index des auteurs abbot nc et al¤ 420

Transcription

Groupe d’Etudes et
de Recherches en Acupuncture
192 chemin des cèdres
F-83130 La Garde- France
[email protected]
Accidents &
incidents de
l’acupuncture
bibliographie
Strabismus &
acupuncture
bibliography
Acupuncture:
adverse effects
bibliography
référence type
titre de l'article ou du document,
(en langue originale ou traduction si entre crochets).
numéro d'ordre relatif dans
la bibliographie sélective.
numéro de référence gera.
Indiquer ce numéro pour toute demande de
copie.
disponibilité du document
di: disponible,
nd: non disponible,
rd: résumé seul disponible,
type de document.
ra: revue d'acupuncture
re: revue extérieure
cg: congrès,
co: cours
tt: traité
th: thèse
me: mémoire,
tp: tiré-à-part.
el: extrait de livre
1 -gera:6785/di/ra
ACUPUNCTURE ANAESTHESIA: A REVIEW.
SMALL TJ. american journal of acupuncture.1974,2(3), 147-3.
(eng). réf:33
titre de la revue ou éditeur.
nombre de références
bibliographiques du
document.
année de publication.
auteur,
premier auteur si suivi de et al.
langue de publication et résumé:
indique un résumé en anglais (pour les documents non en anglais)
(fra) français, (eng) anglais, (deu) allemand, (ita) italien, (esp) espagnol,
(por) portugais, (ned) hollandais, (rus) russe, (pol) polonais, (cze)
tchèque, (rou) roumain, (chi) chinois, (jap) japonais, (cor) coréen, (vie)
vietnamien.
*
première et
éventuellement
dernière page d'un
article, ou nombre
de pages d'un traité,
thèse ou mémoire.
volume et/ou
numéro.
Les résumés correspondent soit à la reproduction du résumé ou présentation de l'auteur, soit à
un résumé assuré par le CD GERA
Accidents & incidents de l'acupuncture
1- gera: 21722/di/el
DE QUELQUES MOYENS THERAPEUTIQUES
INJUSTEMENT OUBLIES. UN MOT RETROSPECTIF
SUR L'ACUPUNCTURE. X. bulletin général de
thérapeutique. 1865;69:539-47 (fra).
L'acupuncture en France au début du XIXème selon
Dabry, Cloquet et Berlioz. Etudes sur l'animal faites par
Bretonneau et Velpeau. Techniques et incidents de
puncture. L'acupuncture est utile sur les douleurs
névralgiques et celles du rhumatisme musculaire.
2- gera: 6079/di/ra
WIRE NEEDLE IN THE ABDOMINAL CAVITY. AN
ACCIDENT IN ACUPUNCTURE. YIN YC. chinese
medical journal. 1937;52:107-8 (eng).
Malade hospitalisé pour douleurs abdominales (fosse
iliaque droite) avec fièvre et pollakiurie évoluant depuis
3 mois. Ce patient avait été traité pour épigastralgie par
acupuncture et le syndrome abdominal avait débuté 10
jours après. Une radio sans préparation montre la
présence d'une aiguille intra-abdominale. A la
laparotomie l'aiguille apparaît dans la paroi de l'ileum
avec la pointe contre la vessie expliquant la
symptomatologie urinaire
3- gera: 147198/di/re
INOCULATION HEPATITIS. MALMROS H,
WILANDER O, HERNER B. br med j.
1948;2(4586):936-938 (eng).
4- gera: 5321/di/ra
DE QUELQUES AGGRAVATIONS ET ECHECS AU
COURS DU TRAITEMENT PAR ACUPUNCTURE.
SCHMITT A. revue internationale d'acupuncture.
1951;3(1):13-4 (fra).
Rapport de deux aggravations après acupuncture pour
lumbago aigu. Il ne faut pas espérer de résultats
constants dans les cas aigus et récents. La puncture du
7P dans les brûlures donne souvent des résultats
spectaculaires, mais on observe des échecs
inexpliqués.
5- gera: 6080/di/ra
LES REACTIONS APRES ACUPUNCTURE.
MALAPERT. bulletin de la societe d'acupuncture.
1955;17:14-8 (fra).
6- gera: 8722/di/ra
LES POINTS INTERDITS. KHOUBESSERIAN. bulletin
de la societe d'acupuncture. 1955;17:26 (fra).
7- gera: 8723/di/ra
TRAITEMENT CORRECTIF DES POINTS
DANGEREUX. SORE YANAGHIAN. bulletin de la
societe d'acupuncture. 1955;17:27-32 (fra).
8- gera: 18946/di/ra
LES REACTIONS DE L'ACUPUNCTURE. GRALL G.
bulletin de la societe d'acupuncture. 1956;19:43-6
(fra).
9- gera: 6081/nd/re
[REACTIONS VASOMOTRICES SECONDAIRES A
L'ACUPUNCTURE POUR LES SYNDROMES
LOMBO-SACRES]. FIGAR S ET AL. ceskoslovenska
neurologie. 1964;27:251-5 (cze).
10- gera: 6082/nd/re
[MARQUES DE CONTRE-IRRITATION
PROVOQUEES PAR LA PRATIQUE DE LA
1
MEDECINE CHINOISE TRADITIONNELLE.
IDENTIFICATION ET DISTINCTION *]. LA BROOY EB.
journal of forensic sciences. 1965;10:94-103 (eng).
11- gera: 6083/di/re
A FATALITY DUE TO ACUPUNCTURE. SCHIFF AF.
medical times. 1965;93(6):630-1 (eng).
Une femme de 82 ans est retrouvée morte chez elle
avec une aiguille à coudre plantée dans le thorax au
niveau du 22Rn gauche, une autre trace de puncture
existe au niveau du 21Rn gauche. L'autopsie montre
une plaie du coeur avec lésion de la branche distale de
la coronaire antérieure et un hémopéricarde de 250 cc.
La patiente souffrait d'angine de poitrine et connaissait
l'acupuncture. Il s'agit probablement d'un décès par
tamponade après
[GRANULOME SUR CORPS ETRANGER DU A UNE
AIGUILLE BRISEE]. ASANO K. otolaryngology
(tokyo). 1969;41:289-91 (jap*).
Femme de 46 ans se plaignant depuis 22 ans de
sinusite et traitée par acupuncture il y a 21 ans. Une
tuméfaction de la face est ensuite apparue, augmentant
progressivement de taille. La radiographie met en
évidence une
[CORPS ETRANGER (AIGUILLE D'ACUPUNCTURE)
URINAIRE ASSOCIE A UN CACUL : RAPPORT D'UN
CAS]. FUKUDA K ET AL. acta urologica japonica.
1969;15:233-6 (jap*).
L'ACUPUNCTURE PEUT-ELLE ETRE DANGEREUSE
?. LE PRESTRE C. acupuncture. 1969;22:8-11 (fra).
15- gera: 11297/di/ra
L'AIGUILLON DU RENOUVEAU. CANTONI G.
meridiens. 1969;7-8:47-58 (fra*).
L'auteur relate l'observation d'une jeune femme ayant
subi une hystérectomie sub-totale, au cours de laquelle
le chirurgien avait implanté un greffon d'ovaire sain
dans la loge graisseuse antépubienne. A l'occasion
d'un traitement par acupuncture, est apparue une
hypertrophie passagère du greffon, accompagnée de
symptômes folliculiniques et d'oestrus inhabituel. Un
nouveau traitement pratiqué plusieurs mois après
provoqua les mêmes
16- gera: 117369/di/re
ROUTINE SKIN PREPARATION BEFORE
INJECTION: AN UNNECESSARY PROCEDURE.
Dann TC. lancet. 1969;2(7611):96-8 (eng).
[UN CAS RARE DE CARCINOME DE LA PEAU
APRES ACUPUNCTURE]. TSUKERMAN IM. voprosy
onkologii. 1970;88:16 (rus).
AN UNUSUAL CAUSE OF PETECHIAE. BUCHTA
RM. american journal of diseases of children.
1972;123:613. (eng).
Un enfant de 2 ans est hospitalisé pour fièvre à 40° et
vomissements depuis 3 jours. A l'examen on observe
des pétéchies dans la région dorsale faisant suspecter
une infection à méningocoque. L'enfant avait en fait été
traité sans doute par fleur de prunier pour une
pneumonie.
Acupuncture : adverse effects/ gera 2010
POSSIBLE RENAL COMPLICATIONS OF
ACUPUNCTURE. KELLER WJ ET AL. journal of the
american medical association. 1972;222(18):1559.
(eng).
Rapport d'un cas de calcul urinaire autour d'une aiguille
d'acupuncture chez un patient d'origine chinoise.
KOEBNER PHENOMENON FOLLOWING
ACUPUNCTURE. KIRSCHBAUM JO. archives of
dermatology. 1972;106:767. (eng).
Psoriasis en goutte des 2 côtés de la colonne
vertébrale après traitement par fleur de prunier chez
une femme asiatique de 23 ans.
21- gera: 83778/nd/re
HAUTLASIONEN ALS FOLGE EINER
ANACHRONISTISCHEN BEHANDLUNG. WEBER G
ET AL. hautarzt (der). 1972;23(5):221-2 (deu).
[Lésions cutanées comme séquelle d'un traitement
anachronique].
22- gera: 146586/di/re
NEEDLE PATHOLOGY. x. can med assoc j.
1972;106(9):957 (eng).
[CARDIAC TRAUMA AS COMPLICATION OF
ACUPUNCTURE. A CASE REPORT OF CARDIAC
TAMPONADE RESULTING FROM A BROKEN
ACUPUNCTURE NEEDLE]. NIEDA S ET AL. jap j
thoracic surgery. 1973;26:881-3 (jap*).
Malade hospitalisée pour douleur précordiale et état de
choc 11 heures après une séance d'acupuncture pour
douleur épigastrique. La radiographie thoracique
montre une aiguille de 4 cm de long dans la région
parasternale gauche. A la thoracotomie 600 ml de sang
sont retirés de la cavité péricardique.
PNEUMOTHORAX ASSOCIATED WITH
ACUPUNCTURE. LEWIS-DRIVER DJ. medical
journal of australia. 1973;aug 11:296-7 (eng).
Traitement par un chiropractor d'une ostéoarthrite des
mains chez une femme de 71 ans avec notamment
puncture de la région sous-claviculaire. Après les deux
premières séances la patiente se plaint de douleurs
thoraciques gauche et de dyspnée ; les trois séances
suivantes se passent sans problème. Après la 6éme
séance la patiente est hospitalisée pour un
pneumothorax.
MOXIBUSTION WARNING (letter). LYU BS ET AL.
journal of the american medical association.
1974;230(10):1385-6 (eng).
ACUPUNCTURE MYOPATHY ? (REMEMBRANCE
OF THINGS PASSED). ENGEL WK ET AL. new
england journal of medicine. 1974;291(15):801.
(eng).
Mise en évidence à la biopsie musculaire d'un foyer de
cellules inflammatoires chroniques dont l'origine
acupuncturale est discutée.
[L'ACUPUNCTURE NON MYOPATHOGENIQUE].
2
LOONEY. new england journal of medicine.
1974;291(24):1310 (eng).
Réponse à la lettre de Engel (référence 6093) : 1) On
ne peut rapporter à l'acupuncture la myopathie alors
que le patient affirme ne pas avoir été traité par
acupuncture à cet endroit. 2) L'auteur n'a jamais
observé ni sur lui, ni sur ses patients le moindre aspect
d'inflammation chronique.
COMPLICATION OF ACUPUNCTURE. DRAKE TE.
1974;229(10):1285-6 (eng).
Un vieux Chinois est hospitalisé en urgence pour une
douleur précordiale gauche. L'ECG est normal, mais la
radio thoracique met en évidence une aiguille de 2 cm
de long dans les plans sous-cutanés de la paroi
thoracique. Il y a plusieurs années le patient avait été
traité par acupuncture au niveau de l'abdomen.
L'aiguille a migré jusqu'à la paroi thoracique où elle a
déclenché une douleur soudaine.
COMPLICATION OF ACUPUNCTURE. SMITH PF.
1974;229(10):1286. (eng).
Pneumothorax chez un patient de 73 ans traité pour
emphysème.
PERMANENT SUBCUTANEOUS GOLD
ACUPUNCTURE NEEDLE. BEHRSTOCK BB ET AL.
western journal of medicine. 1974;121(2):140-2
(eng).
Douleur thoracique chez une femme de 44 ans
d'origine coréenne. La radio met en évidence 22
densités métalliques de 0,5 à 1 cm. La patiente avait
été traitée 6 ans auparavant pour lumbago par
acupuncture.
PNEUMOTHORAX FROM ACUPUNCTURE.
WALDMAN I. new england journal of medicine.
1974;290(11):633. (eng).
Pneumothorax chez la femme d'un médecin traitée
pour épaule douloureuse.
SERUM HEPATITIS ASSOCIATED WITH REPEATED
ACUPUNCTURE. HUSSAIN KK. british medical
journal. 1974;july 6:41-2 (eng).
Patiente de 28 ans qui a été traitée par acupuncture
durant l'année toutes les 2 ou 3 semaines et qui
présente deux jours après la dernière séance une
hépatite virale : un lien est suggéré.
ACTIVATION OF CUTANEOUS HERPES BY
ACUPUNCTURE. TE-WEN CHANG. new england
journal of medicine. 1974;291(24):310. (eng).
Femme de 67 ans ayant subit 20 séances
d'acupuncture à 1 semaine d'intervalle. On a observé
11 poussée d'herpès, régulièrement 12 heures après
les séances.
REPEATED ACUPUNCTURE AND SERUM
HEPATITIS. ALEXANDER P ET AL. british medical
journal. 1974;3(5928):466. (eng).
La stérilisation des aiguilles en Chine est insuffisante,
l'acupuncture constitue un élément de dissimination de
l'hépatite virale. Ceci explique la haute fréquence des
cancers du foie en Chine, un tiers de ceux-ci se
développe chez des patients avec antécédents
d'hépatite.
PNEUMOTHORAX AS COMPLICATION OF
ACUPUNCTURE. KUIPER JJ. jama.
1974;229(11):1422. (eng).
Rapport d'un cas survenu après puncture
paravertébrale.
ACU AND PLEURO-PUNCTURE. CORBETT M ET AL.
new england journal of medicine. 1974;290:167-8
(eng).
Pneumothorax chez une femme de 53 ans après
traitement par acupuncture d'une lombalgie.
COMPLICATIONS OF ACUPUNCTURE. CARRON H
ET AL. jama. 1974;228(12):1552-4 (eng).
Rapport de cas : 1) Brûlure après moxibustion. 2)
Dystrophie sympathique post-traumatique après
acupuncture au niveau d'un lymphoedème postmastectomie. 3) Hémothorax. 4) Pneumothorax.
ACUPUNCTURE NEEDLE IN BLADDER. ROY JB.
urology. 1974;4(5):584. (eng).
Auto-insertion urétrale d'une aiguille d'acupuncture qui
est passée dans la vessie.
39- gera: 26465/di/re
AN UNUSUAL COMPLICATION OF ACUPUNCTURE
?. FRASER RM. cma journal. 1974;111(5):392-3
(eng).
40- gera: 146578/di/re
LETTER: AN UNUSUAL COMPLICATION OF
ACUPUNCTURE?. FRASER RM. can med assoc j.
1974;111(5):388-93 (eng).
[METHODE POUR RETIRER LES AIGUILLES
BLOQUEES AU 15GI]. SUI WAE. in a research into
acupuncture and its clinical practice,commercial
press,hong kong. 1975;:18-20 (eng).
[TRAITEMENT DE LA DIFFICULTE A LA MARCHE
SECONDAIRE A LA PUNCTURE DU 40V]. SUI WAE.
in a research into acupuncture and its clinical
practice,commercial press,hong kong. 1975;:20-22
(eng).
[TRAITEMENT DE LA DIFFICULTE A BOUGER LES
JAMBES APRES PUNCTURE DU THORAX]. SUI
WAE. in a research into acupuncture and its clinical
practice,commercial press,hong kong. 1975;:22
(eng).
[TRAITEMENT DE LA SYNCOPE PROVOQUEE PAR
L'ACUPUNCTURE]. SUI WAE. in a research into
acupuncture and its clinical practice,commercial
press,hong kong. 1975;:23-24 (eng).
3
RADIOGRAPHIC MANIFESTATIONS OF JAPANESE
ACUPUNCTURE. IMRAY TJ ET AL. radiology.
1975;115:625-6 (eng).
Rapport de cas avec aiguilles à demeure au niveau
thoracique, abdominal ou vertébral.
[EFFETS SECONDAIRES, CONTRE-INDICATIONS
DE L'ACUPUNCTURE ET MOXIBUSTION].
PEACHER WG. american journal of chinese
medicine. 1975;3(1):35-46 (eng).
Revue générale sur les complications.
AURICULAR CHONDRITIS SECONDARY TO
ACUPUNCTURE (letter). ALLISONS G ET AL. new
england journal of medicine. 1975;293(15):780 (eng).
Traitement par aiguille à demeure pour obésité.
Inefficacité du simple traitement antibiotique local.
Hospitalisation 15 jours avec antibiothérapie générale.
L'ACUPUNCTURE ET LE RISQUE DE
TRANSMISSION DE L'HEPATITE VIRALE.
REQUENA Y ET AL. mensuel du medecin
acupuncteur. 1975;18:295-7 (fra).
Epidémiologie et prophylaxie (20 minutes à 180
degrés).
[PNEUMOTHORAX ET ACUPUNCTURE]. STACK BH.
british medical journal. 1975;1(5949):96 (eng).
THE POTENTIAL OF ACUPUNCTURE FOR THE
BEHAVIORAL SCIENCE. BRESLER DE ET AL.
american psychologist. 1975;30:411-4 (eng).
L'acupuncture : origines, technique, mécanisme
d'action, applications, risques et statuts médico-légal.
51- gera: 10569/nd/re
NEW TECHNIQUES, NEW HEADACHES.
BARROCAS A. journal med assoc state ala.
1975;45(3):47-8 (eng).
52- gera: 17534/nd/re
MISDIAGNOSIS COMPLICATING ACUPUNCTURE.
SASAKI CT ET AL. arch otolaryngol. 1975;101(1):36
(eng).
A 33-year-old man, profoundly deaf since the age of 5
from meningitis, received 25 acupuncture treatments at
a center in western Massachusetts. Subsequent
hearing evaluation at the Yale New Haven Medical
Center again confirmed his profound deafness. He also
was found to have cerumen (rock-hard and long
standing) in both ear canals. Final removal of the
cerumen one week later permitted inspection of a
normal eardrum on the right and a debris-filled
retraction pocket on the left. The diagnosis of
cholesteatoma was confirmed at surgery.
Representatives of the medical profession should
accept responsibility for adequate examination and
diagnosis before starting treatment.
53- gera: 23545/nd/re
ACUPUNTURA Y HEPATITIS VIRICA. BRUGUERA M
ET AL. med clin (barc). 1975;65:158 (esp).
54- gera: 26469/di/re
[FOREIGN BODY (ACUPUNCTURE NEEDLE) OF
THE URETER COMBINED WITH STONE
FORMATION : REPORT OF A CASE]. UEYAMA H ET
AL. . 1975;38(1):67-70 (jap*).
4
"PSEUDO-BATTERED CHILD" SYNDROME. ANH
NT. jama. 1976;236:2288 (eng).
[UNE NOUVELLE TECHNIQUE POUR L'INSERTION
DES AIGUILLES D'ACUPUNCTURE]. CHEN GS ET
AL. american journal of chinese medicine.
1976;4(3):293-5 (eng).
Insertion de l'aiguille à l'aide d'une pince éliminant le
contact avec les doigts de l'acupuncteur donc le risque
de contamination.
INCIDENTS, ACCIDENTS DE L'ACUPUNCTURE ET
LEURS PREVENTIONS. CHIN SP. emc instantanes
medicaux. 1977;3(25999):35-6 (fra).
Accidents liés au matériel (bris d'aiguille) à la
manipulation (douleur) ou à l'acupuncture (aggravation
et lipothymies), contre-indications classiques (les "cinq
pertes", les "sept cas mourants", les saisons, les points
interdits) et contre-indications actuelles (zones
interdites et prévention des plaies d'organes).
PERICHONDRITIS OF THE EAR AS A
COMPLICATION OF ACUPUNCTURE. BALTIMORE
RS ET AL. archives otolaryngology. 1976;102:572-3
(eng).
Aspect inflammatoire local après mise en place
d'aiguille à demeure au niveau de l'hélix. La culture de
l'exsudat met en évidence staphylococcus aureus.
Traitement par antibiothérapie générale par voie
veineuse.
STAPHYLOCOCCAL SEPTICAEMIA WITH
DISSEMINATED INTRAVASCULAR COAGULATION
ASSOCIATED WITH ACUPUNCTURE. IZATT E ET
AL. postgraduate medical journal. 1977;53(619):2856 (eng).
A case of disseminated intravascular coagulation due to
staphylococcal septicemia is described in which the
source of infection was likely to have been acupuncture
therapy.
KOMPLIKATIONEN BEI ANWENDUNG DER
AKUPUNKTUR. SCHEIDER G ET AL. deutsche
medizinische wochenschrift. 1976;101(7):241-3
(deu).
[COMPLICATIONS OF ACUPUNCTURE]. During
acupuncture in the chest region a right-sided
pneumothorax developed ina 53-year-old woman wich
necessitated emergency admission to hospital. A
reinflation of the lung could be achieved with two Bülau
drains. The increasing frequency of acupuncture must
remind one of the possibility of lesions of internal
organs including those of the abdomen. Complications
due to insufficient
[QUELQUES EFFETS SECONDAIRES
SYSTEMIQUES DE L'ACUPUNCTURE
TRADITIONNELLE]. RUBIN P. american journal of
acupuncture. 1977;5(4):329-4 (eng).
Rapport de 7 cas avec réactions secondaires à
l'acupuncture (aggravation ou apparition de nouveaux
symptômes). Ces réactions apparaissent quand le
"facteur causal" n'a pas été bien identifié au départ.
ACUPUNCTURE NEEDLES : A "NEW" FOREIGN
BODY IN THE EAR. SCHATZ CJ ET AL. american
journal roentgenol. 1976;127:688-9 (eng).
Aspect radiologique des aiguilles à demeure au niveau
auriculaire.
67- gera: 17246/nd/re
POTENTIAL TRANSMISSION OF HYMINOLEPIASIS
BY A PRACTICE OF MALAYSIAN CHINESE FOLK
MEDICINE. SULLIVAN JT ET AL. j parasitol.
1977;63(1):172 (eng).
59- gera: 6121/di/cg
INCIDENTS ET ACCIDENTS DE L'ACUPUNCTURE,
PREVENTION ET CONDUITE A TENIR. VITIELLO A.
conferences d'acupuncture,gera,toulon. 1976;:21-9
(fra).
L'auteur distigue : 1) Les complications immédiates
(douleurs, syndrome du mal d'acupuncture,
saignements et hématomes, incidents au niveau de
l'aiguille, blessures d'organes, risque de la moxibustion
et de l'électro- puncture. 2) Les complications
secondaires (infection, aggravation). 3) Les
complications lointaines (l'hépatite à
[COMPLICATIONS DE L'ACUPUNCTURE]. CRANE
PS. journal tenn med assoc. 1976;69(11):777-8 (eng).
61- gera: 23549/nd/re
PSEUDOBATTERING IN VIETNAMESE CHILDREN.
YEATMAN GW ET AL. pediatrics. 1976;58:616-8
(eng).
62- gera: 23550/nd/re
66- gera: 6131/nd/me
ACCIDENTS ET INCIDENTS EN ACUPUNCTURE.
BLANCO G. memoire
d'acupuncture,oedea,toulouse. 1977;:40P (fra).
68- gera: 19615/di/re
COMPLICANZE IN AGOPUNTURA : L'EPATITE
VIRALE. NEGRO FE ET AL. minerva medica.
1977;68:727-8 (ita*).
6 % des consultants en acupuncture en 1975 sont
porteurs de l'antigène Australia. L'auteur propose une
recherche préalable à l'acupuncture et une séparation
en deux groupes des aiguilles d'acupuncture destinées
à des patients positifs ou négatifs.
69- gera: 23551/nd/re
HAZARDS OF MISDIAGNOSIS DUE TO
VIETNAMESE FOLK-MEDICINE. GOLDEN SM ET AL.
clin pediatr. 1977;16:949-50 (eng).
INCIDENTS ET ACCIDENTS DE L'ACUPUNCTURE.
TRINH R ET AL. vie medicale. 1978;8:581-6 (fra).
Rapport de 2 cas de pneumothorax après puncture du
2P. Revue des complications secondaires à
l'acupuncture.
INCIDENTS ET ACCIDENTS SOUS ACUPUNCTURE.
TORCY M. acupuncture. 1978;55:26-9 (fra).
PNEUMOTHORAX AFTER ACUPUNCTURE. RITTER
MG ET AL. british medical journal. 1978;2(6137):6023 (eng).
Rapport de 3 cas.
HAZARD FROM TRANSCUTANEOUS NERVE
STIMULATION IN PATIENTS WITH PACEMAKERS.
ERIKSSON M ET AL. lancet. 1978;june 17:1319. (eng).
Risque d'interférence entre le stimulateur de la
neurostimulation et un pace-maker de type synchrone.
Les pacemaker asynchrones (à fréquence fixe) sont
les seuls ne contre-indiquant pas la neuro-stimulation
transcutanée.
DERMATITIS ASSOCIATED WITH
TRANSCUTANEOUS ELECTRICAL NERVE
STIMULATION. FISHER AA. cutis. 1978;21:24 (eng).
La neurostimulation trancutanée peut entraîner des
brûlures ponctuelles, des allergies aux adhésifs, aux
gels ou aux électrodes utilisées.
VITIELLO A ET AL. nouvelle presse medicale.
1978;7(33):2964. (fra).
[INCIDENTS AND COMPLICATIONS IN
ACUPUNCTURE (letter)].
ACUPUNCTURE HEPATITIS IN THE WEST
MIDLANDS, 1977. BOXALL EH. journal of medical
virology. 1978;2:377-9 (eng).
Observation en 1977 de 36 cas d'hépatite virale parmi
la clientèle d'un acupuncteur non-médecin qui ne
stérilisait pas ses aiguilles. Le sous-type commun, rare
dans les West Midlands suggère une origine commune
de
77- gera: 19647/di/ra
LES EFFETS SECONDAIRES DE L'ACUPUNCTURE.
X. revue belge d'acupuncture. 1978;1:20-1 (fra).
78- gera: 23555/nd/re
NONACCIDENTAL TRAUMA AND MEDICAL FOLK
BELIEF : A CASE OF CUPPING. SANDLER AP ET
AL. pediatrics. 1978;61:921-22 (eng).
79- gera: 27842/di/re
TRINH R ET AL. medecine et hygiene.
1978;1284:1549-54 (fra).
80- gera: 117368/di/re
IS SKIN PREPARATION NECESSARY BEFORE
INSULIN INJECTION?. KOIVISTO VA ET AL. lancet.
1978;1(8073):1072-5 (eng).
The effect of routine skin preparation on skin bacterial
flora was measured in thirteen insulin-dependent
diabetic patients. 5 seconds of skin cleansing of sites
on the leg, arm, and abdomen with 70% isopropyl
alcohol reduced bacterial counts by 82-91%. During a
3-5 month observation period the subjects omitted skin
preparation before insulin injection every other week.
More than 1700 insulin injections were given without
skin preparation. No signs of local or systemic infection
5
were observed. These results indicate that routine skin
preparation with alcohol before insulin injection
markedly reduces skin bacterial-counts but may not be
necessary to prevent infection at the
[MESURES DE PRECAUTION AU COURS DU
TRAITEMENT PAR ACUPUNCTURE]. LU HC. in the
chinese version of modern acupuncture,academy of
oriental heritage,vancouver. 1979;:305-315 (eng).
FOREIGN BODY STONE OF THE URETER AS A
COMPLICATION OF ACUPUNCTURE. ASO Y ET AL.
euro urol. 1979;5(1):57-9 (eng).
A case of spontaneous passage of a foreign body in the
upper urinary tract is reported. Approximately 60 cases
have been collected and reported in the world, 18 in
Japan. Our case is, however, the first with spontaneous
passage. As complications may occur if these foreign
bodies are left behind, we advocate the surgical
removal as
INJURY TO THE SPINAL CORD PRODUCED BY
ACUPUNCTURE NEEDLE. KONDO A ET AL. surg
neurol. 1979;11(2):155-6 (eng).
An unusual case of injury to the upper cervical spinal
cord is reported. A 62-year-old woman had been
treated with acupuncture for stiffness of the muscles of
her neck four to five years before she developed
gradually progressive hypalgesia and
hypothermesthesia over the right half of her body.
Radiological examination and CT scan revealed the
broken tip of an acupuncture needle between the first
and second cervical vertebrae. The needle was
removed. There was a moderate recovery of sensation.
SPINAL CORD INJURY AS A COMPLICATION OF
AN ACUPUNCTURE. SHIRAISHI S ET AL. neurology.
1979;29(8):1188-90 (eng).
Myélopathie cervicale provoquée par des aiguilles
sous-cutanées mises en place 6 mois auparavant pour
le traitement d'une migraine.
[PROBLEMES DE STERILISATION DES AIGUILLES
D'ACUPUNCTURE]. SHU CHEN G. american journal
of acupuncture. 1979;7(4):327-30 (eng).
L'acupuncture peut être vectrice d'agents pathogènes :
1) L'auteur propose pour la stérilisation des aiguilles
une cocotte-minute (20 minutes), le résultat est similaire
aux stérilisateurs bien plus coûteux. 2) La stérilisation
des fleurs de prunier en plastique pose des problèmes
difficiles. 3) La puncture nécessite souvent une
manipulation du corps de l'aiguille par la main de
l'acupuncteur, l'auteur propose l'utilisation de pinces
pour tenir l'aiguille qui semblent plus pratiques que les
tubes.
[SYNDROME D'HYPERSTIMULATION]. POETINEN
PJ. american journal of acupuncture. 1979;7(2):1615 (eng).
Aggravation de syndromes douloureux sous
acupuncture.
[LES COMPLICATIONS DE L'ACUPUNCTURE ET
LEUR PREVENTION]. LE HUA TY LIAO. british
journal of acupuncture. 1979;2(1):33 (eng).
88- gera: 10570/nd/re
COMPLICATION OF ACUPUNCTURE (letter). TUKE
J. british medical journal. 1979;2(6197):1076 (eng).
89- gera: 10571/nd/re
[SURGICAL TREATMENT OF INTRAMYOCARDIAL
NEEDLES]. KUSABA E ET AL. nippon kobu geka
gakkai zasshi. 1979;27(8):1085-90 (jap).
90- gera: 10572/nd/re
HEPATITIS NACH AKUPUNKTUR. KOBLER E, ET
AL. schweiz med wochenschr. 1979;109(46):1828-9
(deu).
91- gera: 10573/nd/re
WITCHDOCTOR ACUPUNCTURE (LETTER).
OOSTHUYSEN WT, ET AL. s afr med j. 1979;56(3):86
(eng).
92- gera: 23558/nd/re
NICKEL DERMATITIS FROM ACUPUNCTURE
NEEDLES. ROMAGUERA C ET AL. contact derm.
1979;5:195 (eng).
ACUPUNCTURE AND POSSIBLE HEPATITIS B
INFECTION (letter). LI FP ET AL. jama.
1980;243(14):1423. (eng).
En Chine les aiguilles d'acupuncture sont stérilisées de
façon satisfaisante dans les hôpitaux, mais non dans
les zones rurales. Proposition de recherche de
l'antigène au niveau d'aiguilles stérilisées de diverses
manières.
94- gera: 6216/di/th
A PROPOS DE LA TRANSMISSION DES HEPATITES
B PAR LES AIGUILLES D'ACUPUNCTURE. LANDRY
V. these medecine,marseille. 1980;352:31P (fra).
Rapport de 3 cas d'hépatite virale chez des personnes
âgées avec deux évolutions mortelles. Dans les 3 cas
on retrouve dans les semaines précédentes des
antécédents de traitement par acupuncture. L'auteur a
essayé de comparer le pourcentage des sujets HBS
positif dans la population marseillaise au pourcentage
retrouvé chez les patients ayant été traités par
acupuncture dans les consultations où les aiguilles sont
stérilisées à l'alcool à 90°. L'étude n'a pu être menée
que chez 50 patients, avec un seul sujet positif
(probablement porteur sain).
PNEUMOTHORAX CAUSED BY ACUPUNCTURE
(letter). VALENTA J ET AL. lancet. 1980;2(8189):322.
(eng).
Cas chez un patient de 66 ans traité pour séquelles de
zona intercostal.
BILATERAL PNEUMOTHORAX AFTER
ACUPUNCTURE (letter). MAZAL DA ET AL. new
england journal of medicine. 1980;302(24):1365-6
(eng).
Femme de 29 ans hospitalisée pour pneumothorax
bilatéral après un traitement par acupuncture pour
dorsalgies.
6
THE INFLUENCE OF LOW FREQUENCY
ACUPUNCTURE ON A DEMAND PACEMAKER.
FUJIWARA H ET AL. chest. 1980;78(1):96-7 (eng).
Various complications with demand pacemakers have
been known to originate from their own sensing
mechanisms. In these complications, electromagnetic
interference is one of the well known causes of
oversensing with demand pacemakers. The influence of
low frequency acupuncture as a specific type of
electromagnetic interference on a demand pacemaker
was examined during a cervical operation. It was found
that low frequency acupuncture is a cause of
electromagnetic interference with demand pacemakers.
Therefore, caution should be exercised when using the
low frequency acupuncture on a pacemaker patient.
[COMPLICATIONS DE L'ACUPUNCTURE]. VAN
DICK. ned tijdschr geneeskd (dut). 1980;124:34 (dut).
[ERREURS COURANTES ET COMPLICATIONS DU
TRAITEMENT PAR ACUPUNCTURE]. CHUN C.
acupuncture research quarterly. 1980;14:51-8 (eng).
Il s'agit : 1) Erreurs dues à une connaissance
insuffisante de l'acupuncture. 2) Connaissances
médicales modernes insuffisantes : hémorragie (plaies
de l'arcade palmaire, des vaisseaux orbitaires,
hémothorax..., pneumothorax), parésies. 3) Absence de
mesure d'aseptie : hépatite virale, rapport de cas de
méningite après puncture du 15VG, d'arthrite
infectieuse après puncture du 35E. Suppuration après
moxibustion, micro-abcès au point de puncture. 4)
Erreur technique : stimulation trop importante du point
qui entraîne après la séance une douleur résiduelle,
cicatrice après moxibustion, bris d'aiguille. 5)
Complications des nouvelles techniques d'acupuncture
: formation de chéloïde après stimulation électrique
prolongée, chéloïde ou granulome après mise en place
de catgut, atrophie musculaire après injection
ponctuelle de corticoïdes.
100- gera: 6223/di/ra
[COMPLICATIONS DE L'ACUPUNCTURE DANS MA
PRATIQUE]. WEI CT. acupuncture research
quarterly. 1980;14:59-62 (eng).
1) Le bris d'aiguille doit être prévenu en examinant
minutieusement les aiguilles, en demandant au patient
d'éviter tout mouvement, en évitant d'enfoncer l'aiguille
jusqu'à la garde, le point de jonction entre le corps et le
manche étant la zone fragile. 2) Les syncopes
surviennent chez les gens à jeun ou fatigués, ou encore
puncturés en position debout. 3) Erreur dans le choix
des points et de la technique de puncture (mention d'un
cas de décès
101- gera: 6224/di/ra
[CONCEPT D'ASEPTIE DANS LA PRATIQUE
ACUPUNCTURALE]. CHUNG C. acupuncture
research quarterly. 1980;14:63-4 (eng).
A Taïwan en pratique privée ou dans les petites
cliniques on utilise encore couramment la stérilisation
par ébullition à 100°. Cette méthode est insuffisante
pour prévenir le tétanos ou l'hépatite virale. Il faut une
stérilisation à l'autoclave de 20 minutes à 120°.
102- gera: 10565/nd/th
DESPLANQUES T. these medecine,poitiers. 1980;33:
(fra).
Les différentes publications étudiées ne peuvent pas
nous permettre de noter la fréquence de ces accidents,
mais seulement de connaître quelques uns de ceux-ci,
et par là-même, de pratiquer ce mode de traitement
avec plus de précautions. Néanmoins, il est certain que
chaque jour, des milliers de personnes sont traitées
ainsi, et que sur l'ensemble, les accidents sont rares.
Nombre d'effets secondaires seraient évités par une
meilleure connaissance de l'anatomie et une
stérilisation sérieuse des aiguilles et du plan cutané.
L'acupuncture étiquetée par certains, de médecine
"parallèle", doit s'aider des acquisitions de la médecine
contemporaine, sous peine d'être parfois dangereuse,
et de provoquer des troubles, qu'elle ne pourra pas elle
seule, résoudre sans faire appel aux thérapeutiques
actuelles : antibiotique, chirurgie, radiologie... Il ne s'agit
donc pas, loin s'en faut, d'une médecine "douce" mais
d'un mode de traitement encore empirique et qui doit
progresser continuellement en s'aidant des
103- gera: 17256/nd/re
SUSPECTED CHRONIC OSTEOMYELITIS
SECONDARY TO ACUPUNCTURE TREATMENT : A
CASE REPORT. JONES RU ET AL. journal of
american pediatry assoc. 1980;70(3):149-51 (eng).
