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'{{short description|Measures body temperature}} {{Infobox diagnostic | name = clinical thermometer | image = File:Quecksilber-Fieberthermometer.jpg|thumb| | alt = | caption = A medical/clinical mercury thermometer showing the temperature of {{convert|37.7|°C|°F}} | pronounce = | purpose = measures body temperature | test of = | based on = | synonyms = | reference_range = | calculator = | DiseasesDB = <!--{{DiseasesDB2|numeric_id}}--> | ICD10 = <!--{{ICD10|Group|Major|minor|LinkGroup|LinkMajor}} or {{ICD10PCS|code|char1/char2/char3/char4}}--> | ICD9 = | ICDO = | MedlinePlus = <!--article_number--> | eMedicine = <!--article_number--> | MeshID = | OPS301 = <!--{{OPS301|code}}--> | LOINC = <!--{{LOINC|code}}--> }} A '''medical thermometer''' (also called '''clinical thermometer''') is used for [[Temperature examination|measuring]] human or animal [[body temperature]]. The tip of the thermometer is inserted into the [[mouth]] under the [[tongue]] (''oral'' or ''sub-lingual temperature''), under the [[underarm|armpit]] (''axillary temperature''), into the [[rectum]] via the [[anus]] (''rectal temperature''), into the [[ear]] (''tympanic temperature''), or on the [[forehead]] (''temporal temperature''). == History == The medical thermometer began as an instrument more appropriately called a water [[thermoscope]], constructed by [[Galileo Galilei]] circa 1592–1593. It lacked an accurate scale with which to measure temperature and could be affected by changes in atmospheric pressure.<ref name="A Brief History of the Clinical Thermometer">{{cite web | url = http://qjmed.oxfordjournals.org/content/95/4/251 | archive-url = https://web.archive.org/web/20141117033539/http://qjmed.oxfordjournals.org/content/95/4/251 | url-status = dead | archive-date = 17 November 2014 | title = A Brief History of the Clinical Thermometer | date = 1 April 2002 | website = QJM | publisher = Oxford University Press| access-date = 26 July 2016}}</ref><ref name="History of the Thermometer">{{cite web |url = https://www.timetoast.com/timelines/history-of-the-thermometer--8 |title = History of the Thermometer: Timeline created by TheArctech in Science and Technology |website = Timetoast.com |publisher = Timetoast |access-date = 16 July 2016}}</ref> [[Italians|Italian]] physician [[Santorio Santorio]] is the first known individual to have put a measurable scale on the thermoscope and wrote of it in 1625, though he possibly invented one as early as 1612. His models were bulky, impractical and took a fair amount of time to take an accurate oral reading of the patient's temperature.<ref name="A Brief History of the Clinical Thermometer" /><ref name="History of the Thermometer" /> Two individuals switched from water to alcohol in the thermometer. * The earliest is [[Ferdinando II de' Medici, Grand Duke of Tuscany]] (1610–1670), who created an enclosed thermometer that used alcohol circa 1654.<ref name="History of the Thermometer" /> * [[Daniel Gabriel Fahrenheit]] (1686–1736), a Polish-born Dutch physicist, engineer, and glass blower, made contributions to thermometers as well. He created an alcohol thermometer in 1709 and later innovated the mercury thermometer in 1714. [[Mercury (element)|Mercury]], he found, responded more quickly to temperature changes than the previously used water. Fahrenheit also created the [[Fahrenheit|temperature scale which is named after him]], having recorded the system in 1724. The scale is still only mainly used for everyday applications in the [[United States]], its [[Territories of the United States|territories and associated states]] (all served by the [[National Weather Service|U.S. National Weather Service]]) as well as [[the Bahamas]], [[Belize]], and [[the Cayman Islands]].<ref name="A Brief History of the Clinical Thermometer" /><ref name="History of the Thermometer" /><ref name="britannica.com">Encyclopædia Britannica "Science & Technology: Daniel Gabriel Fahrenheit" [http://www.britannica.com/EBchecked/topic/200226/Daniel-Gabriel-Fahrenheit]</ref><ref>{{cite web |url=http://www.wmo.int/e-catalog/detail_en.php?PUB_ID=70&SORT=N&q=Aerodrome%20Reports%20and%20Forecasts |title=782 - Aerodrome reports and forecasts: A user's handbook to the codes |access-date=23 September 2009 |work=World Meteorological Organization}}</ref> Prominent Dutch mathematician, astronomer and physicist [[Christiaan Huygens]] created a clinical thermometer in 1665, to which he added an early form of the [[Celsius#History|Celsius]] scale by setting the scale to the freezing and boiling points of water.