Diagnostic accuracy of the NCCN distress thermometer for the assessment of psychosocial distress among Filipino patients with cancer

Objective@#The study aimed to assess the validity of the National Comprehensive Cancer Network Distress Thermometer (NCCN-DT) for determining psychosocial distress, as applied to Filipino patients with cancer. @*Methods@#We conducted a cross-sectional descriptive study that included adult patients with cancer undergoing treatment at a tertiary private hospital. The NCCN-DT was administered to the patients together with the Patient Health Questionnaire-8 (PHQ-8) as the gold standard diagnostic test for psychosocial distress. Receiver Operating Characteristic (ROC) analysis was done to determine the accuracy of the NCCN-DT as a screening tool. @*Results@#We included 114 Filipino adults with cancer. The ROC analysis showed an Area Under the ROC Curve (AUC) score of 0.98 for the NCCN-DT against the PHQ-8. The cut-off score of ≥7 showed a sensitivity of 100% and specificity of 89.3% for detecting distress. The positive predictors for distress were identified: sadness (P<0.001), fear (P=0.001), depression (P=0.002), worry (P=0.02), childcare (P=0.03), fatigue (P=0.03), treatment decisions (P=0.04), loss of interest in usual activities (P=0.04), and memory/concentration (P=0.04). @*Conclusion@#The NCCN-DT had satisfactory diagnostic accuracy in agreement with PHQ-8 for screening of psychosocial distress among Filipino cancer patients. A cut-off score of ≥7 using the NCCN-DT gave the highest sensitivity and specificity for detecting distress in this population. The findings of this study can be used as validation of the NCCN-DT screening tool for a prospective application.

Evaluation of psychological pain for cancer patients and analysis of contributory factors / 中国胸心血管外科临床杂志

@#Objective    To evaluate the degree of psychological pain for cancer patients undergoing surgical treatment and analyze the contributory factors to provide the theoretical basis for psychological intervention for cancer patients with surgical treatment. Methods    The clinical data of 455 cancer patients who received surgeries in our hospital from November 2020 to January 2021 were retrospectively analyzed, including 225 males and 230 females aged 53.80±13.50 years. By applying the method of convenient sampling, a cross-sectional survey was carried out by gathering the general information of the patients and evaluating their mental condition with the distress thermometer. The contributory factors were discussed by logistic regression analysis. Results    The score for the psychological pain of the patients was 4.11±2.49 points. The main factors contributing to the psychological pain were physical problems, emotional problems and family matters. The logistic regression analysis showed that the main factors related to the degree of psychological pain were cancer types (P=0.023), religious belief (P=0.046), number of niduses (P=0.016), respiratory status (P=0.004), medical expense (P=0.007), grief (P=0.001) and anxiety (P=0.040). Conclusion    Nearly half of the patients have been subjected to apparent psychological pain, and emotion and physical problems are the main factors. It is crucial to pay attention to the patients’ mental problems, seek convenient tools for psychological evaluation, and take actions to deal with the psychological problems and physical symptoms.

Validation study of the distress thermometer: Psychosocial distress screening among head and neck cancer patients

OBJECTIVES@#This study aims to validate the Distress Thermometer Filipino version, (DT-F) in head and neck cancer patients and identify the cut off score of DT-F for psychosocial distress at which to make referrals for clinical intervention.@*METHODOLOGY@#After obtaining permission from the National Comprehensive Cancer Network (NCCN), translation and back-translation of the Distress Thermometer (DT) were done. One hundred ninety- two patients who fit the inclusion criteria were included in the study. They were from the outpatient clinic and ward of both the Cancer Institute and Otorhinolaryngology Department and each participant accomplished a socio-demographic form, the DT-F and Problem List, The Hospital Anxiety and Depression Scale-Pilipino (HADS P) and had a brief psychiatric interview.@*RESULTS@#Receiver Operating Characteristic (ROC) curve analyses generated area under the curve (AUC) of 0.7506, suggesting good discrimination using the HADS P cut off score of 11. The optimal cut off score in DT-F is 4, with a sensitivity of 77% and specificity of 58%. Hence, using this cut off score, head and neck cancer patients who score 4 and above in the DT-F were identified to experience clinically relevant psychosocial distress than those who score below the cut off.@*CONCLUSION@#The Filipino version of DT is a valid tool for screening psychosocial distress in head and neck cancer patients. Using a cut off score of 4 is recommended for appropriate and timely referral for further evaluation.