104- gera: 17371/nd/re
A PROPOS D'UNE HEPATITE TOXIQUE POSTHOMEOPATHIE ACUPUNCTURE. DE REYNAL B.
rhumatologie,lyon. 1980;2:35 (fra).
105- gera: 49/di/re
CONTACT DERMATITIS FROM A PERMANENT
ACUPUNCTURE NEEDLE. ROMAGUERA C ET AL.
contact dermatitis. 1981;3:156-7 (eng).
Une malade de 31 ans se plaignait depuis l'age de 23
ans de rhumatisme psoriasique, tous les traitements
avaient échoués et elle présentait par ailleurs des
antécédents d'intolérance au nickel. Il y a un an la
malade commence un traitement par acupuncture, ce
traitement se révèle efficace sur la douleur et elle le
poursuit tous les jours. Ces visites quotidiennes se sont
avérées par la suite impossible et l'acupuncteur décide
la mise en place d'une aiguille permanente au niveau
de l'hélix de l'oreille droite. Deux mois après des
démangeaisons sont apparues au niveau de la face et
du cou avec extension au tronc, au scalp et aux
extrémités. Les traitements dermatologiques classiques
ont échoués jusqu'à la constatation au niveau de
l'oreille autour de l'aiguille de lésions érythémateuses
similaires à un eczéma séborrhéique. Un patch-test a
révélé une très forte réaction positive au sulfate de
nickel. Le fait que le tableau clinique ait disparu avec
l'ablation de l'aiguille et un
106- gera: 50/di/re
HEPATITIS B ASSOCIATED WITH ACUPUNCTURE.
STRYKER WS ET AL. american journal of
epidemiology. 1981;9(3):432-3 (eng).
En février-mai 1980, 6 cas d'hépatite B ont été identifiés
chez des patients qui ont été traités par acupuncture
dans une clinique de chiropractie, les dates de
traitement correspondant à 2 groupes. Premier groupe :
les malades ont été traités le 27 ou 28 septembre 79.
Deuxième groupe : les malades ont été traités le 19 ou
20 février 80. Les périodes d'incubations vont de 61 à
95 jours. L'origine vraisemblable de l'infestation des
malades du deuxième groupe est l'utilisation d'aiguilles
ayant servi le jour même à des malades du premier
groupe. Jusqu'au 28 mars 1980 la clinique stérilisait ses
7
aiguilles dans une solution de Benzalkonium chloride.
Les auteurs concluent que celui-ci est insuffisant vis à
vis du virus de l'hépatite B et recommandent seulement
la
107- gera: 333/rd/ra
[DEGATS CAUSES à L'AIGUILLE D'ACUPUNCTURE
PAR LA STERILISATION EN AUTOCLAVE].
NAWATA N. journal of the japan society of
acupuncture and moxibustion. 1981;30(2):105 (jap*).
Nous avons parlé auparavant des dégâts causés aux
aiguilles qui ont été stérilisées 50 fois. Cette fois-ci,
nous avons augmenté le nombre des stérilisations à
100 fois et avons étudié les dégâts causés aux
aiguilles. La stérilisation a utilisé un petit appareil à la
vapeur sous haute pression, à une température de
126°C, pendant 25 minutes chaque fois. Les aiguilles
qui n'étaient pas en or ou les aiguilles en argent avaient
une tendance à devenir plus minces, mais on n'a pas
noté de changements de poids. Les tests de résistance
au ployage ont montré que les aiguilles chinoises
devenaient plus difficiles à casser. Les tests d'élasticité
ont montré que les aiguilles qui n'étaient pas en or
reprenaient plus facilement leur état initial. Les tests
d'insertion ont montré que quelques aiguilles,
spécialement les aiguilles chinoises et les aiguilles n°3
en acier inoxydable devenaient plus difficiles à insérer
doucement. Les tests de dureté et de robustesse ont
montré une diminution générale au niveau des 2
facteurs avec une exception pour les aiguilles n°3 en
argent et les aiguilles chinoises qui devenaient
[COMPLICATIONS SEVERES DE
L'ACUPUNCTURE... OU MAUVAISE ACUPUNCTURE
?]. ROGERS PAM. american journal of acupuncture.
1981;9(4):347-51 (eng).
L'acupuncture a reçu des commentaires hostiles dans
la littérature médicale basés sur le fait qu'elle peut
causer de sérieuses complications tels que des dégâts
neurologiques, des pneumothorax, tamponnades
cardiaques, hépatites sériques, inflammations du
cartilage de l'oreille, infections locales ou générales,
puncture des cavités du corps ou des organes vitaux,
brûlures de 2° ou 3° degré et traumatismes mentaux. Il
a été démontré que de sérieuses complications ne
peuvent provenir que d'une utilisation incorrecte de
l'acupuncture ou de son grossier abus par des
praticiens incompétents. La sûreté d'une technique doit
être jugée sur ses résultats acquis entre les mains de
praticiens compétents qui l'utilisent correctement. Si ce
critère est accepté, l'acupunctre est considérée comme
un système thérapeutique extrêmement sûr, et dont les
complications sont très rares et très facilement
PERICHONDRITIS DER OHRMUSCHEL NACH
AKUPUNKTUR. TRAUTERMAN HG. hno.
1981;29(9):312-3 (deu).
[PERICHONDRITIS OF THE EAR AURICLE AFTER
ACUPUNCTURE]. Périchondrite chez un homme de 70
ans traité pour douleur fantôme après amputation
jambe gauche. Traitement : doxycyline 100 orale +
pommade à la
[A PROPOS DES AIGUILLES INSEREES
EXPERIMENTALEMENT CHEZ LES RATS].
TSUJIIMOKO ET AL. journal of the japan society of
acupuncture and moxibustion. 1981;30( ):118-128
(jap*).
Nous avons inséré et brisé artificiellement des aiguilles
d'acupuncture dans les tissus sous-cutané et
musculaire des rats. Nous avons étudié le mouvement
des aiguilles dans le corps et les changements
histopathologiques ainsi induits. Les aiguilles se
déplaçaient dans le corps le plus souvent en moins de
2 semaines à partir du début des expériences. Les
mouvements étaient observés plus fréquemment quand
les aiguilles étaient enfoncées dans la patte antérieure,
que dans les autres parties du corps, ceci en relation
avec la mobilité de cette région. Les aiguilles en or
minces ou courtes se déplaçaient le moins. Au
contraire, les aiguilles en acier inoxydable se
déplaçaient plus activement et on les retrouvait parfois
dans les organes internes tels que le foie, les testicules,
le coeur et le canal déférent. La plupart des aiguilles qui
restaient dans le corps étaient encapsulées dans du
tissu conjonctif au bout de plusieurs semaines. Nous
avons discuté des implications d'ordre général dues
aux aiguilles
[A PROPOS DES AIGUILLES TROUVEES DANS LE
COMMERCE]. MATSUMOTO T. journal of the japan
society of acupuncture and moxibustion.
1981;30:86-1O4 (jap*).
Ceci provient d'un exposé que j'ai présenté au 28e
Congrès de la Japan Acupuncture and Moxibustion
Society. Nous avons fait une liste de 19 fabricants
d'aiguilles d'acupuncture et nous avons examiné chez
chacun d'entre eux 50 aiguilles n°3 de 1,6 cm, acier
inoxydable. Les résultats ont montré une moyenne
d'imperfection de 37,7 % pour les pointes des aiguilles
et 52 % pour les manches des aiguilles. Pour cet
exposé, nous avons prévenu les fabricants qu'un
nouvel examen de leurs aiguilles sera fait en début
d'année. Ainsi, au mois de mars, nous avons prélevé et
examiné 50 aiguilles de ce même type chez chaque
fabricant. Les résultats ont de nouveau montré une
moyenne d'imperfection de 37,6 % pour les pointes et
de 93,9 % pour les manches. On peut donc parler
d'insuffisance de contrôle de la qualité du produit
manufacturé.
CONTRE-INDICATIONS ET INDICATIONS DE
L'ACUPUNCTURE EN ODONTOSTOMATOLOGIE.
BOMBIN J. yang ming. 1981;1: (fra).
113- gera: 6225/nd/re
AKUPUNKTUR UND TODSURSACHE. BRETTEL HF.
munchen med wchnschr. 1981;123(3):97-8 (deu*).
[ACUPUNCTURE AS A CAUSE OF DEATH].
Acupuncture is a controversial method of treatment, the
success of which, according to the convictions of its
opponents, is based solely on suggestion or
autosuggestion. That the rules of the Chinese teaching
on acupuncture are not observed by many
acupuncturists does not contribute to its prestige.
Serious injuries resulting from acupuncture therapy
have, however, seldom become known. For this reason
the case is presented of a 63-year-old woman, suffering
from asthma, who died as a results of a bilateral
pneumothorax following injury tho the lungs in the
course of acupuncture of the chest wall.
114- gera: 6226/nd/re
[INFECTIONS PAR VIRUS DE L'HEPATITE DUES A
L'ACUPUNCTURE]. VANEK E ET AL. therapiewoche.
8
1981;31(6):788-93 (deu).
En 3 mois, 11 cas d'hépatite virale dans la clientèle d'un
acupuncteur.
115- gera: 6228/di/ra
DESPLANQUES T. acupuncture. 1981;69:29-33 (fra).
1) Complications immédiates (douleurs, syncopes et
lipothymies, atteintes vasculaires, blessures d'organes).
2) Complications secondaires proches (complications
infectieuses et cutanées). 3) Complications lointaines
(hépatite virale et migrations d'aiguilles).
116- gera: 6230/nd/re
[PREVENTION OF SERUM HEPATITIS IN
ACUPUNCTURE REFLEXOTHERAPY].
GRUSMOKOV VM. voenno-meditsinskii zhurnal.
1981;12:57-8 (rus).
117- gera: 6231/nd/re
NICKEL IN ACUPUNCTURE NEEDLES. EUN HC.
contact dermatitis. 1981;7(6):334 (eng).
118- gera: 10563/rd/th
HEPATITE ET ACUPUNCTURE. MOZOYER J. these
medecine,bordeaux 2. 1981;195:122 (fra).
Il y a quelques années, on pensait que le virus de
l'hépatite B était exclusivement transmis par voie
parentérale, mais la meilleure connaissance du virus et
de ses marqueurs et l'amélioration des techniques de
diagnostic ont conduit à décrire de nombreux autres
modes de transmission. C'est ce que nous avons
rappelé dans la première partie de ce travail. Nous
avons d'abord rassemblé de nouvelles preuves en
faveur de la transmission du VHB par les aiguilles
d'acupuncture, s'appuyant pour ce faire sur 2
arguments : 1) En réunissant 34 observations détaillées
de malades ayant présenté une hépatite B et chez
lesquels la seule voie de contamination connue était la
notion de séances d'acupuncture récentes. On peut
donc penser que l'acupuncture est en cause dans la
survenue de ces cas. 2) En effectuant une enquête
auprès des donneurs de sang Ag HBs positif du C.T.S
de Bordeaux. On a recherché chez ces personnes le
mode probable de contamination. Sur 125 réponses, on
a retrouvé dans 12 % des cas la notion de séances
d'acupuncture récentes, soit 50 % des causes
répertoriées. L'autre intérêt de cette enquête est d'avoir
retrouvé 4 porteurs chroniques d'Ag HBs ayant subi des
séances d'acupuncture illustrant l'importance des
contaminants potentiels. Ainsi, nos observations,
l'enquête du C.T.S et l'analyse des articles parus dans
la presse médicale sont autant de preuves en faveur de
la transmission du VHB par les aiguilles d'acupuncture.
Notre travail montre ensuite l'importance de ce mode
de contamination. Si l'on essaie de chiffrer le nombre
d'hépatites post-acupuncture par rapport au nombre
total d'hépatites observées pendant la même période,
nous avons colligé par exemple sur l'ensemble des
hépatites B hospitalisées dans le service du Professeur
Beylot 40 % d'hépatites post-acupuncture ou encore
dans la clientèle du Dr Dubroga (généraliste) 25 %
d'hépatites post-acupuncture. Si notre travail, comme
celà est habituel dans des séries semblables, met en
cause un acupuncteur particulier, soit du fait d'une
mauvaise stérilisation des aiguilles, soit peut-être aussi
d'une médecine de nombre et de profit, (en effet dans
30 cas sur 34 il s'agit du même praticien), 3 autres
acupuncteurs sont aussi responsables, ce qui prouve
que tout praticien qui n'applique pas une stérilisation
efficace de ses aiguilles fait courir un risque à ses
patients. Nous avons enfin exposé et critiqué les
arguments avancés par certains acupuncteurs pour
justifier cette mauvaise stérilisation de leurs aiguilles, ce
qui nous a amené au contraire à rappeler les différents
modes de protection efficaces envers le VHB. Au total,
notre travail rapporte 50 nouveaux cas de
contamination très probable par le VHB au cours de
séances d'acupuncture (34 observations, une
observation initiale et 15 cas tirés de l'enquête du
C.T.S), ces malades viennent s'ajouter à 50 cas
retrouvés dans la littérature. Ce nombre important de
cas rassemblé sur un court laps de temps implique un
nombre réel beaucoup plus élevé : les malades
hospitalisés pour hépatite virale ne sont en effet, on le
sait bien, que le "sommet de l'iceberg" et il est
absolument certain que pendant cette même période de
très nombreux malades ont été ainsi contaminés sans
que leurs médecins praticiens aient eu conscience de
ce mode de transmission : ainsi peut-on peut-être
penser que dans les 2 dernières années, l'acupuncture
a été la cause principale de
119- gera: 19397/di/ra
ACUPONCTURE ET EFFETS IATROGENES. CAS
CLINIQUE N°3. X. perspectives yin yang. 1981;15:17
(fra).
120- gera: 23553/nd/re
FACTITIAL DERMATITIS, CAO GIO. SILFEN E ET AL.
cutis. 1981;28:399-400 (eng).
121- gera: 23556/nd/re
CUPPING LESIONS STIMULATING CHILD ABUSE.
ASNES RS ET AL. j pediatr. 1981;99:267-68 (eng).
122- gera: 86/di/ra
WEIGHT CONTROL OF OBESITY : A SIMPLE,
EFFECTIVE AND PRACTICAL APPROACH.
SADOWSKY M. american journal of acupuncture.
1982;10(1):53-8 (eng).
Les points utilisés sont le point Gorge situé sur
l'intersection d'une ligne verticale tangente auriculaire
externe et d'une ligne horizontale parallèle à la branche
ascendante de l'hélix, et les points 26VG, 12VC, 6VC,
"Oméga II" (extrémité supérieure de l'hélix). En cas de
stress d'autres points adjuvant sont également utilisés :
7C en cas de nervosité, 3C si ennui ou état dépressif,
36E et 5TR dans les cas extrèmes. Le traitement est
poursuivi pendant 4 mois, chaque point étant stimulé
avant de manger. Inconvénient : on note une chondrite
infectieuse dans 1,5% des cas même quand l'aseptie a
été rigoureuse.
[ACUPUNCTURE NEEDLE STAB INTO THE
CERVICAL SPINAL CORD : A CASE REPORT].
GOTO N ET AL. clin orthop. 1982;17:283 (jap).
LESIONES PRODUCIDAS POR LA ELECTROACUPUNTURA. KAWAMOTO H. revista uruguaya de
acupuntura. 1982;23:34-5 (esp).
Etude histopathologique des lésions produites par
l'électroacupuncture.
125- gera: 4617/di/ra
GRANDS MOUVEMENTS DU 2EME TRONC
CELESTE (TAE I). NGUYEN VAN NGHI. revue
francaise de mtc. 1982;95:1 (fra).
9
A propos des jours interdits ou déconseillés à
l'acupuncturo-moxibustion, article tiré du Da Cheng
(énoncé 86, 87 et 88) concernant les "Grands
Mouvements du Tae l" auxquels répond la circulation
énergétique de l'organisme. C'est pourquoi, à certaines
périodes de ces mouvements spatio-temporels, la
puncture et le moxa sont néfastes.
126- gera: 6233/di/me
LES COMPLICATION DES L'ACUPUNCTURE.
REVUE BIBLIOGRAPHIQUE. TISSIER JF. memoire
d'acupuncture,afa,paris. 1982;110: (fra).
127- gera: 6234/di/re
SPINAL INFECTION CAUSED BY ACUPUNCTURE
MIMICKING A PROLAPSED INTERVERTEBRAL
DISC. HADDEN WA ET AL. journal of bone and joint
surgery. 1982;64-A(4):624-6 (eng).
Patient traité par acupuncture pour lombalgie qui
présente suite à une séance une sciatique. La
radiculographie montre une image de hernie discale, à
l'intervention on ne retrouve qu'une spondylodiscite à
staphyloccus aureus probablement liée au traitement
par acupuncture.
128- gera: 6235/di/re
FATAL STAPHYLOCOCCAL SEPTICEMIA
FOLLOWING ACUPUNCTURE : REPORT OF TWO
CASES. OCCURENCE OF STAPHYLOCOCCAL
SEPTICEMIA FOLLOWING ACUPUNCTURE
EMPHASIZES NEED FOR TOROUGH MEDICAL
EVALUATION BEFORE SUCH*. PIERIK MG. r i med
j. 1982;65(6):251-3 (eng).
[Pas en France].
129- gera: 6236/nd/re
[INCIDENT DE L'ACUPUNCTURE]. CAMPBELL AE.
brit j radiol. 1982;55(659):875-7 (eng).
130- gera: 6237/di/re
HEPATITE B SUR ACUPUNCTURE. RAPPORT DE 7
CAS. DE GALOCSY C ET AL. acta gastroenterologica belgica. 1982;40(5-6):224-30 (fra*).
Rapport de 7 cas d'hépatite B suivant un traitement par
acupuncture avec stérilisation insuffisante des aiguilles.
Dans 3 cas on observe une insuffisance hépatique
moyenne à sévère avec encéphalopathie. Dans trois
cas on observe une évolution vers la chronicité.
L'acupuncture est de plus en plus largement pratiquée
et cette source d'infection est sans doute sous-estimée,
la fréquence élevée de complications dans notre série
est une source
131- gera: 6239/nd/re
[COMPLICATIONS DE L'ACUPUNCTURE]. MAJOR
P. tidsskr nor laegeforen. 1982;102(6):392-3 (nor).
132- gera: 6240/nd/re
[L'ACUPUNCTURE CAUSE D'UNE MORT (lettre)]. X.
tidssr nor laegeforen. 1982;102(29):1529-30 (nor).
133- gera: 6241/di/ra
[COMPLICATIONS DE L'ACUPUNCTURE].
INSTITUTE OF ACUPUNCTURE. british journal of
acupuncture. 1982;5(1):16 (eng).
134- gera: 9997/di/ra
[PREMIERE OBSERVATION SUR LES EFFETS
SECONDAIRES DE LA SOFT-LASER THERAPIE].
LEUNG CY ET AL. rivista italiana di agopuntura.
1982;45:63 (ita).
135- gera: 10564/nd/th
LES COMPLICATIONS DE L'ACUPUNCTURE,
REVUE BIBLIOGRAPHIQUE. TISSIER JF. these
medecine,paris-cochin. 1982;:92P (fra).
Nous avons fait une revue de la littérature internationale
portant sur une soixantaine de cas de complications de
l'acupuncture publiés ces dernières années,
essentiellement dans des périodiques anglo-saxons ou
japonais. En dehors d'incidents souvent mentionnés
mais peu graves tels que les hématomes et les
lypothymies, les accidents les plus fréquents sont les
blessures d'organes et des séreuses (20 cas de
pneumothorax) et les infections (dont 36 hépatites
virales B chez le même acupuncteur). Tous deux
pourraient être évités par une technique plus
rigoureuse, comme le montre le petit nombre des
complications survenues en milieu hospitalier quand
chaque aiguille est posée de manière précise et
aseptique comme un geste de petite chirurgie. D'autres
complications parfois graves concernent des erreurs
dans le diagnostic ou le traitement. Elles sont dues à
l'absence de qualification médicale des acupuncteurs
dans certains pays, aux incertitudes persistantes sur les
critères du choix des points ou encore au manque
d'essais thérapeutiques comparatifs valables entre
l'acupuncture et d'autres
136- gera: 1055/di/ra
PYREXIE POST-ACUPUNCTURALE. NGUYEN J.
revue francaise de mtc. 1983;96:99-100 (fra).
Observation clinique d'un patient présentant une
poussée fébrile après chaque séance d'acupuncture.
Les relations entre l'acupuncture et la thermorégulation
sont envisagées.
137- gera: 6242/nd/re
LES AIGUILLES D'ACUPUNCTURE EN MILIEU
HOSPITALIER. DURAND GORRY G. certificat
d'hygiene hospitaliere,montpellier. 1983;:32P (fra).
138- gera: 6243/di/re
PNEUMOTHORAX AS A COMPLICATION OF
ACUPUNCTURE IN THE TREATMENT OF
BRONCHIAL ASTHMA. BODNER G ET AL. annals of
allergy. 1983;51:401-2 (eng).
Rapport de 2 cas.
139- gera: 6244/di/ra
COMPLICACIONES DEBIDAS A LA ACUPUNTURA.
ISAAC V ET AL. natura medicatrix. 1983;4:14-7 (esp).
140- gera: 6245/di/re
ACUPUNCTURE NEEDLES AS A CAUSE OF
BACTERIAL ENDOCARDITIS. JEFFERYS DB ET AL.
british medical journal. 1983;287:326-7 (eng).
Survenue d'une endocardite bactérienne chez une
patiente de 57 ans porteuse d'une prothèse valvulaire.
18 jours auparavant elle avait été traitée par aiguille
auriculaire à demeure pour désintoxication tabagique.
Proposition d'une couverture antibiotique systématique
chez ces patients en cas de traitement par
acupuncture.
141- gera: 6246/di/re
ACUPUNCTURE ET HEPATITE B. RISQUE FAIBLE
MAIS REEL. JALEH-PEUPION. quotidien du
medecin. 1983;3062:9. (fra).
L'aiguille d'acupuncture est pleine et véhicule peu les
10
virus, le point d'acupuncture ne saigne
qu'exceptionnellement aussi le risque est considéré
comme faible. Proposition de matériel à usage unique.
142- gera: 6247/di/ra
DERMATITE ALLERGIQUE SECONDAIRE A
L'APPLICATION D'EMPLATRE DE LA MTC.
NGUYEN J. revue francaise de mtc. 1983;98:225
(fra).
Observation d'un patient porteur d'une ténosynovite du
jambier antérieur, traité par application d'emplâtres et
qui a présenté une importance dermite allergique.
L'auteur souligne les difficultés d'utilisation des plantes
médicinales chinoises en France ou en Occident en
l'absence d'une réelle formation théorique et clinique.
143- gera: 6249/di/re
MULTIPLE LYMPHOZYTOME AN DEN
EINSTICHSTELLEN ALS KOMPLIKATION EINER
AKUPUNKTURBEHANDLUNG. BORK K. der
hautartz. 1983;34(10):496-9 (deu*).
Apparition chez une femme de 34 ans de
lymphocytome au point de piqûre au niveau auriculaire.
144- gera: 6250/di/ra
INFECTION VERTEBRALE ATTRIBUEE A
L'ACUPUNCTURE. NGUYEN J. revue francaise de
mtc. 1983;99:275 (fra).
Discussion de la réf. (6234). On ne peut attribuer avec
certitude l'infection vertébrale à l'acupuncture. Il peut
s'agir d'une spondylodiscite primitive.
145- gera: 6251/di/ra
[ETUDE SUR LA PROFONDEUR DE SECURITE
DANS LA PUNCTURE VERTICALE DES POINTS
DORSAUX DE LA VESSIE CHEZ LE CADAVRE
(résumé)]. JAUNG GENG LIN ET AL. acupuncture
research quarterly. 1983;25:27-8 (eng).
La puncture des points dorsaux de la vessie est
susceptible d'entraîner un pneumothorax. Dans le but
de déterminer quelle est la profondeur de sécurité, une
étude anatomique est menée chez le cadavre (30
nouveaux- nés, 20 adultes de poids normal, 15 obèses
et 15 adultes maigres) en utilisant le cun comme unité.
Les résultats sont différents des profondeurs rapportées
par la littérature classique.
146- gera: 6253/nd/re
[L'ACUPUNCTURE COMME CAUSE DE DOULEUR
(letter)]. SEYFFARTH H. tidssr nor laegeforen.
1983;102(34):1878-9 (nor).
147- gera: 6254/di/ra
[COMPLICATION DU TRAITEMENT PAR
ACUPUNCTURE]. AMTER F. akupunktur.
1983;3(6):360 (deu).
148- gera: 9297/di/ra
[DISCUSSION PRELIMINAIRE SUR LES POINTS
INTERDITS DURANT LA GROSSESSE]. ZHOU
SHUYING. shanghai journal of acupuncture and
moxibustion. 1983;4:37 (chi).
149- gera: 10011/di/ra
[PRECAUTIONS DANS L'UTILISATION DES SOFTLASERS EN ACUPUNCTURE]. TRELLES MA ET AL.
acupuncture and electrotherapeutics research.
1983;8(1):72 (eng).
Des expérimentations animales sont menés pour
determiner le risque du laser. Des études histologiques
du derme et des muqueuses montrent les lésions
suceptibles d'être provoquées par une irradiation
repétée et prolongée. D'après le Pr Mester l'irradiation
au laser sans avoir un effet carcinogéne a un effet cocarcinogéne. D'un autre coté : 1) Le laser accroit
l'absorption transcutanée des médicaments. 2) Au
niveau de pace-maker le laser
150- gera: 10566/di/re
HYPOTENSION FOLLOWING STIMULATION OF
ACUPUNCTURE POINT FENGCHI (GB2O) (letter).
RAJANNA P. journal royal coll gen pract.
1983;33(254):606-7 (eng).
151- gera: 10567/nd/re
[COMPLICATIONS IN ACUPUNCTURE THERAPY].
SCHNORRENBERGER CC. zfa,stuttgart.
1983;59(25):1355-9 (deu).
152- gera: 10568/nd/re
[ACCIDENTAL PNEUMOTHORAX FOLLOWING
INJECTIONS AND ACUPUNCTURE IN THE
THORACIC REGION]. KROPP R, ET AL. med welt.
1983;34(41):1143-4 (deu).
153- gera: 14468/di/ra
[THE INFLUENCE OF ACUPUNCTURE
STIMULATION ON THE BURSA AND SYNOVIUM OF
KNEE JOINT IN RABBIT].ABSTRACT. SIM CB ET AL.
acupuncture research quarterly. 1983;25:27 (eng).
Il a été rapporté des cas de bursite après puncture
répétée du 35E. 15 lapins sont répartis en 3 groupes
avec puncture des yeux du genou, 34VB et 9RTE: soit
2 séances par jour, soit une séance par jour, soit une
séance tous les 3 jours. Examen anatomopathologique
des lésions à 15 jours, 30 jours, 60 et 120. Les lésions
sont en rapport avec le nombre de séances. Il est
conseillé pas plus d'une séance par jour et pas plus de
60 jours.
154- gera: 23542/nd/re
BACTERIAL ENDOCARDITIS. BENN JM. british
medicine journal. 1983;287:563 (eng).
155- gera: 23543/nd/re
BACTERIAL ENDOCARDITIS. BURDON DW. british
156- gera: 23544/nd/re
BACTERIAL ENDOCARDITIS. CHENG TO. british
157- gera: 23548/nd/re
[TWO CASES OF ACCIDENTAL TATTOOS INDUCED
BY NEEDLES]. HIEJIMA M ET AL. hifu-byo shin-ryo.
1983;5:1133-36 (jap).
[MIGRATION OF THE ACUPUNCTURE NEEDLES
INTO THE CERVICAL SPINAL CORD]. TOMONAGA I
ET AL. orthop surg trauma. 1984;32:123 (jap).
159- gera: 6257/nd/re
UN BESOIN DE MODERER LE TRAITEMENT. X.
tempo medical. 1984;171:51 (fra).
Rapport d'un cas de pneumothorax après acupuncture.
11
160- gera: 6258/di/re
TRAITEMENT D'UNE CRISE D'ASTHME PAR
ACUPUNCTURE. ROLE PROBABLE DANS LA
SURVENUE D'UN PNEUMOTHORAX AVEC
EVOLUTION VERS UN ETAT DE *. CARETTE MF ET
AL. revue de pneumologie clinique. 1984;40:69-70
(fra*).
La survenue de pneumothorax au cours de traitement
par acupuncture est rapportée depuis 1973. Il s'agit,
habituellement, de pneumothorax unilatéral, survenant
chez des sujets indemnes de toute pathologie bronchopulmonaire, dont les conséquences sont relativement
bénignes. Depuis 1978, cependant, de rares
pneumothorax bilatéraux ou survenant chez des sujets
asthmatiques sont signalés. Leurs conséquences sont
souvent dramatiques. Nous rapportons le cas d'une
jeune fille de 15 ans, chez laquelle l'implantation
d'aiguilles est effectuée au cours d'une crise d'asthme
sévère. Cette implantation coïncide avec la survenue
d'un pneumothorax puis d'un état de mal asthmatique.
L'évolution fatale n'est évitée que de justesse. Nous
nous interrogeons, d'une part sur la qualité technique
des implantations pratiquées, d'autre part sur le bienfondé et les dangers de
161- gera: 6259/di/ra
ETUDE DES REACTIONS ET OBSERVATIONS
AVANT, PENDANT ET APRES LA SEANCE. STANEK
L. bulletin de la societe internationale medicale
d'acupuncture et de stimulotherapie. 1984;1:19 (fra).
162- gera: 6260/di/re
ACUPUNCTURE FOR MIGRAINE REDUCES BOWEL
ACTIVITY. SCHOTT GD. journal of
neurology,neurosurgery and psychiatry.
1984;47:317. (eng).
Au cours de traitement on a observé chez deux patients
une modification de la fréquence des selles.
L'acupuncture entraîne une augmentation des
endorphines dont l'action locale inhibe l'activité
intestinale et la naloxone a pu être utilisée dans la
constipation.
163- gera: 6261/di/re
NOUVELLE PATHOLOGIE IATROGENE :
PNEUMOTHORAX APRES ACUPUNCTURE.
HENNEGHIEN C ET AL. revue de pneumologie
clinique. 1984;40:197-200 (fra*).
Depuis 10 ans, plusieurs cas de pneumothorax après
séances d'acupuncture ont été publiés dans la
littérature anglo-saxone. Un nouveau cas est l'occasion
d'attirer l'attention sur ce risque de complication.
164- gera: 6262/di/ra
CAS D'ENDOCARDITE POST-ACUPUNCTURAL. DE
BILDERLING G. revue belge d'acupuncture.
1984;27:9-10 (fra).
Commentaire à propos d'un cas rapporté dans le British
Medical Journal (référence 6245).
165- gera: 6263/di/ra
[PREVENTION DES ACCIDENTS ET
COMPLICATION DU TRAITEMENT PAR
ACUPUNCTURE]. SHI ZHENG XIU. chinese
acupuncture and moxibustion. 1984;4(6):40 (chi*).
Revue de la littérature chinoise. Les accidents résultent
principalement dans une formation de base insuffisante
de l'acupuncteur entraînant une mauvaise
connaissance de l'anatomie.
166- gera: 6264/di/re
BILATERAL PNEUMOTHORAX FOLLOWING
ACUPUNCTURE. SCHNEIDER LB. annals of
emergency medicine. 1984;13:643. (eng).
Pneumothorax bilatéral survenu peu après un
traitement pour arthrose cervicale chez une femme de
57 ans.
167- gera: 6265/di/re
ACUPUNCTURE ELECTRIQUE CONTRE
STIMULATEUR CARDIAQUE. ARIE E. quotidien du
medecin. 1984;3166:33. (fra).
Inhibition du stimulateur par l'électro-acupuncture avec
syncope par arrêt cardiaque. Hospitalisation d'urgence.
168- gera: 6266/di/ra
IMPORTANTE REACTION DE TYPE
INFLAMMATOIRE SOUS PUNCTURE. NGUYEN J.
revue francaise de mtc. 1984;104:547 (fra).
En cours de séance réaction inflammatoire autour du
54V de la taille de la paume de la main. Régression
progressive au retrait de l'aiguille. Il s'agit de
l'exagération d'un phénomène banal observé à minima
lors de
169- gera: 6267/di/cg
[COMPLICATIONS DU TRAITEMENT PAR
ACUPUNCTURE]. SCHNORRENBERGER C. second
national symposium on acupuncture and
moxibustion,beijing. 1984;:85 (eng).
L'acupuncture est une technique médico-chirurgicale
qui ne peut être pratiquée par des non-médecins.
170- gera: 8423/di/cg
[ETUDE SUR L'EFFET INVERSE DU PSC]. YANG
BAOTANG ET AL. second national symposium on
acupuncture and moxibustion,beijing. 1984;: (eng).
L'auteur rapporte une serie d'observation ou l'induction
du PSC et l'arrivée de l'energie au niveau de la région
atteinte n'entraine pas un soulagement mais au
contraire une aggravation de la symptomatologie
(exacerbation de la douleur opératoire, cardialgies,
nausées). Cette aggravation cesse avec l'arrêt de la
stimulation.
12
acier n'ont pas d'activité antimicrobiennes. Des
propriétés antibactériennes des aiguilles en argent ont
été découvertes et leur importance semble liée à la
notion de durée de puncture dans les tissus (au delà de
14 jours, 30 jours). Cela intéresse la pratique de la
microacupuncture.
173- gera: 12943/di/cg
OBSERVATION ON THE SIDE EFFECTS OF
ELECTRIC ACUPUNCTURE SHOCK THERAPY. XUE
CHONGCHENG ET AL. second national symposium
on acupuncture and moxibustion,beijing. 1984;:35
(eng).
174- gera: 16647/di/re
[INNOCULATION HEPATITIS CAUSED BY
ACUPUNCTURE. CLINICAL CASES STUDIED OVER
A 9-YEAR PERIOD]. SCHMID E ET AL. fortschr med.
1984;102(35):862-5 (deu*).
175- gera: 23547/nd/re
NEEDLESTICK TRANSMISSION OF HTLV-III FROM
A PATIENT INFECTED IN AFRICA. X. lancet.
1984;2:1376-77 (eng).
176- gera: 23554/nd/re
PSEUDOABUSIVE BURNS IN ASIAN REFUGEES.
FELDMAN KW. am j dis child. 1984;138:768-69 (eng).
177- gera: 26466/di/re
USE OR MISUSE OF TENS WITH ACUPUNCTURE.
KRUEGER HC. physical therapy. 1984;64(10):1574-5
(eng).
178- gera: 5696/di/ra
L'INSERTION DE L'AIGUILLE HAO D'UNE SEULE
MAIN. YANG JIASAN. journal de mtc. 1985;1:41-7
(fra).
Traduction française d'un article chinois.
Traditionnellement (comme précisé dans la difficulté 78
du Nan Jing) la puncture est faite à deux mains, la
"main qui contrôle" et la "main qui pique". L'expérience
clinique montre que ces deux fonctions peuvent être
réunies en une seule main : pouce et index sont utilisés
en "main qui pique" et les trois autres doigts en "main
qui contrôle" ; l'autre main tient les aiguilles en attente
d'utilisation. Quatre méthodes sont décrites : 1) "Vide et
pression" pour une implantation perpendiculaire à la
peau. 2) "Pression avec angle" pour une puncture
oblique. 3) "Rotation avec pression" où une rotation de
l'aiguille est associée à l'enfoncement. 4) "Pression
continue" pour une implantation en sous-cutanée. Dans
tous les cas les doigts sont en contact direct avec le
corps de l'aiguille et il importe de veiller à une
désinfection soigneuse des mains.
171- gera: 10560/di/re
[DIRECT SPINAL CORD AND ROOT INJURY
CAUSED BY ACUPUNCTURE - REPORT OF 2
CASES]. SASAKI H ET AL. no shinkei geka
(neurological surgery). 1984;12(10):1219-23 (jap*).
Rapport de 2 observations. 1) Femme de 56 ans qui a
développé progressivement une douleur lombaire avec
irradiation descendante droite après traitement pour
lumbago. Les radios sans préparation et le
myélogramme montrent une aiguille au niveau de L4-L5
dont la pointe est dans la racine lombaire. Guérison
après ablation chirurgicale. 2) Homme de 17 ans
développant un syndrome de Brown-Sequard. Les
examens radiologiques montrent une aiguille au niveau
de C1-C2. Après ablation amélioration motrice, mais
non sensitive.
179- gera: 6268/di/ra
[IMPORTANTE REACTION LOCALE DE TYPE
INFLAMMATOIRE SECONDAIRE A LA PUNCTURE].
NGUYEN J. rivista italiana di mtc. 1985;1:32 (ita).
Traduction italienne de la réf. (6266).
172- gera: 12424/di/re
[PROPRIETES ANTI-MICROBIENNES DES
AIGUILLES D'ACUPUNCTURE]. GAPONIUK PIA ET
AL. vopr kurortol pizioter lech fiz kult. 1984;5:47-9
(rus*).