<ref name="A Brief History of the Clinical Thermometer" /> By 1742 Swedish astronomer [[Anders Celsius]] created the [[Celsius]] temperature scale that was the reverse of the modern scale, in that ''0'' was the boiling point of water, while ''100'' was freezing. It was later reversed by Swedish botanist Carolus Linnaeus (1707–1778) in 1744.<ref name="History of the Thermometer" /><ref name="'Linnaeus' thermometer 1">Citation: Uppsala University (Sweden), [http://www.linnaeus.uu.se/online/life/6_32.html ''Linnaeus' thermometer'']</ref> Working independently of Celsius, the [[Lyon]]nais physicist [[Jean-Pierre Christin]], permanent secretary of the ''Académie des sciences, belles-lettres et arts de Lyon''^{[[:fr:Académie des sciences, belles-lettres et arts de Lyon|FR]]}, developed a similar scale in which ''0'' represented the freezing point of water and ''100'' represented boiling.<ref name="EOC 1">[[Don Rittner]]; Ronald A. Bailey (2005): [https://books.google.com/books?id=Y2MNUNFg-8gC&pg=PA43&lpg=PA43&dq=&source=bl&ots=8PbnYmZ7m3&sig=KYsy_Urh8XCIGtf2COela_D6YC4&hl=es&sa=X&ei=JIgIULmbFI6o8QTS4syOBA&ved=0CFIQ6AEwAQ&fb_source=message#v=onepage&q&f=false ''Encyclopedia of Chemistry.''] [[Infobase Publishing|Facts On File]], [[Manhattan]], [[New York City]]. pp. 43.</ref><ref name="TFOFDOWAC 1">{{cite book|first=Jacqueline|last=Smith|chapter=Appendix I: Chronology|title=The Facts on File Dictionary of Weather and Climate|chapter-url=https://books.google.com/books?id=lAfa1orgvwQC&pg=PA246|year=2009|publisher=Infobase Publishing|isbn=978-1-4381-0951-0|pages=246|quote=1743 Jean-Pierre Christin inverts the fixed points on Celsius' scale, to produce the scale used today.}}</ref> On 19 May 1743 he published the design of a [[mercury thermometer]], the "Thermometer of Lyon" built by the craftsman Pierre Casati that used this scale.<ref name="MSLDDMDLT 1">''[[Mercure de France]]'' (1743): [https://books.google.com/books?hl=fr&id=RJRQAAAAYAAJ&pg=PA1609&q&f=true#v=onepage&q&f=true ''MEMOIRE sur la dilatation du Mercure dans le Thermométre.''] Chaubert; Jean de Nully, Pissot, Duchesne, [[Paris]]. pp. 1609–1610.</ref><ref name="IDJ 1">''Journal helvétique'' (1743): [https://books.google.com/books?id=h6EUAAAAQAAJ&pg=308&q&f=true#v=onepage&q&f=true ''LION.''] Imprimerie des Journalistes, [[Neuchâtel]]. pp. 308-310.</ref><ref name="MPLHDSEDBA 1">''Memoires pour L'Histoire des Sciences et des Beaux Arts'' (1743): [https://books.google.com/books?id=tf10JPTNlCAC&pg=PA2125&q&f=true#v=onepage&q&f=true ''DE LYON.''] Chaubert, París. pp. 2125-2128.</ref> The medical thermometer was used by [[Dutch people|Dutch]] chemist and physician [[Hermann Boerhaave]] (1668–1738), as well as his notable students [[Gerard van Swieten]] (1700–72) and [[Anton de Haen]] (1704–76). It was also utilized around the same time by Scottish physician [[George Martine (physician)|George Martine]] (1700–1741). De Haen made particular strides in medicine with the thermometer. By observing the correlation in a patient's change in temperature and the physical symptoms of the illness, he concluded that a record of one's temperature could inform the doctor of a patient's health. However, his proposals were not met with enthusiasm by his peers and the medical thermometer remained a scarcely used instrument in medicine.<ref name="A Brief History of the Clinical Thermometer" /> Thermometers remained cumbersome to transport and use. By the mid 19th century, the medical thermometer was still a foot long (30.28&nbsp;cm) and took as long as twenty minutes to take an accurate temperature reading. Between 1866-1867, [[Clifford Allbutt|Sir Thomas Clifford Allbutt]] (1836–1925) designed a medical thermometer that was much more portable, measuring only six inches long and taking only five minutes to record a patient's temperature.<ref name="A Brief History of the Clinical Thermometer" /><ref name="History of the Thermometer" /> In 1868, German physician, pioneer psychiatrist, and medical professor [[Carl Reinhold August Wunderlich]] published his studies that consisted of over one million readings from twenty-five thousand patients' temperatures, taken in the [[Axilla|underarm]]. With his findings, he was able to conclude a healthy human's temperature fell within the range of 36.3 to 37.5&nbsp;°C (97.34 to 99.5&nbsp;°F).