4,129 research outputs found
發燒處置的迷思與省思
No full text發燒是每一位護理人員都曾經處理過的問題，我們常把協助患者退燒視為最重要的事 ，將發燒視為敵人，而忘了發燒的存在對免疫上之助益。且常擔心若不採取退燒措施 ，則體溫會越來越高，甚至引起合併症，損壞腦組織。一些經常使用之物理性降溫措 施如冰枕、冰毯、溫水拭浴、減少衣服及被蓋，其退燒效果如何？病人感受如何？是 否會引起畏寒、顫抖不適，這些經常被我們所遺志。本文主要介紹發燒生理病理機制 、對人體之影響，探討護理人員在發燒處置上的迷思，並參考近期研究結果和學者之 看法，省思當前的發燒處置該做那些修正。最後的結論是除非病人無法承受發燒所帶 來之代謝率增加的壓力，否則一些常用物理性際溫措施及退燒藥並非是必要使用的。 充足的營養、熱量、水分、電解質的供應，支持體內免疫系統繼續作戰，比一昧使用 藥物或冷卻方法來抑制發燒更有意義
Normal Rectal, Oral, Ear-Based and Axillary Temperature in the Senior Dwellers of Nursing Homes
No full text正常體溫和年齡、性別、環境溫度、身體質量指數對正常口溫的影響--前驅性比較研究
No full textBackground: Body temperature is an indicator of health status. However, thermoregulatory function is thought to decline with aging. Objectives To determine normal body temperature and the effects of age, sex, ambient temperature (AT), and body mass index (BMI) on normal oral temperatures ( OTs). Design A prospective four group comparative descriptive design was used to compare four cohorts: young adults in summer, older adults in summer, young adults in winter, and older adults in winter. Methods The OT of 519 community dwelling older adults ages 65–95 and 540 younger adults ages 20–64 was compared. The OT was taken with an electronic thermometer between 8 a.m. and 10 a.m. during summer and winter in 2007 in Taipei, Taiwan. Results There was no difference in mean OT between the <65 and 65 groups measured during winter. However, the mean OT of the < 65 group was 0.11°C lower than the ≥65 group measured in the summer. Subjects (≥85 years) had a higher correlation coefficient (r=0.48) between OT and AT than those in the 65–74 year older group (r=0.31) and 75–84 year older group (r=0.23). Moreover this study found that the mean OT of older females was higher than that of older males in both winter and summer cohorts. Finally, multiple regression analysis results indicated AT and sex were predictors of OT while age and BMI were not a significant predictor of OT. These four factors together accounted for 9 .4% of the variance in the overall sample (age 20–95), 12.8 %, in those 65–95 and 28.2% for those, ≥85 years old. Conclusions These findings help to clarify discrepancies in the literature. The OT of those over age 65 and those 20–64 was lower than the accepted 37°C norm. However, “older is colder” does not apply to all older adults. Our findings indicate AT and sex rather than age alone account for temperature variation in older adults with normal baseline temperature. Further investigation is needed to identify potential risk factors of impaired thermoregulation in older adults
Methodology of Medical Record Review=病例回顧研究之方法學
No full text病例是許多臨床研究獲取資訊之重要來源,然而關於病歷研究方法學知識,卻不似其 他前瞻性研究方法那麼普遍,一般研究發法學的專書甚少針對病歷回溯,或如何由病 歷中萃取資料做完整介紹,故本文彙整相關文獻由定義、目的、優缺點分析、及研究 設計一一說明進行病例研究時每一個步驟應注意事項,以增進對此研究發之認識
Karl Lorenz, Professor Education: First SelectedWorks Site at SHU
Full text linkKarl M. Lorenz, Professor of Education, describes his experience as the first creator of a SelectedWorks site at SHU at the time that this important service was initiated. He is pleased that all of his scholarly work is now available online and accessible to others. The Readership Reports and maps and the information contained on the Author Dashboard confirm that articles and papers I authored are being regularly accessed not only in Portuguese and Spanish-speaking countries, but also in the U.S. and in many countries the world over. The online dissemination of my work has also resulted in email inquiries, invitations to speak at educational conferences and to participate on editorial boards of several journals
Obelisk, November 13, 1975
Full text linkHighlights include: SHU Plans New Publication -- New Career Library: Door To Future -- Author Visits SHU -- What\u27s The Buzz? -- One Woman’s Opinion -- Energy Crisis Alert — Again -- Passage Of Scholastic Aid Bill Urged By Mr. Kenned
