घटना के कारण कृत्रिम अशुद्धि, या दोनों, इस प्रकार उन्हें रोगी और चिकित्सक दोनों की जरूरतों को पूरा नहीं करती थी। त्वचा शरीर के गुहा के उपयोग को समाप्त करती है, लेकिन त्वचा का उपयोग करने का एक सटीक तरीका अब तक प्रदर्शित नहीं किया गया था।
सतही टेंपोरल आर्टरी त्वचा थर्मोमेट्री विधि के लिए जरूरी आवश्यकताओं को प्रदर्शित करती है: यह आसानी से सुलभ है, इसमें कोई श्लेष्म झिल्ली नहीं है, और विशेष रूप से, इसमें कोई या बहुत कम धमनीविस्फार एनास्टोमोसेस (एवीए) नहीं है। एवीए के अभाव का मतलब है कि छिड़काव दर अनिवार्य रूप से सभी परिस्थितियों में विश्वसनीय है, और थर्मोमोरेगुलेटरी उत्तेजनाओं के जवाब में रक्त प्रवाह वासोमोटर नियंत्रण से अपेक्षाकृत मुक्त है। सभी सुलभ त्वचीय रक्त वाहिकाओं पर विचार करते समय यह गुण अस्थायी धमनी के लिए अद्वितीय है। उच्च और विश्वसनीय छिड़काव त्वचीय प्रवाह के कारण पर्यावरण को खोई गई गर्मी की सटीक गणितीय गणना की अनुमति देता है, और इस प्रकार टेंपोरल आर्टरी थर्मामीटर ह्रदय के सटीक तापमान की गणना करता है। तापमान माप के लिए एक साइट के रूप में, टेंपोरल आर्टरी कई लाभ प्रस्तुत करती है: यह रोगी या चिकित्सक के लिए चोट का कोई जोखिम नहीं रखती है, किसी भी तरह की चीर-फाड़ या अनबंडलिंग की आवश्यकता को समाप्त करती है, और सभी उम्र के लिए उपयुक्त है। तदनुसार, Exergen, एक पेटेंट और हिट बैलेंस टेक्निक को शामिल करते हुए, टेंपोरल आर्टरी पर गैर-आक्रामक धमनी तापमान मूल्यांकन के लिए उपकरण विकसित किया। निम्नलिखित प्रकाशित क्लीनिकल पेपर और रिसर्च आर्टिकल इस पद्धति की वैधता का समर्थन करते हैं।
107 independent, peer-reviewed, studies and papers demonstrate the superiority of the Exergen TermporalScanner. And we’re just getting started.
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