<ref name="A Brief History of the Clinical Thermometer" /> Dr. Theodor H. Benzinger (13 April 1905 - 26 October 1999) invented the ear thermometer in 1964. Born in [[Stuttgart]], Germany, he immigrated to the U.S. in 1947 and became a [[Naturalization|naturalized citizen]] in 1955. He worked from 1947 to 1970 in the [[bioenergetics]] division at the [[Naval Medical Research Center]] in Bethesda, Maryland.<ref name="Medical Dictionary: Ear Thermometer">{{cite web | url = http://medicine.academic.ru/2596/Ear_thermometer | title = Medical Dictionary: Ear Thermometer | date = 2011 | website = enacademic.com | publisher = Academic Dictionaries and Encyclopedias | access-date = 26 July 2016}}</ref><ref name="Dr. Benzinger Obituary">{{cite web | url = https://www.nytimes.com/1999/10/30/nyregion/dr-theodor-h-benzinger-94-inventor-of-the-ear-thermometer.html | title = Dr. Theodor H. Benzinger, 94, Inventor of the Ear Thermometer | date = 30 October 1999 | website = [[The New York Times]] | access-date = 26 July 2016}}</ref> == Classification by location == The temperature can be measured in various locations on the body which maintain a fairly stable temperature (mainly oral, axillary, rectal, tympanic, or temporal). The normal temperature varies slightly with the location; an oral reading of 37&nbsp;°C does not correspond to rectal, temporal, etc. readings of the same value. When a temperature is quoted the location should also be specified. If a temperature is stated without qualification (e.g., typical body temperature) it is usually assumed to be sub-lingual. The differences between core temperature and measurements at different locations, known as ''clinical bias'', is discussed in the article on [[normal human body temperature]]. Measurements are subject to both site-dependent clinical bias and variability between a series of measurements ([[standard deviation]]s of the differences). For example, one study found that the clinical bias of rectal temperatures was greater than for ear temperature measured by a selection of thermometers under test, but variability was less.<ref>{{cite journal |pmid=8797622 |year=1996 |last1=Rotello |first1=LC |last2=Crawford |first2=L |last3=Terndrup |first3=TE |title=Comparison of infrared ear thermometer derived and equilibrated rectal temperatures in estimating pulmonary artery temperatures |volume=24 |issue=9 |pages=1501–6 |journal=Critical Care Medicine |doi=10.1097/00003246-199609000-00012}}</ref> === Oral === Oral temperature may only be taken from a patient who is capable of holding the thermometer securely under the tongue, which generally excludes small children or people who are unconscious or overcome by coughing, weakness, or vomiting. (This is less of a problem with fast-reacting digital thermometers, but is certainly an issue with mercury thermometers, which take several minutes to stabilise their reading.) If the patient has drunk a hot or cold liquid beforehand time must be allowed for the mouth temperature to return to its normal value.<ref>{{cite journal |doi=10.1046/j.1537-2995.2001.41101241.x |title=The effect of hot beverages, cold beverages, and chewing gum on oral temperature |year=2001 |last1=Newman |first1=Bruce H. |last2=Martin |first2=Christin A. |journal=Transfusion |volume=41 |issue=10 |pages=1241–3 |pmid=11606822|s2cid=24681501 }}</ref> The typical range of a sub-lingual thermometer for use in humans is from about 35&nbsp;°C to 42&nbsp;°C or 90&nbsp;°F to 110&nbsp;°F. === Armpit === The armpit ([[axilla]]) temperature is measured by holding the thermometer tightly under the armpit. One needs to hold the thermometer for several minutes to get an accurate measurement. The axillary temperature plus 1&nbsp;°C is a good guide to the rectal temperature in patients older than 1 month.<ref>{{cite journal |last1=Shann |first1=Frank |last2=Mackenzie |first2=Angela |title=Comparison of Rectal, Axillary, and Forehead Temperatures |journal=Archives of Pediatrics & Adolescent Medicine |date=1 January 1996 |volume=150 |issue=1 |pages=74–8 |doi=10.1001/archpedi.1996.02170260078013 |pmid=8542011}}</ref> The accuracy from the axilla is known to be inferior to the rectal temperature.