Relationship between muscular fitness and quality of life as well as psychological distress in radiotherapy patients with cervical cancer / 中南大学学报(医学版)

OBJECTIVES@#Patients with cervical cancer who have received radiotherapy often suffer from systemic muscle volume reduction and quality of life decline due to systemic effects of tumor and side effects of radiotherapy. The purpose of this study was to investigate the status of muscle fitness, quality of life, and psychological pain in patients with cervical cancer who received radiotherapy, and to explore the correlation between muscle fitness, quality of life, and psychological pain.@*METHODS@#A total of 202 cervical cancer patients aged 19-71, who received radiotherapy in Hunan Cancer Hospital from July 2020 to February 2021, were selected by convenience sampling method. Functional Assessment of Cancer Therapy Cervix (FACT-CX) and Distress Thermometer (DT) were used for the survey. The patient's grip strength was assessed by a handgrip meter and compared with that of healthy Chinese women of the same age. The correlation between muscle fitness and quality of life and psychological pain was analyzed.@*RESULTS@#The grip strength of cervical cancer patients receiving radiotherapy was significantly lower than that of healthy Chinese women at the same age (@*CONCLUSIONS@#The grip strength of patients with cervical cancer undergoing radiotherapy is generally decreased, which is affected by many factors, and is closely related to the quality of life and psychological pain of patients. In the future, dynamic attention should be paid to the changes of grip strength and related functions in patients receiving radiotherapy for cervical cancer, the potential risks in the treatment should be identified early, and targeted intervention should be taken.

Accuracy of Infrared Forehead Skin Thermometry in Newborns - A Comparison with Digital Axillary and Rectal Mercury Thermometers.

Temperature is an important vital sign especially in neonates. Providing thermal comfort to baby is part of essential newborn care. The ideal temperature measurement method should be accurate, safe, noninvasive, time efficient, easy to operate and non-disturbing to baby. Mercury thermometers have been banned; rectal measurements are hazardous. Digital axillary thermometers although widely accepted, also have their limitations and sometimes produce questionable results in newborn. Infrared forehead thermometry is a promising tool with controversial results; hence this newer technology needs to be repeatedly tested and validated.METHODSThis is a prospective comparative study conducted in a tertiary care hospital situated in the hilly areas of Solan district of Himachal Pradesh. We simultaneously recorded three temperatures at three sites by different methods and different thermometers Forehead skin temperature was recorded in apparently normal newborns by INNOVA infrared thermometer and axillary temperature was recorded by digital thermometer and rectal temperature was recorded by mercury in glass thermometer.RESULTS260 newborns were included in the study. Data was analysed for correlation by Pearson r coefficient and for agreement by Bland-Altman method. A strong correlation was found between infrared forehead temperature and digital axillary temperature with a Pearson r of 0.826 and 0.801 between infrared forehead temperature and rectal mercury thermometer. Bland-Altman analysis of difference produced a mean difference of 0.49 and level of agreement of -1.67 and +2.65 when axillary digital and infrared forehead thermometry measurements were compared. Mean difference of 0.15 with level of agreement as -2.09 and +2.40 were obtained when rectal mercury and infrared forehead temperatures were compared.CONCLUSIONSAlthough a strong correlation of infrared skin thermometry was found with both axillary digital and rectal mercury temperature measurements. The level of agreement has a wide variation which is not clinically acceptable hence infrared forehead skin thermometry is not recommended for use in newborns.

Evaluation of antipyretic activity of alcoholic extract of Murraya koenigii leaves in rabbits

Background: The present study was carried out to evaluate the antipyretic activity of alcoholic extract of Murraya koenigii leaves in rabbits by using PGE1 induced hyperpyrexia method. We found that not much work has been done on the antipyretic effect of this plant.Methods: Laboratory breed New Zealand strains of rabbits of either sex weighing 1000-1500 gm were used in the study. The animals were divided into five groups (n=6). The rabbits of all the groups were made febrile by injecting misoprostol (PGE1) subcutaneously in the dose of 100 mcg/kg. For group 1 and 2, normal saline 2ml/kg as control and aspirin 28mg/kg as standard were given respectively. Alcoholic extract of Murraya koenigii leaves in the doses of 200, 400 and 800mg/kg were administered in remaining three groups respectively. Rectal temperatures were recorded with help of digital thermometer for every 30 min after drug treatment.Results: Alcoholic extract of Murraya koenigii produced highly significant (p<0.001) antipyretic effect in 400 and 800 mg/kg doses. But onset of action was fast with 800mg/kg dose.Conclusions: This study concludes that Alcoholic extract of Murraya koenigii has fast onset of action and also exhibited sustained anti pyretic action in New Zealand rabbits.