Les auteurs demontrent les propriétés antimicrobiennes
des aiguilles fabriquées en alliage d'argent et à un
degré moindre celles en alliage d'or. Les aiguilles en
180- gera: 6269/di/ra
[PREVENTION DE L'ENDOCARDITE INFECTIEUSE
LIEE A L'ACUPUNCTURE]. STENBERG W ET AL.
international journal of chinese medicine.
1985;2(1):39-41 (eng).
Une couverture antibiotique n'est pas adaptée. Il faut
une bonne stérilisation du matériel et une bonne
préparation de la peau.
181- gera: 6270/di/re
LES RESPONSABILITE MEDICALE EN 1984 A LA
LUMIERE DU RAPPORT ANNUEL. HUSSON R.
concours medical. 1985;107(28):2732-3 (fra).
Avec mention d'un pneumothorax et percement d'une
prothèse mammaire gonflable après acupuncture.
182- gera: 8527/nd/th
RAPPORTS ANATOMIQUES DE 10 POINTS
D'ACUPUNCTURE DE LA REGION CERVICALE .
DUMORTIER P. these medecine,lille. 1985;289: (fra).
Une étude des rapports anatomiques de dix points
d'acuponcture au niveau du cou a été réalisée.
Corrélativement aux travaux d'autres auteurs, cette
étude confirme l'existence de rapports anatomiques
identiques et l'absence d'éléments sous-jacents aux
points de la région cervicale. Dans certaines conditions,
des complications infectieuses et la possibilité de
traumatisme vasculaire au niveau de certains points ont
été envisagés. Ce travail confirme que l'acuponcture,
comme toute thérapeutique, nécessite des précautions
élémentaires d'aseptie, la maîtrise d'une bonne
technique, la connaissance de l'anatomie, après un
183- gera: 15289/di/ra
[TETANOS DE L'ANIMAL UNE COMPLICATIONS DE
L'ACUPUNCTURE ? (lettre)]. ROGERS PAM.
veterinary acupuncture news letter. 1985;11(4):12
(eng).
184- gera: 16624/di/ra
DISSERTATION SUR LES DONNEES
ESSENTIELLES DE L'ACUPUNCTURE. NGUYEN
VAN NGHI. revue francaise de mtc. 1985;113:297-8
(fra).
Ce chapitre relate les rudiments de la pratique de
l'acupuncture. En premier lieu, il faut déterminer la
localisation profonde ou superficielle et le caractère
interne ou externe de la maladie, et ensuite appliquer
les techniques conformes aux principes fondamentaux.
Une puncture sans discernement est non seulement
inefficace, mais provoque ultérieurement des réactions
pathologiques, déterminant de maladies graves.
185- gera: 16645/di/re
SPINAL CORD AND ROOT INJURIES DUE TO
GLASS FRAGMENTS AND ACUPUNCTURE
NEEDLES. TOYOHIKO ISU ET AL. surgical
neurology. 1985;23(3):155-60 (eng).
3 cas d'atteinte médullaire (1 par fragments de verre
après accident de voiture, et 2 par aiguille
d'acupuncture) et un cas d'atteinte d'une racine.
186- gera: 16646/di/ra
DISCOURS SUR LES CONTRE-INDICATIONS EN
ACUPUNCTURE. NGUYEN VAN NGHI. revue
francaise de mtc. 1985;113:298-301 (fra).
Traduction et commentaire du chapitre 52 du Su Wen.
Ce chapitre met en exergue l'intérêt de la connaisance
anatomique et énergétique de l'acupuncture et ses
contre-indications : contre-indications selon la proximité
de l'organe, contre-indications selon la technique
d'implantation (puncture trop profonde), contreindications selon l'état du sujet (ivresse, colère, faim,
fatigue...). Dans les derniers cas, la puncture ne doit
être effectuée qu'après
187- gera: 16648/di/ra
[LE SIDA ET PREVENTION DE SA TRANSMISSION
13
PAR ACUPUNCTURE]. SAMLERT H. der
akupunkturarzt-aurikulotherapeut. 1985;5:130 (deu).
188- gera: 16649/di/re
HEPATITIS VIRICA B TRANSMITIDA POR
ACUPUNTURA : PRESENTACION DE 5 CASOS.
DOMINGUEZ A ET AL. medicina clinica.
1985;84(8):317-9 (esp*).
Présentation de 5 cas d'hépatite B secondaires à un
traitement par acupuncture. Elle représente 3,2 % d'un
total de 154 cas observés sur 5 ans. Sur les 5 cas,
deux décés (un cas d'hépatite fulminante et un cas de
septicémie, 4 mois après), un cas d'hépatite chronique
active, et seulement deux cas de guérison sans
séquelles. Les hépatites post-acupuncture sont de
mauvais pronostic, ce qui a déja été observé par
d'autres auteurs.
189- gera: 16651/di/re
SUBACUTE BACTERIAL ENDOCARDITIS
FOLLOWING EAR ACUPUNCTURE. LEE RJE ET AL.
international journal of cardiology. 1985;7(1):62-3
(eng).
Patiente de 56 ans avec cardiopathie valvulaire
rhumatismale traitée pour tabagisme par aiguille à
demeure auriculaire. Elle développe une infection locale
5 jours après. Traitement antibiotique local et
débridement chiurugical. 3 jours après, endocardite à
staphyllcoccus aureus.
190- gera: 16652/di/ra
[SIDA : QUELQUES FAIT POUR L'ACUPUNCTEUR].
SHANAHAN. journal of chinese medicine.
1985;18:11-7 (eng).
191- gera: 16653/di/ra
[STERILISATION DES AIGUILLES
D'ACUPUNCTURE]. TSEUNG A. new zealand journal
of acupuncture. 1985;decembre:26 (eng).
192- gera: 16654/di/re
HEPATITIS VIRICA B TRANSMITIDA POR
ACUPUNCTURA. MORO AGUADO J ET AL. medicina
clinica. 1985;85(8):344. (esp).
193- gera: 16655/rd/ra
[STERILISATION DES AIGUILLES
D'ACUPUNCTURE]. HIROSHI I. journal of the japan
society of acupuncture. 1985;34(3-4):217-20 (jap*).
L'étude bactériologique des aiguilles utilisées
quotidiennement dans notre cabinet montre la présence
de staphylococcus epidermis et aureus, bacillus subtilis,
pseudomonas aeruginosa...Nous avons étudié
l'efficacité de 6 méthodes de stérilisation : 1) ultraviolet,
10 minutes. 2) Nettoyage avec un simple coton humide.
3) Bain de 10 minutes dans isopropylalcohol. 4) Bain de
10 minutes dans hibitane (chlorhexide à 0,5 %). 5)
Nettoyage avec un coton imbibé d'isopropylalcohol. 6)
Autoclave.L'autoclave donne bien sur les meilleurs
résultats, mais des méthodes simples comme 3) ou 5)
donnent des résultats satisfaisants.
194- gera: 16656/nd/re
[ENDOCARDITE BACTERIENNE SUBAIGUE
SECONDAIRE A L'ACUPUNCTURE AURICULAIRE].
CHENG TO. international journal of cardiology.
1985;8(1):97 (eng).
195- gera: 16659/di/re
AURICULAR PERICHONDRITIS SECONDARY TO
14
ACUPUNCTURE. DAVIS O ET AL. arch otolaryngol.
1985;111:770-1 (eng).
Périchondrite auriculaire secondaire à une acupuncture
auriculaire pour douleur abdominale. Faible reponse à
une antibiothérapie à haute dose nécessitant une
incision et drainage. Atteinte du cartilage avec petite
diminuer la fréquence des complications de
196- gera: 16660/di/re
AURICULAR COMPLICATIONS OF ACUPUNCTURE.
SAVAGE JONES H. journal of laryngology and
otology. 1985;99:1143-5 (eng).
Rapport de quatre cas de chondrite après mise en
place d'aiguille à demeure auriculaire pour
désintoxication
204- gera: 10579/di/re
OUTBREAK OF HEPATITIS B ASSOCIATED WITH
ACUPUNCTURE. STRYKER WS ET AL. journal fam
pract. 1986;22(2):155-8 (eng).
197- gera: 16661/di/re
BLUE MACULES OF LOCALIZED ARGYRIA
CAUSED BY IMPLANTED ACUPUNCTURE
NEEDLES. TANITA Y ET AL. arch dermatol.
1985;121(12):1550-2 (eng).
198- gera: 20001/di/re
SKIN CONDITIONS SIMULATING CHILD ABUSE.
SAULSBURY FT ET AL. pediatric emergency care.
1985;1(3):147-50 (eng).
Lésions cutanées chez des enfants faisant suspecter
des sévices. Il s'agit en fait du traitement traditionnel
vietnamien du syndrome grippal (Gao Gio).
199- gera: 23546/di/re
HEPATITIS B POR ACUPUNCTURA Y MISMO
ACUPUNCTOR (lettre). GARCIA BENGOECHEA ET
AL. medicina clinica. 1985;85(16):686. (esp).
200- gera: 23702/di/re
MOXIBUTION. ANOTHER TRAUMATIC FOLK
REMEDY. REINHART MA. clinical pediatrics.
1985;24(1):58-9 (eng).
201- gera: 2220/di/ra
CLEAN NEEDLE TECHNIQUE. RAU A. journal of
chinese medicine. 1986;21:18-9 (eng).
202- gera: 5186/di/re
EFFETS SECONDAIRES DE L'ACUPUNCTURE, A
PROPOS D'UN CAS D'HEMOPNEUMOTHORAX
APRES ACUPUNCTURE. PIALOUX G ET AL.
concours medical. 1986;108(34):2806-9 (fra).
Les complications de l'acupuncture sont rares et
souvent mal connues des praticiens. La plupart d'entre
elles peuvent être évitées par une technique parfaite de
l'acupuncture. Les observations de pneumothorax
après acupuncture sont les plus fréquemment
retrouvées dans la littérature. Tous les points situés sur
l'aire de projection pleurale peuvent être en cause ;
avec un risque accru pour le Yunmen (P2) situé sous le
bord inférieur de la clavicule. Les autres complications
immédiates sont plus rares : granulome sur aiguille
brisée, piqûres vasculaires, névrites... Une dizaine
d'observations de lithiase rénale sur aiguille brisée ont
été rapportées. Les complications infectieuses sont
diverses et liées à l'absence de stérilisation des
aiguilles d'acupuncture : panaris, ostéochondrite,
cellulite, voire endocardite. Les complications tardives
sont dominées par l'hépatite B. La stérilisation à sec
durant vingt minutes des aiguilles à usage répété suffit
pourtant à en assurer la prophylaxie. Le spectaculaire
développement de cette méthode thérapeutique vieille
de cinq mille ans justifie, à nos yeux, l'enseignement
des différentes mesures préventives, permettant de
203- gera: 10578/di/tp
REFLEXIONS D'UN MEDECIN ACUPUNCTEUR SUR
LE SIDA ET LA STERILISATION DES AIGUILLES.
SERRES G. sia,paris. 1986;:10P (fra).
205- gera: 10580/di/re
ACUPUNCTURE-NEEDLE-INDUCED
COMPARTMENT SYNDROME (letter). SMITH DL ET
AL. western journal of medicine. 1986;144(4):478-9
(eng).
206- gera: 15325/di/ra
[PROLAPSUS DES DISQUES THORACOLOMBAIRES : UNE CONTRE INDICATIONS DE
L'ELECTRO- ACUPUNCTURE CHEZ LE CHIEN].
JANSSENS LAA. american journal of acupuncture.
1986;14(1):61-4 (eng).
207- gera: 19998/di/re
COMPLICACIONES DE LA ACUPUNTURA. PEN L.
medicina clinica. 1986;87(10):415-6 (esp).
Revue des accidents de l'acupuncture (complications
locales et infections).
208- gera: 20011/di/re
PERICHONDRITIS OF THE EAR FOLLOWING
ACUPUNCTURE. WARWICK-BROWN NP ET AL.
journal of laryngology and otology. 1986;100:1177-9
(eng).
209- gera: 20018/di/re
INTERFERENCE WITH PACEMAKER FUNCTION BY
CARDIOKYMOGRAPHIC TESTING. KUAN P ET AL.
american journal of cardiology. 1986;58:362-3 (eng).
210- gera: 20024/di/re
ALLERGIC DERMATITIS FROM ACUPUNCTURE
NEEDLES. FISHER AA. cutis. 1986;38:226-8 (eng).
211- gera: 20080/di/ra
ACUPUNCTURE TREATMENT : A TRAFFIC
HAZARD ?. BRATTBERG G. american journal of
acupuncture. 1986;14(3):265-7 (eng).
212- gera: 22181/di/re
ACUPUNCTURE SUIVIE D'HEPATITE. BATISSE C.
revue du rhumatisme et des maladies osteoarticulaires. 1986;53(11):670. (fra).
[ACUPUNCTURE FOLLOWED BY HEPATITIS (letter)].
213- gera: 22215/di/ra
REFLEZIONES DE UN MEDICO ACUPUNTOR
SOBRE EL SIDA (AIDS) Y LA ESTERILIZACION DE
LAS AGUJAS. SERRES G. revista uruguaya de
acupuntura. 1986;43:10-13 (esp).
214- gera: 22469/di/ra
[EFFECT OF ACUPUNCTURE ANESTHESIA FOR
THYROIDECTOMY ON SISTER CHOROMATID
EXCHANGES (SCE) AND RNA/DNA RATIONS IN
LYMPHOCYTES]. LIU YINTAO ET AL. acupuncture
research. 1986;11(2):91-6 (chi*).
The effect of acupuncture anesthesia (AA) for
thyroidectomy on SCE RNA/DNA ration in lymphocytes
was studied in 11 cases blood samples from peripheral
vein were collected prior to AA (negative control), 3 hrs,
and 6 days after AA and with mitomycin (positive
control) . One part of each sample was subjected to Bre
Drd-dye technique for detection of SCE, the other part
for RNA/DNA ratios measured by CTAB method. From
the results we may conclude that the phenomenon of
mutation could no be induced by AA and SCE. Analysis
may be considered a fairly good indicator for mutagenic
activity in the study of AA. The quantitative ratio of
RNA/DNA in three groups were 11.033 (in
preanesthesia) , 7. 498 and 9. 159 (3 hrs and 6 days
post-AA, respectively). There were no significant
differences among the RNA/DNA ratios between preAA and post-AA samples. The fact that either SCE or
RNA/DNA ratio did not show any significant changes
after AA provided strong support to the concept that
acupuncture is harmless in the respect of
carcinogenesis.
215- gera: 24691/di/ra
ACUPUNCTURE EXAMINING COMMITTEE FROM
SACRAMENTO CA, U.S.A. ADVISORY NOTICE TO
ALL CERTIFIED ACUPUNCTURISTS. X.
acupuncture research quarterly. 1986;10(1):18 (eng).
216- gera: 25628/di/ra
ESTERILIZACION DE LAS AGUJAS. SERRES.
boletin de medicina tradicinal china. 1986;2:45-52
(esp).
217- gera: 31177/di/ra
[A CASE OF BLEEDING OF SUPERIOR GLUTEAL
ARTERY CAUSED BY DEEP NEEDLING]. QIN
LIANFU. shanghai journal of tcm. 1986;12:22 (chi).
218- gera: 32393/di/ra
[IATROGENIC YIN-DEFICIENCY DISCUSSED IN THE
TREATISE ON DIFFERENTIATION AND
TREATMENT OF SEASONAL FEBRILE DISEASES].
PEI YEMIN. journal of new chinese medicine.
1986;18(10):14 (chi).
219- gera: 40598/nd/re
[A CASE OF CONTACT DERMATITIS CAUSED BY
MOXIBUSTION]. YANG JIN FENG ET AL. journal of
clinical dermatology. 1986;15(6):335. (chi*).
Résumé Acme (870988). ACME:870988
220- gera: 19947/nd/re
[RADIOGRAPHIC IMAGES OF ACUPUNCTURE
(letter)]. LY PEN D ET AL. medicina clinica.
1987;88(8):344 (esp).
221- gera: 20035/di/re
CONTACT DERMATITIS TO ACUPUNCTURE
NEEDLES. CASTELAIN M ET AL. contact dermatitis.
1987;16(1):44. (eng).
Dermatite de contact chez une patiente de 65 ans
après séance d'acupuncture. Les aiguilles utilisées
semblent en or, mais une recherche montre la présence
de chrome dans une sur les 3 étudiées.
222- gera: 20271/di/ra
[DISCUSSION ABOUT FAINTING DURING
ACUPUNCTURE AND THE PREVENTION AND THE
TREATMENT OF IT]. WANG ZHENLONG. chinese
Etude des causes de la prévention et du traitement de
15
la perte de connaissance ou syncope sous aiguille (mal
d'acupuncture). Le patient doit être informé avant la
puncture et placé en position confortable. Pour les
patients traités la première fois, il faut utiliser peu de
points et une stimulation faible. Si la syncope survient
dans les cas légers, il faut retirer les aiguilles. Dans les
cas plus importants, puncturer 26VG, 6MC, 9MC...
223- gera: 21414/di/re
UN ACCIDENT RARE DE L'ACUPUNCTURE. A
PROPOS D'UN CAS DE PNEUMOTHORAX
BILATERAL. ZAKARIAN H ET AL. sem hop, paris.
1987;63(42):3279-80 (fra*).
Les auteurs rapportent le cas de pneumothorax bilatéral
après acupuncture lors de la stimulation de points
thoraciques pour crises d'asthme. Bien que rare, la
possibilité de complications avec cette thérapeutique
fait s'interroger sur l'opportunité du traitement et le
bénéfice réel obtenu. Dans tous les cas, une technique
parfaite et une bonne prophylaxie permettront à
l'opérateur entraîné de réduire les accidents.
224- gera: 22041/di/cg
THE INVESTIGATION OF REDUCING HBSAG
POSITIVE RATE BY ACUPUNCTURE TECHNIQUE.
ZHANG XIAOBIN ET AL. in selections from article
abstracts on acupuncture and moxiibustion,
beijing. 1987;:181 (eng).
4069 sujets sont étudiés. 243 (6%) sont HBSAg (+).
1502 sujets ont eu dans le passé un traitement par
acupuncture, parmi eux, 2,5% sont HBSAg. 2567 cas
n'ont jamais eu un traitement par acupuncture, 8% sont
HBSAg (+). Un traitement par acupuncture semble
réduire la prévalence. Cela peut être lié à une action
immunostimulante de l'acupuncture ou alors à un "effet
de vaccination" possible.
225- gera: 22178/di/re
POSSIBLE INFECTIOUS CAUSES IN 651 PATIENTS
WITH ACUTE VIRAL HEPATITIS DURING A 10-YEAR
PERIOD (1976-1985). KIYOSAWA K. liver.
1987;7(3):163-8 (eng).
Six hundred and fifty-one patients with acute viral
hepatitis were identified serologically between January
1976 and December 1985. Of these, 109 (17%) had
hepatitis A, 135 (21%) had hepatitis B, and 407 (62%.)
had hepatitis non-A non-B.The possible infectious
causes for acquisition of viral hepatitis occurring within
6 months before the onset of hepatitis were analysed.
Approximately 80%, of cases of hepatitis 4 and 70%, of
hepatitis B had no known risk factor, while in 67% of
cases of hepatitis non- A, non-B possible risk factors for
infection were documented. Infectious causes for
hepatitis A were ingestion of raw shell fish (11%) and
previous familial contact with patients with hepatitis A
(10%). For hepatitis B, risk factors included medicare
(24%), such as transfusion, surgical operation, stick and
acupuncture, and sexual contact (6%). For hepatitis
non-A, non-B, the most important infectious cause was
medical procedures 65%).The numbers of hospital
employees were 2 (2%) with hepatitis A,
226- gera: 22280/nd/re
[A WARNING AGAINST EAR ACUPUNCTURE USED
IN THE TREATMENT OF OBESITY]. DAHLQVIST A
ET AL. lakartidningen. 1987;84(38):2970 (swe).
227- gera: 22502/di/cg
ETUDE EPIDEMIOLOGIQUE SUR HEPATITE, SIDA
ET ACUPUNCTURE. TORCY M. 16ème congres
national d'acupuncture,paris. 1987;:166-178 (fra).
Une étude statistique effectuée aux Centres de
transfusion de la Pitié-Salpêtrière et de l'Hôtel Dieu sur
16 849 donneurs de sang ne permet pas de mettre en
cause l'acupuncture comme vecteur éventuel de
l'hépatite virale. On insiste sur la nécessité d'une
stérilisation complète du matériel utilisé pour éliminer
tout risque de
228- gera: 22530/di/ra
AN IMMEDIATE ATOPIC ERYTHROID REACTION
INDUCED BY ACUPUNCTURE NEEDLES ON THE
SKIN OF THE POSTERIOR THORACIC WALL. DUNG
HC. alternative medicine. 1987;2(3-4):209-14 (eng).
229- gera: 22649/di/ra
[NERVE INJURIES CAUSED BY MASSAGE AND
TRACTION FOR PROTRUSION OF LUMBAR
INTERVERTEBRAL DISC]. YI-MOU LI. chinese
journal of traditional medicine traumatology and
orthopedics. 1987;3(1):51-2 (chi).
230- gera: 23731/di/re
AURICULAR COMPLICATION OF ACUPUNCTURE.
GILBERT JG. new zeanland medical journal.
1987;100(819):141-2 (eng).
231- gera: 23780/di/me
INCIDENTS ET ACCIDENTS APRES
ACUPUNCTURE. MARTAILLE A. memoire
d'acupuncture, bordeaux 2. 1987;:82P (fra).
Les complications de l'acupuncture sont rares et la
plupart peuvent être évitées par une technique parfaite.
Les observations de pneumothorax sont les
complications graves les plus fréquemment retrouvées
dans la littérature. Les autres complications infectieuses
diverses ne sont liées qu'à l'absence de stérilisation
indispensable avant tout acte d'acupuncture. Les
complications tardives dominées par l'hépatite B
peuvent là aussi être très facilement évitées par la
stérilisation à sec correcte. Le développement
spectaculaire de cette méthode thérapeutique qui peut
être d'une grande utilité pour tout médecin généraliste
dans la prise en charge globale de son malade, justifie
l'enseignement des diverses mesures préventives qui
permettent de limiter au maximum
232- gera: 24015/di/ra
REFLEXIONS D'UN MEDECIN D'ACUPUNCTURE
SUR LE SIDA (AIDS) ET LA STERILISATION DES
AIGUILLES. SERRES G. quaderni di agopuntura
tradizionale. 1987;8(1-4):211-9 (fra).
233- gera: 25385/nd/re
ACUPUNCTURE AND ITS EFFECTS (letter).
GLUCKMAN LK. new zealand medical journal.
1987;100(823):298-9 (eng).
234- gera: 30760/di/ra
[EXAMPLES FOR MISTAKES CONCERNING
INDICATIONS OF ACUPOINTS IN ACUPUNCTURE
CLASSICS]. HUANG LONGXIANG. journal of
traditional chinese medicine. 1987;28(9):52-62 (eng).
235- gera: 30826/di/ra
[TRAUMATIC PNEUMOTHORAX CAUSED BY
ACUPUNCTURE AND IT'S PREVENTION]. YANG
ZHAN-LIN. journal of traditional chinese medicine.
1987;3(3):31.43 (eng).
16
236- gera: 30866/di/ra
[PERIPHERAL NERVOUS INJURY AND MUSCULAR
CONTRACTURE CAUSED BY STRONG STIMULUS
IN ACUPUNTURE POINTS AND MEDICINE
INJECTION, AND*]. YANG ZHAN-LIN. journal of
traditional chinese medicine. 1987;3(6):34-6 (eng).
237- gera: 32750/di/ra
[PATIENT HAS BEEN INSTALLED
CARDIOACTIVATOR DOESN'T TRAINING BREATHEXERCISE]. ZHU PEI-LU. breath exercice (an
exercice for health and longevity). 1987;7(4):182
(chi).
238- gera: 70880/di/re
DEUX CAS DE PNEUMOTHORAX APRES
ACUPUNCTURE. GUERIN JM ET AL. rev med
interne. 1987;8:71 (eng).
239- gera: 22148/di/re
ACUPUNCTURE AND NON-A NON-B HEPATITS
LETTER. ALEXIS J. southern medical journal.
1988;81(1):101. (eng).
240- gera: 23769/di/re
PERMANENT SUBCUTANEOUS ACUPUNCTURE
NEEDLES : RADIOGRAPHIC MANIFESTATIONS.
GALUTEN A. journal of the canadian association of
radiologists. 1988;39(1):54-6 (eng).
Des aiguilles métalliques pour acupuncture sont parfois
insérées à demeure dans les tissus sous-cutanés. Nous
décrivons l'aspect radiographique de ces aiguilles chez
deux patients, chacun présentant plusieurs aiguilles
sous- cutanées dorsales disposées en lignes
longitudinales parallèles selon des méridiens
traditionnels entre le cou et la région fessière.
241- gera: 25389/di/re
ACUPUNCTURE IN EPIDEMIC HBV HEPATITIS : IN
CHINA TOO ?. CONN HO. hepatology.
1988;8(5):1176-7 (eng).
242- gera: 25401/di/re
CERVICAL SPINAL CORD INJURY CAUSED BY
ACUPUNCTURE (letter). KIDA Y ET AL. archives of
neurology. 1988;45(8):831 (eng).
243- gera: 25406/di/re
HISTORY OF BLOOD TRANSFUSION, TATTOOING,
ACUPUNCTURE AND RISK OF HEPATITIS B
SURFACE ANTIGENAEMIA AMONG CHINESE MEN
IN SINGAPOUR. PHOON WO ET AL. american
journal of public health. 1988;78(8):958-60 (eng).
244- gera: 25409/di/re
EFFICACY OF VARIOUS METHODS OF
STERILIZATION OF ACUPUNCTURE NEEDLES.
SISCO V ET AL. journal of manipulative and
physiological therapeutics. 1988;11(2):94-7 (eng).
245- gera: 25444/di/re
AN ACUPUNCTURE-ASSOCIATED OUTBREAK OF
HEPATITIS B IN JERUSALEM. SLATER PE ET AL.
european journal of epidemiology. 1988;322-5:4(3)
(eng).
Two clusters of between five and eleven cases of
hepatitis B associated with acupuncture treatment by a
physician occurred in Jerusalem in late 1986. The origin
of the outbreak is believed to have been an Ethiopian
immigrant surgical patient, a known HBsAg carrier, who
infected an operating room nurse during a surgical
procedure. This is the first recorded instance of
transmission of HBV from an Ethiopian immigrant to the
local Israeli population. We reiterate the need for the
enforcement of correct sterilization techniques in all
skin-piercing settings, a step which in many countries
will require the licensing of a variety of occupations not
presently covered by health regulations.
246- gera: 53532/di/ra
[ACUPUNCTURE INJURY INTO INTERNAL ORGANS
AT CHEST AND ABDOMEN AND ITS PREVENTION].
YANG ZHAN LIN. shanxi journal of traditional
chinese medicine. 1988;4(3):25. (chi).
17
256- gera: 26463/di/re
ACUPUNCTURE ET HEPATITE B. RAFFI F. act med
int gastroenterologie. 1989;3(2):20-1 (fra).
257- gera: 26876/di/ra
DOES ACUPUNCTURE TRANSMIT AIDS ?.
NEWMAN TURNER R. british journal of
258- gera: 27225/re/re
[FOREIGN BODY IN THE KIDNEY : A CASE REPORT
AND REVIEW OF THE JAPANESE LITERATURE].
YAMAGUCHI S ET AL. hinyokika kiyo.
1989;35(4):665-9 (jap*).
247- gera: 53540/di/ra
[HAEMORRHAGE CAUSED BY ACUPUNCTURE
INJURY INTO BLOOD VESSELS AND IT'S
PREVENTION]. YANG ZHAN LIN. shanxi journal of
traditional chinese medicine. 1988;4(4):36. (chi).
259- gera: 27231/re/re
[AN OUTBREAK HEPATITIS B ASSOCIATED WITH
ACUPUNCTURE]. ZAHGER D ET AL. harefuah.
1989;116(6):300-2 (heb*).
248- gera: 53587/di/ra
[ANATOMIC STRUCTURE OF FEISHU POINT AND
STUDY ON SAFE MANIPULATION]. MI JINGHUA ET
AL. shanghai journal of acupuncture and
moxibustion. 1988;2:31-2 (chi).
260- gera: 27762/di/ra
CLINICAL PHENOMENOLOGY OF MENTAL
DISORDERS CAUSED BY QIGONG EXERCISE.
SHAN HUAI-HAI ET AL. chinese medical journal.
1989;102(6):445-8 (eng).
249- gera: 72051/di/ra
MALPRAXIS. D'ASSUMPCAO EA. revista uruguaya
de acupuntura. 1988;45:23-31 (esp).
261- gera: 28045/di/tt
CLEAN NEEDLE TECHNIQUE FOR
ACUPUNCTURISTS. X. national commission of the
certification of acupuncturists, washington.
1989;:53P (eng).
250- gera: 74763/di/re
ACUPUNCTURE ET PNEUMOTHORAX. NGUYEN J.
le quotidien du medecin. 1988;4009:25 (fra).
251- gera: 80443/di/ra
DIE GEFAHRLICHEN AKUPUNKTUR-PUNKTE IN
DER SCHWANGERSCHAFT. BECKE H. deutsche
zeitschrift fur akupunktur. 1988;5:110-1 (deu*).
252- gera: 80554/di/ra
CAN ACUPUNCTURE INFECT AIDS. LI CHUANJIE.
chinese journal of acupuncture and moxibustion.
1988;1(1-2):107. (eng).
253- gera: 83170/di/re
EFFICACY OF VARIOUS METHODS OF
STERILIZATION OF ACUPUNCTURE NEEDLES
LETTER. JACOBS GE. journal of manipulative and
physiological therapeutics. 1988;11(5):442. (eng).
254- gera: 83178/di/re
PAIN SECONDARY TO ACUPUNCTURE THERAPY.
LAPEER GL ET AL. journal of craniomandibular
practice. 1988;6(2):188-90 (eng).
Although acupuncture is used increasingly as a
modality for pain control, there has been very little
documented in the literature regarding complications
resulting from this reflexology technique. This paper
presents the case of a female patient who experienced
severe pain in her right arm and paresthesia in her right
thumb after electroacupuncture at the hoku point. The
problem was resolved with anti-inflammatory
medication.
255- gera: 25973/di/re
ACUTE HIV INFECTION AFTER ACUPUNCTURE
TREATMENTS (letter). VITTECOQ D ET AL. new
england journal of medicine. 1989;320(4):250-1
(eng).
262- gera: 35516/di/ra
[TALKING ABOUT HALLUCINATION IN
PRACTISING QI-GONG]. WANG HEN-LI. qi-gong (an
exercice for health and longevity). 1989;10(6):274-5
(chi).
263- gera: 37556/di/re
DES GOUTTELETTES DANS LE MESODERME.
HUSSON R. le concours medical. 1989;111-34:29845 (fra).
264- gera: 50719/di/ra
[ACUPUNCTURE CANNOT INFECT AIDS]. MA YING.
chinese acupuncture and moxibustion. 1989;9(6):49.
(chi*).
Secretariat of world federation of acupuncture and
moxibustion societies (WFAS) held a discussion of
experts on August 26, 1989, discussing the relation
between acupuncture and AIDS. All experts agree that
acupuncture can not infect AIDS, providing that 3 steps
to be followed concerning sterile technique in
acupuncture.1. Sterilization of needles and other
utensils. 2. Disinfection of patient's skin. 3. Disinfection
of physician's fingers. At the same time the general
secretary, professor Wang Xuehai declared that,
acupuncture, the same as surgery, may not cause
infection if performed under strict sterile technique. The
virus of AIDS, is very sensitive to and can be killed by
70% alcohol or heating to a temperature of 100°C. As
regards the possibility of acupuncture treatment for
AIDS, further study is needed. Past research has
showed that acupuncture can strengthen
immunocompetence and antipathogenic capability in
the body, therefore, it may be beneficial to AIDS
patients.
265- gera: 80207/di/ra
ACUPUNTURA Y SIDA. MUSSAT M. medicina
holistica. 1989;17:9. (esp).
266- gera: 80208/di/ra
ACUPUNTURA Y SIDA. HELMS J. medicina
holistica. 1989;17:10-1 (esp).
267- gera: 80255/di/ra
ZHEN JIU JIA YI JING. MILSKY C ET AL. revue
francaise d'acupuncture. 1989;60:51-65 (fra*).
La première partie du chapitre 1er du volume V du
Jiayijing traite des interdictions de la puncture et de la
moxibustion selon les saisons, les symptômes et la
profondeur des punctures. La seconde partie
mentionne les points qui sont interdits à la puncture et à
la moxibustion et précise la mesure qui doit respecter la
puncture dans sa profondeur et dans son action
tonifiante ou dispersante. Si l'aiguille peut tuer les
vivants, elle ne peut pas
268- gera: 83026/di/ra
[ANATOMICAL STUDY OF THE PROJECTION
REGION OF THE DOME OF THE PLEURA TO THE
SURFACE OF THE ANTERIOR NECK]. YUKIE
UESHIMA ET AL. journal of the japan society of
acupuncture. 1989;39(2):212-20 (jap*).
The projection region of the dome of the pleura to the
surface of the anterior neck was investigated in 31
domes of 17 cadavers. The point "Tentotsu", and a line
connecting that point and the most lateral edge of the
acromion were adopted for a basis of measurement of
the projection region. The mean length of the TentotsuAcromion line was 185 mm on either side of the body.
Its upward angle to the horizontal plane was 22° and
23° in average on the right and left sides, respectively,
while its backward angle to the frontal plane was 23° on
the right and 25° on the left. The right pleural domes
(17 cases) were included within a range 0-58 mm
lateral to the Tentotsu and lower than 44 mm above,
and on the left side (l4 cases), these values were 5-58
mm and 49 mm, respectively. On the other hand, when
adopting the Tentotsu-Acromion line as the basis, the
pleural domes were located within the medial one-third
of the line. Their summits lay on the point of its medial
one-fourth in medio-lateral direction, and were situated
at levels lower than about 35 (on the right) or 32 mm
(on the left) above the line.
269- gera: 83121/di/re
ACUPUNCTURE AND ACQUIRED
IMMUNODEFICIENCY SYNDROME (letter). CHENG
TO. american journal of medicine. 1989;87(4):489.
(eng).
18
occupations, it is possible to transmit HIV through
instruments, materials, and equipment used by
PSWs.However, PSWs include a group of people that
may be overlooked when planning and conducting
AIDS education programs because they do not fit into a
well defined and apparent risk category as other health
care workers. Educators should be cognizant of the
need to address this issue in terms of prevention of HIV
transmission and proper infection control procedures for
PSWs.Educational programs need to be tailored to
specific PSW occupations because of their occupational
differences.Concern for the potential transmission of
HIV through acupuncture, electrology, tattooing, and
cosmetology is evident at local, state, and national
levels.Anecdotal stories have reported clients
purchasing their own electrolysis and acupuncture
needles and combs and scissors.Barber shops have
declined to shave clients because of their concern over
HIV transmission.PSWs need to be concerned with
reducing the potential to transmit all infectious diseases,
including hepatitis B and HIV.In the current climate of
"AIDS phobia," PSWs need to be able to assure their
clients that they
273- gera: 83376/di/re
ACUPUNCTURE NEEDLE DERMATITIS. HIROKO
KOIZUMI ET AL. contact dermatitis. 1989;21(5):352.
(eng).
274- gera: 29335/di/ra
SUIVRE, TRAITER ET PREPARER LA FEMME
ENCEINTE. REMPP C ET LA. revue francaise
d'acupuncture. 1990;64:5-15 (fra*).
La femme enceinte est dans un état physiologique et
pourtant inhabituel ; tout traitement par acupuncture
doit la préserver d'un éventuel désordre énergétique qui
pourrait mettre sa grossesse en péril. Les divers
ouvrages et articles citent de nombreux points interdits
pendant la grossesse, points qui ne sont pas toujours
les mêmes selon les publications, ce qui peut susciter
bien des angoisses chez le malheureux acupuncteur
consulté par une femme enceinte. Par ailleurs, la
grossesse peut s 'accompagner de troubles qui
s'échelonnent entre ce que de nombreux auteurs
appellent les troubles physiologiques (les
vomissements gravidiques par exemple), et les troubles
les plus sévères, susceptibles de mettre en danger la
vie de la mère ou celle de l'enfant, et ceci depuis le
début de la grossesse jusqu'au terme. L'acupuncture
intelligemment comprise doit trouver dans ces
conditions un champ d'application des plus larges,
même et surtout quotidienne au cabinet d'acupuncture.
271- gera: 83152/nd/re
[PNEUMOTHORAX DEVELOPING AS A RESULT OF
ACUPUNCTURE IN THE TREATMENT OF
BRONCHIAL ASTHMA]. MARCHUK IK. vrach delo.
1989;5:101-2 (rus).
275- gera: 29973/nd/re
PNEUMOTORAX IATROGENICO POR
ACUPUNTURA. MORRONE N ET AL. rev paul med.