<ref>{{cite journal |title=Modern electronic and chemical thermometers used in the axilla are inaccurate |journal=European Journal of Pediatrics |last1=Zengeya |first1=S.T. |last2=Blumenthal |first2=I. |issn=1432-1076 |volume=155 |pmid=8956933 |issue=12 |pages=1005–1008 |doi=10.1007/BF02532519 |date=December 1996|s2cid=21136002 }}</ref> === Rectal === {{Main article|Rectal thermometry}} [[File:Fieberthermometermessspitzen.jpg|thumb|different test prods (top: universal test prod, bottom: rectal test prod)]] Rectal thermometer temperature-taking, especially if performed by a person other than the patient, should be facilitated with the use of a [[water-based personal lubricant]]. Although rectal temperature is the most accurate, this method may be considered unpleasant or embarrassing in some countries or cultures, especially if used on patients older than young children; also, if not taken the correct way, rectal temperature-taking can be uncomfortable and in some cases painful for the patient. Rectal temperature-taking is considered the method of choice for [[infant]]s.<ref>Fundamentals of Nursing by Barbara Kozier et al., 7th edition, p. 495</ref> === Ear === The ear thermometer was invented by Dr. Theodor H. Benzinger in 1964. At the time, he was seeking a way to get a reading as close to the brain's temperature as possible, since the [[hypothalamus]] at the brain's base regulates the core body temperature. He accomplished this by using the ear canal's [[ear drum]]'s [[blood vessels]], which are shared with the hypothalamus. Before the ear thermometer's invention, easy temperature readings could only be taken from the mouth, rectum, or [[axilla|underarm]]. Previously, if doctors wanted to record an accurate brain temperature, electrodes needed to be attached to the patient's hypothalamus.<ref name="Dr. Benzinger Obituary" /> This tympanic thermometer has a projection (protected by a one-time hygienic sheath) that contains the infrared probe; the projection is gently placed in the ear canal and a button pressed; the temperature is read and displayed within about a second. These thermometers are used both in the home and in medical facilities. There are factors that make readings of this thermometer to some extent unreliable, for example faulty placement in the external ear canal by the operator, and wax blocking the canal. Such error-producing factors usually cause readings to be below the true value, so that a fever can fail to be detected.<ref name="NICE">{{cite book |last1=National Collaborating Centre for Women’s and Children’s Health |title=Feverish illness in children: assessment and initial management in children younger than 5 years |date=2013 |publisher=NICE |location=London, England |url=https://www.nice.org.uk/guidance/ng143/evidence/full-guideline-pdf-6960663038 |access-date=23 October 2020}}</ref> === Forehead === ==== Temporal artery ==== [[Superficial temporal artery|Temporal artery]] thermometers, which use the infrared principle report temperature, are becoming increasingly common in clinical practice because of their ease of use and minimal invasiveness. Because of the variability of technique and environmental considerations, measurements by temporal artery thermometers may suffer issues of [[Accuracy and precision|precision]], and to a lesser degree [[accuracy]]. Temporal thermometers have been found to have a low [[specificity (statistics)|sensitivity]] of around 60–70%, but a very high [[specificity (statistics)|specificity]] of 97–100% for detecting fever and hypothermia. Because of this, it is suggested that they should not be used in acute care settings like the [[Intensive Care Unit|ICU]], or in patients with a high suspicion of temperature imbalance. Evidence supports higher accuracy and precision amongst pediatric patients.<ref>{{cite journal|last1=Kiekkas|first1=P|last2=Stefanopoulos|first2=N|last3=Bakalis|first3=N|last4=Kefaliakos|first4=A|last5=Karanikolas|first5=M|title=Agreement of infrared temporal artery thermometry with other thermometry methods in adults: systematic review.|journal=Journal of Clinical Nursing|date=April 2016|volume=25|issue=7–8|pages=894–905|pmid=26994990|doi=10.1111/jocn.13117}}</ref> ==== Plastic strip thermometer ==== The thermometer is applied to the patient's brow. It is typically a band coated with different temperature-sensitive markings using [[plastic strip thermometer]] or similar technology; at a given temperature the markings (numerals indicating the temperature) in one region are at the right temperature to become visible. This type may give an indication of fever, but is not considered accurate.