Influential factors and evaluation of psychological distress in cancer patients treated with radiotherapy / 中华放射肿瘤学杂志

Objective@#To evaluate the degree of psychological distress and analyze the influential factors of cancer patients receiving radiotherapy, aiming to provide theoretical basis for individualized psychological interventions.@*Methods@#A cross-sectional survey of 157 cancer patients treated with radiotherapy in Sun Yat-sen Memorial Hospital of Sun Yat-sen University in the previous year was conducted in terms of data collection and mean score of NCCN distress thermometer by using the convenience sampling method. Tumor types included nasopharyngeal cancer, breast cancer and cervical cancer, etc. The influential factors were analyzed by using logistic regression method.@*Results@#The mean score of NCCN distress thermometer in 157 cancer patients was 4.07±0.19. Among them, 87 cases (55.41%) experienced significant psychological distress (NCCN distress thermometer score≥4). The main influential factors of psychological distress consisted of depression, loneliness, fear, appearance changes, urination changes, nausea, poor appetite, eating trouble, diarrhoea, constipation, pain and radiodermatitis. Logistic regression analysis demonstrated that nausea and urination changes were the independent influential factors of psychological distress.@*Conclusions@#Over half of cancer patients undergoing radiotherapy present with evident psychological distress. Somatic problems and emotional situations are the main factors of psychological pain. Consequently, it is highly necessary to emphasize the psychological health and actively resolve the somatic and emotional symptoms of cancer patients receiving radiotherapy.

Influential factors and evaluation of psychological distress in cancer patients treated with radiotherapy / 中华放射肿瘤学杂志

Objective To evaluate the degree of psychological distress and analyze the influential factors of cancer patients receiving radiotherapy,aiming to provide theoretical basis for individualized psychological interventions.Methods A cross-sectional survey of 157 cancer patients treated with radiotherapy in Sun Yat-sen Memorial Hospital of Sun Yat-sen University in the previous year was conducted in terms of data collection and mean score of NCCN distress thermometer by using the convenience sampling method.Tumor types included nasopharyngeal cancer,breast cancer and cervical cancer,etc.The influential factors were analyzed by using logistic regression method.Results The mean score of NCCN distress thermometer in 157 cancer patients was 4.07± 0.19.Among them,87 cases (55.41％) experienced significant psychological distress (NCCN distress thermometer score ≥ 4).The main influential factors of psychological distress consisted of depression,loneliness,fear,appearance changes,urination changes,nausea,poor appetite,eating trouble,diarrhoea,constipation,pain and radiodermatitis.Logistic regression analysis demonstrated that nausea and urination changes were the independent influential factors of psychological distress.Conclusions Over half of cancer patients undergoing radiotherapy present with evident psychological distress.Somatic problems and emotional situations are the main factors of psychological pain.Consequently,it is highly necessary to emphasize the psychological health and actively resolve the somatic and emotional symptoms of cancer patients receiving radiotherapy.

Thermometry and interpretation of body temperature

This article reviews the historical development and up-to-date state of thermometric technologies for measuring human body temperature (BT) from two aspects: measurement methodology and signifi cance interpretation. Since the fi rst systematic and comprehensive study on BT and its relation to human diseases was conducted by Wunderlich in the late 19th century, BT has served as one of the most fundamental vital signs for clinical diagnosis and daily healthcare. The physiological implication of BT set point and thermoregulatory mechanisms are briefl y outlined. Infl uential determinants of BT measurement are investigated thoroughly. Three types of BT measurement, i.e., core body temperature, surface body temperature and basal body temperature, are categorized according to its measurement position and activity level. With the comparison of temperature measurement in industrial fi elds, specialties in technological and biological aspects in BT measurement are mentioned. Methodologies used in BT measurement are grouped into instrumental methods and mathematical methods. Instrumental methods utilize results of BT measurements directly from temperature-sensitive transducers and electronic instrumentations by the combination of actual and predictive measurement, invasive and noninvasive measurement. Mathematical methods use several numerical models, such as multiple regression model, autoregressive model, thermoregulatory mechanism-based model and the Kalman fi lter-based method to estimate BT indirectly from some relevant vital signs and environmental factors. Thermometry modalities are summarized on the dichotomies into invasive and noninvasive, contact and noncontact, direct and indirect, free and restrained, 1-D and n-D. Comprehensive interpretation of BT has an equal importance as the measurement of BT. Two modes to apply BT are classifi ed into real-time applications and long-term applications. With rapid advancement in IoT infrastructure, big data analytics and AI platforms, prospects for future development in thermometry and interpretation of BT are discussed.