1990;108(4):189-91 (por).
A 68 year-old white male patient with previous
diagnosis of pulmonary emphysema was submitted to
acupuncture. The needles were inserted into the
precordial area and the patient immediately complained
of worsening dyspnea. Four days later pneumothorax
was detected by chest X-rays. A thoracic tube was
inserted with total lung
272- gera: 83194/di/re
PERSONAL SERVICE WORKERS : A CRITICAL
LINK IN THE AISD EDUCATION CHAIN ?.
BACKINGER C. aisd educ prev. 1989;1(1):31-8 (eng).
Based on the hepatitis B experience in these PSW
276- gera: 29975/di/re
SUBARACHNOID HEMORRHAGE AND SPINAL
ROOT INJURY CAUSED BY ACUPUNCTURE
NEEDLE-CASE REPORT. MURATA K ET AL. neurol
med chir,tokyo. 1990;30(12):956-9 (eng).
270- gera: 83144/di/re
UNUSUAL MODES OF HIV TRANSMISSION
LETTER. X. new england journal of medicine.
1989;321(21):1476-7 (eng).
19
The authors report a case of subarachnoid hemorrhage
and spinal root injury caused by an acupuncture needle
buried in the posterior neck about 30 years before
onset. A 33-year-old female presented with sudden
onset of severe occipital headaches. Plain x-ray films of
the cervical spine revealed a fine gold needle, about 1.
5 cm in length, between the C1 and C2 vertebrae. The
needle was piercing the spinal nerve root through the
dural vein, and was removed. Postoperatively, the pain
exacerbated by neck movement disappeared.
D'ACUPUNCTURE : CODIFICATION ET
STANDARDISATION. MEVEL JP. revue francaise de
medecine traditionnelle chinoise. 1990;139:84-6
(fra).
277- gera: 60912/di/ra
[ACUPUNCTURE COULD REDUCE THE POSITIVE
RATE HBsAG OF HUMAN]. ZHANG XIAOBIN ET AL.
chinese acupuncture and moxibustion.
1990;10(4):35-8 (chi*).
Theoretically, it might be possible to spread the
hepatitis B through the way of acupuncture. But most
doctors and the materials of experiments hold that
acupuncture itself being of anti-infectious effect,
naturally, they are taking a sceptical or even negative
attitude and believing the acupuncture can not
disseminate. For this reason, we have made the
investigation. The result showed that examinees who
had the history of acupuncture were 2905 cases, the
HBsAg positive rate was 3.9 %. The examinees who
hadn't the history of acupuncture were 7603 cases, the
HBsAg positive rate was 7.7%. The difference between
the two aspects of aforesaid was very notable. This
result points out that if sterilization is not strict, infection
of hepatitis B is possible.
286- gera: 81360/di/ra
CLINICAL STUDY OF SYNCOPE DURING
ACUPUNCTURE TREATMENT. CHEN FP ET AL.
acupuncture and electrotherapeutics research.
1990;15(2):106-20 (eng).
278- gera: 61940/di/ra
[DISCUSSION ON THE DYSKINESIA AND
PSYCHONOSEMA CAUSED BY DEVIATION OF
QIGONG PRACTICE]. WEI LIANG YU ET AL. qi gong.
1990;11(1):10-6 (chi).
279- gera: 80862/di/ra
[ANATOMICAL STUDY OF THE PROJECTION
SURFACE OF THE ANTERIOR NECK]. X. journal of
the japan society of acupuncture. 1990;40(1):43.
(jap).
285- gera: 81219/di/ra
UNDERSTANDING THE THEORY OF
ACUPUNCTURE CONTRAINDICATIONS
ACCORDING TO THE NEIJING. GAO LUWEN.
journal of chinese medicine. 1990;34:31-2 (eng).
287- gera: 81516/di/ra
SIMPLE INTRODUCTION ACUPUNCTURE CAUSED
FAINTING AND ITS PREVENTION AND
TREATMENT. WANG ZHENLONG. chinese journal of
acupuncture and moxibustion. 1990;3(2):156. (eng).
288- gera: 82107/di/cg
FORBIDDEN POINTS IN PREGNANCY. BECKE H.
2eme congres mondial d'acupuncture et
moxibustion, paris. 1990;:66. (eng).
289- gera: 82456/di/ra
INFECTIOUS HAZARDS OF ACUPUNCTURE AND
THEIR PREVENTION. GRANGE J. complementary
medical research. 1990;4(2):39-57 (eng).
290- gera: 82458/di/ra
INAPPARENT INFECTION OF HEPATITIS A VIRUS.
LAU JY ET AL. complementary medical research.
1990;4(2):63-4 (eng).
291- gera: 82569/di/cg
LES REACTIONS INDESIRABLES PAR SUITE
D'ACUPUNCTURE. GARNUSZEWSKI Z. journees
europeennes d'acupuncture, strasbourg. 1990;:27-9
(fra).
280- gera: 80863/di/ra
[AN ANATOMICAL EXAMINATION OF THE METHOD
OF ACUPUNCTURE TO THE ANTERIOR SCALENUS
MUSCLE]. X. journal of the japan society of
acupuncture. 1990;40(1):44. (jap).
292- gera: 83092/di/ra
[RESEARCH OF HBS-ANTIGEN FOR
ACUPUNCTURIST BY TOKYO ACUPUNCTURE
ASSOCIATION]. MAKIO NAKAMURA ET AL. journal
of the japan society of acupuncture. 1990;40(4):39397 (jap).
281- gera: 80864/di/ra
[AN ANATOMICAL STUDY OF THE PROJECTION
REGION OF THE ANTERIOR SCALENUS MUSCLE
TO THE BODY SURFACE]. X. journal of the japan
society of acupuncture. 1990;40(1):45. (jap).
293- gera: 83196/di/re
RISKS OF INFECTION TO
DERMATOLOGISTS,COSMETIC WORKERS,AND
THE PUBLIC. WAGNER RF. int j dermatol.
1990;29(4):253-7 (eng).
282- gera: 80984/di/ra
[LOCAL INFLAMMATION INDUCED BY
ACUPUNCTURE AND MOXIBUSTION]. X. journal of
(jap).
294- gera: 83229/di/ra
QUESTIONS AND ANSWERS. IS IT POSSIBLE FOR
AIDS TO BE TRANSMITTED BY ACUPUNCTURE
TREATMENT ?. HU JINSHENG. journal of traditional
chinese medicine. 1990;10(4):306-7 (eng).
283- gera: 80996/di/ra
[THE STUDY ON FINGER STALL AND GLOVE AS A
PREVENTION OF INFECTION]. X. journal of the
japan society of acupuncture. 1990;40(1):161. (jap).
295- gera: 83241/di/ra
LE MEDECIN ACUPUNCTEUR ET LE DROIT.
TARDIEU P. meridiens. 1990;90:9-30 (fra).
284- gera: 81078/di/ra
ASEPTIE ET STERILISATION DES INSTRUMENTS
296- gera: 83284/di/ra
MICROSCOPIC NEEDLE DAMAGE A POTENTIAL
SOURCE OF MICROTRAUMA. TURNER RN. british
journal of acupuncture. 1990;13(2):7-9 (eng).
Needle-tip damage is rare in high quality, well
maintained needles. Microscopic distortion is a potential
source of injury and discomfort to patients. A careful
checking procedure prior to insertion, with precautions
for storage and regular checking with a zoom-light
microscope is recommended as a way of minimising
microtrauma to acupoints.
297- gera: 83359/di/ra
L'HOMEOPATHIE ET L'ACUPUNCTURE FACE A LA
JURISPRUDENCE. HUSSON. officiel de
l'homeopathie et de l'acupuncture. 1990;77:16. (fra).
298- gera: 83382/di/re
FOREIGN BODY IN THE MEDIAN NERVE : A
COMPLICATION OF ACUPUNCTURE.
SOUTHWORTH SR ET AL. journal of hand surgery.
1990;15:111-12 (eng).
Fracture of an acupuncture needle resulted in a foreign
body within the carpal tunnel patient who then
developed median neuropathy. The needle fragment
was recovered from within the median nerve during
carpal tunnel release, with rapid post-operative relief of
symptoms. Development of peripheral neuropathy is a
potential complication of acupuncture.
299- gera: 83383/di/re
IODINE-131 UPTAKE IN A PATIENT WITH THYROID
CANCER AND RHEUMATOID ARTHRITIS DURING
ACUPUNCTURE TREATMENT. NOBUAKI OTSUKA
ET AL. clinical nuclear medicine. 1990;15(1):29-31
(eng).
A patient with thyroid carcinoma had an abnormal
accumulation of I-131 in the areas of both feet and
hands on whole body scan. The sites of abnormal
accumulation of I-131 were similar to those on bone
scintigraphy. The radiographic examination of the
lesions showed characteristic findings of rheumatoid
arthritis and also the presence of small gold needles for
acupuncture treatment was demonstrated. There were
no findings of bone metastases. Although the
mechanism of accumulation of I-131 in this patient is
unknown, interpreters of I-131 whole body scintigraphs
should keep this case in mind when acupuncture
treatment has been done. The authors can only
speculate on a common blood flow mechanism for
enhanced HMDP and I-131 uptake in this arthritic
20
tissues.
303- gera: 29979/di/re
SILICA GRANULOMA : SCANNING ELECTRON
MICROSCOPY AND ENERGY DISPERSIVE X-RAY
MICROANALYSIS. SOO IL CHUN ET AL. journal of
dermatology. 1991;18(2):92-6 (eng).
A 46-year-old woman had 1-month-old erythematous
papules on the left elbow and both knees where
acupuncture with gold needles had been performed
twenty years earlier. She also had a 2-month-old pruritic
scar lesion on the nape. Histopathologic findings
showed sarcoidal granulomas. The presence of silica
components in the granulomas was confimed by
scanning electron microscopy (SEM) of the lesion on
the nape and energy dispersive X-ray microanalysis
(EDXA) of the lesions on the nape and the left elbow.
We suggest that acupuncture with gold needles may be
one cause of silica granuloma.
304- gera: 37184/nd/re
[A CASE OF TRANSVERSE MYELOPATHY CAUSED
BY ACUPUNCTURE]. SATO M ET AL. rinsho
shinkeigaku. 1991;31(7):717-9 (jap*).
305- gera: 37249/nd/re
[BACTERIAL ENDOCARDITIS AFTER TREATMENT
BY A NATURAL HEALER]. SCHEEL O ET AL.
tidsskrift for den norske laegeforening.
1991;111(22):2741-2 (nor).
301- gera: 29249/di/ra
[THE STUDY ON FINGER STALL AND GLOVE AS A
PREVENTION OF INFECTION (REPORT 2). X.
journal of the japan society of acupuncture.
1991;41(1):89. (jap).
306- gera: 62515/di/ra
[DETECTING THE SAFETY DEPTH ON HUMAN
BACK LOCI BY COMPUTER TOMOGRAPHIC
SCANNING]. LIN JAUNG GENG ET AL. chinese
journal of integrated traditional and western
medicine. 1991;11(1):10-3 (chi*).
The study was carried ont at Tri-Service General
Hospital and Mackay General Hospital. The sample
population of patient was totally 120. According to their
body weight and height, they were divided into six
groups with various sizes, i. e. normal, over and underweighted adults, followed by sex differences. After
computer tomographic scanning results from patients'
body back, the relative acupuncture loci should be
measured through their anatomical position, then the
distance between surface of body back and thoracic
pleura could be defined as its safety depth. For each
locus of the groups, the mean and its confident interval
could be found. The analysis of variance (ANOVA), ttest, and multiple regression were also calculated by
means of computer. The results showed that there were
no significant differences on body back loci within sex
differences, but for different body sizes, there appeared
statistically significant differences for each locus, (P<0.
01), so the safety depth for each back locus has
actually been proved. Not only these data provided
more useful information for clinical practices, but also
our
302- gera: 29976/di/re
PNEUMOTHORAX RESULTING FROM
ACUPUNCTURE. GRAY R ET AL. canadian
association of radiologist journal. 1991;42(2):139-40
(eng).
The authors report two cases of pneumothorax
secondary to lung puncture, which was caused by
acupuncture needles. Radiologists should be alert to
this possible cause of pneumothorax, particularly when
needle fragments can be seen in radiographs of the soft
307- gera: 62561/di/ra
[OBSERVATION ON THE THERAPEUTICAL EFFECT
OF 800 CASES OF CHRONIC PHARYNGITIS
TREATED WITH ACUPUNCTURE]. WEI FUSHUANG.
1991;11(1):3-4 (chi*).
The article presents the outcome of the observation of
the therapeutic effect of 800 cases of chronic
pharyngitis treated with acupuncture. The cure rate was
39%, the rate of marked effectiveness was 60% and
300- gera: 83933/di/ra
CONTRAINDICACIONES PARA PUNTURAR.
ESCUELA NEIJING. medicina tradicional china.
1990;61:12-14 (esp).
that of the improved was 1%, so the total effective rate
was l00%. Acupuncture points Yanyanxue (Extra) and
ST-9 (Renying) were prescribed. Attention must be paid
to avoid puncturing the carotid artery when the points
are needled. No rotation, thrusting and lifting of the
needle should be performed so as to prevent such
injury. The clinical effect showed that the two points are
able to activate the circulation of Blood in the meridians
and to regulate endocrine
308- gera: 64170/di/ra
[ACADEMIC EXPLORATION, NOMENCLATURE AND
CLASSIFICATION OF QIGONG SYNDROME]. XU
HONG-TAO ET AL. chinese journal of integrated
traditional and western medicine. 1991;11(4):235
(chi).
English translation in Abstract and review of clinical
TCM, 1992(3),1-2.
309- gera: 64241/di/ra
[TRY TO ANALYSE THE CHARACTERISTICS OF
USING ACUPUNCTURE BY ZHANG ZHONGJING].
ZHOU HAIPING. chinese acupuncture and
moxibustion. 1991;11(4):43 (chi*).
The article analyses the characteristics of the
application of acupuncture by Zhang Zhongjing from 4
aspects ; 1) the characteristics of using acupuncture ; 2)
those of using moxibustion ; 3) the differential
application of acupuncture and moxibustion ; 4) clinical
contraindication of acupuncture and moxibustion.
310- gera: 64704/di/ra
[PREVENTING QIGONG DEVIATION BY MENTAL
INTRODUCING]. LIU JIAN-JUN. qigong.
1991;12(11):519 (chi).
311- gera: 65658/di/ra
[ABOUT QIGONG DEVIATION AND IT'S
PREVENTION]. ZHU QI. qigong. 1991;12(8):352 (chi).
312- gera: 66197/di/ra
[OCCURRENCE OF LOCAL NECROSIS IN 2 CASES
CAUSED BY TREATMENT OF DIABETES WITH
PULL-BALL APPLIED EXTERNALLY]. YANG LIUHONG ET AL. journal of traditional chinese
medicine and chinese materia medica of jilin.
1991;5:10 (chi).
313- gera: 70058/nd/re
[FOREIGN BODY STONE OF THE URETER AS A
COMPLICATION OF ACUPUNCTURE : REPORT OF
A CASE]. YUZAWA M ET AL. hinyokika kiyo.
1991;37(10):1323-7 (jap*).
A 47-year-old female was admitted to our clinic with the
suspicion of ureteral foreign body. She had undergone
acupuncture for left lumbago twelve years earlier. Plain
X-ray film revealed a linear shadow and calcified
shadows laterally to left third lumber vertebra.
Computed tomographic scan and pyelogram showed
them located in the left ureter. Left ureterolithotomy was
performed successfully. The removed stone was
accompanied by an acupuncture needle. Including our
case, twelve cases of foreign bodies as a complication
of acupuncture in the upper urinary tract reported in the
Japanese literature were reviewed.
314- gera: 70123/nd/re
[A CASE OF TRANSVERSE MYELOPATHY CAUSED
BY ACUPUNCTURE]. SATO M ET AL. rinsho
shinkeigaku. 1991;31(7):717-9 (jap*).
21
A 54-year-old man received insertion of an acupuncture
needle into the region extending from the posterior neck
to the back on two occasions for the treatment of
shoulder stiffness. Two weeks after the second
acupuncture, he developed fever, dysarthria and
mictionary disturbance, finally reaching the condition of
tetraplegia. He was immediately admitted to an
emergency room in our hospital, and was diagnosed as
sepsis with DIC, ARDS, heart failure, renal failure, liver
failure, and myelitis. After one month, he recovered with
transverse myelopathy as a residual deficit.
Neurological findings showed transverse myelopathy
below the level of Th2 at that time. Cervical CT
revealed an irregular low density at the periphery of the
cervical vertebra from the C2 to C4 level. Cervical MRI
revealed an irregular swelling of his spinal cord from the
C2 to C7 level. We explained the mechanism of
transverse myelopathy in this case as follows. After the
acupuncture, he suffered a focal infection of the region
of needle insertion, and then the infection expanded to
the cervical vertebra, thus causing osteomyelitis,
sepsis, and finally cervical myelitis. Direct injury of the
spinal cord and nerve roots as a complication of
acupuncture was previously reported, but indirect injury
of the spinal cord due to myelitis had not been reported
except our present case. Careful attentions should be
paid to the complications of acupuncture.
315- gera: 70183/nd/re
[BURNS DUE TO MOXIBUSTION]. CONDE-SALAZAR
MA ET AL. contact derm. 1991;25:332 (esp).
This is a brief case report on a 40-year-old male with
more than a one-year history of tennis elbow. Various
treatments had been prescribed by his doctor and he
had also had acupuncture sessions. Due to poor
response, he had tried moxibustion. He came to the
dermatology department to rule out any infection of the
numerous burns with which he presented on his wrists
and ankles. He accepted these burns as the result of
the therapy and was determined to continue with
moxibustion, as it was effective in curing his complaint.
He was not patch tested. The authors comment that this
was a curious case and that the side-effects of
alternative medicines are usually better tolerated by
patients than the side-effects of conventional medicine.
316- gera: 70188/nd/re
[BACTERIAL ENDOCARDITIS AFTER TREATMENT
BY A NATURAL HEALER]. SCHEEL O ET AL.
tidsskrift for den norske laegeforening.
1991;111(22):2741-2 (nor*).
We describe a case of endocarditis caused by
Propionibacterium acnes after a series of "vitamin"
injections and semipermanent acupuncture needle
maneuvers by a natural healer. The patient had
prosthetic heart valves. We found that the most
probable source of infection was the treatment by the
natural healer and,, therefore, wish to warn against
invasive treatment of such high-risk patients by laymen.
If such treatment is insisted upon in spite of such
warnings, antibiotic prophylaxis should be considered.
317- gera: 83112/di/ra
ALLERGISCHE ERSCHEINUNGEN AN DEN
EINSTICHSTELLEN DER AKUPUNKTURNADELN.
ERENGUL A. deutsche zeitschrift für akupunktur.
1991;34(4):91-2 (deu*).
[Allergic symptoms at the point of insertion of an
acupuncture needles]. A case report on a 65 year-old
female patient suffering from pain in the regions of the
knees and the back of the neck. There was no history of
cardial, pulmonary or allergic processes. Acupuncture
therapy using standard steel needles was commenced.
Erythema developed at the sites of needle insertion
already during the first treatment. Although very
marked, these were considered a normal reaction.
Three days later, this normally, short-term redness was
still present and there was also a slight swelling and
pain to pressure. A second acupuncture treatment was
performed, whereby some of the points used were
different to those of the first treatment. When the patient
was seen again, wound-like changes at the needle
insertions were noticed. A two week pause in therapy
was considered necessary. Since changes of the skin
at the insertion points were still present after the pause,
treatment was continued using TENS. The author would
like to know whether any colleagues have observed
similar reactions and also whether they have found an
318- gera: 83424/di/re
DELAYED CARDIAC TAMPONADE AND
HEMOTHORAX INDUCED BY AN ACUPUNCTURE
NEEDLE. JUNICHI HASEGAWA ET AL. cardiology.
1991;78(1):58-63 (eng).
A 52-year-old man presented with cardiac tamponade a
few years after accidental breakage of an acupuncture
needle that had not been removed. Thoracotomy
showed a hemopericardium with penetration of the
pulmonary artery by the very fine needle which was
barely detected on the chest roentgenogram. This
lesion was not suspected on the basis of
roentgenography, two-dimensional echocardiography,
or computed tomography, but was detected by the
presence of other larger gauge needles in the neck,
chest and abdomen. This case showed a possible
threat of "stealthy" and migrating foreign bodies, such
as very fine acupuncture needles.
319- gera: 83429/di/re
BILATERAL TENSION PNEUMOTHORACES AFTER
ACUPUNCTURE. WRIGHT RS ET AL. western
journal of medicine. 1991;154(1):102-03 (eng).
Case Report: A 31-year-old woman underwent
acupuncture for the treatment of asthma during her third
pregnancy. Her acupuncturist had inserted standard
acupuncture needles bilaterally in the tissues of her
upper back. At the time of the needle insertions, she
experienced severe pleuritic chest pain that persisted
until she left the acupuncturist's office three hours later.
Such severe dyspnea and tachypnea rapidly developed
that she could not comfortably converse. She was seen
at a nearby emergency department where a chest x-ray
film showed bilateral pneumothoraces, but the
abnormality was not recognized until she was
transferred to our hospital for further evaluation. She
arrived at the hospital nine hours after the initial
acupuncture needle placement in severe respiratory
distress. Bilateral thoracostomy tubes were immediately
placed, and there was a rush of escaping air from each
hemithorax. Her condition rapidly improved, but she still
required standard bronchodilator therapy and steroids
for asthma management. She was discharged to home
after nine days and eventually bore a healthy full320- gera: 83515/di/ra
E' POSSIBILE TRASMETTERE L'AIDS CON IL
TRATTAMENTO DI AGOPUNTURA ?. HU
JINSHENG. rivista italiana di medicina tradizionale
cinese. 1991;1:88. (ita).
22
321- gera: 84116/di/el
RISQUES,INCIDENTS ET ACCIDENTS,CONTREINDICATIONS,PREVENTION ET PRECAUTIONS EN
PRATIQUE ACUPUNCTURALE. DINOUARTJATTEAU P. encyclopedie des medecines
naturelles. 1991;ID-1:7P (fra).
Tout cet ouvrage ou presque est plein de toutes les
utilisations possibles des aiguilles et des moxas avec,
de la façon la plus précise possible, les indications
thérapeutiques de l'acupuncture. Or, depuis les débuts
de son histoire, la médecine traditionnelle chinoise s'est
efforcée de dégager un certain nombre de problèmes
posés par les différents actes techniques qui en font
son originalité, afin de pallier les risques possibles. Déjà
dans le "Neijing", aussi bien dans le "Suwen" que dans
le "Lingshu", il est fait allusion aux précautions à
appliquer pour éviter des incidents consécutifs aux
soins donnés à la façon de procéder pour planter les
aiguilles, les points à respecter, à éviter, ou à ne pas
piquer. Depuis ces temps anciens un consensus s'est
progressivement instauré qui nous permet d'envisager
les différents aspects que propose le titre de cet article
de manière actuelle. La notion récente de facteurs de
risque s'applique à la pratique acupuncturale bien
évidemment.
322- gera: 86844/di/re
DEEP VEIN THROMBOPHLEBITIS AFTER
ACUPUNCTURE. BLANCHARD B. annals of internal
medicine. 1991;115:748 (eng).
323- gera: 88139/di/re
SELF-INSERTED NEEDLE IN THE HEART:
LOCALIZATION BY CROSS-SECTIONAL
ECHOCARDIOGRAPHY. DWIVEDI SK ET AL.
european heart journal. 1991;12:286-7 (eng).
324- gera: 140996/di/re
POSSIBLE COMPLICATIONS OF ACUPUNCTURE.
WILLMS D. west j med. 1991;154(6):736-7 (eng).
325- gera: 35828/di/ra
CHI GONG SYNDROME. XU HONG TAO ET AL.
abstract and review of clinical traditional chinese
medicine. 1992;3:1-2 (eng).
326- gera: 35913/di/ra
ACUPUNCTURE INDUCED FAINTING. ITS
PREVENTION AND TREATMENT. WANG
ZHENLONG. british journal of acupuncture.
1992;15(1):28. (eng ).
This paper dealt with the causes, symptoms, prevention
and treatment of acupuncture caused fainting. The
author suggested that reassurance of the patient proacupuncture, choosing right posture, especially for
those patients who are nervous of receiving their first
acupuncture treatment are important: next only a few
point should be selected and manipulation technique
should not be too strong. As soon as fainting occurs,
pull the needles out immediately, keep the patient
warm, give some water or syrup to drink. For a serious
situation. needling Shuigou, Zhongehong, Neiguan
point etc. If necessary, first aid should be applied.
327- gera: 36004/di/ra
ON THE PHENOMENON OF FAINTING DURING
ACUPUNCTURE TREATMENT. DONG JIANGTAO.
international journal of clinical acupuncture.
1992;3(3):255-8 (eng ).
Fainting during acupuncture (FDA) is an accident
commonly seen during acupuncture treatment. In the
long course of practice of acupuncture treatment this
phenomenon has been gradually understood, not only
its adverse aspect, but also to a certain degree its
positive aspect. To date, such understanding is still
largely limited to its unfavorable aspect, and there has
been no comprehensive discussions on the overall
action of FDA. However, such overall recognition of the
phenomenon may enlighten us for further
understanding of and probing into the
328- gera: 37356/di/re
RADIOGRAPHY, US, AND CT OF ACUPUNCTURE
NEEDLES IN THE ABDOMINAL ORGANS. BAEK SY
ET AL. j comput assist tomogr. 1992;16(5):835-5
(eng).
329- gera: 37427/nd/re
DETECTION OF SELENIUM IN GENERALIZED AND
LOCALIZED ARGYRIA : REPORT OF FOUR CASES
WITH X- RAY MICROANALYSIS. MATSUMURA T ET
AL. j dermatol. 1992;19(2):87-93 (eng).
Electron microscopic and X-ray microanalytic studies
were performed on four cases of argyria; one
generalized and three localized. Deposition of electron
dense granules was predominantly found on elastic
fibers and around basal laminas of secretory portions of
eccrine glands, although the amount of deposition was
much less in the case of generalized argyria. In all four
cases, X-ray microanalysis revealed that the
depositions consisted mainly of silver, selenium, and
sulfur. The importance of selenium in the detoxification
of heavy metals was discussed.
330- gera: 37705/di/re
AN ASTHMATIC DEATH WHILE UNDER CHINESE
ACUPUNCTURE AND MOXIBUSTION TREATMENT.
OGATA M ET AL. american journal of forensic
medicine and pathology. 1992;13(4):338-41 (eng).
A 29-year-old Japanese man with bronchial asthma
died while undergoing Chinese acupuncture and
moxibustion treatment. The autopsy findings of the
lungs were compatible with a diagnosis of severe
asthma. Further, on immunohistochemical examination,
hypoxic brain damage and an unusual distribution of
pulmonary surfactant were found. In contrast, only
minor hemorrhages in the right semispinal muscle and
round-shaped bruises were seen as a result of Chinese
acupuncture and moxibustion treatment. Thus, it was
concluded that the man had died from a severe
asthmatic attack.
331- gera: 37743/nd/re
ADVERSE EVENTS OF ACUPUNCTURE AND
OCCLUSAL SPLINT THERAPY IN THE TREATMENT
OF CRANIOMANDIBULAR DISORDERS. LIST T ET
AL. journal of craniomandibular practice.
1992;10(4):324-6 (eng).
332- gera: 37761/nd/re
[DETECTION OF THE SAFETY DEPTH ON HUMAN
CHEST BY COMPUTER TOMOGRAPHIC
SCANNING]. SHEU CY ET AL. national medical
journal of china. 1992;50(5):388-99 (chi).
Acupuncture knowledge has played a major role in the
treatment of human diseases, and has been mentioned
in ancient Chinese medical literature for thousands of
years. The loci which are most commonly used as
treatment sites are points on the Ren [Conception],
Kidney, Stomach, Pericardium, Lung, Spleen and
23
Gallbladder channels. For those loci on the human
chest, insertion depth beyond safety level can create
serious consequences such as pneumothorax, internal
organ bleeding or other damage. This study was
designed to determine the safety depth for each locus
by using a current scientific approach. The study was
carried out at Tri-Service Hospital and Machay General
Hospital with a sample patient population of 120.
According to their body weight and height, patients
were divided into six groups with various body sizes,
i.e., normal, over- and underweight adults, and by
gender differences. After computer tomographic
scanning of the chest, the relative acupuncture loci
should be measured according to anatomical position,
then the distance between surface of the chest and
thoracic pleura can be defined as its safety depth. For
each locus of the groups, the mean and its interval of
confidence can be found. The analysis of variance
(ANOVA), l-test, and multiple regression were also
calculated by computer. The results show that there are
significant differences in body-chest loci within the
same gender, and that for different body sizes
statistically significant differences appear for each
locus. The safety depth for each chest locus was
determined providing useful information for clinical
practice.
333- gera: 39509/di/ra
[SEVERAL METHODS TO RECTIFY DEVIATIONS IN
QIGONG PRACTICE]. SHEN XI. qigong.
1992;13(2):90 (chi).
334- gera: 39519/di/ra
[HOW PREVENTING AND CORRECTING QIGONG
DEVIATIONS]. WAN LE-TIAN. qigong. 1992;13(3):134
(chi).
335- gera: 44747/di/ra
[SEVERE PAIN OF LUMBOSACRAL REGION
CAUSED BY EPIDURAL SPACE INFECTION : A
CASE REPORT]. YANG FUMING. new journal of
traditional chinese medicine. 1992;24(10):21 (chi).
336- gera: 57398/nd/re
[NICKEL DERMATITIS FROM ACUPUNCTURE
NEEDLES]. DEHARO D ET AL. nouveau
dermatologue. 1992;11:170. (fra*).
337- gera: 70207/nd/re
[CERVICAL SPINAL CORD INJURY CAUSED BY A
BROKEN ACUPUNCTURE NEEDLE : A CASE
REPORT]. MATSUI S ET AL. no shinkei geka.
1992;20(4):499-503 (jap*).
Spinal cord injury is a rare but considerable
complication of acupuncture. A case with cervical spinal
cord injury caused by a broken acupuncture needle was
reported and sixteen previously reported cases
including our case were reviewed. A 49-year-old
woman was treated by herself with acupuncture on the
nuchal region for occipitalgia, and the needle was
accidentally broken during the treatment. Six hours later
she noticed pain and numbness in the right upper and
lower extremities. Neurological examination revealed
slight impairment of temperature, pain and touch
sensation on the right extremities. Plain X-ray film and
CT scan showed a broken needle in the interspinous
ligament between C1/C2 vertebrae, the tip of the needle
appearing to be in the spinal canal. The needle was
removed surgically nineteen days after the accident.
Intraoperative fluoroscopic monitoring with injection of
dye enabled the needle to be found without difficulty.
Postoperative course was uneventful, and her pain and
sensory impairment gradually disappeared. Once the
diagnosis for cervical spinal cord injury by an
acupuncture needle is made, the needle should be
removed surgically as soon as possible, especially prior
to the development of motor symptoms. This is because
movement of the needle in the spinal cord is considered
to be a main possible cause of the development and
progression of symptoms.
24
macrophages. These results suggest that silver
deposits extracellularly as selenide and sulfide,
whereas free gold is found intracellularly.
338- gera: 83624/di/re
ENDOCARDITIS AFTER ACUPUNCTURE AND
INJECTION. TREATMENT BY A NATURAL HEALER.
SCHEEL O ET AL. jama. 1992;267(1):56 (eng).
346- gera: 45847/nd/re
ENDOCARDITIS FOLLOWING SKIN PROCEDURES.
. SPELMAN DW ET AL. j infect. 1993;26(2):185-9
(eng).
Four cases of infective endocarditis following skin
procedures are reported. Three of these patients had
known cardiac valve abnormalities. None received
antibiotic prophylaxis and three of the patients died.
Prophylaxis should be considered for patients with
known cardiac abnormalities before skin procedures are
undertaken.
339- gera: 1498/di/ra
UNEXPECTED THERAPEUTIC EFFECTS FROM
FAINTING DURING ACUPUNCTURE. WEN
MUNSHENG. world journal of acupuncturemoxibustion. 1993;3(3):3-5 (eng).
347- gera: 46141/nd/re
COMPLEMENTARY MEDICINE. THE PRACTICE OF
ACUPUNCTURE NEEDS TIGHTER SAFEGUARDS
(letter). BALDRY P . british journal of medicine.
1993;307(6899:326 (eng).
340- gera: 5736/di/cg
CROSS-SECTIONAL-ANATOMICAL-STUDY FROM
STANDPOINT OF THE ACUPUNCTURE. SHIINO M
ET AL. third world conference on acupuncture.
1993;:248. (eng).
348- gera: 46143/nd/re
OTITIS EXTERNA AND FACIAL CELLULITIS FROM
ORIENTAL EAR CLEANERS (letter). BERRY RG ET
AL. west j med. 1993;158(5):536 (eng).
341- gera: 6039/di/cg
MEASUREMENT OF THE DISTANCE FROM BODY
SURFACE TO THE THORACIC AND PERITONEAL
CAVITIES USING CT AND MRI. OZAKI T ET AL. third
world conference on acupuncture. 1993;:271. (eng).
342- gera: 6043/di/cg
ANATOMICAL STUDY OF ST19 MERIDIAN POINTS
BY AUTOPSY AND DIAGNOSTIC IMAGING. OZAKI T
ET AL. third world conference on acupuncture.
1993;:272. (eng).
343- gera: 7409/di/cg
EXPERIMENTAL STUDIES ON VIRUS INFECTION
BY ACUPUNCTURE. NAGASHIMA K ET AL. the third
world conference on acupuncture. 1993;:309. (eng).
344- gera: 37744/di/re
IMAGING IMPLICATIONS IN THE EVALUATION OF
PERMANENT NEEDLE ACUPUNCTURE. GERARD
PS ET AL. clinical imaging. 1993;17(1):36-40 (eng).
345- gera: 45440/nd/re
LOCALIZED ARGYRIA WITH CHRYSIASIS CAUSED
BY IMPLANTED ACUPUNCTURE NEEDLES.
DISTRIBUTION AND CHEMICAL FORMS OF SILVER
AND GOLD IN CUTANEOUS TISSUE BY ELECTRON
MICROSCOPY AND X- RAY MICROANALYSIS. .
SUZUKI H ET AL. j am acad dermatol. 1993;29(5 PT
:833-7 (eng).
A case of localized argyria with chrysiasis caused by
implanted acupuncture needles in a 41-year-old
Japanese woman was studied by electron microscopy
and x-ray microanalysis. Large amounts of silver
granules with selenium and sulfur were detected around
eccrine secretory cells in much greater amounts than
around ductal cells. Many granules were also observed
along the outer edge of the basement membrane but
never within cells or intercellular spaces. The granules
were also present around blood vessels, lymphatics
and nerve fibers, and in elastic fibers. Small numbers of
gold fragments were also seen, mostly within
349- gera: 47619/di/ra
[PAY ATTENTION TO METHODS OF MIND
CONCENTRATION: AN ADVICE TO THOSE
PRACTICIONERS WHO SUFFERED FROM
HYPERTENSION]. ZHANG TIAN-GE ET AL. qigong.
1993;14(6):247 (chi).
350- gera: 47624/di/ra
[QI GONG DIRIGATION AND DEVIATION]. HE BINGHUI. qigong. 1993;14(6):277 (chi).
351- gera: 47625/di/ra
[TREATING QI GONG DEVIATION WITH
"PRESCRIPTION FOR CORRECTING DEVIATIONS":
A REPORT OF 54 CASES]. SONG HONG-QUAN ET
AL. qigong. 1993;14(6):279 (chi).
352- gera: 141472/nd/re
IS THE TRADITIONAL ALCOHOL WIPE
NECESSARY BEFORE AN INSULIN INJECTION?
DOGMA DISPUTED. MCCARTHY JA, COVARRUBIAS
B, SINK P. diabetes care. 1993;16(6):960-1 (eng).
353- gera: 2656/nd/re
RAPPORT DU CONSEIL MEDICAL SUR
L'EXERCICE 1993. SICOT C. concours medical.
1994;: (fra).
Avec rapport d'un cas de brûlure après MOXAS.
354- gera: 20622/di/ra
[PNEUMOTHORAX DUE TO ACUPUNCTURE.].
KOTOH S ET AL. journal of the japan society of
acupuncture. 1994;44(3):233-7 (jap*).
It has been thought that iatrogenic pneumothorax due
to acupuncture is generally rare. But actually it does not
seem rare accident. We have met 4 accidental
pneumothorax cases in our clinic between 1987 and
1993. In this term 2147 patients had acupuncture
therapy. And 749 of these patients had acupuncture in
their thoracic cage. The incident rate of pneumothorax
is 0.53% of 749 patients. Three pneumothorax cases
had to be hospitalized to have care and observation.
Therefore the iatrogenic pneumothorax should not be
ignored and it should be avoided by careful, thoughtful
therapeutic technic.
355- gera: 20849/di/re
BILATERAL PSOAS ABCESSES FOLLOWING
ACUPUNCTURE. GARCIA AA ET AL. west j med.
1994;161:90. (eng).