<ref name="Brassey">{{cite book |last1=Brassey |first1=Jon |last2=Heneghan |first2=Carl |title=Accuracy of strip-like forehead thermometers |date=2020 |publisher=Center for Evidence-Based Medicine |location=Oxford, England |url=https://www.cebm.net/covid-19/accuracy-of-strip-like-forehead-thermometers/ |access-date=23 October 2020}}</ref> == Classification by technology == ===Liquid-filled=== The traditional thermometer is a glass tube with a bulb at one end containing a liquid which expands in a uniform manner with temperature. The tube itself is narrow (capillary) and has calibration markings along it. The liquid is often [[mercury (element)|mercury]], but [[alcohol thermometer]]s use a colored alcohol. Medically, a [[maximum thermometer]] is often used, which indicates the maximum temperature reached even after it is removed from the body. To use the thermometer, the bulb is placed in the location where the temperature is to be measured and left long enough to be certain to reach [[thermal equilibrium]]—typically five minutes in the mouth and ten minutes under the armpit.<ref name="Chen">{{cite journal |last1=Chen |first1=Wenxi |title=Thermometry and interpretation of body temperature |journal=Biomedical Engineering Letters |date=2019 |volume=9 |issue=1 |pages=3–17 |doi=10.1007/s13534-019-00102-2 |pmid=30956877 |pmc=6431316 }}</ref> Maximum-reading is achieved by means of a constriction in the neck close to the bulb. As the temperature of the bulb rises, the liquid expands up the tube through the constriction. When the temperature falls, the column of liquid breaks at the constriction and cannot return to the bulb, thus remaining stationary in the tube. After reading the value, the thermometer must be reset by repeatedly swinging it sharply to shake the liquid back through the constriction. ====Mercury ==== [[Mercury-in-glass thermometer]]s have been considered the most accurate liquid-filled types. However, mercury is a toxic heavy metal, and mercury has only been used in clinical thermometers if protected from breakage of the tube. The tube must be very narrow to minimise the amount of mercury in it—the temperature of the tube is not controlled, so it must contain very much less mercury than the bulb to minimise the effect of the temperature of the tube—and this makes the reading rather difficult as the narrow mercury column is not very visible. Visibility is less of a problem with a coloured liquid. It has been decided by many states to prohibit the use and sale of mercury thermometers due to the risk of handling and spilling, and the potential to cause mercury poisoning; the vigorous swinging needed to "reset" a mercury maximum thermometer makes it easy to accidentally break it and release poisonous mercury vapors.<ref>{{cite web |title=Mercury Thermometers |url=https://www.epa.gov/mercury/mercury-thermometers |website=Environmental Protection Agency |access-date=23 October 2020}}</ref> Mercury thermometers have largely been replaced by electronic digital thermometers, or, more rarely, thermometers based on liquids other than mercury (such as [[galinstan]], coloured [[alcohol]]s and heat-sensitive liquid crystals). === Phase-change (dot matrix) thermometers === Phase-change thermometers use samples of inert chemicals which melt at progressively higher temperatures from 35.5 °C to 40.5 °C in steps of 0.1 °C. They are mounted as small dots in a matrix on a thin plastic spatula with a protective transparent cover. This is placed under the patient’s tongue. After a short time the spatula is removed and it can be seen which dots have melted and which have not: the temperature is taken as the melting temperature of the last dot to melt. These are cheap disposable devices and avoid the need for sterilizing for re-use.