Application of wireless wearable intelligent body temperature monitoring system in temperature monitor-ing of patients with abdominal surgery / 现代临床护理

Objective To evaluate the effect of wireless wearable intelligent body temperature monitoring system on temperature monitoring of perioperative patients. Method The body temprature of 572 patients with abdoiminal surgery who hospitalized in our hospital from June 2017 to Juanuary 2018 was measured by mercury thermometers and wireless intelligent body temprature monitoring system four times a day for three days with toally 6864 times after surgery.The measured time and data by both ways were compared and its relativity were analyzed. Results The measured data by mercury thermometers and wireless intelligent body temprature monitoring system was compared with no statistical significance (P>0.05), but the time measured by wireless intelligent body temprature monitoring system was shorter (P＜0.05). The measured data of two ways was postively related (r=0.962,P＜0.05). Conclusions The measurement results by the wireless wearable intelligent body temperature monitoring system are the same as by mercury thermometers. The accuracy of the system is well validated, and it can improve the working efficiency of nurses.

Analysis of psychological distress in patients with lower extremity arteriosclerosis obliterans / 中国实用护理杂志

Objective To investigate the degree of psychological distress in patients with lower extremity arteriosclerosis obliterans, and to understand the causes and to analyze the influencing factors. Methods The general information questionnaire, psychological distress thermometer, family APGAR index and family burden scale questionnaire were used to conduct a cross-sectional survey in 145 patients with obliterans in hospital during the period from July 2015 to July 2017. Results The average score of psychological pain of all patients was (4.7±2.2) points, the patients with significant psychological distress was 102 cases, accounting for 70.3% (DT score≥4 points). The main reason caused by lower extremity arterial occlusive disease in patients with psychological distress among the top 10 were: pain, anxiety, sleep problems, physical activity, work/ school, restricted travel, numbness, fatigue, constipation, economic problems. Multiple linear regression analysis showed that the hospitalization, duration of illness, family care and family burden of the disease affected the scores of psychological pain in different seasons (P＜0.05). Conclusions The patients with lower extremity arteriosclerosis obliterans have severe psychological pain, so the targeted measures should be taken to prevent and treat the risk factors.

Review of application of distress thermometer and problem list in cancer patients / 中国实用护理杂志

Distress thermometer (DT) and problem list (PL) are rapid screening tools recommended by National Comprehensive Cancer Network for cancer patients' levels of distress. DT has good validation and reliability and widely used around the world. In this paper, we reviewed the cutoff score of DT, grading disputes of PL, and application situations of them to provide a reference for the tools selection and applying of psychological distress screening of cancer patients in China.

A Screening of Pre-chemotherapy Psychological Distress in Breast Cancer Patients and An Analysis of the Influencing Factors / 昆明医科大学学报

Objective To understand the degree of psychological distress of breast cancer patients beford chemotherapy, and to analyze the causes and influencing factors. Methods A cross-sectional study was conducted on 95 patients with prechemotherapy for breast cancer from September 2017 to December 2017 using a general data questionnaire and distress management screening measure. Results The score of psychological pain before chemotherapy of breast cancer was (4.92 ±2.23), among which 69 cases with significant psychological pain accounted for 72.63％ (DT score was greater than 4). The main causes of breast cancer patients' psychological distress ranking on the top 10 are: surgical scar, recurrence worry, arm activities difficulty, daily life was disrupted, anxiety, memory loss, housekeeping difficulties, poor communication with her husband, fatigue, change the appearance. Single factor analysis showed that age, family harmony had an effect on psychological pain scores (P＜0.05).It is found that family harmony is the protective factor of paychological pain when age and family relationship are included in multifactor analysis (OR＞1, P＜0.05). Conclusion There is an obvious psychological distress in breast cancer patients before chemotherapy; The age, family harmony of the patient were independent factors related to psychological distress; body symptoms, emotions and family problems are the key issues to focus on before chemotherapy.