Patient de 49 ans présentant un abcès bilatéral du
Psoas 3 semaines après acupuncture pour lombalgies.
356- gera: 20850/di/ra
[AN ANATOMICAL STUDY OF THE PROJECTION
SURFACE OF THE ANTERIOR NECK. (PART II).
GEOGRAPHICAL RELATIONSHIP WITH THE
STERNOCLEIDOMASTOID MUSCLE, CLAVICLE,
AND*]. UESHIMA Y ET AL. journal of the japan
society of acupuncture. 1994;44(4):317-28 (jap*).
Twenty-six domes of the pleura of thirteen cadavers
were investigated. The summits of all domes protruded
above the clavicle. Mediolateral positions of the
summits were located between the lateral edge of the
origin of the sternal head of the sternocleidomastoid
muscle (CL3) and the lateral edge of the origin of its
clavicular head (CL5), and their craniocaudal positions
were located between the Point "Suitotsu" (S10) and
the medial edge of the origin of the clavicular head
(CL4). The lateral edges of the domes did not reach the
level of the clavicle. Their mediolateraI positions were
located between CL4 and the Point "Ketsubon" (S12),
and their craniocaudaI positions were located between
CL5 and the sternal extremity of the clavicle (CL2). The
medial edges of the domes were both mediolateralIy
and craniocaudally located between CL2 and the
suprasternal point. Projection regions ot the domes of
the pleura to the surface of the anterior neck were
included, in all cases, within the quadrate region
connecting the following four points : the Point
"Suitotsu" (S10), a point of intersection between the
median line and a line drawn vertically from the Point
"Suitotsu" (S10) toward the median line, the
357- gera: 45137/nd/re
PNEUMOTORAX Y ACUPUNTURA. MATEO LAZARO
ML ET AL. arch bronconeumol. 1994;30(1):57-8
(esp).
[Pas en France].
358- gera: 45238/nd/re
DANGER AND SAFETY IN MEDICINES. . O'NEILL A .
soc sci med. 1994;38(4):497-507 (eng).
Convictions about established medical safety and the
danger of alternative remedies and practitioners are
discussed in this article. While most alternative
medicines continue to be denounced as unscientific and
unsafe, government reviews have concluded that
chiropractic and osteopathy and (more recently)
acupuncture should be registered occupations and that
qualifying courses of tertiary education should be
instituted in Australia. This paradoxical result follows the
widespread adoption of acupuncture and spinal
manipulation by established practitioners of medicine
and physiotherapy. The practices become intrinsically
dangerous as their efficacy is accepted. Consequently,
the argument is that only established practitioners are
safe enough to use them. But alternative groups can
use the established announcement of danger to
represent the desirability of official action to protect the
public. The article concludes with a review of the idea
that therapies become dangerous as they are
25
359- gera: 45268/nd/re
COMPLICATIONS OF ACUPUNCTURE THERAPY. A
STUDY OF THE LITERATURE FROM 1981-92.
NORHEIM AJ . tidsskr nor laegeforen.
1994;114(10):1192-4 (nor*).
This study presents the adverse affects of acupuncture
as recorded in the Medline database for the years
1981-92. Pneumothorax is the most common
mechanical organ injury caused, while hepatitis
dominates the infections. Neither pneumothorax nor
hepatitis is reported from any Nordic country. Most of
the adverse effects of acupuncture seem to be
associated with insufficient basic medical knowledge, a
low standard of hygiene and inadequate education in
acupuncture. The study confirms adverse effects of
acupuncture in certain circumstances. Serious adverse
effects are few, and acupuncture can be considered as
a fairly harmless form of treatment.
360- gera: 45423/nd/re
NEUMOTORAX TRAUMATICO POR ACUPUNTURA.
CEREZAL GARRIDO LJ ET AL. arch bronconeumol.
1994;30(4):226 (esp).
361- gera: 45754/nd/re
HEPATITIS B VACCINATION IN THE SKIN
PENETRATION INDUSTRY (letter). BOUWMAN R ET
AL. med j aust. 1994;160(3):165 (eng).
362- gera: 45769/di/re
PSEUDOANEURYSM CAUSED BY ACUPUNCTURE :
A RARE COMPLICATION (letter). FUJIWARA T ET
AL. ajr am j roentgenol. 1994;162(3):731. (eng).
Patiente de 58 ans hospitalisée pour un
pseudoaneurysme de l'artère costocervicale gauche
secondaire à une séance d'acupuncture pour épaule
douloureuse.
363- gera: 46200/nd/re
[COMPLICATIONS OF ACUPUNCTURE THERAPY
(LETTER)]. SCHEEL O . tidsskr nor laegeforen.
1994;114(15):1739 (nor).
364- gera: 46201/nd/re
(LETTER)]. ERNST G . tidsskr nor laegeforen.
1994;114(14):1647 (nor).
365- gera: 46202/nd/re
(LETTER)]. KROHG-SORENSEN K ET AL. tidsskr nor
laegeforen. 1994;114(13):1561 (nor).
366- gera: 48895/di/re
REMOVAL OF A RETAINED ACUPUNCTURE
NEEDLE IN THE PARASPINAL MUSCLE USING A
NEURONAVIGATOR (letter). SAKAI Y ET AL. plastic
and reconstructive surgery. 1994;94(7):1097-8 (eng).
Bris d'aiguille au niveau lombaire chez une femme de
67 ans traitée pour LUMBAGO. Echec d'une tentative
de retrait sous anesthésie locale. Technique de
localisation avec scanner et "neuronavigator". Retrait
sous anesthésie
367- gera: 49699/nd/re
[RISKS AND ADVERSE EFFECTS OF
ACUPUNCTURE THERAPY]. ROSTED P . ugeskr
laeger. 1994;156(49):7335-9 (dan*).
Forty published articles about acupuncture and related
side-effects are reviewed. Several serious
complications are described among the mentioned sideeffects, e. g. pneumothorax, bacterial endocarditis,
hepatitis and spinal lesion. Contraindications for the use
of acupuncture are discussed.
368- gera: 53759/di/re
UN PNEUMOTORAX BILATERAL D'ORIGINE
INHABITUELLE. DEVOUASSOUX G ET AL. rev
pneumol clin. 1994;50(4):186-7 (fra).
[Bilateral pneumothorax of unusual origin (letter)].
369- gera: 54246/nd/re
FAMILIAL CLUSTERING OF HEPATITIS B AND C
VIRUSES IN KOREA. . KIM YS ET AL. j korean med
sci. 1994;9(6):444-9 (eng).
In order to evaluate the familial clustering of hepatitis B
virus (HBV) and hepatitis C virus (HCV) infections and
to elucidate the possible routes of HCV transmission
among Korean adults with chronic liver disease, 137
household contacts of 51 chronic carriers of HBsAg and
111 household contacts of 38 controls, and 181
household contacts of 96 anti-HCV positives and 102
household contacts of 76 anti-HCV negatives were
tested from July 1990 to March 1994. Of 71 nonvaccinated household contacts of HBsAg carriers, 10
gave positive result for HBsAg(14. 1%), but none of the
household contacts of the controls were positive for
HBsAg (p < 0. 05). Familial clustering of HBV infection
was found, when the offspring of carriers and controls
were compared. A significantly higher percentage of the
offspring of carriers were positive for HBV infection (54.
6% vs 15. 4%, p < 0. 05) with OR of 6. 6 (95% Cl; 1. 334. 5). No evidence of familial clustering of HCV
infection was found with 2. 2% (4/181) anti-HCV
positivity among the household contacts of index cases,
similar to 1. 0% (1/102) among those of controls.
History of acute hepatitis (OR 3. 2), transfusion (OR 3.
2), and acupuncture (OR 2. 5) were associated with an
increased risk of HCV infection. In conclusion, HBV has
strong familial clustering whereas HCV does not in
Korea.
370- gera: 54389/nd/re
[CARE OF RHEUMATOID ARTHRITIS TREATED
WITH BEE ACUPUNCTURE]. LI XL . chung hua hu li
tsa chih. 1994;29(9):523-5 (chi).
371- gera: 85142/di/ra
COMPLICATIONS OF TRIGGER POINTS NEEDLING
AND INJECTION - A REPORT OF THREE CASES
(abstract). NEOH CHOO-AUN. acupuncture
research. 1994;3-4:143-4 (eng).
372- gera: 86705/nd/re
[SPINAL CORD STAB INJURY BY ACUPUNCTURE
NEEDLE]. H GI ET AL. neurological surgery.
1994;22(2):151-54 (jap).
It is very rare for neurosurgeons to encounter cases of
spinal cord injury caused by a broken acupuncture
needle. A 45-year-old man was referred to our clinic
because of urinary retention about two weeks after
acupuncture therapy (a needle was broken during
treatment). The patient showed no motor weakness or
sensory disturbance. The needle was seen transversely
stabbing the spinal cord at C1,2 on CT imaging and xray film. In all of the reported seven cases of
longitudinal stab injuries (posterior puncture),
sensorimotor disturbances were present. In transverse
stab injuries (lateral puncture), however, two cases
26
showed sensory disturbance but did not show motor
weakness. The centrifugal pathway for micturition in the
spinal cord lies in the middle one third of the lateral
column and in the width of the central canal. The patient
complained of urinary retention. It is believed that the
bilateral descending fibers might have been injured by
the needle. Surgical treatment relieved the patient's
symptoms.
373- gera: 86709/di/re
[RISK FACTORS FOR HEPATITIS C VIRUS
INFECTION : A CASE-CONTROL STUDY OF BLOOD
DONORS IN THE TRENT REGION (UK)]. KR NEAL
ET AL. epidemiology and infection. 1994;112(3):595601 (eng*).
The introduction of screening for hepatitis C virus (HCV)
by the National Blood Transfusion Service (United
Kingdom) identified donors who had acquired HCV
infection. Fifty-three percent of hepatitis C infected
blood donors reported previous use of injected drugs
compared to no controls. Other risk factors were a
history of receipt of a blood transfusion or blood
products, having been a "health care worker," tattooing,
and an association with having been born abroad. No
risk was shown for a history of multiple sexual partners,
ear piercing or acupuncture.
374- gera: 3295/di/re
ASSEMBLEE GENERALE DU SOU MEDICAL DU 21
JUIN 1995. RAPPORT DU CONSEIL MEDICAL SUR
L'EXERCICE 1994. I. RESPONSABILITE CIVILE
PROFESSIONNELLE. SICOT C. concours medical.
1995;29: (fra).
Avec mention d'une infection du cartilage auriculaire
suite à la mise en place d'un fil pour sevrage tabagique.
375- gera: 12302/di/ra
SAFE NEEDLES : RECOMMENDATIONS FOR THE
PREVENTION OF DISEASE TRANSMISSION BY
MEDICAL ACUPUNCTURE NEEDLES. MCDANIELS
A. medical acupuncture. 1995;7(1):25-30 (eng).
Physician acupuncturists often do not have a formal
plocy of safe practices to prevent disease transmission
by acupuncture needles. This paper presents and
discusses the recommendations of the Centers for
Disease Control concerning infection prevention, and
the recommendations of the Association of Operating
Room Nurses regarding sterilization and desinfection,
with particular reference to preventing the transmission
of immunodeficiency virus (HIV), and hepatitis B virus
(HBV). Specific recommendations for physician
acupuncturists are then maden.
376- gera: 12723/di/ra
COMPLICATIONS OF TRIGGER POINTS NEEDLING
AND INJECTION - A REPORT OF THREE CASES.
NEOH CHOO-AUN. world journal of acupuncturemoxibustion. 1995;5(1):44. (eng).
377- gera: 21368/di/ra
[STUDY OF MICROBIAL CONTAMINATION OF
SURFACE AND STERILE FILTRATION BY WIPING
IN THE ACUPUNCTURE AND MOXIBUSTION
CLINICS]. X. journal of the japan society of
378- gera: 21369/di/ra
[STUDY ON MICROBIAL CONTAMINATION OF
HANDS AND ITS STERILE FILTRATION IN
ACUPUNCTURE AND MOXIBUSTION.]. X. journal of
(jap).
379- gera: 21370/di/ra
[STUDY ON DISTRIBUTION OF ENVIRONMENTAL
BACTERIA FOR THE ACUPUNCTURE AND
MOXIBUSTION (III). A QUESTIONNAIRE SURVEY
ON HANDWASHING]. X. journal of the japan society
of acupuncture. 1995;45(1):34. (jap).
380- gera: 21371/di/ra
[TRANSMISSION OF NORMAL FLORA ON THE
HAND AND THE NEED OF DESINFECTION]. X.
journal of the japan society of acupuncture.
1995;45(1):35. (jap).
381- gera: 21548/di/ra
[CASES ERRONEOUSLY TREATED BY
ACUPUNCTURE]. X. journal of the japan society of
382- gera: 23447/di/ra
[ON POTENTIAL AND EXISTING DANGER IN ACUTE
CEREBRAL ISCHEMIA TREATED BY
ACUPUNCTURING]. CUI MENG. journal of tcm.
1995;36(6):364 (chi).
383- gera: 35391/di/re
THE RISKS OF ACUPUNCTURE. ERNST E.
international journal of risk and safety in medicine.
1995;6:179-86 (eng).
384- gera: 49769/di/re
IMAGES IN CLINICAL MEDICINE. ACUPUNCTURENEEDLE FRAGMENTS. . CHIU ES ET AL. new
england journal of medicine. 1995;332(5):304 (eng).
Radiographie du thorax chez un patient de 42 ans
d'origine japonaise. Mise en évidence de fragments
d'aiguille d'or au niveau des tissus sous-cutanés du
dos. Le patient avait été traité il y a 4 ans par la
méthode japonaise des aiguilles à demeure.
385- gera: 53761/di/re
FATAL CARDIAC TAMPONADE AFTER
ACUPUNCTURE THROUGH CONGENITAL
STERNAL FORAMEN (LETTER). HALVORSEN TB ET
AL. lancet. 1995;345(8958:1175 (eng).
386- gera: 53865/di/re
IMAGES IN CLINICAL MEDICINE : ACUPUNCTURENEEDLE FRAGMENTS (letter). GERARD PS ET AL.
new england journal of medecine.
1995;332(26):1792-3 (eng).
Rapport de 3 cas de migration d'aiguille à demeure
chez des patients coréens. Chez un patient, le scanner
révèle de nombreuses aiguilles intrapéritonéales.
387- gera: 54164/nd/re
[AIDS/HIV RELATED KNOWLEDGE, ATTITUDE AND
BEHAVIOR OF ACUPUNCTURE THERAPISTS IN
AICHI PREFECTURE]. HIROSE K ET AL. nippon
koshu eisei zasshi. 1995;42(4):269-79 (jap*).
To promote AIDS prevention measures in Japan, the
actual state of knowledge, attitudes and behaviors
(KAB) of workers at risk for HIV infection requires
clarification. In the present study, acupuncture
therapists in Aichi Prefecture were evaluated for level of
their KAB. By using a self-administered questionnaire,
the KAB condition of 500 acupuncture therapists was
surveyed from September-November in 1993.
27
Responses from 494 (98. 8%) were available for
analysis. Results showed that knowledge level on
general issues regarding HIV epidemics was good. The
main sources for information on AIDS/HIV were TV,
general lectures, public reports and magazines. More
than 80% of acupuncture therapists sterilize their
needles by autoclave or boiling and 60% of them use
disposable needles. Furthermore, 97% of the therapists
reported utilizing one or the other of these methods.
More than a half of them have participated in AIDS
education programs. While about 30% of them
responded that they are able to accept HIV carriers as
clients, 20% of them expressed negative responses.
There appears to be a discrepancy between their level
of knowledge of HIV transmission routes and their
practical attitude towards clients with AIDS and/or HIV
carriers. A more appropriate education program based
on behavioral science is desirable to lessen
discrepancy distance between general knowledge and
preferable behavior regarding AIDS/HIV.
388- gera: 54218/di/re
ACUPUNCTURE TECHNIQUE (LETTER). MORITZ
CARNEIRO N ET AL. lancet. 1995;345(8964:1577
(eng).
Le rapport d'un cas de tamponade après puncture du
17VC est dû à une erreur technique de puncture
évitable.
389- gera: 54219/di/re
ADVERSE EFFECTS OF ACUPUNCTURE (LETTER).
NORHEIM AJ ET AL. lancet. 1995;345(8964:1576
(eng).
Voir tarduction espagnole de: Revista Argentina de
Acupuntura, 1999; 91: 27. Réf gera: [72997]. Un
questionnaire est adressé à un échantillon randomisé
de 1135 médecins Norvégiens (10% des médecins
norvégiens) et à 197 acupuncteurs sur la fréquence des
effets secondaires de l'Acupuncture. 25 cas de
pneumothorax sont rapportés, ce qui indiquerait 250
cas en Norvège. Les médecins rapportent des
complications retardées, alors que les acupuncteurs
rapportent des complications immédiates.
390- gera: 54260/di/re
FACTITIAL PANNICULITIS INDUCED BY CUPPING
AND ACUPUNCTURE. . LEE JS ET AL. cutis.
1995;55(4):217-8 (eng).
We report a case of factitial panniculitis induced by
cupping and acupuncture in a 54-years old woman with
391- gera: 54282/nd/re
SAFETY OF COMPLEMENTARY MEDICINES
SHOULD BE MONITORED (LETTER). VAUTIER G ET
AL. british medical journal. 1995;311(7005:633 (eng).
392- gera: 54476/nd/re
HAZARDS OF INFECTIOUS DISEASES IN
ACUPUNCTURE (EDITORIAL) . ISRAELI E .
harefuah. 1995;128(12):769-70 (heb).
393- gera: 54596/di/re
ENHANCED BONE METABOLISM INDUCED BY
ACUPUNCTURE. . KUNO RC ET AL. journal of
nuclear medicine. 1995;36(12):2246-7 (eng).
A 29-yr-old man with several years of back pain was
referred for a bone scan. High-resolution regional spot
images of the skeleton were obtained following
intravenous injection of 20 mCi 99mTc-methylene
diphosphonate. Posterior and lateral images of the skull
showed focal increased uptake in several regions of the
skull. Upon questioning, the patient stated that he had
received acupuncture treatment for his back pain
several times in the same regions as the increased
uptake. The needle placement was confirmed by the
patient's acupuncturist. Acupuncture can cause
enhanced bone metabolism demonstrated by increased
activity on bone scans.
394- gera: 54744/nd/ra
TRANSVERSE MYELOPATHY AFTER
ACUPUNCTURE THERAPY : A CASE REPORT. .
ILHAN A ET AL. acupuncture and
electrotherapeutics research. 1995;20(3-4):191-4
(eng).
Acute transverse myelopathy (ATM) due to acupuncture
therapy is a rare neurologic condition. Diagnostic
criteria for ATM consisted of acute onset of symmetrical
motor, sensory dysfunction and may be associated with
sphincter dysfunction with respect to the level of the
spinal cord injury. In this report, the mechanism of
occurrence of meylopathy and progressive symptoms
which appeared after acupuncture therapy is discussed.
395- gera: 57268/di/ra
INSURANCE UPDATE ON ACUPUNCTURE
COVERAGE : ACTUALLY, THERE IS SOME GOOD
NEWS - FOR CALIFORNIANS (LETTER).
THOMPSON I. american journal of acupuncture.
1995;23(2):183. (eng).
396- gera: 57309/nd/re
PNEUMOTHORAX AS A COMPLICATION OF
ACUPUNCTURE (LETTER) TT : NEUMOTORAX
COMO COMPLICACION DE LA ACUPUNTURA.
CANDELA BLANES A ET AL. an med interna.
1995;12(8):412-3 (spa).
397- gera: 58043/di/ra
COMPLICATIONS OF ACUPUNCTURE. RAMPES H
ET AL. acupuncture in medicine - journal of the
british medical acupuncture society. 1995;13(1):2633 (eng ).
Acupuncture as a treatment modality is new more
widely used by the medical profession. It behoves bath
practitioners and patients to be aware of possible
complications, the majority of which can be avoided
with cautious and prudent use of this ancient therapy.
There have been many isolated reports of
complications of acupuncture in the literature. We
surveyed the literature identifying all articles referring to
complications of
398- gera: 58149/di/ra
A FATAL COMPLICATION. (LETTER). WHITE A.
acupuncture in medicine. 1995;13(2):119 (eng ).
399- gera: 58151/di/ra
TSE OR TENS? (LETTER). ROYLE J. acupuncture in
medicine. 1995;13(2):121 (eng ).
400- gera: 70381/di/ra
TRANSVERSE MYELOPATHY AFTER
ACUPUNCTURE THERAPY: A CASE REPORT.
ILHAN A ET AL. acupuncture and electrotherapeutics research. 1995;20(3-4):191-4 (eng).
Acute transverse myelopathy (ATM) due to acupuncture
therapy is a rare neurologic condition. Diagnostic
criteria for ATM criteria of A cute onset of symmetrical
motor, sensor dysfunction and may be associated with
28
sphincter dysfunction with respect to the level of the
spinal cord injury. In this report, the mechanism of
occurrence of myelopathy and progressive symptomes
which appeared after acupuncture therapy is discussed.
401- gera: 84681/di/ra
[NOT NEGLIGENT OF DELAYED FAINTING DURING
ACUPUNCTURE]. YINGZHUN G. shanghai journal of
acupuncture and moxibustion. 1995;14(6):254 (chi).
402- gera: 6632/di/re
L'EXERCICE 1995. ASSEMBLEE GENERALE DU
SOU MEDICAL. SICOT C. concours medical.
1996;:19P (fra).
Avec mention d'une plainte pour "non récupération
d'une aiguille d'acupuncture".
403- gera: 54720/nd/re
[COMPLICATIONS OF ACUPUNCTURE (letter)].
NORHEIM AJ ET AL. tidsskr nor laegeforen.
1996;116(9):1153 (nor).
404- gera: 54734/di/re
LOCALISED LIPOATROPHY AFTER
ACUPUNCTURE (letter). DRAGO F ET AL. lancet.
1996;347(9013:1484. (eng).
Voir tarduction espagnole de: Revista Argentina de
Acupuntura, 1999; 91: 28. Réf gera: [72998].
405- gera: 54735/nd/re
[A CASE OF POSTERIOR TUBERCULOUS
SPONDYLITIS OF THE LUMBAR VERTEBRA WITH
THE SKULL INOCULATED BY ACUPUNCTURE].
SASAKI Y ET AL. kekkaku. 1996;71(5):357-61 (jap*).
A 77-year-old male consulted an orthopedist with
complaints of lumbago and a lumbar swelling, and was
treated with acupuncture. As the symptoms
deteriorated, and smear of a specimen aspirated from
the lumbar swelling was positive for acid fast bacilli
which were later identified as Mycobacterium
tuberculosis, he was hospitalized in the National Chiba
Higashi Hospital. On admission to our hospital, CT-scan
of lumbar vertebrae showed the destructive change of
spinous process of the third lumbar vertebra
accompanied by the abscess formation, and an
occipital swelling with the destructive change of skull
was also detected. Whole body examinations with CTscan and bronchoscopy did not reveal any other
abnormal findings suspective of tuberculous lesions.
The above lesions were both gradually improved by
antituberculous chemotherapy with INH, RFP, and EB.
He was finally diagnosed as posterior tuberculous
spondylitis of the lumbar vertebra with cold abscess,
and also clinically diagnosed as skull tuberculosis
caused presumably by the inoculation of tubercle bacilli
from the lumbar lesion by acupuncture.
406- gera: 54746/nd/re
QUALITATSSICHERUNG DER
AKUPUNKTURTHERAPIE. . KUBIENA G . z arztl
fortbild. 1996;90(2):159 (deu*).
[Quality assurance in acupuncture therapy].
407- gera: 55237/nd/re
RUBBING WITH A COIN IS NOT ABUSE TT :
MUNTWRIJVEN IS GEEN MISHANDELING.
ZUIJLMANS CW ET AL. ned tijdschr geneeskd.
1996;140(51):2552-4 (dut).
A 4-year-old Indonesian girl was seen with streaky
haematomas on back and chest. Because of fever,
throat pain, cough and vomiting, her parents had
rubbed her with balm and a coin. Coin rubbing is a
harmless, traditional treatment for various illnesses
which is regularly used in Southeast Asia. The
cutaneous manifestations can be mistaken for battering
or a bleeding disorder.
408- gera: 56257/di/ra
PRECAUTIONS AGAINST ACUPUNCTURE
ACCIDENTS. ZHENG GUAN-LI. international journal
of clinical acupuncture. 1996;7(1):47-9 (eng).
409- gera: 56258/di/ra
ACUPUNCTURE ACCIDENTS. BAO XIANG-YANG.
1996;7(1):51-5 (eng).
410- gera: 56366/di/ra
MANAGEMENT OF ACUPUNCTURE ACCIDENTS. JI
XIAO-PING. international journal of clinical
411- gera: 57288/di/ra
LITERATURE SURVEY OF REPORTED ADVERSE
EFFECTS ASSOCIATED WITH ACUPUNCTURE
TREATMENT. ROSTED P. american journal of
acupuncture. 1996;24(1):27-34 (eng).
The author presents a survey of reports published from
1980 through 1995 on adverse effects attributable to
acupuncture therapy. Among these are minor and
several serious effects, e.g., pneumothorax, cardiac
tamponade, bacterial endocarditis, hepatitis and spinal
lesions. The available data shows that such effects are
extremely rare, especially when contrasted with the
scores of thousands of deaths annually associated with
conventional drug therapy. The author concludes that
these findings provide substantial evidence for the high
degree of safety for acupuncture. Contraindications for
the use of acupuncture and recommendations are
briefly discussed.
412- gera: 57312/di/re
FALSE ANEURYSM OF THE POPLITEAL ARTERY
COMPLICATING ACUPUNCTURE. . LORD RV ET AL.
aust n z j surg. 1996;66(9):645-7 (eng).
This is the first reported case in which acupuncture
needle injury of the popliteal artery caused the
development of a false aneurysm. The patient
presented with rupture of the aneurysm and was
successfully managed by arterial
413- gera: 58028/di/ra
SELF-REPORTS OF ADVERSE EFFECTS OF
ACUPUNCTURE INCLUDED CARDIAC
ARRHYTHMIA. WHITE AR ET AL. acupuncture in
medicine - journal of the british medical
acupuncture society. 1996;14(2):121 (eng ).
414- gera: 58128/di/ra
AN ACUPUNCTURE COMPLICATION. (CASE
REPORT). APALOO F. acupuncture in medicine.
1996;14(1):41 (eng ).
415- gera: 58129/di/ra
BAKER' S CYST BURST AFTER ACUPUNCTURE.
(CASE REPORT). GRAY P. acupuncture in
medicine. 1996;14(1):41-2 (eng ).
416- gera: 58131/di/ra
29
SKIN MALIGNANCIES NOTED DURING
ACUPUNCTURE TREATMENT. (LETTER). STELLON
AJ. acupuncture in medicine. 1996;14(1):44 (eng ).
417- gera: 58492/di/ra
ADVERSE EFFECTS OF ACUPUNCTURE: A STUDY
OF THE LITERATURE FOR THE YEARS 1981-1994.
NORHEIM AJ. j altern complement med.
1996;2(2):291-297 (eng ).
This study presents the adverse effects of acupuncture
as recorded in the Medline database for the years
1981- 1994. A total of 125 papers were localized by the
keywords acupuncture adverse effects. Articles without
case reports were excluded, and 78 reports forms the
basis for the present paper. A total of 193 patients were
reported with adverse effects of acupuncture in 14
years. Pneumothorax is the most common mechanical
organ injury, while hepatitis dominates among
infections. Acupuncture treatment is claimed to be
responsible in the death of three patients. One patient
died from bilateral pneumothorax, another got
endocarditis, and died of complications. The third
patient died of severe asthma while under acupuncture
treatment. Most adverse effects of acupuncture seem to
rely on insufficient basic medical knowledge, low
hygienic standard, and inadequate acupuncture
education. The study confirms the adverse effects of
acupuncture under certain circumstances. Serious
adverse effects, however, are few, and acupuncture
can generally be considered as a safe treatment.
418- gera: 58493/di/ra
ADVERSE EFFECTS OF ACUPUNCTURE.
MCINTYRE M ET AL. j altern complement med.
1996;2(2):257-8 (eng ).
419- gera: 58511/di/ra
SAFETY ISSUES IN ACUPUNCTURE. LAO L. j altern
complement med. 1996;2(1):27-31 (eng ).
420- gera: 70905/di/re
COMPLEMENTARY MEDICINE. LETTER. ABBOT NC
ET AL. nature. 1996;381:361 (eng).
Les lecteurs du journal Britanique the guardian (
diffusion de 500.000 exemplaire) sont invités à
répondre à un questionnaire sur les médecines
alternatives.386 réponses sont obtenues. 12%
signalent des effets secondeur aprés acupuncture
(Aggravation, effets psychiques , asthénie, douleur,
complication locale. . Une autre enquète est sur 972
médecins généralistes. 38% des réponses signalent
des effets secondaires, dont seulement 4 cas liés à
l'Acupuncture, 2 aggravations, 1 problème visuel, et 1
arthrite septique.
421- gera: 72124/di/ra
PNEUMOTORAX IATROGENICO POR INSERCAO
DE AGULHA DE ACUPUNTURA NO TRIANGULO DA
AUSCULTA. CRICENTI SERAFIM VINCENZO. revista
paulista de acupuntura. 1996;2(1):40-3 (por*).
IATROGENIC PNEUMOTHORAX FOLOWING
INSERTION OF ACUPUNCTURE NEEDLE IN THE
TRIANGLE OF AUSCULTATION.Traumatic
pneumothorax following insertion of acupuncture needle
is one of the most frequent complications observed in
clinical practice of acupuncture. This study was done to
show the varying thickness of the thoracic wall in the
region of the triangle of auscultation Material - The
authors studied 11 adult cadavers fixed in 10.0%
formaldehyde solution, from the Anatomy Laboratory of
the Department of Morphology of Federal University of
Sao Paulo/Escola Paulista de Medicinal Methods Careful dissection was earned on in order to thoroughly
expose the region of the triangle of auscultation, and
the muscles trapezius, greater rhomboid, latissimus
dorsi and intercostal. From the midpoint of each of
sides of triangle a perpendicular line as drawn. Two
points were determine on this line: one located 1 cm
away from the triangle (point P) and another 1cm inside
the triangle (point D). Acupuncture needles were
introduced in these points to a depth where they are
about to transfix the thoracic wall, and then
measurement was made. Results - The points located
inside the triangle measured 1.29-cm (average), l with a
range from 0.70 cm to 1.80 cm. These points located
outside the triangle averaged 1.88-cm (range 1.30 cm 2.90 cm). Statistical analysis with Wilcozon test showed
a significant difference between the points inside and
outside the triangle (Tcalc = 1.00 and Z = -4.92).
Discussion - There are several acupoints in the region
of the triangle of osculation (for example Shentang B-39
and Ashi points). In the area of the triangle the thoracic
wall is thinner than in other region, and this is more
evident in individuals with a thin body and patients with
malnutrition, due to atrophy of
30
ACUPUNCTURISTS. NORHEIM AJ, FONNEBO V.
complement ther med. 1996;4(1):8-13 (eng).
428- gera: 5774/di/ra
STUDIES OF NEEDLING DEPTH IN ACUPUNCTURE
TREATMENT. JAUNG-GENG LIN. chinese medical
journal. 1997;110(2):154-6 (eng).
429- gera: 27469/di/re
L'EXERCICE 1996. I. RESPONSABILITE CIVILE
PROFESSIONNELLE. SICOT C. concours medical.
1997;: (fra).
Avec mention de cas de transmission de l'hépatite C, et
cas d'aiguille oubliée.
422- gera: 74804/nd/re
ALTERNATIVMEDIZIN - WIRKLICH HARMLOS?.
HARTMANN G. schweiz arztezeitung. 1996;77:316-7
(deu).
430- gera: 35749/di/re
DROP FOOT AS A COMPLICATION OF
ACUPUNCTURE INJURY AND INTRAGLUTEAL
INJECTION. SOBEL E ET AL. journal of the american
podiatric medical association. 1997;87(2):52-9 (eng).
Two cases of peroneal nerve palsy resulting in drop foot
are reported. One case involves direct injury to the
common peroneal nerve by an acupuncture needle. A
second case describes sciatic nerve injury caused by
an intragluteal injection. Although acupuncture injury at
the spinal cord level and the peripheral nerves of the
upper extremity has been documented, peroneal nerve
palsy resulting from acupuncture therapy has not been
previously
423- gera: 74805/nd/re
SCHARLATANERIE MIT TODLICHEM AUSGANG.
PUSCHEL K ET AL. munch med wschr.
1996;138:287-90 (deu).
431- gera: 55200/di/re
LIFE-THREATENING ADVERSE REACTIONS AFTER
ACUPUNCTURE.? A SYSTEMATIC REVIEW. ERNST
E ET AL. pain. 1997;71(2):123-6 (eng).
424- gera: 85645/di/ra
CLINICAL REPORT : EPILEPTIFORM SEIZURE
FOLLOWING ELECTROACUPUNCTURE. APTEKAKADE S. medical acupuncture. 1996;8(1):40-1
(eng).
432- gera: 55845/di/re
ACUPUNCTURE : SAFETY FIRST (EDITORIAL).
ERNST E ET AL. british medical journal.
1997;314(7091:1362 (eng).
425- gera: 86962/di/re
MIGRATION OF AN ACUPUNCTURE NEEDLE INTO
THE MEDULLA OBLONGATA. ABUMI K ET AL.
european spine journal. 1996;5(2):137-9 (eng).
A case of a delayed lesion of the medulla oblongata
caused by migration of an acupuncture needle is
presented. The patient was a 60-year-old woman who
had undergone embedded-type acupuncture needle
treatment around 1975. In 1993 she was admitted to
our hospital with a 3-week history of progressive motor
and sensory disturbance of her right upper extremity.
CT demonstrated that one needle had penetrated the
medulla oblongata transversely at the level of the
foramen magnum. The needle was removed surgically
without any complications. This is the first report of an
acupuncture needle migrating in the medulla oblongata.
426- gera: 107203/di/ra
COMPLEMENTARY MEDICINE. NC ABBOT, AR
WHITE, E ERNST. chinese journal of integrated
traditional and western medicine (english edition).
1996;2(3):236 (eng).
427- gera: 146466/di/re
ADVERSE EFFECTS ARE MORE THAN
OCCASIONNAL CASE REPORTS : RESULTS FROM
QUESTIONNAIRES AMONG 1135 RANDOMLY
SELECTED DOCTORS, AND 197
433- gera: 56006/nd/re
PREVALENCE AND RISK FACTOR ANALYSIS OF
GBV-C/HGV INFECTION IN PROSTITUTES. . WU JC
ET AL. j med virol. 1997;52(1):83-5 (eng).
GB virus-C (GBV-C) and Hepatitis G virus (HGV) are
variants of a recently cloned virus transmitted
parenterally. It is unclear if sexual contact also transmits
this virus. In this study, we detected serum GBV-C/HGV
RNA in 140 prostitutes by reverse transcription
polymerase chain reaction (RT-PCR) using different
primers. Thirty (21%) were found with GBV-C RNA by
nested PCR although only 22 (73%) had HGV RNA by
single round RT-PCR. Both assays had a nearly perfect
agreement (kappa value, 0. 812). The prevalence of
GBV-C RNA in prostitutes was significantly higher than
the control group (30/140 vs. 2/40, P < 0. 02).
Multivariate analysis revealed that a frequency of paid
sex more than 120 times per month was the only factor
significantly associated with positive GBV-C RNA in
prostitutes (P < 0. 003). In summary, prostitutes are a
high risk group and reservoir of GBV-C/HGV
434- gera: 56285/di/re
CASE REPORTS OF TWO PATIENTS WITH
PNEUMOTHORAX FOLLOWING ACUPUNCTURE.
VILKE GM ET AL. journal of emergency medicine.
1997;15(2):155-7 (eng).
We report two patients who presented to the
emergency department with pneumothorax related to
acupuncture. The first patient developed pleuritic chest
pain and shortness of breath while undergoing
acupuncture therapy, and the second patient developed
similar symptoms 10 min after acupuncture therapy.
Neither patient had a previous history of pneumothorax,
and both were undergoing acupuncture along the spine,
paraspinal region, and shoulders. A review of the
literature follows.
435- gera: 56713/di/ra
[ANALYSIS ON FAINTING DURING CUPPING]. YU
DONGSHENG. chinese acupuncture and
moxibustion. 1997;17(2):127 (chi).
436- gera: 56905/di/ra
[CONSCIOUSNESS ABOUT ENVIRONMENTAL
HYGIENE IN ACUPUNCTURE AND MOXIBUSTION
CLINICS]. YOSHINO S ET AL. journal of the japan
437- gera: 57021/nd/re
BACTERIAL MENINGITIS AND LUMBAR EPIDURAL
HEMATOMA DUE TO LUMBAR ACUPUNCTURES :
A CASE REPORT. CHEN CY ET AL. kao hsiung i
hsueh ko hsueh tsa chih. 1997;13(5):328-31 (eng).