<ref name="Simpson">{{cite journal |last1=Simpson |first1=G. |last2=Rodseth |first2=R.N. |title=A prospective observational study testing liquid crystal phase change type thermometer placed on skin against oesophageal/pharyngeal placed thermometers in participants undergoing general anesthesia |journal=BMC Anesthesiology |date=2019 |volume=19 |issue=1 |page=206 |doi=10.1186/s12871-019-0881-9 |pmid=31706272 |pmc=6842509 |doi-access=free }}</ref><ref>{{cite web |title=How to use the Tempa DOT Single Use Clinical Thermometer |url=https://bluemed.ca/Content/Images/uploaded/TechnicalAndProductDocs/How%20to%20Use%20the%20Tempa%20DOT_EN.pdf |publisher=BlueMed |access-date=23 October 2020}}</ref> === Liquid crystal === A [[liquid crystal thermometer]] contains heat-sensitive ([[thermochromic]]) liquid crystals in a plastic strip that change color to indicate different temperatures. ===Electronic=== [[File:Fieberthermometer BW 2.JPG|thumb|right|Electronic clinical thermometer]] [[File:Fieber-schnelltest.jpg|thumb|Quick test based on thermo chromic colours]] Since compact and inexpensive methods of measuring and displaying temperature became available, electronic thermometers (often called ''digital'', because they display numeric values) have been used. Many display readings to great [[Accuracy and precision|precision]] (0.1&nbsp;°C or 0.2&nbsp;°F, sometimes half that), but this should not be taken as a guarantee of accuracy: specified accuracy must be checked in documentation and maintained by periodical recalibration. A typical inexpensive electronic ear thermometer for home use has a displayed resolution of 0.1&nbsp;°C, but a stated accuracy within ±0.2&nbsp;°C (±0.35&nbsp;°F) when new.<ref>[http://www.landisgyr.biz/pdfs/EarT.pdf Specification of typical inexpensive electronic ear thermometer]</ref> The first electronic clinical thermometer, invented in 1954, used a flexible probe that contained a Carboloy thermistor.<ref>[https://books.google.com/books?id=sdwDAAAAMBAJ&pg=PA123&dq=1954+Popular+Mechanics+January&hl=en&sa=X&ei=Pv4YT5SlG5PoggekxISEDA&ved=0CDgQ6AEwAg#v=onepage&q&f=true "Takes Temperature in Seconds."] ''Popular Mechanics'', November 1954, p. 123.</ref> '''Types of Digital Thermometer''' {{anchor|Resistance temperature detectors}} '''Resistance temperature detectors (RTDs)''' RTDs are wire windings or other thin film serpentines that exhibit changes in resistance with changes in temperature. They measure temperature using the positive temperature coefficient of electrical resistance of metals. The hotter they become, the higher the value of their electrical resistance. Platinum is the most commonly used material because it is nearly linear over a wide range of temperatures, is very accurate, and has a fast response time. RTDs can also be made of copper or nickel. o Advantages of RTDs include their stable output for long periods of time. They are also easy to calibrate and provide very accurate readings. o Disadvantages include a smaller overall temperature range, higher initial cost, and a less rugged design '''Thermocouples''' {{anchor|Thermocouples}} Thermocouples are accurate, highly sensitive to small temperature changes, and quickly respond to changes to the environment. They consist of a pair of dissimilar metal wires joined at one end. The metal pair generates a net thermoelectric voltage between their opening and according to the size of the temperature difference between the ends. •Advantages of thermocouples include their high accuracy and reliable operation over an extremely wide range of temperatures. They are also well-suited for making automated measurements both inexpensive and durable. •Disadvantages include errors caused by their use over an extended period of time, and that two temperatures are required to make measurements. Thermocouple materials are subject to corrosion, which can affect the thermoelectric voltage '''Thermistor''' {{anchor|Thermistor}} Thermistor elements are the most sensitive temperature sensors available. A thermistor is a semiconductor device with an electrical resistance that is proportional to temperature. There are two types of products. •Negative temperature coefficient (NTC) devices are used in temperature sensing and are the most common type of thermistor. NTCs have temperatures that vary inversely with their resistance, so that when the temperature increases, the resistance decreases, and vice versa. NTCs are constructed from oxides of materials such as nickel, copper, and iron. • Positive temperature coefficient (PTC) devices are used in electric current control. They function in an opposite manner than NTC in that the resistance increases as temperature increases. PTCs are constructed from thermally sensitive silicons or polycrystalline ceramic materials. • There are several advantage and disadvantages to using an NTC thermistor thermometer. • Advantages include their small size and high degree of stability. NTCs are also long lasting and very accurate. • Disadvantages include their