Temperature and humidity measurement of medical precision environment based on AM2311 / 中国医学装备

Objective: To design a digital electronic temperature and humidity meter, which can be applied as the basis of intelligent control to provide convenience for recording, analysis, processing, transmitting and remote monitoring of data. Methods: Single chip microcomputer (ATMEGA16) was used to programme for driving sensor (AM2311) and other periphery components so as to make a temperature and humidity meter of digital display. Results: As"verification regulation of digital temperature JJG(Su)99-2010" that was issued by Jiangsu quality and technical supervision bureau, the precision dew-point instrument YGM-2610 was adopted to test the temperature and humidity meter. The result indicated that it can achieve practical requirement, and its temperature and humidity data can output at the same time and they can be clearly display by using LED. Conclusion: The electric measurement of temperature and humidity obtains the advantages of digitization measurement. And it can enhance the accuracy through flexible twice calibrate procedure. Besides, the programming of microprocessor has good flexibility and programmability. It has abundant internal resources, while its cost and power consumption were low. And its expandability was well, and it can be repeatedly programmed.

Comparison between tympanic temperature measurement with infrared ear thermometer and rectal ;temperature measurement with mercury clinical thermometer for children / 中国实用护理杂志

Objective To explore the feasibility for application of infrared ear thermometer in body temperature measurement among children. Method Ear temperature and rectal temperature of 500 children patients at outpatient and emergency departments were measured and the difference between ear temperature and rectal temperature were compared with the self-control method. With 500 children patients were divided into the following groups:0-1 year old group,>1-2 years old group,>2-3 years old group, > 3- 7 years old group, the difference of these two measuring methods in these different age groups were compared. Results Average rectal temperature was (38.28 ± 0.93)℃, higher than average ear temperature (38.06 ± 0.92) ℃ with statically significant difference (t =-12.711, P =0.000); 0-1 year old group,>1-2 years old group,>2-3 years old group,>3-7 years old group, four age groups rectal temperature minus ear temperature difference results M(Q25, Q75) were as follows: 0.2(0.0, 0.5), 0.2 (0.1, 0.4) 0.2 (0.0,0.4) 0.2(0.0,0.4), which meant the difference between two temperature measurement methods in different age groups showed that the difference was not statistically significant (H=0.600, P=0.896);ear temperature and rectal temperature were linearly correlated (r=0.915, P=0.000);taking rectal temperature as Y and ear temperature as X, the regression equation was =3.080+0.925X;with rectal temperature of≥38.0℃as golden standard, the area in ROC curve of ear temperature was 0.97 and correct diagnosis index of ear temperature was highly correct. Therefore, as for whether a child is diagnosed as fever based on the ear temperature, it is recommended that the ear temperature be≥37.8℃;the difference of fever incidence for rectal temperature method of 58.2%and fever incident for ear temperature method of 57.2%was determined as not statistically significant (χ2=0.102,P=0.749). Conclusions Infrared ear thermometer may be used for measuring children′s body temperature by replacing mercury rectal thermometer; however, ear temperature should be different from rectal temperature in terms of criteria for clinical judgment of fever.

Investigation and analysis impact factors of distress in HIV-infected pregnant women / 中华实验和临床病毒学杂志

Objective@#To explore the psychological distress status of HIV-infected pregnant women and analyze the possible influencing factors.@*Methods@#A total of 483 HIV-infected pregnant women were enrolled for this study by a cluster random sampling method from Sept. 2014 to Apr. 2017. Participants completed questionnaires including Distress Thermometer (DT), Berger HIV Stigma Scale (BHSS), HIV/AIDS Stress Scale (SS-HIV), Social Support Rating Scale (SSRS) and general questionnaire.@*Results@#The detection rate of psychological distress was 68.1%, the detection rates of moderate, severe and extreme psychological pain were 49.7%, 17.6% and 0.8% respectively. The detection rate of continuing pregnancy (75.2%) was higher than the termination pregnancy (56.4%), the difference was statistically significant (χ2=18.44, P<0.01). There were significant differences in the detection rates between continuing pregnancies at different gestational ages (χ2=15.41, P<0.01), and the termination pregnancy varies little with pregnancy (χ2=0.03, P>0.05). The mean DT score was 4.85 ± 1.82. The score of continuing pregnancy (5.94 ± 1.73) was higher than the termination pregnancy (4.20 ±1.96), the difference was statistically significant (t=4.57, P<0.01). Logistic regression analysis showed that CD4+ T lymphocyte count, infection route, perceived discrimination, related stress and social support were the common influencing factors of all pregnant women, factors affecting continuing pregnancy also include high risk pregnancy and gestational age.@*Conclusions@#HIV-infected pregnant women have higher incidence of psychological distress. The influencing factors are mainly related to the infection characteristics, pregnancy characteristics, BHSS, SS-HIV and SSRS, and has nothing to do with the general social demographic characteristics. The DT can be used as a screening tool to quickly identify psychological distress of the group.