A 48-year-old female expressed signs of meningeal
irritation after having received several lumbar
acupunctures within one week for back pain. Bacterial
meningitis was diagnosed from cerebrospinal fluid
examinations. Magnetic resonance image (MRI) of
spine at admission demonstrated a fusiform lesion with
characters of subacute hematoma in the epidural space
of the first and second lumbar level. She received
antibiotics treatment only and recovered from her
central nervous system infection completely. The
epidural lesion disappeared spontaneously in the MRI
follow up three weeks later. We report the diagnosis
and follow-up of epidural hematoma of the lumbar spine
by MRI which aided the medical physician to treat
meningitis attentively.
438- gera: 57023/nd/re
OLUSANYA O ET AL. j am board fam pract.
1997;10(4):296-7 (eng).
[Pas en France].
439- gera: 57205/di/re
SAFETY IN ACUPUNCTURE. GUIDELINES ON
PRACTICE OF ACUPUNCTURE EXIST (letter).
UDDIN J. british medical journal. 1997;16(315):430.
(eng).
440- gera: 57206/di/re
SAFETY IN ACUPUNCTURE. CORE CURRICULUM
IS IMPORTANT (letter). HICKS J ET AL. british
medical journal. 1997;16(315):430. (eng).
441- gera: 57207/di/re
SAFETY IN ACUPUNCTURE. RIGOROUS
ACCREDITATION SCHEDULE FOR ACUPUNCTURE
ALREADY EXISTS (letter). BALDWIN OF BEWDLEY
E. british medical journal. 1997;16(315):429-30 (eng).
442- gera: 57360/di/ra
BIOCOMPATIBILITY OF ACUPUNCTURE NEEDLES
: CLINICAL FAILURES DUE TO TOXICITY,
INFECTION AND METAL INTOLERANCE. VAN
BENSCHOTEN MM. american journal of
acupuncture. 1997;25(1):39-49 (eng).
31
443- gera: 57361/di/ra
THE CONTRAINDICATED (FORBIDDEN) POINTS OF
ACUPUNCTURE FOR NEEDLING, MOXIBUSTION
AND PREGNANCY. DALE RA. american journal of
Certain acupuncture points have been traditionally
designated as contraindicated for needling, for
moxibustion, or under special conditions. This article
discusses the bases and sources for these prohibitions.
Summary tables organize the points according to those
contraindicated for comparatively shallow and deep
needling, for moxibustion, and during pregnancy.
444- gera: 57669/di/ra
POINTS INTERDITS A LA PUNCTURE OU A LA
MOXIBUSTION (1ERE PARTIE. GUILLAUME G.
revue francaise d'acupuncture. 1997;92:28-52 (fra*).
Un certain nombre de points d'acupuncture sont contreindiqués à la puncture ou à la moxibustion. Une analyse
des textes classiques révèle de nombreuses
divergences voire des contradictions entre eux. Cette
constation est illustrée par l'étude des textes classiques
suivants : Su wen, Jia yi jing, Qian jin yao fang, Zi
sheng jing, Yi xue ru men, Da cheng. De la
confrontation avec les textes chinois contemporains ne
persistent plus dans les recommandations que des
445- gera: 57995/di/ra
ACUPUNCTURE PRACTICE AND SKIN
MALIGNANCIES. (LETTER). JAMES R. acupuncture
in medicine - journal of the british medical
acupuncture society. 1997;15(1):51-2 (eng ).
446- gera: 57997/di/ra
SURVEY OF ADVERSE EVENTS FOLLOWING
ACUPUNCTURE. WHITE A ET AL. acupuncture in
medicine - journal of the british medical
acupuncture society. 1997;15(2):67-70 (eng ).
Volunteers are sought who will commit themselves to
report the incidence of adverse effects in their
acupuncture practice over a period of two years. The
Department of Complementary Medicine of Exeter
University is co- ordinating a survey of 30,000
acupuncture treatments. From the resulting data a
complication rate of serious and minor side effects will
be compiled. It is hoped that meticulous recording could
demonstrate circumstances leading to adverse effects
and identify unrecorded complications of acupuncture.
Previous reports suggest that the major complications
of acupuncture have an incidence of between 1:10,000
and 1:100,000, which is classified as very low. This
survey aims to give an accurate assessment of the risk
of major complication and to determine the range and
incidence of any other unintended and nontherapeutic
ill-effects following acupuncture, no matter how minor. It
constitutes the first such investigation into the safety of
acupuncture.
447- gera: 58234/di/ra
THE RISKS ASSOCIATED WITH TCM - A REVIEW
AND DISCUSSION OF THE LITERATURE. MAY B.
pacific journal of oriental medecine. 1997;10:30-44
(eng ).
448- gera: 58474/di/re
GLENOHUMERAL PYARTHROSIS FOLLOWING
ACUPUNCTURE TREATMENT. KIRSCHENBAUM AE
ET AL. orthopedics. 1997;20(12):1184-6 (eng ).
449- gera: 68133/di/ra
LETTERS TO THE EDITOR. MARGOLIN A ET AL.
complementary therapies in medicine. 1997;5(1):534 (eng).
450- gera: 70530/nd/re
CASE REPORTS OF TWO PATIENTS WITH
VILKE GM ET AL. journal of emergency medicine.
1997;15(2):155-7 (eng).
451- gera: 70533/di/ra
UNCOVERING ADVERSE EFFECTS OF
COMPLEMENTARY MEDICINE. ABSTRACT. ABBOT
NC ET AL. focus on alternative and complementary
therapies. 1997;2(4):184 (eng).
452- gera: 70540/di/ra
THE NEED FOR PRACTICAL COURSES IN
ANATOMY FOR ACUPUNCTURISTS. ABSTRACT.
PEUKER ET ET AL. focus on alternative and
complementary therapies. 1997;2(4):194 (eng).
453- gera: 74795/di/ra
COMPLEMENTARY TREATMENTS: EXAMPLES OF
DIRECT AND INDIRECT RISKS. ERNST E. focus on
alternative and complementary therapies.
1997;2(1):6-7 (eng).
Résumé et commentaire des articles: - Hartmann G.
Alternativmedizin - wirklich harmlos? Schweiz
Arztezeitung. 1996; 77: 316-7. Réf gera: [74804].Puschel K et al. Eisenmenger W. Scharlatanerie mit
todlichem Ausgang. Munch Med Wschr. 1996; 138:
287-90. Réf gera: [74805].
454- gera: 86987/di/re
SKIN SCRAPING,CUPPING,AND MOXIBUSTION
THAT MAY MIMIC PHYSICAL ABUSE. LOOK KM ET
AL. journal of forensic science. 1997;42(1):103-5
(eng).
Physical abuse and child abuse can manifest
themselves as many different appearances. However,
there are some cultural practices of Oriental medicine
that may mimic physical and/or child abuse. This paper
will discuss the practice of skin scraping, cupping, and
moxibustion, which has been misdiagnosed as
physical/child abuse by
455- gera: 87048/di/cg
AUDIT SUR LE CONTRÔLE DU RISQUE
CONTAMINANT DU MATERIEL D'ACUPUNCTURE
PAR LES MEDECINS ACUPUNCTEURS
D'AQUITAINE. CASTERA P ET AL. 1er congres
national de la f a f o r m e c, bordeaux. 1997;:43-56
(fra).
Après une présentation de la méthodologie générale et
une justification d'un audit sur le contrôle du risque
contaminant du matériel d'acupuncture par les
Medecins-Acupuncteurs d'Aquitaine, l'auteur detaille les
resultats de l'enquête de pratique initiale. Les
conclusions d'une enquête d'opinion sur la reference
permettent de confirmer celleci, tout en mettant en
exergue les résistances au changement les plus
importantes. L'analyse des écarts sur les critères de
qualité confirme l'intérêt de cette démarche dans la
perspective d'une amélioration de la qualité des soins
prodigués par les Médecins-Acupuncteurs d'Aquitaine.
456- gera: 87136/di/ra
[SAFE NEEDLING DEPTH FOR POTENTIALLY
32
DANGEROUS ACUPOINTS IN THE HEAD AND
NECK]. ZHENGUO Y ET AL. journal of the japan
Fifty-one fresh adult cadavers (male 21, female 30)
were randomly selected. The required acupoints were
were and then the cadavers were frozen for anatomical
dissection. Distance between the shallow point on the
skin and the dangerous zones were measured after the
cadavers were unfrozen. Data were analysed
statistically. The results showed that safe needling
depths for Fengfu, Yamen, Fengchi and Jingming were
40.08mm, 38.10mm, 39.70mm and 34.25mm,
respectively.
457- gera: 87137/di/ra
[REPORT OF ADVERSE EFFECTS IN
ACUPUNCTURE TREATMENT FOUND BY MEDLINE
SURVEY]. KAWARITA K ET AL. journal of the japan
society of acupuncture. 1997;47(3):196-04 (jap).
458- gera: 111940/di/cg
ACUPUNCTURE ET DECHETS MEDICAUX,.
NGUYEN J. seminaire gera, toulon. 1997; : (fra*).
459- gera: 112616/di/tp
PROFONDEUR DE PUNCTURE, PROFONDEUR DE
SECURITE ET PROFONDEUR D'OBTENTION DU
DEQI,. NGUYEN J. gera. 1997; : (fra).
460- gera: 117367/di/re
THE SAFETY OF INJECTING INSULIN THROUGH
CLOTHING. Fleming DR et al. diabetes care.
1997;20(3):244-7 (eng).
OBJECTIVE: Many of the "antiseptic" practices
recommended by health care professionals for insulin
injection have been successfully challenged as
unnecessary. Since people with diabetes have long
been observed to inject their insulin through their
clothing, this study was undertaken to determine the
safety and perceived benefits of administering insulin by
this "rogue" technique. RESEARCH DESIGN AND
METHODS: Fifty people with insulin- treated diabetes
were randomized into a 20-week single-blinded
prospective crossover study comparing the
conventional subcutaneous injection technique (with
skin preparation) to an experimental injection technique
through clothing. Skin assessment, glycated
hemoglobin levels, and leukocyte count were
determined before randomization, at 10 weeks (before
crossover), and again at 20 weeks (at completion). The
participants injected through a single layer of fabric,
which ranged from nylon to denim. Problems, benefits,
type of clothing, and other comments were recorded by
the subjects in an injection log. RESULTS: Forty-two
(84%) subjects completed the study. The mean age
was 41 years (range, 23-63 years), 50% were women,
86% were Caucasian, and 80% had type I diabetes.
The mean duration of diabetes was 14 years (range, 133 years). Fifty-one percent had > 16 years of
education. The demographic characteristics of the
dropouts were similar to those who completed the
study. Over the 20-week period approximately 13,720
injections were performed by participants. None of the
subjects experienced erythema, induration, or abscess
at injection sites. Neither the glycated hemoglobin
levels nor the leukocyte counts differed between the
conventional and experimental regimens. During the
injection-through- clothing phase of the study, only
minor problems, such as blood stains on clothing and
bruising, were recorded in the logbooks. However,
subjects reported that injection through clothing offered
benefits such as convenience and saving time.
CONCLUSIONS: It is safe and convenient to inject
insulin through clothing
461- gera: 153887/di/re
ACUTE VIRAL HEPATITIS IN HONG KONG: A
STUDY OF RECENT INCIDENCES. CHAU TN,LAI
ST,YUEN H. hong kong medical journal. 1997;3(3):
(eng).
462- gera: 57972/di/re
CERVICAL SPINAL EPIDURAL ABSCESS
FOLLOWING ACUPUNCTURE: SUCCESSFUL
TREATMENT WITH ANTIBIOTICS. YAZAWA S ET AL.
internal medicine. 1998;37(2):161-5 (eng ).
A 67-year-old man with poorly controlled diabetes
mellitus (DM) had acupuncture several times a month
for chronic shoulder muscle stiffness. A few days after
acupuncture in the posterior nuchal region, a low-grade
fever and backache developed, and subacutely
progressed. Finally he complained of gait disturbance,
and then respiratory distress appeared. Magnetic
resonance imaging (MRI) demonstrated high cervical
epidural abscess with massive soft tissue inflammation
and vertebral osteomyelitis. Conservative treatment
with antibiotics was effective and it was well
documented by following serial MRIs. This case
suggested that needle acupuncture should be avoided
for immunocompromised subjects such as patients with
poorly controlled DM.
463- gera: 57983/di/ra
THE SIDE EFFECTS OF ELECTIVE ACUPUNCTURE
TREATMENT DURING MENSTRUATION. (LETTER).
CHISAGNE W ET AL. american journal of
acupuncture. 1998;26(1):81-2 (eng ).
464- gera: 58093/di/ra
IMPORTANT LANDMARKS FOR NEEDLING AND
SOME OF THE RISKY PLACES. ZHANG QIN ET AL.
1998;9(1):39-42 (eng ).
The following is a brief introduction to the notable points
in needling, notably the risky places and the important
landmarks on the body that help one locate the points
and avoid incurring any harm.1. What would you tell me
is the most important thing for an inexperienced
acupuncturist to know?
465- gera: 58096/di/ra
FORBIDDEN POINTS. CHEN KE-QIN. international
journal of clinical acupuncture. 1998;9(1):49 (eng ).
466- gera: 58098/di/ra
ANGINA PECTORIS INDUCED BY ELECTRIC SCALP
ACUPUNCTURE : REPORT ON TWO CASES. LI
CHANG-DU ET AL. international journal of clinical
acupuncture. 1998;9(1):53-4 (eng ).
467- gera: 58099/di/ra
BIG TOE COLDNESS INDUCED BY NEEDLING
XINGJIAN : REPORT OF ONE CASE. HU RUN-SHU.
1998;9(1):55 (eng ).
468- gera: 58214/di/ra
POINTS INTERDITS A LA PUNCTURE OU A LA
MOXIBUSTION (2EME PARTIE). GUILLAUME G.
revue francaise d'acupuncture. 1998;93:20-8 (fra ).
33
Un certain nombre de points d'acupuncture sont contreindiqués à la puncture ou à la moxibustion. Une analyse
des textes classiques révèle de nombreuses
divergences voire des contradictions entre eux. Cette
constatation est illustrée par l'étude des textes
classiques suivants: Su wen, Jia yi jing Qian jin yao
fang Zi sheng jing, Yi xue ru men, Da cheng. De la
confrontation avec les textes chinois contemporains ne
persistent plus dans les recommandations que des
mises en garde ou des interdits qui ne relèvent que de
considérations anatomiques.
469- gera: 58245/di/re
RAPPORT DU CONSEIL MEDICAL DU GRAMM SUR
L'EXERCICE 1997. SICOT C. concours medical,
1998. 1998; : (fra ).
Avec rapport d'un cas d'abcés de l'oreille après
auriculothérapie.
470- gera: 58397/nd/re
[ACUPUNCTURE COMPLICATION OR UNSKILLED
PROFESSIONAL PRACTICE]?. HAKER E.
lakartidningen. 1998;95(15):1648 (swe ).
471- gera: 58398/di/re
RETROPERITONEAL HEMATOMA DUE TO
RUPTURE OF A PSEUDOANEURYSM CAUSED BY
ACUPUNCTURE THERAPY. MATSUYAMA H ET AL.
journal of urology. 1998;159(6):2087-8 (eng ).
472- gera: 58416/di/re
PNEUMOTHORAX FOLLOWING ACUPUNCTURE IS
A GENERALLY RECOGNIZED COMPLICATION
SEEN BY MANY EMERGENCY PHYSICIANS.
KELSEY JH. j emerg med. 1998;16(2):224-225 (eng ).
473- gera: 58417/di/re
PERITEMPOROMANDIBULAR ABSCESS AS A
COMPLICATION OF ACUPUNCTURE: A CASE
REPORT. MATSUMURA Y ET AL. journal of oral and
maxillofacial surgeons. 1998;56(4):495-496 (eng ).
474- gera: 58422/nd/re
[THE RISKS OF COMPLEMENTARY THERAPY
METHODS]. ERNST E. fortschr med. 1998;116(12):28-30 (deu*).
Complementary treatments are currently more popular
than ever-not least because they are perceived to be
innocuous. This perception is, however, almost certainly
wrong. Serious complications are being reported with
worrying regularity, as is shown by the present article
using acupuncture and herbal remedies as examples.
The true incidence of such complications is, for the
most part, unknown. Only when reliable figures have
been provided by systematic investigation will it be
possible to undertake a risk-benefit analysis. It follows
that a study of this
475- gera: 58436/nd/re
[ACUPUNCTURE CAN CAUSE VASCULAR INJURY].
BERGQVIST D ET AL. lakartidningen.
1998;95(3):180-181 (swe ).
476- gera: 58455/di/re
L'INJECTION D'INSULINE A TRAVERS LES
VETEMENTS PEUT-ELLE ETRE RECOMMANDEE ?.
X. concours medical. 1998;120(37):2591-2 (fra ).
477- gera: 58544/di/ra
DETERMINATION OF SAFE NEEDLING DEPTH VIA
CT-SCAN STUDIES OF TISSUE THICKNESSES AT
ACUPOINT LOCATIONS OF THE LOWER BACK.
JAUNG-GENG LIN ET AL. american journal of
acupuncture. 1998;26(2/3):121-27 (eng).
The aim of this study was to examine the thicknesses of
muscle and fatty tissue layers at acupoints in the lower
back for different body types in order to elucidate safe
needling depths. Using CT scans, our study revealed
that two factors, namely body type and location of
specific acupoint, are significantly related to the
thickness of muscle and fatty tissue. The overweight
group had thicker layers of both fatty and muscle
compared to that of the normal- and underweight
groups. Among the different acupoints studied, the
variation in thickness of muscle tissue was much
greater than that of fatty tissue. Additionally, the
thickness of muscle tissue at a specific acupoint was
found
478- gera: 58590/di/re
ADVERSE EVENTS RELATED TO ACUPUNCTURE.
YAMASHITA H ET AL. jama. 1998;280(18):1563-4
(eng ).
479- gera: 58594/di/re
MEDICAL MALPRACTICE IMPLICATIONS OF
ALTERNATIVE MEDICINE. STUDDERT DM ET AL.
jama. 1998;280(18):1610-15 (eng*).
Although use of alternative therapies in the United
States is widespread and growing, little is known about
the malpractice experience of practitioners who deliver
these therapies or about the legal principles that govern
the relationship between conventional and alternative
medicine. Using data from malpractice insurers, we
analyzed the claims experience of chiropractors,
massage therapists, and acupuncturists for 1990
through 1996. We found that claims against these
practitioners occurred less frequently and typically
involved injury that was less severe than claims against
physicians during the same period. Physicians who may
be concerned about their own exposure to liability for
referral of patients for alternative treatments can draw
some comfort from these findings. However, liability for
referral is possible in certain situations and should be
taken seriously. Therefore, we review relevant legal
principles and case law to understand how malpractice
law is likely to develop in this area. We conclude by
suggesting some questions for physicians to ask
themselves before referring their patients to
480- gera: 58621/di/ra
METHODOLOGICAL APPROACHES TO
INVESTIGATING THE SAFETY OF
COMPLEMENTARY MEDICINE. ERNST E ET AL.
complementary therapies in medicine.
1998;6(3):115-21 (eng).
Complementary therapies are often believed to be
entirely safe, yet the safety of a particular therapy or
remedy can only be determined by evidence and not
belief. The aim of this article is to outline briefly the
methodological options available for researching the
safety of complementary therapies.These tools include
assessing historical use (tine 'test of time'), controlled
clinical trials, systematic and narrative reviews,
spontaneous-reporting schemes, epidemiological
investigations, such as cohort studies, case-control
studies, case registers, surveys, and outcomes studies.
Each of these methods has its strengths and
weaknesses. The best methodological approach will
depend on the exact research question and the
34
particular situation to be investigated. The safety issue
in complementary medicine is grossly underresearched
and the use of these methods in determining the safety
of complementary
481- gera: 58725/nd/re
PREVALENCE OF ANTIHEPATITIS C ANTIBODIES
IN A RURAL COMMUNITY WITHOUT HIGH
MORTALITY FROM LIVER DISEASE IN NIIGATA
PREFECTURE. KAYABA K ET AL. j epidemiol.
1998;8(4):2505 (eng ).
The prevalence of hepatitis C virus (HCV) infection and
factors relating to the HCV transmission were evaluated
in a community without high mortality from chronic liver
disease in Niigata prefecture. A total of 2,231 subjects
were examined to detect antiHCV core antibodies by
enzymelinked immunosorbent assay with synthetic
peptides CP14 and CP9. The prevalence was 1.66%
(95% CI; 1.17% to 2.29%) and tended to increase with
age. The values were lower than those reported from
districts with hepatic disease endemic. Histories of
blood transfusion (relative risk (RR) 5.51; 95% CI 2.90
to 10.48) and surgery with hospital admission (RR 4.43;
95% CI 2.04 to 9.65) were significantly associated with
the antiHCV core antibodies positive. Multiple logistic
analysis corroborated independency of these factors.
Among 188 subjects who experienced surgery and/or
blood transfusion after 1990, only one (0.5%) had HCV
infection. By contrast, 8 (3.5%) were positive in subjects
who experienced first acupuncture therapy after 1990.
The acupuncture therapy in alternative medicine could
be still related to the HCV
482- gera: 58739/nd/re
ELECTROMAGNETIC INTERFERENCE AND ICD
DISCHARGE RELATED TO CHIROPRACTIC
TREATMENT. VLAY SC. pacing clin electrophysiol.
1998;21(10):2009 (eng ).
Electromagnetic interference is well known to cause
false sensing in ICDs. Sources may include
instrumentation involved with acupuncture, arc welding,
electrocautery, diathermy, electrolysis, and
transcutaneous electric nerve stimulator units as well as
power lines. Patients with ICDs are cautioned to avoid
exposure to these sources.
483- gera: 58743/di/re
CHEST PAIN AND BREATHLESSNESS AFTER
ACUPUNCTURE AGAIN. JONES KS. med j aust.
1998;169(6):344 (eng ).
484- gera: 58747/di/re
UNILATERAL SACROILIITIS AS AN UNUSUAL
COMPLICATION OF ACUPUNCTURE. SHEUNG-MEI
LAU ET AL. clinical rheumatology. 1998;17(4):357-8
(eng ).
Septic sacroiliitis is an uncommon disease and is rarely
reported as a complication of acupuncture. We present
a case of unilateral septic sarcoiliitis, which developed
as a complication of acupuncture because of failure to
sterilise the skin properly before treatment. Bone scan
and computed tomography were positive for sacroiliitis.
After a course of antibiotics with oxacillin for 6 weeks,
the condition was completely improved. This case
report stresses the importance of sterilisation
procedures before acupuncture therapy.
485- gera: 58762/nd/re
[A FATAL CASE OF STREPTOCOCCAL TOXIC
SHOCKLIKE SYNDROME PROBABLY CAUSED BY
ACUPUNCTURE]. ONIZUKA T ET AL.
kansenshogaku zasshi. 1998;72(7):77680 (jap*).
A 41yearold male received acupuncture in the right
shoulder for the sake of arthralgia. Three days after
acupuncture he was admitted due to severe
epigastralgia. Erythematous change and swelling were
observed around the right shoulder. A study by
magnetic resonance showed an increased signal
intensity in a portion of the right subscapular muscle.
Four hours after admission he became hypotensive.
The erythematous and necrotic change in the right
shoulder skin rapidly spread. Excisional debridement in
the right lateral chest wall was immediately done.
However, the patient died one day after admission
despite administration of a highdose ampicillin and
other supportive therapies. Bacteriological and
histological examinations confirmed severe
streptococcal myositis. This is a case report of toxic
shocklike syndrome probably caused by acupuncture.
486- gera: 58786/nd/re
ARGYRIA AFTER SHORTCONTACT
ACUPUNCTURE. LEGAT FJ ET AL. lancet.
1998;352(9123:241 (eng ).
487- gera: 58800/nd/re
OUTBREAK OF HEPATITIS B ASSOCIATED WITH
AUTOHAEMOTHERAPY: UPDATE. X. commun dis
rep cdr wkly. 1998;8(13):113 (eng ).
488- gera: 58826/di/me
AUDIT SUR LE CONTROLE DU RISQUE
CONTAMINANT DU MATERIEL D'ACUPUNCTURE
PAR LES MEDECINS ACUPUNCTEURS
D'AQUITAINE. JOURET F. memoire d'acupuncture,
diu bordeaux 2. 1998; :29P (fra ).
489- gera: 58840/di/ra
[STUDY ON THE DEPTH OF ACUPOINTS ON THE
BACK AND LUMBAR PARTS]. ZHANG JIANHUA ET
AL. chinese acupuncture and moxibustion.
1998;18(7):403 (chi ).
Voir traduction espagnole de: Ener Qi, 1999; 8: 26-29.
Réf gera: [72779].
490- gera: 67224/di/ra
[RESEARCH ON THE CONTAMINATION OF
ACUPUNCTURE TOOLS AND THE EFFECTS OF
SEVERAL ANTIBIOTICS ON THE TOOLS]. AN
XIULING ET AL. acupuncture research.
1998;23(2):153 (chi*).
The authors detected routinely the bacteria
contamination of acupuncture and moxibustion tools
used often in clinic. The effects of several antibiotic
chemicals on the acupuncture and moxibustion tools
were compared with that of 75 % alcohol. The effective
rate and lasting time were also observed. The results
showed that bacteria and fungus were obviously found
on the acupuncture and moxibustion tools presterilization. The effectiveness of several antibiotics was
better than that of 75 % alcohol.
491- gera: 67245/di/ra
[BRIEF DISCUSSION ON VESICATION AFTER
CUPPING]. FENG HECHANG ET AL. chinese
492- gera: 67305/di/ra
PAIN IN THE PROCESS OF NEEDLING. LU CHAO ET
AL. international journal of clinical acupuncture.
35
1998;9(2):145-7 (eng).
493- gera: 67841/di/ra
[THE STUDY ON THE SAFE NEEDLING DEPTH IN
THE DANGEROUS ACUPOINTS OF THE CHEST].
ZHANG JIANHUA ET AL. shanghai journal of
Total 51 fresh adult cadavers (21 male ; 30 female)
were radomly selected. After the location of acupoints,
the cadavers were frezon and then dissected by
anatomical sections samples. After defrosting, the
distance between the superfacal point of the skin and
the deep dangerous point was measured and the data
were treated statistically. As a result, the average
dangerous depths point of 23 chest acupoints were
obtained, thus making it possible to put forward the safe
depth of needling for these 23 acupoints.
494- gera: 68064/di/ra
IS ACUPUNCTURE SAFE IN PATIENTS WITH
MORPHINE HYPERSENSITIVITY?. TILLU A ET AL.
acupuncture in medicine. 1998;16(2):105-6 (eng).
Acupuncture is a well recognised method of providing
pain relief. The case of a known morphine-sensitive
patient is reported, who apparently suffered a
hypersensitivity reaction (nausea, headache and
lethargy) to a single treatment with acupuncture,
possibly due to the increased release of endogenous
opioid peptides. It is suggested that acupuncture should
either be avoided or administered with caution in
patients known to be sensitive to
495- gera: 69163/di/ra
INFECTED TOTAL KNEE ARTHROPLASTY:
POTENTIAL ACUPUNCTURE COMPLICATION ?
ABSTRACT. BRAVERMAN SE. medical
496- gera: 69232/di/ra
DIE ERHEBUNG VON "NEBENWIRKUNGEN" UND
BEGLEITSYMPTOMEN BEI
AKUPUNKTURBEHANDLUNGEINE PILOTSTUDIE.
MELCHART D ET AL. deutshe zeitschrift fur.
1998;26(2):87-92 (deu*).
Objective: To perform a pilot study to monitor "side
effects" and accompanying symptoms associated with
acupuncture treatment and thus collecting first
experiences about how risks and safety of this therapy
might be studied in a reliable manner. Methods: 121
consecutive patients treated within a hospital for
traditional Chinese medicine in Germany were
repeatedly interviewed in a standardized manner about
"side effects" experienced during or after acupuncture
treatment sessions. Results: 34 patients (28.1%)
reported for at least one session the occurence of a
"side effect". The most frequently reported "side effect"
was marked needling pain. Conclusion: In this study
about one in four patients reported mild "side effects"
from acupuncture. Due to methodological problems the
results of this pilot investigation should be interpreted
with grat caution.
497- gera: 72816/nd/re
THE PRACTICE OF VENEPUNCTURE IN
LYMPHOEDEMA. SMITH. european journal of
cancer care. 1998;7(2):97 (eng).
Pas en France
498- gera: 73164/di/ra
MALA PRAXIS: ARGIRIAS LOCALIZADAS CON
CRISIASIS CAUSADAS POR AGUJAS DE
ACUPUNTURA IMPLANTADAS. HIROYUKI SUZUKI
ET AL. revista argentina de acupuntura. 1998;87:24
(esp).
Traduction espagnole de: Journal American Academy
Dermatology. 1993, 29, 833-7.
499- gera: 74042/di/ra
[A VIEWPOINT INFECTIOUS DISEASES STREPTOCOCCAL TOXIC SHOCK SYNDROME
PROBABLY CAUSED BY ACUPUNCTURE].
YOSHITOSHI ICHIMAN. journal of the japan society
of acupuncture. 1998;48(4):355 (jap).
500- gera: 26567/di/re
OUTBREAK OF HEPATITIS B IN AN
ACUPUNCTURE CLINIC. WALSH B ET AL.
communicable disease and public health.
1999;2(2):137-40 (eng).
A retrospective cohort serological study identified five
confirmed cases of acute hepatitis B virus (HBV)
infection in three and a half years at an acupuncture
clinic in London. These cases made up 1.7% of those
treated by an acupuncturist who was a hepatitis B 'e'
antigen (HBeAg) carrier. Virus subtyping and
polymerase chain reaction-- single strand conformation
polymorphism assay (PCR-SSCPA) showed that strains
of virus from the acupuncturist and two of the five
patients for whom it was possible to perform the test
were indistinguishable. Nine other patients who
attended the same acupuncturist had antibody to the
hepatitis B core antigen but had other risk factors for
HBV infection. No obvious mode of transmission was
identified but cross contamination of needles could not
be ruled out in two cases. The fifth case was exposed
to HBV after disposable needles were introduced.
Routine
501- gera: 26571/di/re
LOOKBACK IN ANGST. WELLER I. communicable
disease and public health. 1999;2(2):79-81 (eng).
502- gera: 27245/di/re
[NON-TRANSFUSIONAL AND NON-INTRAVENOUS
DRUG ADDICTION RELATED TRANSMISSION OF
HEPATITIS C VIRUS]. SERFATY L. presse medicale.
1999;28(21):1135-40 (fra*).
PARENTERAL TRANSMISSION: Among subjects
infected by the hepatitis C virus (HCV), about 40% have
no history of blood transfusion or intravenous drug
abuse. The highly variable presence of HCV in
biological fluids other than blood would suggest that
HVC transmission basically follows the parenteral route.
Transmission of HCV via medical material
contaminated by blood of an infected subject is a
clinical reality: accidental needle prick, medical material
(endoscope, physician-patient), tattooing, acupuncture,
ear piercing, certain traditional practices, sharing toilet
instruments (tooth brush, razor, fingernail shears).
RARE SEXUAL TRANSMISSION: The prevalence of
HCV infection is higher in people living with infected
subjects, particularly spouses, than in the general
population. However, transmission of HCV in this
population probably follows a parenteral route (common
risk factors, sharing toilet instruments) rather than by
sexual transmission which plays a minor role except in
sexually transmitted diseases with genital lesions.
MOTHER-INFANT TRANSMISSION: Per- or postpartum transmission is possible though the risk is low,
less than 5% of all infants are infected at the age of 1
36
year. The data are contradictory, but breast feeding
would appear to play a role. Co-infection by the HIV
virus, via high HCV viremia, clearly increases the risk of
mother-infant transmission and perhaps also sexual
transmission. NOSOCOMIAL TRANSMISSION:
Nosocomial transmission is probably the most important
factor in HCV transmission, but the risk remains to be
quantified.
503- gera: 50378/di/ra
ADVERSE EVENTS IN ACUPUNCTURE AND
MOXIBUSTION TREATMENT: A SIX-YEAR SURVEY
AT A NATIONAL CLINIC IN JAPAN. YAMASHITA H
ET AL. j altern complement med. 1999;5(3):229-36
(eng).
OBJECTIVES: Many of the frequently reported adverse
effects of acupuncture are serious or severe such as
pneumothorax, infection, spinal cord injury, or cardiac
injury. However, reviewing published case reports does
not provide enough information to assess the safety of
acupuncture and moxibustion. In order to investigate
adverse events of acupuncture, we reviewed all the
relevant cases reported by the therapists at our clinic.
SETTING: Over a 6 year period, in the national
Tsukuba College of Technology Clinic in Japan, all the
acupuncture and moxibustion therapists were required
to report the cases of adverse events immediately upon
recognition. RESULTS: A total of 84 therapists (13
preceptors and 71 interns) participated in the
treatments. The total number of treatments was 65,482.
Ninety four (0.14%) adverse events were reported.
There were fourteen categories: failure to remove
needles (27 cases), ecchymosis or hematoma without
pain (9 cases), ecchymosis or hematoma accompanied
by pain (8 cases), burn injury (7 cases), discomfort (7
cases), dizziness (6 cases), nausea or vomiting (6
cases), pain in the punctured region (6 cases), minor
hemorrhage (4 cases), aggravation of complaint (4
cases), malaise (3 cases), suspected contact dermatitis
(3 cases), fever (3 cases) and numbness in the upper
extremities (1 case). CONCLUSION: No serious or
severe cases such as pneumothorax, infection, or
spinal cord injury were reported by the college
preceptors and interns. The results indicate that serious
or severe adverse events are rare in standard practice.
We suggest that most severe or serious cases of
adverse events caused by acupuncture reported in
journals are actually cases of negligence. In the future,
negligence should be discussed from the point of view
of medical education and technical instruction for the
therapists, and adverse reactions should be discussed
from the point of view of incidence and prevention
based on the result of further investigation.
504- gera: 50606/di/ra
HOW SAFE IS ACUPUNCTURE? DEVELOPING THE
EVIDENCE ON RISK. MACPHERSON H. j altern
complement med. 1999;5(3):223-4 (eng).
505- gera: 59014/di/re
INTRASPOUSAL TRANSMISSION OF GB VIRUS
C/HEPATITIS G VIRUS IN AN HEPATITIS C VIRUS
HYPERENDEMIC AREA IN JAPAN. AKIYOSHI F ET
AL. american journal of gastroenterology.
1999;94(6):1627-31 (eng ).
OBJECTIVE: An immunoassay for antibodies against
an hepatitis G virus (HGV) protein (antiE2) was recently
developed that might serve as a useful marker for
diagnosing recovery from HGV infection. METHODS:
We investigated the intraspousal transmission of GB
virus C/hepatitis G virus (GBVC/HGV) using both
reverse transcription hemipolymerase chain reaction
(RThemiPCR for the 5' untranslated region) and a
recently developed antiE2. RESULTS: Thirtytwo
GBVC/HGVinfected index subjects were selected from
an hepatitis C virus hyperendemic area in Japan. Of the
32 subjects, seven (6.4%) were GBVC/HGV
RNApositive, 24 (21.8%) were antiE2positive, and one
(0.9%) was both GBVC/HGV RNA and antiE2positive.
Among the 32 spouses of these subjects, GBVC/HGV
RNA, antiE2, and both GBVC/HGV RNA and antiE2
positivity were detected in 0, 6, (18.8%), and one
(3.1%) spouses, respectively (the total prevalence of
GBVC/HGV was 7 spouses [21.9%]). Thus, the
intraspousal transmission of GBVC/HGV was
undeniable in these seven couples. The respective
positive rates of 175 sex and agematched controls were
7 (4.0%), 26 (14.9%), and 0 (the total prevalence of
GBVC/HGV was 34 [19.4%]). No significant difference
in positive rates was observed between the
subjects/spouses and the controls. Five spouses
among the seven couples who were positive for any of
GBVC/HGV markers had parenteral risk factors such as
blood transfusion, acupuncture, and major surgery.
CONCLUSION: Based on these observations, we
cannot draw a definitive conclusion that intraspousal
transmission of GBVC/HGV had occurred among these
seven couples.
506- gera: 59028/di/re
PNEUMOTHORAX SECONDARY TO
ACUPUNCTURE. JAWAHAR D ET AL. am j emerg
med. 1999;17(3):310 (eng ).
507- gera: 59039/di/re
A CASE-CONTROL STUDY OF RISK FACTORS FOR
SPORADIC HEPATITIS C VIRUS INFECTION IN THE
SOUTHWESTERN UNITED STATES. BALASEKARAN
R ET AL. american journal of gastroenterology.
1999;94(5):1341-6 (eng ).
OBJECTIVE: We performed a case control study to
evaluate risk factors and possible modes of
transmission for hepatitis C virus (HCV) infection in
patients with no history of blood transfusion or injection
drug use. METHODS: Study subjects were selected
from among patients seen in gastroenterology
outpatient clinics at a university medical center in the
southwestern United States. The study group consisted
of 58 patients (12%) with chronic HCV infection who
reported no history of transfusion or injection drug use,
among a total of 477 patients evaluated for a positive
HCV antibody test. These 58 patients were matched by
age, ethnicity, and gender with 58 control patients
diagnosed with gastroesophageal reflux attending the
same clinics. Patients and controls were subjected to
structured interviews and review of medical records.