non-linearity, and unsuitability for use in extreme temperatures ====Contact==== Some electronic thermometers may work by contact (the electronic sensor is placed in the location where temperature is to be measured, and left long enough to reach equilibrium). These typically reach equilibrium faster than mercury thermometers; the thermometer may beep when equilibrium has been reached, or the time may be specified in the manufacturer's documentation. ====Remote==== Other electronic thermometers work by remote sensing: an infrared sensor responds to the radiation [[spectrum]] emitted from the location. Although these are not in direct contact with the area being measured, they may still contact part of the body (a thermometer which senses the temperature of the eardrum without touching it is inserted into the ear canal). To eliminate the risk of patient cross-infection, disposable probe covers and single-use clinical thermometers of all types are used in clinics and hospitals. ====Accuracy==== According to a 2001 research, electronic thermometers on the market significantly underestimate higher temperatures and overestimate lower temperatures. The researchers conclude that "the current generation of electronic, digital clinical thermometers, in general, may not be sufficiently accurate or reliable to replace the traditional glass/mercury thermometers"<ref>{{cite journal |pmid=11494651 |year=2001 |last1=Latman |first1=NS |last2=Hans |first2=P |last3=Nicholson |first3=L |last4=Delee Zint |first4=S |last5=Lewis |first5=K |last6=Shirey |first6=A |title=Evaluation & Technology|journal=Biomedical Instrumentation & Technology |volume=35 |issue=4 |pages=259–65 }}</ref><ref>[https://www.nursingtimes.net/roles/nurse-educators/an-investigation-into-the-accuracy-of-different-types-of-thermometers-01-10-2002/ "An investigation into the accuracy of different types of thermometers"] ''Nursing Times.net'', 1 October 2002.</ref> ===Basal thermometer=== A basal thermometer is a [[thermometer]] used to take the [[basal body temperature|basal (base) body temperature]], the temperature upon waking. [[Basal body temperature]] is much less affected than daytime temperature by environmental factors such as exercise and food intake. This allows small changes in body temperature to be detected Glass oral thermometers typically have markings every 0.1&nbsp;°C or 0.2&nbsp;°F. Basal temperature is stable enough to require accuracy of at least 0.05&nbsp;°C or 0.1&nbsp;°F, so special glass basal thermometers are distinct from glass oral thermometers. Digital thermometers which have sufficient resolution (0.05&nbsp;°C or 0.1&nbsp;°F is sufficient) may be suitable for monitoring basal body temperatures; the specification should be checked to ensure absolute accuracy, and thermometers (like most digital instruments) should be calibrated at specified intervals. If only the variation of basal temperature is required, absolute accuracy is not so important so long as the readings do not have large variability (e.g., if real temperature varies from 37.00&nbsp;°C to 37.28&nbsp;°C, a thermometer which inaccurately but consistently reads a change from 37.17&nbsp;°C to 37.45&nbsp;°C will indicate the magnitude of the change). Some digital thermometers are marketed as "basal thermometers" and have extra features such as a larger display, expanded memory functions, or beeping to confirm the thermometer is placed properly. == Smart and wearable thermometers == {{main|smart thermometer}} A smart thermometer is able to transmit its readings so that they can be collected, stored and analysed. Wearable thermometers can provide continuous measurement but it is difficult to measure core body temperature in this way. == See also == {{Portal|Medical}} *[[Thermometer]] *[[Liquid crystal thermometer]] == Footnotes == {{reflist}} ==References== [[Thomas Clifford Allbutt|Allbutt, T.C.]], “Medical Thermometry”, ''British and Foreign Medico-Chirurgical Review'', [https://archive.org/stream/britishforeignme45londuoft#page/428/mode/2up Vol.45, No.90, (April 1870), pp.429-441]; [https://archive.org/stream/britishforeignme46londuoft#page/144/mode/2up Vo.46, No.91, (July 1870), pp.144-156.] {{Health care}} {{Use dmy dates|date=April 2017}} {{DEFAULTSORT:Medical Thermometer}} [[Category:Medical testing equipment]] [[Category:Thermometers]] [[Category:Dutch inventions]] [[Category:Science and technology in the Dutch Republic]]'