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A thermometer is essential in every home medical kit , as fever is a symptom of many contagious viruses and infections. But it's essential to keep your thermometer clean to avoid spreading germs between family members. Here's how to disinfect each type of thermometer between uses to help keep everyone in your home healthy. Before disinfecting and using a thermometer, ensure you wash your hands with soap and water or disinfect them with hand sanitizer , said Stoll. But if your hands are visibly dirty, choose the soap and water option. Only when your hands are clean should you start the disinfection process. Digital thermometers are the most common type of thermometer that is used. To clean and disinfect a digital thermometer, first, wipe your digital thermometer with a cotton swab dipped in rubbing alcohol, said Stoll. Some evidence suggests that alcohols—specifically isopropyl alcohol and ethyl alcohol ethanol —can inactivate a broad spectrum of bacteria, fungi, and viruses. Those alcohols play a vital role in disinfecting small medical tools in the healthcare industry. And if you don't have rubbing alcohol, use a bleach wipe instead. Take care not to submerge the digital part of the thermometer in fluid. Water and electronic components don't mix well, and water can damage the digital components of the thermometer. Instead, wipe the display screen with a damp cloth.

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Rectal cancer can spread in a number of ways which have been previously recognised and validated as prognostic markers. These routes of spread are not adequately recognised in the stage grouping of the tumour-node-metastasis system, which focuses predominantly on the depth of invasion and nodal status, thus limiting its prognostic accuracy. Venous channels have greater direct access to distant sites by means of a vascular 'anatomical highway'. This rapid spread of tumour cells to distant metastatic sites by veins cannot occur by means of lymph node pathways. Thus, lymph nodes have been overestimated in their importance. Distinction between local tumour spread lymph node metastases, perineural and lymphatic invasion and tumour spread mediated by a direct vascular pathway to distant dissemination extramural venous invasion and tumour deposits must be made as the implications for prognosis and choice of treatment are not likely to be equal. Improved precision of radiological and pathological assessment is needed to scrutinise and carefully document each route of tumour spread. Only with this accurate information will it be possible to correctly weight each feature and develop a more prognostically accurate staging method that would allow separation of true high- and low-risk groups and subsequent improvements in patient care. Keywords: Colorectal neoplasms; Neoplasm invasiveness; Neoplasm metastasis; Neoplasm staging. Abstract Rectal cancer can spread in a number of ways which have been previously recognised and validated as prognostic markers. Publication types Review.

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