RESULTS: A variety of variables were significantly
associated with increased risk of sporadic HCV
infection, including a history of tattoos, needlestick
exposure, a history of sexually transmitted disease,
intercourse with an injection drug user, five or more
lifetime sexual partners, intercourse during menses (for
women), lower income, and heavy alcohol intake (>60
g/day). Multivariate analysis identified a history of
sexually transmitted disease, heavy alcohol intake, and
the presence of a tattoo as independent risk factors for
sporadic HCV. In addition, six cases and one control
had a history of needlestick exposure. Of the cases,
88% had at least one of these four risk factors, as
compared with 26% of controls (odds ratio = 16.5; 95%
37
confidence interval = 4.068.8). CONCLUSIONS: A
history of sexually transmitted disease, heavy alcohol
intake, the presence of tattoos, and a history of
needlestick exposure were identified as risk factors for
sporadic hepatitis C in this case control study. If we
include all patients with a history of blood transfusion or
injection drug use, only 2% of the total 477 HCV
patients had no identified risk factors.
508- gera: 59066/di/ra
FATAL AND ADVERSE EVENTS FROM
ACUPUNCTURE: ALLEGATION, EVIDENCE, AND
THE IMPLICATIONS. MACPHERSON H. journal of
alternative and complementary medicine.
1999;5(1):47-56 (eng ).
In response to recent reviews in the literature that have
focused on adverse events due to acupuncture
treatment, this article reexamines the original reports
from which they derive, particularly the fatalities
allegedly caused by acupuncture. The article explores
some important issues relating to the debate on risk
and safety. Education and research strategies need to
be developed so that the acupuncture profession can
continue to minimize the likelihood of adverse events
occurring in the future.
509- gera: 59081/di/re
CASE OF SEPSIS CAUSED BY BIFIDOBACTERIUM
LONGUM. HA GY ET AL. journal of clinical
microbiology. 1999;37(4):1227-8 (eng ).
We report a case of sepsis caused by Bifidobacterium
longum in a 19 year old male who had developed high
fever, jaundice, and hepatomegaly after acupuncture
therapy with small gold needles. Anaerobic,
nonsporeforming, grampositive bacilli were isolated
from his blood and finally identified as B. longum. He
recovered completely after treatment with ticarcillin and
metronidazole. To our knowledge, this is the first report
of
510- gera: 59103/di/re
INDWELLING NEEDLES CARRY GREATER RISKS
THAN ACUPUNCTURE TECHNIQUES. LETTER.
ERNST E ET AL. bmj. 1999;318:536 (eng ).
511- gera: 59201/di/ra
ACUPUNCTURE SIDE-EFFECT WITH ASPIRIN.
CASE REPORT. NESBITT M. acupuncture in
medicine. 1999;17(1):67-8 (eng ).
512- gera: 59206/di/ra
ANOTHER ACUPUNCTURE PNEUMOTHORAX.
(LETTER). HALVORSEN R. acupuncture in
medicine. 1999;17(1):71 (eng ).
513- gera: 59357/di/ra
[WHAT THE YI (SECOND) -TYPE "HEPATITIS
PATIENT SHOULD PAY ATTENTION TO WHILE
PRACTICING "YANG" QIGONG]. MA MENGCHANG.
qigong and physical training. 1999;6: (chi ).
514- gera: 59732/di/re
RAPPORT DU CONSEIL MEDICAL DU GAMM SUR
L'EXERCICE 1998. SICOT C. concours medical.
1999;121(31): (fra).
En 1998, le Groupe des assurances mutuelles
médicales (GAMM), qui réunit en coassurance le Sou
médical et la Mutuelle d'assurances du corps de santé
français (MACSF), a couvert 207 442 sociétaires (+
4,94% par rapport à 1997). Ceux-ci ont adressé 3580
déclarations dont 3134 pour dommages corporels et
446 pour dommages matériels, soit par rapport à
l'année précédente une augmentation de 1,2% en
valeur absolue mais une diminution de 0,06 en
pourcentage (1,73 déclaration pour 100 sociétaires au
lieu de 1,79). Pour les 119 318 médecins sociétaires
(toutes spécialités confondues et quel que soit leur
mode d'exercice, libéral ou salarié) (+ 1,32% par
rapport à 1997), le nombre de déclarations de
dommages corporels est de 2155 (- 0,51%), soit une
fréquence (sinistralité) de 1,81 pour 100 sociétaires
médecins (- 0,03). Avec mention d'un pneumothorax,
d'un bris d'aiguille et brûlure après moxas.
515- gera: 59790/di/re
TRANSMISSION OF HEPATITIS C VIRUS IN
TAIWAN: PREVALENCE AND RISK FACTORS
BASED ON A NATIONWIDE SURVEY. SUN CA ET
AL. j med virol. 1999;59(3):290-6 (eng ).
A nationwide community-based survey on hepatitis C
virus (HCV) was carried out in seven townships in
Taiwan. A total of 11,904 men aged 30-64 years were
recruited for testing for antibodies against HCV (antiHCV) by second- generation enzyme immunoassay. A
total of 272 seropositive cases and 282 seronegative
controls were interviewed to explore risk factors for
HCV infection in the study areas. Spouses of 214
seropositive cases were identified to assess the
concordance of seropositivity of anti-HCV between
spouses; genotypes of HCV were also tested in 26
couples who were both seropositive. A significant
geographic variation in seroprevalence of anti-HCV was
observed in the study townships (1.6-19.6%). Blood
transfusions, medical injections, acupuncture and
tattooing were related to an increased anti-HCV
seroprevalence showing multivariate-adjusted odds
ratios of 8.6, 2.5, 3.1, and 2.2, respectively, with
corresponding population attributable risk percentages
of 25%, 57%, 16%, and 3%, respectively. The anti-HCV
prevalence in spouses of index cases (24%) was
significantly higher than that observed in the general
population of the study areas (4%). However, a striking
interspousal discrepancy in HCV genotypes (20/26 =
77%) was observed among both seropositive couples.
Common exposures to medical injections and
acupuncture were reported by 15 (58%) of these
couples. This study identified some endemic areas of
HCV infection in Taiwan. Iatrogenic factors were
common vehicles for HCV infection, and a concordance
of anti-HCV seropositivity between spouses may
primarily be due to extrafamilial iatrogenic infectious
sources in study areas.
516- gera: 59903/di/re
MOXIBUSTION FOR BREECH PRESENTATION.
LETTER. WONG HCG ET AL. jama.
1999;282(14):1329 (eng ).
Critiques à propos de l'étude de Cardini sur la version
foetale par moxibustion au 67V (Jama, 1998, 280). 1)
La moxibustion peut poser des problèmes allergiques.
2) Il est possible d'avoir des brûlures. 3) Le tabagisme
de la mère a un effet néfaste sur le foetus, qu'en est-il
de la moxibustion?
517- gera: 59905/di/re
MOXIBUSTION FOR BREECH PRESENTATION.
REPLY. CARDINI F ET AL. jama. 1999;282(14):132930 (eng ).
Réponses aux critiques formulées par Wong (gera,
59908) et Ernst (gera, 59904). 1) En 30 ans
38
d'expérience, l'équipe n'a observé aucun problème
respiratoire ou allergique lié à la moxibustion. Dans
l'étude aucune brûlure n'a été observée. Aucun
problème chez le foetus n'a pu être démontré. Ces
auteurs proposent un suivi des enfants des deux
groupes. 2) L'absence de groupe placebo ne met pas
en cause le résultat de l'étude. Il s'agit d'une pathologie
pour laquelle il n'y a pas de traitement de référence et
l'acupuncture ne doit pas être évaluée comme
518- gera: 59965/di/ra
THE TREATMENT OF TRAUMATIC
PNEUMOTHORAX FROM TRIGGER POINT
INJECTION USING THE LUNG/LARGE INTESTINE
DISTINCT MERIDIAN. MCKEE D ET AL. medical
acupuncture. 1999;11(1):44 (eng ).
519- gera: 70212/nd/re
INTRASPOUSAL TRANSMISSION OF GB VIRUS
C/HEPATITIS G VIRUS IN AN HEPATITIS C VIRUS
HYPERENDEMIC AREA IN JAPAN. AKIYOSHI F ET
AL. am j gastroenterol. 1999;94(6):1627-31 (eng).
OBJECTIVE: An immunoassay for antibodies against
an hepatitis G virus (HGV) protein (anti-E2) was
recently developed that might serve as a useful marker
for diagnosing recovery from HGV infection.
METHODS: We investigated the intraspousal
transmission of GB virus C/hepatitis G virus (GBVC/HGV) using both reverse transcription
hemipolymerase chain reaction (RT-hemi-PCR for the
5' untranslated region) and a recently developed antiE2. RESULTS: Thirty-two GBV-C/HGV-infected index
subjects were selected from an hepatitis C virus
hyperendemic area in Japan. Of the 32 subjects, seven
(6.4%) were GBV-C/HGV RNA-positive, 24 (21.8%)
were anti-E2-positive, and one (0.9%) was both GBVC/HGV RNA- and anti-E2-positive. Among the 32
spouses of these subjects, GBV-C/HGV RNA, anti-E2,
and both GBV-C/HGV RNA and anti-E2 positivity were
detected in 0, 6, (18.8%), and one (3.1%) spouses,
respectively (the total prevalence of GBV-C/HGV was 7
spouses [21.9%]). Thus, the intraspousal transmission
of GBV-C/HGV was undeniable in these seven couples.
The respective positive rates of 175 sex- and agematched controls were 7 (4.0%), 26 (14.9%), and 0 (the
total prevalence of GBV-C/HGV was 34 [19.4%]). No
significant difference in positive rates was observed
between the subjects/spouses and the controls. Five
spouses among the seven couples who were positive
for any of GBV-C/HGV markers had parenteral risk
factors such as blood transfusion, acupuncture, and
major surgery. CONCLUSION: Based on these
observations, we cannot draw a definitive conclusion
that intraspousal transmission of GBV-C/HGV had
occurred among these seven couples.
520- gera: 70339/di/ra
ACUPUNCTURE RISK MANAGEMENT:THE
ESSENTIAL PRACTICE STANDARTS AND
REGULATORY COMPLIANCE REFERENCE. KAILIN
DC. north american journal of oriental medicine.
1999;6(15):35 (eng).
521- gera: 70444/di/re
BILATERAL HAND OEDEMA RELATED TO
ACUPUNCTURE. MCCARTNEY CJ ET AL. pain.
1999;84(2-3):429-30 (eng).
We report the case of bilateral hand swelling following
acupuncture therapy for chronic low back pain. Despite
thorough history, examination and laboratory testing no
systemic cause for the swelling could be elicited. This
case highlights the incomplete knowledge of
acupuncture mechanisms and that limited acupuncture
therapy can have significant adverse effects.
522- gera: 70472/nd/re
HEPATITIS C VIRUS INFECTION IN THE UNITED
STATES. ALTER MJ. j hepatol. 1999;31:88-91 (eng).
Hepatitis C virus (HCV) infection is the most common
chronic bloodborne infection in the United States, and
most infected persons are younger than 50 years old.
The relative importance of the two most common
exposures associated with transmission of HCV, blood
transfusion and intravenous drug use (IVDU), has
changed over time. Blood transfusion, which accounted
for a substantial proportion of HCV infections acquired
>10 years ago, rarely accounts for recently acquired
infections. In contrast, IVDU has consistently accounted
for a substantial proportion of HCV infections and
currently accounts for 60% of HCV transmission while
sexual exposures account for up to 20%. Other known
exposures (occupational, hemodialysis, household,
perinatal) together account for about 10% of infections.
In the remaining 10%, no recognized source of infection
can be identified, although most persons in this
category are associated with low socioeconomic level.
Case-control studies have found no association with
military service or exposures resulting from medical,
surgical or dental procedures, tattooing, acupuncture,
ear piercing or foreign travel. Reducing the burden of
HCV infection and disease in the United States requires
implementation of primary prevention activities that
reduce or eliminate HCV transmission and secondary
prevention activities that reduce liver and other chronic
diseases in HCV-infected persons by identifying them
and providing appropriate medical management and
antiviral therapy. Surveillance and evaluation activities
also are important to determine the effectiveness of
these programs in reducing the incidence of disease,
identifying persons infected with HCV, and promoting
healthy lifestyles and behaviors.
523- gera: 70612/di/tp
CA SE FAIT, MAIS C'EST PAS BON !. X. nous deux.
1999;MAI:2P (fra).
Si une boucle d'oreille placée sur le lobe n'a
généralement aucun effet sur l'organisme, des maux de
tête ou des vertiges peuvent apparaître si l'oreille est
couverte de boucles, car certaines peuvent être placées
sur des points
524- gera: 70900/di/re
TRAUMATIC COMPLICATIONS OF ACUPUNCTURE.
THERAPISTS NEED TO KNOW HUMAN ANATOMY.
PEUKER ET ET AL. arch fam med. 1999;8(6):553-8
(eng).
OBJECTIVES: To review the traumatic injuries that
have been associated with acupuncture and to discuss
how these adverse effects may be reduced by
increased awareness of normal anatomy and
anatomical variations. METHODS: Literature search
accompanied by postmortem anatomical studies.
RESULTS: Traumatic lesions after acupuncture have
been described in thoracic and abdominal viscera, in
the peripheral and central nervous systems, and in
blood vessels. Deaths have been recorded from
pneumothorax and cardiac tamponade. The anatomical
structure of the body at several acupuncture points is
such that needles can reach vulnerable structures.
CONCLUSION: While the frequency of adverse effects
39
of acupuncture is unknown and they may be rare,
knowledge of normal anatomy and anatomical
variations is essential for safe practice and should be
reviewed by regulatory bodies and those responsible for
training
525- gera: 70924/di/ra
LEARNING FROM ADVERSE EVENTS OF
ACUPUNCTURE. WHITE A ET AL. j altern
526- gera: 71772/di/ra
FAINTING :MANAGEMENT AND ANALYSIS F ITS
CAUSES. WANG HUI-ZHU. international journal of
clinical acupuncture. 1999;10(4):394-95 (eng).
Fainting is one of the possible accidents of
acupuncture. The author has encountered 3 fainting
cases. Two of them were foreigners and one was
Chinese. The management and analysis of its cause
are reported in this paper.
527- gera: 72487/di/ra
FATAL AND ADVERSE EVENTS FROM
ACUPUNCTURE: ALLEGATION, EVIDENCE, AND
THE IMPLICATIONS. MACPHERSON H. journal of
1999;5(1):47-56 (eng).
In response to recent reviews in the literature that have
focused on adverse events due to acupuncture
treatment, this article reexamines the original reports
from which they derive, particularly the fatalities
allegedly caused by acupuncture. The article explores
some important issues relating to the debate on risk
and safety. Education and research strategies need to
be developed so that the acupuncture profession can
continue to minimise the likelihood Of adverse events
occurring in the future.
528- gera: 72779/di/ra
ESTUDIO SOBRE LA PROFUNDIDAD SARA
PINCHAR LOS PUNTOS ACUPUNTURALES DE LA
ESPALDA. ZHANG JIANHUA ET AL. ener qi.
1999;8:26-9 (esp).
Traduction espagnole de: Chinese Acupuncture and
Moxibustion, 1998; 7: 403. Réf gera: [58840]. Se
estudia con el método anatomico la profundidad del
pinchazo seguro en la espalda de 51 cadaveres de
adultos para obtener asi la base anatomica sobre estos
puntos y su uso clinico.
529- gera: 72997/di/ra
EFECTOS ADVERSOS DA LA ACUPUNTURA.
NORHEIM AJ ET AL. revista argentina de
acupuntura. 1999;91:27 (esp).
Traduction espagnole de: The Lancet, 1995; 345. Réf
gera: [54219].
530- gera: 72998/di/ra
LIPOATROFIA LOCALIZADA POST ACUPUNTURA.
DRAGO F ET AL. revista argentina de acupuntura.
1999;91:28 (esp).
Traduction espagnole de: The Lancet, 1996; 347. Réf
gera: [54734].
531- gera: 73040/di/ra
LETTER OF THE EDITOR (HEPATITIS-B OUTBREAK
FROM ACUPUNCTURE). WHITE A. acupuncture in
medicine. 1999;17(2):149 (eng).
532- gera: 73633/di/ra
MONITORING OF LIVER ENZYMES IN PATIENTS
TREATED WITH TRADITIONAL CHINESE DRUGS.
MELCHART D ET AL. complementary therapies in
medicine. 1999;7(4):208-16 (eng).
Background: Use of traditional Chinese drug treatment
is widespread. While cases of hepatotoxic effects have
been reported, little is known about the frequency of
such effects. Objectives: To investigate the frequency,
magnitude and course of liver enzyme elevations inpatients treated with traditional Chinese drugs. Design:
Retrospective study. Setting Hospital for traditional
Chinese medicine in Germany. Patients: A11 1507
patients admitted for inpatient treatment between
February 1994 and July 1995. Main outcome measure:
Number of patients who presented at discharge with a
more than 2-fold elevation of alanine amino transferase
(ALT) levels (over maximum normal values or elevated
admission values). Results:A more than 2-fold elevation
of ALT values was observed in 14 patients (0.9%). In 13
cases a causal relationship with Chinese drug therapy
seemed possible and, for one patient, likely. However,
all patients were also on non-Chinese drug treatment.
Follow-up values of ALT within 8 weeks after discharge
were normal in 11 patients (six of them had continued
to take traditional Chinese drugs) and close to normal in
the remaining three. In five patients there were
indications for previous liver damage. Conclusions: In
the population and setting studied, clinically relevant
liver enzyme elevations occurred in about 1/100
patients treated with traditional Chinese drugs.
533- gera: 74743/di/ra
LEARNING FROM ADVERSE EVENTS OF
ACUPUNCTURE. WHITE A ET AL. journal of
1999;5(5):395-6 (eng).
534- gera: 74835/di/ra
HOW SAFE IS ACUPUNCTURE? DEVELOPING THE
EVIDENCE ON RISK. MACPHERSON H. journal of
1999;5(3):223-4 (eng).
535- gera: 74836/di/ra
ADVERSE EVENTS IN ACUPUNCTURE AND
MOXIBUSTION TREATMENT: A SIX-YEAR SURVEY
AT A NATIONAL CLINIC IN JAPAN. HITOSHI
YAMASHITA ET AL. journal of alternative and
complementary medicine. 1999;5(3):229-36 (eng).
Objectives: Many of the frequently reported adverse
effects of acupuncture are serious or severe such as
pneumothorax, infection, spinal cord injury, or cardiac
injury. However, reviewing published case reports does
not provide enough information to assess the safety of
acupuncture and moxibustion. In order to investigate
adverse events of acupuncture, we reviewed all the
relevant cases reported by the therapists at our clinic.
Setting: Over a 6 year period, in the national Tsukuba
College of Technology Clinic in Japan, all the
acupuncture and moxibustion therapists were required
to report the cases of adverse events immediately upon
recognition. Results: A total of 84 therapists (13
preceptors and 71 interns) participated in the
treatments. The total number of treatments was 65,482.
Ninety four (0.14%) adverse events were reported.
There were fourteen categories: failure to remove
needles (27 cases), ecchymosis or hematoma without
pain (9 cases), ecchymosis or hematoma accompanied
by pain (8 cases), burn injury (7 cases), discomfort (7
cases), dizziness (6 cases), nausea or vomiting (6
40
cases), pain in the punctured region (6 cases), minor
hemorrhage (4 cases), aggravation of complaint (4
cases), malaise (3 cases), suspected contact dermatitis
(3 cases), fever (3 cases) and numbness in the upper
extremities (1 case). Conclusion: No serious or severe
cases such as pneumothorax, infection, or spinal cord
injury were reported by the college preceptors and
interns. The results indicate that serious or severe
adverse events are rare in standard practice. We
suggest that most severe or serious cases of adverse
events caused by acupuncture reported in journals are
actually cases of negligence. In the future, negligence
should be discussed from the point of view of medical
education and technical instruction for the therapists,
and adverse reactions should be discussed from the
point of view of incidence and prevention based on the
result of further investigation.
536- gera: 94911/di/re
EST-IL LICITE D'UTILISER UN STERILISATEUR
TYPE POUPINEL EN MEDECINE DE VILLE?.
PARNEIX P. concours medical. 1999;121(13):981-2
(fra).
537- gera: 94913/di/re
LES INFECTIONS NOSOCOMIALES: QUELLES
RESPONSABILITES?. GROMB S. concours medical.
1999;121(28):2184-8 (fra).
538- gera: 141469/nd/re
A PROSPECTIVE CONTROLLED TRIAL OF THE
EFFICACY OF ISOPROPYL ALCOHOL WIPES
BEFORE VENESECTION IN SURGICAL PATIENTS.
SUTTON CD, WHITE SA, EDWARDS R, LEWIS MH.
ann r coll surg engl. 1999;81(3):183-6 (eng).
It has previously been suggested that skin preparation
before venesection with antiseptic agents is
unnecessary. However thousands of doctors and
medical students continue to use isopropyl alcohol
(IPA) swabs for venesection, at an estimated cost of
10,000 P per annum in a 500 bed hospital. An audit of
IPA swab use among junior doctors and medical
students at our institution was undertaken; 76% of
doctors and 100% of medical students routinely
prepared the skin with alcohol before venesection and
only one used the swabs correctly. A randomised
single- blind controlled trial was conducted of IPA
versus no IPA skin preparation before venesection.
There were 194 patients in the study, 93 in the IPA
group and 101 controls. There was no statistical
difference with respect to
539- gera: 70438/di/re
ACUPUNCTURE MAY BE ASSOCIATED WITH
SERIOUS ADVERSE EVENTS. ERNST E ET AL. bmj.
2000;320(7233:513 (eng).
540- gera: 71727/di/ra
ACUPUNCTURE (SAFA) (abstract). WHITE AR ET
AL. deutsche zeitschrift fur akupunktur.
2000;43(1):39 (eng).
541- gera: 72093/di/ra
REPORTE DE 2 CASOS DE NEUMOTORAX POST
ACUPUNTURA. VILKE G M ET AL. revista argentina
de acupuntura. 2000;92:16 (esp).
Publicado en The Journal of Emergency Medicine, Vol
15,N°2,pp 155-157. 1997. Traduccion, resumen y
comentarios: Dr Luis Wolman. Se reportan dos
pacientes quienes se presentaron en el Departamento
de Emergencias con neumotorax relacionado con
Acupuntura. El primer paciente desarrollo dolor
pleuritico en el pecho y dificultad respiratoria,
respiracion corta, mientras estaba siendo tratado con
Acupuntura, el segundo paciente desarrollo los mismos
sintomas a los 10 min. de habérsele practicado
Acupuntura. Ninguno de los dos pacientes habia sufrido
previamente neumotorax, y ambos estaban siendo
tratados con Acupuntura a lo largo de la columna
vertebral, en la region paravertebral y hombros. A
continuacion, se efectua una revision de la
542- gera: 72097/di/ra
FALSO ANEURISMA DE ARTERIA POPLITEA POR
ACUPUNTURA. LORD RVN ET AL. revista argentina
de acupuntura. 2000;92:30 (esp).
Publicado en Aust. N.Z.J.Surg. (1996) 66, 645-647
Traduccion, resumen y comentarios: Dr Luis Wolman.
Solo el 3.4% o menos de todos los aneurismas
popliteos son causados por trauma, siendo las fracturas
y traumatismos de la rodilla, las responsables mas
frecuentes . Otra causa, menos frecuente, es trauma
penetrante involucrando proyectiles, cuchillos o
fragmentos de huesos. El falso aneurisma de la arteria
poplitea también ha sido reportado como una
complicacion de la artroscopia y meniscectomia media.
El siguiente estudio documenta el desarrollo de un falso
aneurisma de la arteria poplitea que siguio a la
colocacion de agujas de acupuntura en la fosa poplitea.
A pesar de la existencia de reportes de complicaciones
en otros sistemas relacionadas con acupuntura,
nosotros creemos que este es el primer cave de dano a
un vaso mayor. Los médicos clinicos deben estar
alertas a los riesgos potenciales de la penetracion con
agujas de acupuntura en regiones proximal a vasos
mayores.
543- gera: 72349/di/ra
INCIDENCE OF ADVERSE REACTIONS
ASSOCIATED WITH ACUPUNCTURE. HITOSHI
YAMASHITA ET AL. journal of alternative and
Objectives: To determine the type, severity, and
incidence of acupuncture adverse reactions that are
observed in standard practice. Design: A survey based
on observation and interview by the therapists.Setting:
Tsukuba College of Technology Clinic in Japan.
Subjects: All patients who underwent acupuncture
treatment during a period of 4 months from April to July
1998. Outcome measures: Type, severity, and
incidence of acupuncture adverse reactions. Results: A
total of 391 patients were treated in 1,441 sessions,
involving a total of 30,338 needle insertions. The
incidence of recorded systemic reactions in individual
patients was: tiredness (8.2%); drowsiness (2.8%);
aggravation of pre-existing symptoms (2.8%); itching in
the punctured regions (1.0%); dizziness or vertigo
(0.8%); feeling of faintness or nausea during treatment
(0.8%); headache (0.5%); and chest pain (0.3%). The
incidence of recorded local reactions, expressed as a
percentage of needle insertions, was: minor bleeding on
withdrawal of the needle (2.6%); pain on insertion of the
needle (0.7%); petechia or ecchymosis (0.3%); pain or
ache in the punctured region after the treatment (0.1%);
subcutaneous haematoma (0.1%); and pain or
discomfort in the punctured region during the needle
retention (0.03%). Conclusion: Although some adverse
reactions associated with acupuncture were common
even in standard practice, they were transient and mild
41
compared to cases such as pneumothorax, cardiac
injury, infection, or spinal lesions reported in other
studies.
544- gera: 72819/di/ra
[AN ANATOMICAL CONSIDERATION ON THE
SAFETY OF A MERIDIAN POINT (DANCHU, CV17) IN
ACUPUNCTURE THERAPY]. OZAKI T ET AL. journal
of the japan society of acupuncture. 2000;50(1):103
(jap*).
Aim: Since it was reported that acupuncture at Danchu
(CVl7) was critical when the needle penetrated through
the congenital sternal foremen, we decided to study the
incidence of the congenital sternal foremen, as well as
the distance between the body surface and the back
side of the sternum at Danchu, in order to know the
safe depth of acupuncture penetration. Method: 1) We
selected 51 cadavers to examine the incidence of
congenital sternal foremen and, if any, to study its
structure. We also selected 21 cadavers to measure the
cadaveric thickness of the sternum. 2) We selected 31
people to measure the incidence of the congenital
sternal foremen and the distance between the body
surface and the back side of the sternum at the point of
Danchu.Results: 1) We found one out of 51 cadavers,
which had congenital sternal foremen. The location of
the foremen was at the height of the fourth intercostal
space. It was round-shaped, 9mm in diameter, and
filled with hard connective tissue. The thickness of the
sternum ranged from 9 to 15mm with an average of
11.5±2mm. 2) There was no one who had the
congenital sternal foremen among the 32 people. The
distance between the body surface and the back side of
the sternum ranged from 11 to 31mm with an average
of 18.8 ± 5mm. Conclusion: 1) The incidence of the
congenital sternal foremen in this study was one in 51
cadavers and zero in 32 people. 2) We concluded that
acupuncture at Danchi within a depth of 10mm is
sufficiently, even if congenital sternal foremen exists.
545- gera: 72930/di/ra
ARTHRITE INFECTIEURSE GLENOHUMERALE
APRES ACUPUNCTURE. NGUYEN J. revue
francaise de mtc. 2000;186-187:103 (fra).
Résume et commentaire de l'article de: Kirschenbaum
AE et al. Glenohumeral pyarthrosis following
acupuncture treatment. Orthopedics. 1997, 20(12),
1184-6. Réf gera: [58474].
546- gera: 72931/di/ra
OEDEME BILATERAL DES MAINS APRES
PUNCTURE DU 4 GI. NGUYEN J. revue francaise de
mtc. 2000;186-187:104 (fra).
Résumé et commentaire de l'article de: Mc Cartney CJL
et al. Bilateral hand oedema related to acupuncture.
Pain. 1999, 84(2-3), 429-430. Réf gera: [70444].
547- gera: 72932/di/ra
HEMORRAGIE MENINGEE APRES PUNCTURE DU
16VG. NGUYEN J. revue francaise de mtc. 2000;186187:104-5 (fra).
Résumé et commentaire de l'article de: Choo DCA et
al. Acute intracranial hemorrhage caused by
acupuncture. Headache. 2000, 40(5), 397-8. Réf gera:
[73051].
548- gera: 72933/di/ra
TAMPONNADE CARDIAQUE APRES PUNCTURE DU
17VC. NGUYEN J. revue francaise de mtc. 2000;186187:105-6 (fra).
Résumé et commentaire de l'article de: Kirchgatter A et
al. Cardiac tamponade following acupuncture. Chest.
2000, 117(5), 1510-1.
549- gera: 72934/di/ra
HEMATOME RETRO-PERITONEAL PAR RUPTURE
DE PSEUDO-ANEVRYSMES DE L'ARTERE RENALE
APRES ACUPUNCTURE?. GORET O. revue
francaise de mtc. 2000;186-187:106-7 (fra).
Résumé et commentaire de l'article de: Matsuyama H
et al. Retroperitoneal hematoma due to rupture of a
pseudoaneurysm caused by acupuncture therapy.
Journal of Urology. 1998, 159(6), 2087-8.
550- gera: 73051/di/re
ACUTE INTRACRANIAL HEMORRHAGE IN THE
BRAIN CAUSED BY ACUPUNCTURE. CHOO DC ET
AL. headache. 2000;40(5):397-398 (eng).
A 44-year-old Chinese man developed severe occipital
headache, nausea, and vomiting during acupuncture
treatment of the posterior neck for chronic neck pain.
Computed tomography of the head showed
hemorrhage in the fourth, third, and lateral ventricles. A
lumbar puncture confirmed the presence of blood.
Magnetic resonance angiography with gadolinium did
not reveal any saccular aneurysms or arteriovenous
malformations. The patient's headache resolved over a
period of 28 days without any neurological deficits.
Acupuncture of the posterior neck
551- gera: 73555/di/ra
ACUPUNCTURE FOR VULVAL AND BACK PAIN:
PHANTOM NEEDLE RESPONSE?. TANG A.
A patient's chronic vulval pain was unsuccessfully
treated with acupuncture, while concurrent treatment for
back pain was successful. trigger points in the
paraspinal muscles were needled with resultant
cutaneous flares, some of which appeared in the
spaces between needles, and might represent a new
phenomenon of phantom needles.
552- gera: 73558/di/ra
HEPATITIS CARRIERS AND ACUPUNCTURE.
LETTER. MANNING GL. acupuncture in medicine.
2000;18(1):70 (eng).
553- gera: 73559/di/ra
HEPATITIS CARRIERS AND ACUPUNCTURE.
LETTER. WALSH B. acupuncture in medicine.
2000;18(1):70 (eng).
554- gera: 73624/di/ra
ELECTROSTIMULATORS FOR ACUPUNCTURE:
SAFETY ISSUES. LYTLE CD ET AL. journal of
2000;6(1):37-41 (eng).
Three representative electrostimulators were evaluated
to determine whether they meet the manufacturers'
labelled nominal output parameters and how the
measured parameters compare with a safety standard
written for implanted peripheral nerve stimulators. The
pulsed outputs (pulse width, frequency, and voltage) of
three devices were measured with an oscilloscope
across a 500-ohm resistance, meant to simulate
subdermal tissue stimulated during electroacupuncture.
For each device, at least two measured parameters
were not within 25% of the manufacturer's claimed
values. The measured values were compared with the
American National Standard ANSI/AAMI NS15 safety
42
standard for implantable peripheral nerve stimulators.
Although for two stimulators the pulse voltage at
maximum intensity was above that specified by the
standard, short-term clinical use may still be safe
because the standard was written for long-term
stimulation. Similarly, the net unbalanced DC current,
which could lead to tissue damage, electrolysis, and
electrolytic degradation of the acupuncture needle, was
within the limits of the standard at 30 pulses per
second, but not at higher frequencies. The primary
conclusions are (1) that the outputs of
electrostimulators must be calibrated and (2) that
practitioners must be adequately trained to use these
electrostimulators safely.
555- gera: 74110/di/re
STRIEE. BROUSSE E ET AL. concours medical.
2000;122-34:2431 (fra).
Cas clinique secondaire à la technique cambodgienne
"tchap kial".
556- gera: 74119/di/ra
VERBOTENE PUNKTE IN DER
SCHWANGERSCHAFT. ROMER A. akupunktur
theorie und praxis. 2000;28(3):160 (deu).
557- gera: 74783/di/ra
ELECTROSTIMULATORS FOR ACUPUNCTURE:
SAFETY ISSUES. LYTLE CD ET AL. j altern
Three representative electrostimulators were evaluated
to determine whether they meet the manufacturers'
labeled nominal output parameters and how the
measured parameters compare with a safety standard
written for implanted peripheral nerve stimulators. The
pulsed outputs (pulse width, frequency, and voltage) of
three devices were measured with an oscilloscope
across a 500-ohm resistance, meant to simulate
subdermal tissue stimulated during electroacupuncture.
For each device, at least two measured parameters
were not within 25% of the manufacturer's claimed
values. The measured values were compared with the
American National Standard ANSI/AAMI NS15 safety
standard for implantable peripheral nerve stimulators.
Although for two stimulators the pulse voltage at
maximum intensity was above that specified by the
standard, short-term clinical use may still be safe
because the standard was written for long-term
stimulation. Similarly, the net unbalanced DC current,
which could lead to tissue damage, electrolysis, and
electrolytic degradation of the acupuncture needle, was
within the limits of the standard at 30 pulses per
second, but not at higher frequencies. The primary
conclusions are (1) that the outputs of
electrostimulators must be calibrated and (2) that
practitioners must be adequately trained to use these
electrostimulators safely.
558- gera: 75563/di/re
CRASHED AND NEARLY BURNED... DURING A
LSCS!. KROSNAR S ET AL. anaesthesia.
2000;55(9):936 (eng).
559- gera: 76251/di/ra
[THE SAFE NEEDLING DEPTH IN THE ACCIDENTAL
ACUPOINTS]. ZHANG JIANHUA ET AL. acupuncture
research. 2000;25(3):233 (chi*).
Total 51 fresh adult cadavers (21 male; 30 female) were
randomly selected. After the locating of acupoints, the
cadavers were frozen and then dissected by anatomical
sections samples. After defrosting, the distances
between the superficial points of the skin and the deep
dangerous points were measured and the data were
treated statistically. As a result, the safe depths of 70
acupoints were obtained.
560- gera: 77288/di/ra
[ACUPUNCTURE INDUCED BELT CHANNEL
REACTION URTICARIA]. ZHANG SHUI SHENG.
shanghai journal of acupuncture and moxibustion.
2000;19(3):35 (chi).
561- gera: 77544/di/ra
SYSTEMATIC REVIEW OF CASE REPORTS ON
ACUPUNCTURE ADVERSE EVENTS IN THE
JAPANESE LITERATURE (abstract). YAMASHITA H
ET AL. deutsche zeitschrift fur akupunktur.
2000;43(1):45 (eng).
562- gera: 77556/di/re
RETAINED NEEDLE FRAGMENTS IN PATIENTS
WITH DIABETIC NEUROPATHY. LETTER. NADIG SN
ET AL. jama. 2000;283(23):3072 (eng).
563- gera: 77577/di/ra
THE NATURE OF ADVERSE EVENTS IN
COMPLEMENTARY MEDICINE: CHINESE MEDICINE
AS A CASE EXAMPLE ABSTRACT. BENSSOUSSAN
A. forsch komplementarmed. 2000;7:35 (eng).
564- gera: 77578/di/ra
THE SAFETY OF COMPLEMENTARY MEDICINE: AN
OVERVIEW OF THE AVAILABLE EVIDENCE
ABSTRACT. ERNST E. forsch komplementarmed.
2000;7:35 (eng).
565- gera: 78250/di/ra
FORENSISCHE ASPEKTE DER AKUPUNKTUR-EINE
UBERSICHT VOR DEM HINTERGRUND
ANATOMISCHER GRUNDLAGEN. PEUKER ET ET
AL. akupunktur theorie und praxis. 2000;28(4):241-4
(deu).
566- gera: 78264/di/ra
PROHIBITION OF ACUPUNCTURE DURING
MENSTRUATION. WANG QI-CAI. international
journal of clinical acupuncture. 2000;11(4):319-20
(eng).
It often happens that women receiving acupuncture
during menstruation due to other diseases are later
found to develop menstrual disorders. The following is a
brief account of the author's experience.
567- gera: 79181/di/ra
POURQUOI LA PUNCTURE EST ELLE
DECONSEILLEE PENDANT LA MENSTRUATION?.
WANG QI CAI. acupuncture traditionnelle chinoise.
2000;2:24 (fra).
Traduction de la Revue de la Clinique d'AcupunctureMoxibustion 1994; 6: 2-3.