Designing and application of portable temperature meter transmitter and receiver / 现代临床护理

Objective To study the effect of designing and application of portable thermometer transceiver and its application. Methods A portable thermometer transceiver was designed and used to measure the temperature of 31,386 patients. Meanwhile, the traditional temperature measurement method was used among 31,378 patients. The two groups were compared in view of time for assigning and collecting the meter. Results The time for assigning the portable thermometer transceiver and receiver was (0.08 ±0.03) min, while that for the traditional measurement method was (1.06 ±0.03) min. There was statistically significant difference between the groups (t=29.231, P<0.001). Conclusion The portable thermometers for temperature measurement can save time and improve the efficiency of nursing staff.

Designing and application of portable temperature meter transmitter and receiver / 现代临床护理

Objective To study the effect of designing and application of portable thermometer transceiver and its application. Methods A portable thermometer transceiver was designed and used to measure the temperature of 31,386 patients. Meanwhile, the traditional temperature measurement method was used among 31,378 patients. The two groups were compared in view of time for assigning and collecting the meter. Results The time for assigning the portable thermometer transceiver and receiver was (0.08 ±0.03) min, while that for the traditional measurement method was (1.06 ±0.03) min. There was statistically significant difference between the groups (t=29.231, P<0.001). Conclusion The portable thermometers for temperature measurement can save time and improve the efficiency of nursing staff.

Current status and countermeasures of application of mercury thermometer / 医疗卫生装备

Objective To investigate the current ~atus of mercury thermometer applied in China and the replacement of it by electric thermometer.Methods A systematic review of the literatures was undertaken,and the mercury pollution caused by mercury thermometer was reviewed,the measures taken by various countries to reduce the use of mercury thermometer were introduced.The difficulty in promoting electric thermometer in China was analyzed,and some measures were proposed accordingly.Results Most of the population including medical staffs had few awareness of the hazard of mercury thermometer to the environment,while the promotion of electric thermometer was obstructed due to the deficiencies in propaganda andpolicies.Conclusion It's suggested emphases be placed on propaganda and measures to replace mercury thermometer by electric one to decrease mercury pollution.

Comparison of rectal, infra red tympanic and infra red skin temperature in term neonates

Background: The measurement of body temperature is an important parameter in neonatal care as it is useful in the assessment of clinical state and necessary for the provision of appropriate nursing support. Hypothermia is one of the important risk factor in causing death in newborns of all weight and gestational age groups. Aim and objectives: To compare rectal, infra red tympanic and infra red skin temperature in term neonates and to assess the accuracy and effectiveness of these non invasive thermometers in term neonates. Materials and methods: It was a Hospital based prospective, non randomized study conducted at Department of Pediatrics in G.B Pant Hospital (neonatology section) an associated Hospital of GMC Srinagar. This study was conducted over a period of 1 year from April 2013 to march 2014. Results: Total of 300 term neonates between the age of 1- 29 days were included in the study. Mean temperature recorded with rectal thermometer was 36.58 0C, with Infra red tympanic thermometer was 36.47 0 C and with Infra red skin thermometer was 36.55 0C. Difference between means of rectal and Infra red tympanic thermometer was statistically significant (P=0.015) and difference between means of rectal and Infra red skin thermometer was statistically not significant (P = 0.18). Coefficient of correlation between rectal and tympanic was 0.772 and between rectal and skin was 0.955 which was statistically significant in both (P valve < 0.001). Conclusion: Non contact Infra red skin thermometer is a very simple, safe and reliable method for measurement of body temperature in neonates. It can be used in peripheral settings as it is user friendly as well as patient friendly