Obelisk, Volume 15, September 23, 1975
Full text linkHighlights include: Dr. Maurice J. O\u27Sullivan, a principal founding administrator of Sacred Heart University and a leader in many educational, civic and community endeavors, accepts a special assignment with the Most Rev. Walter W. Curtis, Bishop of Bridgeport and chairman of the university board of trustees --Thomas W. Todd of Bridgeport has been named part-time consultant in Black Studies at SHU --In honor of this year’s commemoration of the birth of our country, this issue of the Obelisk is being dedicated to the Bicentennial Celebration --SHU Nooze --Best selling author Gary Paul Gates, the co-author with Dan Rather of “The Palace Guard,” a non-fiction bestseller on the \u27American Presidency\u27. will be teaching one of the new four-credit seminars offered for the first time at SHU this fall. The seminar is entitled Politics and the Novel --In reviewing the past four years of his presidency as part of the university’s thirteenth faculty institute session, Mr. Kidera focused on financial and academic developments --Covered Wagons Rendezvous For Bicentennial Pilgrimage --Bicentennial schedule --The ministry at Sacred Heart, under the direction of Father John Giuliani and Sister Patsy Deignan, is attempting to bridge the gap that has widened between students and the Church --Transcendental Meditation Technique Explored --Sport Report: SHU soccer team will kick off its 1975-76 season home against St. Peters College (photo) --Dennis Burke has been selected by the Obelisk as the second recipient of the Walburn Athletic Achievement Award (photo)
體溫測量部位、環境溫度對健康老人體溫值的影響：橫斷性比較研究
No full textBackground: Accurate baseline body temperature measurement is essential for assessment. Tympanic membrane temperature ( TMT) measurement is popular, but there is no consensus on whether it is as accurate as oral temperature ( OT) for use with the elderly at varying ambient temperature levels. Objectives: To test agreement between TMT and OT measurement of body temperature among an elderly population; and to explore whether agreement between the two sites depends on ambient temperature. Design: A cross-sectional comparison study. Methods: Two samples of older community- dwelling adults were recruited from 17 community senior citizen centers in Taipei, Taiwan in winter (n = 262) and summer(n = 257) of 2007. TMT and OT were simultaneously measured by electronic infrared ear thermometer and electronic digital thermometer. Ambient temperatures measured by digital thermo -hygrometer of the data collection setting were recorded when body temperature was taken. Results: In winter mean TMT was 36.64 8C (S.D. 0.37 ), and mean OT was 36.74 8C (S.D. 0. 18). In summer, the mean TMT was 37. 05 8C (S.D. 0.30) and mean OT was 36.85 8C (S.D. 0.22). The relationship between TMT and OT were r = 0.42 (p< 0.001) in winter and r = 0.57 ( p < 0 .001) in summer. The values of OT were used as standard to assess the accuracy of the measurement. The bias between TMT and OT was 0.10 8C (S.D. 0.34) and 95% limits of agreement were 0.57 and 0.77 8C in winter; and bias was 0 .20 8C (S.D. 0.25) and 95% limits of agreement were 0.69 and 0. 29 8C in summer. The findings of this study demonstrate that the TMT has high variability that may under or over estimate body temperatures. Conclusions: There is a lack of agreement in body temperatures values between TMT and OT in community-dwelling elderly in both winter and summer . OT was more stable than TMT regardless of ambient temperature influences . Therefore, the oral cavity is preferable to the TM site for temperature measurement in alert elderly. The limitation of this study is that hospitalized patients who are most likely to need temperature measurement are not included in this study
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