Is oral temperature an accurate measurement of deep body temperature? A systematic review.
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CONTEXT: Oral temperature might not be a valid method to assess core body temperature. However, many clinicians, including athletic trainers, use it rather than criterion standard methods, such as rectal thermometry. OBJECTIVE: To critically evaluate original research addressing the validity of using oral temperature as a measurement of core body temperature during periods of rest and changing core temperature. DATA SOURCES: In July 2010, we searched the electronic databases PubMed, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), SPORTDiscus, Academic Search Premier, and the Cochrane Library for the following concepts: core body temperature, oral, and thermometers. Controlled vocabulary was used, when available, as well as key words and variations of those key words. The search was limited to articles focusing on temperature readings and studies involving human participants. DATA SYNTHESIS: Original research was reviewed using the Physiotherapy Evidence Database (PEDro). Sixteen studies met the inclusion criteria and subsequently were evaluated by 2 independent reviewers. All 16 were included in the review because they met the minimal PEDro score of 4 points (of 10 possible points), with all but 2 scoring 5 points. A critical review of these studies indicated a disparity between oral and criterion standard temperature methods (eg, rectal and esophageal) specifically as the temperature increased. The difference was -0.50 degrees C +/- 0.31 degrees C at rest and -0.58 degrees C +/- 0.75 degrees C during a nonsteady state. CONCLUSIONS: Evidence suggests that, regardless of whether the assessment is recorded at rest or during periods of changing core temperature, oral temperature is an unsuitable diagnostic tool for determining body temperature because many measures demonstrated differences greater than the predetermined validity threshold of 0.27 degrees C (0.5 degrees F). In addition, the differences were greatest at the highest rectal temperatures. Oral temperature cannot accurately reflect core body temperature, probably because it is influenced by factors such as ambient air temperature, probe placement, and ingestion of fluids. Any reliance on oral temperature in an emergency, such as exertional heat stroke, might grossly underestimate temperature and delay proper diagnosis and treatment. (+info)
The effect of slice thickness on the assessment of bone defect volumes by the Cavalieri principle using cone beam computed tomography.
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Sex determination by linear measurements of palatal bones and skull base.
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Genetically determined sexual dimorphism is not restricted to reproductive organs. All body structures show sexual differences which emerge during puberty and persist lifelong. The aim of this study is to obtain a reliable method for sex determination through the analysis of linear measurements of palate bones and skull base. One hundred skulls of both sexes, 50 from males and 50 from females, aged between 22 and 55 years, from the Sao Goncalo Cemetery of Cuiaba, capital of Mato Grosso state, Brazil, were analyzed. Distances between the incisive foramen, right and left greater palatine foramens and the basion were measured with a digital caliper. Finally, data were tabulated and statistically analyzed. Measurements showed significant sexual dimorphism, except the distance between the right and the left greater palatine foramens. The superior expression of sex dimorphism corresponded to the distance from the basion to the incisive foramen. The authors obtained two mathematical models for sex determination, with a reliability rate of 63% and 65% respectively. (+info)
A working memory deficit among dyslexic readers with no phonological impairment as measured using the n-back task: an fNIR study.
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