568- gera: 79233/di/ra
[PRELIMINARY STUDY ON SAFE ANGLE OF
ACUPUNCTURE AT FENGCHI (GB 20) WITH CT
LOCATION]. FANG JILIANG ET AL. chinese
569- gera: 79363/di/ra
[STUDY ON THE SAFE PUNCTURING DEPTH OF
FENGFU POINT UNDER CT LOCATION]. FANG
43
JILIANG ET AL. chinese acupuncture and
moxibustion. 2000;20(12):729 (chi).
570- gera: 86312/di/re
CARDIAC TAMPONADE FOLLOWING
ACUPUNCTURE. KIRCHGATTERER A ET AL. chest.
2000;117(5):1510-1 (eng).
We present a rare complication of acupuncture in a 83year-old woman who developed syncope and
cardiogenic shock shortly after an acupuncture
procedure into the sternum. Echocardiography revealed
cardiac tamponade, and pericardiocentesis disclosed
hemopericardium. Due to hemodynamic instability,
thoracotomy was indicated. A small but actively
bleeding perforation of the right ventricle was found and
successfully closed. Although acupuncture represents a
relatively safe therapeutic intervention, this case report
should remind all acupuncturists of possible and
sometimes life-threatening adverse effects.
571- gera: 86314/di/re
CLEFT STERNUM AND STERNAL FORAMEN.
FOKIN AA. chest surgery clinics of north america.
2000;10(2):261-76 (eng).
Cleft sternum is a rare congenital defect of the anterior
chest wall and is the result of a failed midline fusion of
the sternum. Depending on the degree of separation,
there are complete and incomplete forms. Its clinical
significance is that it leaves the heart and great vessels
unprotected. Association with craniofacial
hemangiomas and omphalocele is common. Prenatal
diagnosis by ultrasonography is possible. Surgical
correction should be performed during the neonatal
period when the direct suturing of the sternal halves is
possible and the thorax can accommodate the thoracic
viscera. At an older age, surgical repair is feasible, but it
may require additional measures, such as sliding
chondrotomies of the adjacent costal cartilages and
notching of the sternal bars, to facilitate the
approximation. Lung herniation at the base of the neck
should be corrected by uniting the cervical muscles.
The first postoperative day is the most critical because
of acute reduction of the mediastinal space. Long- term
results are satisfactory. Sternal foramen is a congenital
oval defect at the lower third of the sternum that is
asymptomatic and could be detected by CT scanning.
The awareness of the anomaly is important in
acupuncture
572- gera: 87292/di/re
CARDIAC TAMPONADE FOLLOWING
ACUPUNCTURE. TSUNG O CHENG. chest.
2000;118(6):1836-7 (eng).
Revue de 3 rapports de cas de tamponade cardiaque
après acupuncture.
573- gera: 87293/di/re
RISKS ASSOCIATED WITH THE PRACTICE OF
TRADITIONAL CHINESE MEDICINE: AN
AUSTRALIAN STUDY. BENSOUSSAN A ET AL.
archives of family medicine. 2000;9(10):1071-8 (eng).
OBJECTIVE: To investigate the nature and frequency
of adverse events that occur as a result of the practice
of traditional Chinese medicine (acupuncture and
Chinese herbal medicine) in Australia. METHODS: Data
on adverse events were obtained as part of a
comprehensive survey of all occupational health
groups, government- registered and unregistered, who
practiced traditional Chinese medicine or 1 of its main
modalities. RESULTS: Practitioners reported numerous
adverse events arising from the application of
acupuncture (including fainting, nausea and vomiting,
and increased pain), or the consumption of Chinese
herbal medicines (including direct toxic effects and
allergic reactions). Practitioners experienced an
average of 1 adverse event every 8 to 9 months of fulltime practice or 1 adverse event for every 633
consultations. The mean adverse event rate of
nonmedical practitioners was less than half the mean
adverse event rate of medical practitioners.
CONCLUSIONS: The practices of acupuncture and
Chinese herbal medicine are not risk-free and fatalities
have occurred. Variation in adverse event rates
between medical and nonmedical practitioners may
reflect differences in relevant education or different
reporting behaviors. These data represent the first step
in the evaluation of adverse event rates in traditional
Chinese medicine. Arch Fam Med. 2000;9:1071-1078
574- gera: 87299/di/re
BLOOD PRESSURE RESPONSE TO
ACUPUNCTURE IN A POPULATION AT RISK FOR
AUTONOMIC DYSREFLEXIA. AVERILL A ET AL. arch
phys med rehabil. 2000;81(11):1494-7 (eng).
OBJECTIVE: To determine whether acupuncture can
lead to autonomic dysreflexia (AD) when used to treat
chronic pain in individuals with spinal cord injury (SCI).
DESIGN: Acupuncture analgesia study. SETTING:
Medical rehabilitation research center. PARTICIPANTS:
Fifteen participants with post-SCI chronic pain who
were at risk for AD (ie, SCI at or above T8).
INTERVENTIONS: Half-hour acupuncture treatment
sessions twice a week for 7.5 weeks, for a total of 15
treatments. Acupuncture needles were inserted both
above and below the patient's spinal lesion level. Blood
pressure (BP) was measured before and after
acupuncture treatments. MAIN OUTCOME
MEASURES: Systolic BP (SBP) and diastolic BP
(DBP). Participants monitored for signs and symptoms
of AD. RESULTS: On average, SBP and DBP remained
stable across all 15 treatment sessions. None of the
participants experienced any symptoms of AD.
However, examination of individuals' BP readings
indicated acute elevations (20mmHg or higher) in SBP
for 3 of the 15 participants. CONCLUSIONS: Although
none of the 15 participants who were at risk for
developing AD developed symptoms consistent with
this diagnosis, 3 displayed an acute elevation in SBP,
suggesting a pattern of imminent AD. Comorbid
hypertension appeared to contribute to the elevation in
1 patient. Therefore, careful monitoring of patients with
SCI or hypertension during acupuncture treatments is
advisable.
575- gera: 90574/di/re
INFECTIOUS ANEURYSM FORMATION AFTER
DEPOT ACUPUNCTURE. ORIGUCHI N ET AL. eur j
vasc endovascul surg. 2000;20:211-13 (eng).
576- gera: 90623/di/ra
EMBEDDED NEEDLES. WIGHTMAN AJA.
577- gera: 94780/di/re
PRURITUS AND HEPATITIS C VIRUS INFECTION.
DEGA H ET AL. annales de dermatologie.
2000;125:9-12 (eng).
578- gera: 94980/di/re
44
SOU MEDICAL DU 17 JUIN 2000. SICOT C. societe
medicale d'assurances et de defenses
professionnelles. 2000;:1-19 (fra).
579- gera: 95327/nd/re
SILICONE GRANULOMA ON THE ENTRY POINTS
OF ACUPUNCTURE,VENEPUNCTURE AND
SURGICAL NEEDLES. YANAGIHARA M ET AL. j
cutan pathol. 2000;27:301-5 (eng).
580- gera: 95864/di/ra
[ON THE PREVENTION OF INFECTION BY
ACUPUNCTURE]. WATANABE HIROSHI. journal of
the japan society of acupuncture and moxibustion.
2000;50(4):673 (jap*).
Infection is one of the most serious complications of
acupuncture. But no infection ever appears without
contamination, so the best method for preventing
infection is to avoid contamination . There are two
causes of contamination by acupuncture, namely,
unsatisfactory disinfection of skin and contaminated
neeedles. The former involves incomplete skin cleaning
and inadequate disinfection. The latter is caused by
contact with unsanitary matter. Some factors which are
usually considered insignificant, such as contamination
by needle tube, finger push technique, needle insertion
technique or contamination in the needle case, should
be re-examined. The author never touches the part of
the needle which can penetrate the skin. This simple
measure can help to
581- gera: 95865/di/ra
[JAPANESE LITERATURE SURVEY ON RISKS AND
SAFETY OF ACUPUNCTURE AND MOXIBUSTION].
KATAI SHUICHI ET AL. journal of the japan society
of acupuncture and moxibustion. 2000;50(4):680
(jap*).
We studied reports on risks and safety in the field of
Japanese acupuncture and moxibustion. We studied
233 of the 242 available reports on adverse incidents
that have occurred as a result of acupuncture and
moxibustion since World War II The titles were 1)
papers published up until 1997, which were found in
JOIS and CD-ROMs of Igaku Chuo Zasshi (Japana
Centra Revuo Medicina). This search included the
following key words : "Oriental medicine", 11 medical
mistakes", "infection", "acupuncture", and
"moxibustion", 2) papers that members had been
collected by the committee up until 1998, and 3) papers
that were referred to in these papers(l and 2). Of the
233 papers collected, 117 were published in academic
journals, 93 were articles in commercial journals, 16
were books, 2 belonged to miscellaneous category, and
5 were unavailable. Since the 1960's, the number of
papers published each year has been consistently in
the double figures, especially during the 1970's. Broken
needles were the most frequent incident with 68 reports
(29.2%). Infection accounted for 42 papers (18.0%),
pneumothorax was discussed in 18 reports (7.7%), and
erroneous treatments, (I I reports) were responsible for
the smallest percentage (4.7 %). There were 15 papers
on both moxibustion and education. The increased
number of papers in the 1960's and 1970's may be
partly attributable to an increase in the total number of
papers published in the field of acupuncture and
moxibustion during that period. However, the increase
in the 1980's reflects an increased number of papers
published in journals of Western medicine. Those
papers reported on incidents that physicians, rather
than acupuncturists or moxa-cauterizers, are more
likely to encounter, such as broken needles, infection,
and post moxibustion burn treatment.
582- gera: 95866/di/ra
[ADVERSE EVENTS OF NERVE INJURY]. EGAWA
MASATO ET AL. journal of the japan society of
We investigated the Japanese literature about the
safety and adverse effects of acupuncture treatment.
This paper reports on the literature about nerve injury
resulting from acupuncture treatment. Between 1900
and 1999, 23 references (including 36 cases) about
nerve injury were selected from 233 references on of
safety and adverse effects of acupuncture treatment.
The neck abd legs were most often mentioned as the
locations of acupuncture stimulation that causes nerve
injury, These injuries manifested themselves in the
limbs, body, and hands, especially in the form of
abnormal sensation and pain. In 31 cases, nerve injury
was caused by broken needle in the course of
treatment and in 22 of these cases of them, broken
needle were removed from the patient. The others were
received treatment of rehabilitation, local anesthesia,
surgery, etc. On the other 5 cases, nerve injury were
caused by acupuncture stimulation or
583- gera: 95867/di/ra
[PNEUMOTHORAX CUSED BY ACUPUNCTURE
TREATMENT]. YAMADA NOBUYUKI ET AL. journal
of the japan society of acupuncture and
moxibustion. 2000;50(4):705 (jap*).
We reviewed the literature on pneumothorax caused by
acupuncture treatment. and collected a total of 17
articles published in Japan between January 1952 and
December 1997. These consisted of a review article, an
original article, 11 case reports, three reports about
litigation of the accidents, and one miscellaneous
report. A total of 56 cases of pneumothorax were
reported in 15 articles, including seven cases reported
by acupuncture therapists in four articles and 49 cases
reported by Medical Doctors in I I articles. All cases
involved with chest pain and dyspnea, the typical
symptoms of pneumothorax. Three reports concerning
litigation of the accidents discussed causal reration of
acupuncture and pneumothorax and the needs of
practitioners to pay close attention to avoid
584- gera: 95868/di/ra
[ADVERSE EVENTS IN MOXIBUSTION
TREATMENT]. YAMASHITA HITOSHI ET AL. journal
of the japan society of acupuncture and
Japanese literature on adverse events in moxibustion
treatment was systematically reviewed. In the past 40
years, 79 cases of suspected adverse events have
been reported in 20 articles. The events, which were
probably induced by direct moxibustion, or accidental
burns during indirect moxibustion, included 7 cases of
dermal malignant tumor (basal cell carcinoma (4
cases), spinous cell carcinoma (2), verrucous
carcinoma (2), unknown (1)), 1 case of proliferating
trichilemmal cyst (benign), 5 cases of bullous
pemphigoid, 2 cases of dermal ulcer due to burn injury,
and I case of purulence. Baced on the the methods
described in the articles, it seems that small pieces of
moxa and intermittent practice are safer. In using direct
moxibustion for patients, their age, past experience of
receiving the treatment, and cultural and historical
background in the place where they were born and
45
raised should be taken into account. As a matter of
course, the patients' informed consent is imperative.
585- gera: 112176/di/ra
EMBEDDED NEEDLES. WIGHTMAN A. acupuncture
in medicine. 2000;18(2):126 (eng).
586- gera: 90007/di/ra
[STUDY ON SAFE DEPTH OF ACUPUNCTURE AT
COMMONLY-USED ACUPOINTS ON ABDOMEN].
ZHANG JIANHUA ET AL. chinese acupuncture and
moxibustion. 2001;21(2):83 (chi*).
In order to explore the safe depth of acupuncture at
commonly used acupoints on abdomen, 51 fresh adult
corpses, 21 males and 30 females were frizzed after
location of acupoints, and then they were cut with
anatomic cross, -section. Method as the cross-section
samples of acupoints. After they were thawed nationally
the distance from the superficial point of the acupoint on
the skin to the deep point on the organ was measured,
and the data obtained were processed with statistical
method. The safe needling depth ranges of 17
acupoints on the abdomen, distances from the
superficial point to the deep point, were attained.
587- gera: 90572/di/ra
ACUPUNCTURE REACTIONS ARE COMMON BUT
MILD. WHITE AR. focus on alternative and
complementary therapies. 2001;6(1):9-10 (eng).
Résumé et commentaire de l'article de: Yamashita H et
al. Incidence of adverse reactions associated with
acupuncture. J Altern Complement Med 2000; 6: 34550. Réf gera: [72349].
588- gera: 93330/di/ra
ACUPUNCTURE TREATMENT: SIDE EFFECTS AND
COMPLICATIONS REPORTED BY SWEDISH
PHYSIOTHERAPISTS. ODSBERG A ET AL.
complementary therapies in medicine. 2001;9(1):1720 (eng).
589- gera: 94814/nd/re
NO TITLE AVAILABLE. DE ORY MANCHON F ET AL.
rev esp salud publica. 2001;75(1):55-62 (esp*).
BACKGROUND: Cytomegalovirus (CMV) is frequently
assymptomatic. However, it constitutes an important
cause of congenital disease and severe pathology in
immunodepressed patients, thus representing an
important problem in Public Health. The object of this
work was to study the prevalence of IgG against CMV
(IgG-CMV) in the general population from Madrid.
METHODS: It is a transversal study, in which IgG-CMV
was assayed in a representative sample of the general
population from the Region of Madrid, aged 2 to 60
years (n = 2030). Participants were recruited by a twostage cluster sample procedure from those attending
primary health care centres between October, 1993 and
February, 1994. For the statistical analysis the chi 2 and
chi 2 lineal trend tests were employed. The percentages
of seroprevalence and the specific odds ratios were
calculated with confidence intervals of 95%. RESULTS:
The overall seroprevalence has been 62.8% (IC95%
60.6-64.9), ranging from 58.4% (IC95% 55.2-61.5) in
men to 66.7% (IC95% 63.7-69.5) in women. A
significant association between increase of the age and
increment of the seroprevalence was observed. The
consult to dentistry, the antecedent of surgery, as well
as tattooing and acupuncture has been identified as risk
factors of acquiring the infection. On the other hand, to
have carried out University studies seems to act as a
significant factor of protection. CONCLUSIONS:
Although the risk factors detected indicates a
transmission by blood, the high prevalence suggests
the existence of other more common ways. The agedependent seroprevalence increase confirms an
important number of infections in the adult age.
However, it cannot be exclude that this increase
responds to an effect cohort due to socio-economic
improvements similar to the detected for other virus.
590- gera: 94831/nd/re
HEPATITIS C. STRAUSS E. rev soc bras med trop.
2001;34(1):69-82 (eng).
It has been estimated that 3% of the world population is
infected with the hepatitis C virus. Those who are blood
product recipients or have been illicit drug users are at
risk. Dental and medical procedures as well as tattooing
and acupuncture are also risk factors. Chronic infection
occurs in up to 85% of infected cases but they may
remain without symptoms during years or even
decades, and clinical presentation varies. Determination
of anti-HCV in sera is a fairly sensitive tool for the
diagnosis, and confirmation requires the identification of
HCV-RNA. Staging of the liver disease as well as
definition of its present activity can be graded by liver
biopsy. The aim of treatment is to stop the progression
of the hepatic disease by inhibiting viral replication. Due
to the low therapeutic efficacy combined with important
side-effects, the administration of interferon and
ribavirin have specific indications and contraindications.
Predictive factors of therapeutic response, particularly
viral load and genotypes of HCV, are
591- gera: 94832/di/re
PROSPECTIVE STUDIES OF THE SAFETY OF
ACUPUNCTURE: A SYSTEMATIC REVIEW. ERNST
E ET AL. american journal of medicine.
2001;110(6):481-5 (eng).
PURPOSE: The objective of this review was to
determine the incidence of adverse events associated
with acupuncture. SUBJECTS AND METHODS: A
search for prospective surveys of the safety of
acupuncture was conducted using computerized
databases (Medline, Embase, the Cochrane Library,
and CISCOM), inquiries to acupuncture organizations,
and our own files. Data on sample, size, types of
patients duration of study, types of acupuncture,
definition of adverse events, method of evaluation, and
findings were extracted systematically from the
retrieved reports. RESULTS: Nine surveys were located
and included in the review. Their results were not
uniform. The most common adverse events were
needle pain (1% to 45%) from treatments, tiredness
(2% to 41%), and bleeding (0.03% to 38%). Feelings of
faintness and syncope were uncommon, with an
incidence of 0% to 0.3%. Feelings of relaxation were
reported by as many as 86% of patients. Pneumothorax
was rare, occurring only twice in nearly a quarter of a
million treatments. CONCLUSIONS: Although the
incidence of minor adverse events associated with
acupuncture may be considerable, serious adverse
events are rare. Those responsible for
592- gera: 94845/nd/re
COMMERCIAL TATTOOING AS A POTENTIALLY
IMPORTANT SOURCE OF HEPATITIS C INFECTION.
CLINICAL EPIDEMIOLOGY OF 626 CONSECUTIVE
PATIENTS UNAWARE OF THEIR HEPATITIS C
SEROLOGIC STATUS. HALEY RW ET AL. medicine
(baltimore). 2001;80(2):134-51 (eng).
46
Tattooing in commercial tattoo parlors is known to
transmit blood-borne viral infections, including hepatitis
C virus (HCV), in other countries, but its contribution to
the high population prevalence of HCV infection in the
United States has been incompletely evaluated. Risk
factors for blood-borne infection were assessed by
physician's interview of 626 consecutive patients
undergoing medical evaluation for spinal problems in
1991 and 1992 while unaware of their HCV status.
Later all were screened for HCV infection with enzymelinked immunosorbent assay (EIA-1 and EIA-2), and
positives were confirmed with second-generation
recombinant immunoblot assay (RIBA). Forty-three
patients were seropositive for HCV (sample prevalence
6.9%, population-standardized prevalence 2.8%).
Logistic regression analysis identified 4 independent
risk factors for HCV infection: injection-drug use
(adjusted prevalence odds ratio [OR] = 23.0; 95%
confidence intervals [CI] = 7.5-70.6), ancillary hospital
jobs held by men (OR = 9.6; 95% CI = 3.8-24.3), tattoos
from commercial tattoo parlors (OR = 6.5; 95% CI =
2.9-14.8), and drinking > or = 3 6-packs of beer per
month (OR = 4.0; 95% CI = 1.8-8.7). If causal, these 4
risk factors account for 91% of HCV infections, with
tattooing explaining 41%, heavy beer drinking 23%,
injection-drug use 17%, and ancillary health care jobs
for men 8%. Transfusions, promiscuous sexual activity,
bone grafts, acupuncture, perinatal or intimate
transmission in families, and other modes were not
independently associated with serologic evidence of
HCV infection. Unlikely to be explained by confounding
or incomplete disclosure of other risk factors, tattooing
in commercial tattoo parlors may have been responsible
for more HCV infections than injection-drug use.
593- gera: 94847/di/re
INTANGIBLE RISKS OF COMPLEMENTARY AND
ALTERNATIVE MEDICINE. ERNST E. j clin oncol.
2001;19(8):2365-6 (eng).
594- gera: 94848/nd/re
ALTERNATIVE MEDICINE USE IN HIV-POSITIVE
MEN AND WOMEN: DEMOGRAPHICS,UTILIZATION
PATTERNS AND HEALTH STATUS. STANDISH LJ
ET AL. aids care. 2001;13(2):197-208 (eng).
Between 1995 and 1997, 1,675 HIV-positive men and
women using complementary and alternative medicine
(CAM) were enrolled into the Bastyr University AIDS
Research Center's Alternative Medicine Care
Outcomes in AIDS (AMCOA) study. Funded by the
National Institutes of Health (NIH) Office of Alternative
Medicine (OAM) and National Institute of Allergy and
Infectious Diseases (NIAID), the AMCOA study
collected information on participant demographics,
health status and use of conventional and CAM
therapies. Participants from 46 states completed a
baseline questionnaire, while additional clinical
information (such as CD4 count and HIV-RNA viral
load) was obtained from laboratory records. AMCOA
participants reported using more than 1,600 different
types of CAM therapies (1,210 CAM substances, 282
CAM therapeutic activities and 119 CAM provider
types) for treating HIV/AIDS. Approximately two-thirds
(63% n = 1,054) of the AMCOA cohort reported using
antiretroviral drug therapy (ART) during the six-months
previous to completing the baseline questionnaire, while
37% (n = 621) indicated they were not using ART. Of
those not using ART, 104 subjects reported never
having used any conventional medications for their HIV
and 12 subjects used only non-prescription diarrhoea
medications. The most frequently reported CAM
substances were vitamin C (63%), multiple vitamin and
mineral supplements (54%), vitamin E (53%) and garlic
(53%). CAM provider types most commonly consulted
by the AMCOA cohort were massage therapists (49%),
acupuncturists (45%), nutritionists (37%) and
psychotherapists (35%). CAM activities most commonly
used were aerobic exercise (63%), prayer (58%),
massage (53%) and meditation (46%). The choice of
CAM therapies among the AMCOA cohort does not
appear to be solely based on scientific evidence of
efficacy of individual therapies. The majority of AMCOA
subjects could be characterized as using integrated
medicine, since an overwhelming proportion of the
cohort consult with both conventional and CAM
providers and use both conventional and CAM
medications, yet few subjects reported that their
conventional and CAM providers work as a team.
These data and this cohort set the stage for conducting
studies of health status changes associated with
595- gera: 94875/di/re
ACUPUNCTURE TREATMENT: SIDE EFFECTS AND
COMPLICATIONS REPORTED BY SWEDISH
PHYSIOTHERAPISTS. ODSBERG A ET AL.
complement ther med. 2001;9(1):17-20 (eng).
596- gera: 94877/di/re
RE: "ACUTE INTRACRANIAL HEMORRHAGE
CAUSED BY ACUPUNCTURE" (CHOO DC,YUE G.
HEADACHE. 2000;40:397-398.). SOHN RS.
headache. 2001;41(3):328 (eng).
597- gera: 94878/nd/re
[NON-DISPOSABLE ACUPUNCTURE NEEDLES ARE
POTENTIAL HAZARDS OF TRANSMISSION OF
PRION DISEASES]. JORGENSEN VR ET AL. ugeskr
laeger. 2001;163(9):1295-6 (dan).
598- gera: 94882/di/re
SHOULD EPIDURALS BE AVOIDED IN
ACUPUNCTURED PATIENTS?. KOGA K ET AL.
anaesthesia. 2001;56(3):291-2 (eng).
599- gera: 94898/di/re
SEPTIC ARTHRITIS OF A LUMBAR FACET JOINT
DUE TO PYONEX. ISHIBE M ET AL. arch orthop
trauma surg. 2001;121(1-2):90-2 (eng).
We present a case of septic arthritis of a lumbar facet
joint with an associated epidural abscess. A 13-year-old
boy was hospitalized with acute severe back pain and
fever after pyonex was done. The infection was
precisely localized with magnetic resonance imaging,
bone and gallium scintigraphy. He responded to
antibiotic therapy. We suppose that the infection was
caused by pyonex because the blood cultures were
negative, and the patient had an abrupt onset of severe
pain and fever 24 h after the acupuncture.
600- gera: 94912/di/re
INFECTIONS NOSOCOMIALES EN SECTEUR
LIBERAL. ROMAN E. concours medical.
2001;123(17):1195-7 (fra).
601- gera: 95026/di/ra
SERIOUS ADVERSE EVENTS FOLLOWING
ACUPUNCTURE ARE REASSURINGLY RARE.
CUMMINGS TM. focus on alternative and
Résumé et commentaire de l'article de: Ernst E et al.
47
Prospective studies of the safety of acupuncture: a
systematic review. Am J Med 2001; 110: 481-5. Réf
gera: [94832].
602- gera: 95027/di/ra
ACUPUNCTURE SIDE-EFFECTS CAN BE POSITIVE.
BENSOUSSAN A. focus on alternative and
Résumé et commentaire de l'article de: Odsberg A et
al. Acupuncture treatment-side effects and
complications reported by swedish physiotherapists.
Complement Ther Med 2001; 9: 17-20. Réf gera:
[94875].
603- gera: 95625/di/tp
PRINCIPES DIRECTEURS POUR LA FORMATION
DE BASE ET LA SECURITE DANS LA PRATIQUE DE
L'ACUPUNCTURE. X. organisation mondiale de la
sante, geneve. 2001;:38P (fra).
604- gera: 95683/di/ra
A CASE OF PNEUMOTHORAX CAUSED BY
ACUPUNCTURE. SHEN DIANJING ET AL.
2001;12(1):79 (eng).
605- gera: 95972/di/re
PAIN ASSOCIATED WITH INJECTION USING
FROZEN VS ROOM-TEMPERATURE NEEDLES.
DENKLER K. jama. 2001;286(13):1578 (eng).
606- gera: 99514/di/ra
PROFESSOR WANG XIUYING'S EXPERIENCE IN
AVOIDING ADVERSE EVENTS OF ACUPUNCTURE
AND MOXIBUSTION. ZHANGTONG. international
journal of clinical acupuncture. 2001;12(3):249-55
(eng).
Professor Wang Xiuying was born in Shangqiu, Henan
Province in 1937. She is a famous specialist in TCM in
Shandong Province. The Vice-Director of the Clinical
Specialty Committee of Shandong Acupuncture
Association, the ex-Deputy Director of the department
of the Affiliated Hospital of Shandong University of TCM
and the Director of Teaching and Research in the
Department of Acupuncture Therapy. She is also a
postgraduate supervisor. In 1964, she was a visiting
scholar at the Affiliated Hospital of Beijing College of
TCM for one year. Since 1965, she has been working at
the Shandong University of TCM and its affiliated
hospital. Professor Wang is an expert on samatoacupuncture, auricular therapy, electro-acupuncture,
and pointinjection. The therapies mentioned above can
be used to treat diseases involving the nervous system.
She is a specialist on the use of midnight-noon and
ebb-flow acupuncture to treat diseases attacking in
winter and summer and on the prevention of adverse
events of acupuncture. She has written 5 books and
published 20 papers. She has also presided over 3
research projects and has been awarded 2 prizes in
medicine and for the progress of science.
607- gera: 99521/di/ra
STUCK NEEDLES. QIAO HAIFA. international
journal of clinical acupuncture. 2001;12(3):303 (eng).
608- gera: 99556/di/re
ACUPUNCTURE GRANULOMAS. ALANI RM, BUSAM
K. j am acad dermatol. 2001;45(6):S225-6 (eng).
Silicone compounds have recently been a source of
controversy with regard to their potential role in the
genesis of collagen vascular diseases. Foreign body
reactions to injectable silicone were noted early in its
cosmetic use and led to subsequent abandonment of
this procedure. Here we report the first documented
case of silicone granulomas to occur after acupuncture.
609- gera: 99560/nd/ra
[ACUPUNCTURE:
COMPLICATIONS,CONTRAINDICATIONS AND
INFORMED CONSENT]. DE GROOT M. forsch
komplementarmed klass naturheilkd. 2001;8(5):25662 (deu).
With the widespread usage of acupuncture, the number
of reports about complications of this treatment
increases. Harmless disturbances are common and
include minor bleedings or haematomas, pain during
insertion or after withdrawal of the needle, and skin
symptoms. In every second acupuncture treatment, at
least one of these complications occurs. Orthostatic
dysregulations are relatively rare and can be observed
in only 1% of patients. They can be prevented by
treating the patient in a lying position, especially in the
first treatment session. Stab injuries of internal organs
most often affect the lungs, resulting in a
pneumothorax. At least 23 cases have been published,
2 of them with fatal consequences. An inquiry of
Norwegian doctors even suggests that until 1995 in
Norway alone 250 cases of pneumothorax after
acupuncture occurred. Stab injuries of other internal
organs or the CNS are only described in case reports,
but some of them had fatal consequences. Stab injuries
of peripheral nerves or large vessels and systemic
bacterial infections like sepsis or endocarditis are very
rare but serious consequences have been described.
The transmission of viral infections due to insufficiently
sterilised acupuncture needles loses more and more
importance. The incidence of local infections can
possibly be influenced, but even in Europe this
complication still occurs frequently. The overview of
published complications leads to the contraindications
of acupuncture. Disturbances of coagulation, immune
deficiency, abnormal heart valves or prosthetic valves
are the most important ones to name. Suggestions for
obtaining informed consent may be helpful while
performing clinical trials. Copyright 2001 S. Karger
GmbH, Freiburg
48
positively to GSTS, including 1 with a late reaction. 1 of
the 58 controls showed a positive reaction to GSTS on
D4 with a negative reaction on D14. Clinical relevance
was lacking in the patients with positive reactions.
Unexpectedly, the above particular sources of gold
contact gave
612- gera: 99583/di/re
PROSTHETIC VALVE ENDOCARDITIS IN A PATIENT
WITH MARFAN'S SYNDROME FOLLOWING
ACUPUNCTURE. NAMBIAR P, RATNATUNGA C. j
heart valve dis. 2001;10(5):689-90 (eng).
Active prosthetic valve endocarditis (PVE) as a
complication of acupuncture requiring valve surgery has
not been reported previously. We report a case of PVE
in a patient with Marfan's syndrome as a complication
of acupuncture, who underwent emergency redo aortic
root and valve replacement with a homograft. This
report highlights the need for prophylactic antibiotics
before acupuncture in patients with prosthetic valves,
and also describes the use of a homograft as an
effective surgical strategy.
613- gera: 99594/nd/re
ACUPUNCTURE MYCOBACTERIOSIS. WOO PC, LI
JH ET AL. n engl j med. 2001;345(11):842-3 (eng).
614- gera: 99599/di/re
THE YORK ACUPUNCTURE SAFETY STUDY:
PROSPECTIVE SURVEY OF 34 000 TREATMENTS
BY TRADITIONAL ACUPUNCTURISTS. MacPherson
H, Thomas K ET AL. bmj. 2001;323:486-7 (eng).
615- gera: 99600/di/re
ADVERSE EVENTS FOLLOWING ACUPUNCTURE:
PROSPECTIVE SURVEY OF 32 000
CONSULTATIONS WITH DOCTORS AND
PHYSIOTHERAPISTS. White A, Hayhoe S ET AL. bmj.
2001;323:467-8 (eng).
616- gera: 99601/di/re
THE SAFETY OF ACUPUNCTURE. VINCENT C. bmj.
2001;323:485-6 (eng).
610- gera: 99561/nd/ra
[INTENDED PROJECT ACUPUNCTURE: MORE
CHANCES THAN RISKS]. MELCHART D. forsch
komplementarmed klass naturheilkd. 2001;8(5):2534 (deu).
617- gera: 100999/di/tp
SOU MEDICAL DU 15 JUIN 2001. X. le concours
medical. 2001;:23 (fra).
Avec mention d'un hémopéritoine avec pneumothorax
bilatéral et d'une arthrite septique du genou (imputation
non retenue par l'expert).
611- gera: 99573/nd/re
MULTICENTER STUDY OF THE FREQUENCY OF
CONTACT ALLERGY TO GOLD. LEE AY, EUN HC ET
AL. contact dermatitis. 2001;45(4):214-6 (eng).
Gold sodium thiosulfate (GSTS) is reputed to be the
most reliable gold antigen, but control studies are still
required. Although Koreans have more varied sources
of contact with gold, such as herbal medicines with gold
coatings and indwelling gold acupuncture needles, no
epidemiological studies have been performed. This
study examined the frequency and sources of contact
allergy to gold in South Korea by a multicenter study.
Patch testing with 0.5% GSTS in pet. was conducted in
255 eczema patients and 58 control subjects. Results
were observed at 21 days (D) to ensure there were no
undetected late reactions in 54 observed patients and
47 controls. 8 (3.1%) of the 255 patients reacted
618- gera: 104398/di/ra
[THE INTEGRATIVE OBSERVATION OF THE
ABNORMAL CONDITION DUE TO NEEDLING
INTRAORBITAL ACUPOINTS]. LI YING-SHI .
shanghai journal of acupuncture and moxibustion.
2001;20(5):34 (chi*).
Purpose: To summarize the experience of preventing
and treating the abnormal condition due to needling
intraorbital acupoints. Methods The causes of the
abnormal condition during 2100 pricks of intraorbital
acupoints were analyzed in 30 cases and the outcome
observed. Results: No sequela was left in the cases of
the abnormal condition after treatment. Conclusion: The
abnormal condition due to needling intraorbital
acupoints should be prevented under the idea that
prevention is the first and it is more important than
treatment. If the condition occurs, as long as effective
measures are taken, the prognosis is good and no
sequela will be left.
619- gera: 112186/di/ra
REPETITIVE EPILEPTIC FITS - A POSSIBLE
ADVERSE EFFECT AFTER TRANSCUTANEOUS
ELECTRICAL NERVE STIMULATION (TENS) IN A
POST-STROKE PATIENT PALLE ROSTED
COMMENTARY. JOHANSSON B. acupuncture in
medicine. 2001;19(1):46 (eng*).
620- gera: 112256/di/ra
GLOBAL FORUM ON SAFETY OF HERBAL AND
TRADITIONAL MEDICINE: JULY 7,2001, GOLD
COAST AUSTRALIA. NOLLER BN, MYERS S,
ABEGAZ B, SINGH MM, KRONENBERG. journal of
alternative and complementary medicine: research
on paradigm , practice , . 2001;7(5):583 (eng*).
621- gera: 114318/di/ra
SAFETY OF ACUPUNCTURE AND MOXIBUSTION
(8) APPLICATION OF MERCURY ON INSERTION
AND PUNCTURING THE INTERNAL ORGANS.].
UMEDA TAKASHI, ET AL. journal of the japan
2001;51(2):195 (47) (jap*).
622- gera: 114319/di/ra
[(9) DERMATOLOGICAL ADVERSE EVENTS IN
ACUPUNCTURE TREATMENT.]. YAMASHITA
HITOSHI, ET AL. journal of the japan society of
acupuncture and moxibustion. 2001;51(2):201 (53)
(jap*).
623- gera: 115247/di/ra
GLOBAL FORUM ON SAFETY OF HERBAL AND
TRADITIONAL MEDICINE: JULY 7,2001, GOLD
COAST AUSTRALIA. NOLLER BN, MYERS S,
ABEGAZ B, SINGH MM, KRONENBERG. journal of
alternative and complementary medicine: research
on paradigm, practice, an. 2001;7(5):583 (eng*).
This report provides a summary of the background and
inputs of various groups who attended the Global
Forum on Safety of Herbal and Traditional Medicine
conference held in the Gold Coast, Australia, on July 7,
2001. Keynote presentations covered the status of
regulation of complementary medicine in Australia and
comparative examples from Africa and Bangladesh.
There was substantial input about work to date on
databases, reflecting the need to have a focus on safety
outcomes as a point of direction for the forum. Safety
evaluation, which incorporates quality procedures, was
identified as another point of focus. Clear evidence for
the nonutilization of plants known to contain certain
compounds producing deleterious effects was
exemplified via data and information on the dangers
624- gera: 117345/di/ra
REUSABLE ACUPUNCTURE NEEDLES ARE A
POTENTIAL RISK FOR TRANSMITTING PRION
DISEASE. ROSTED P. acupuncture in medicine.
2001;19(1):71-72 (eng).
625- gera: 119958/di/ra
BREAKING OF THE NEEDLE DURING
ACUPUNCTURE. QIAO HAIFA. international journal
of clinical acupuncture. 2001;12(4):374 (eng).
626- gera: 141463/di/re
49
SKIN DISINFECTION AND ACUPUNCTURE.
HOFFMAN. acupunct med. 2001;19(2):112-6 (eng).
The need for skin disinfection before insertion of an
acupuncture needle is controversial and there is no
specific research on this topic. However research and
observations on the effect of, and the need for, skin
disinfection before injections forms a good analogy of
acupuncture. Whilst micro-organisms present on the
surface of the skin are accessible to disinfection, those
located under the surface in ducts, glands and follicles
are out of reach and can be inoculated into the sterile
tissues below by needle insertion. Fortunately, the
bacteria resident on the skin have a low potential to
cause infection if host immunity is not severely impaired
or compromised by the long-term presence of foreign
material, such as a surgical stitch. Disinfection of clean
skin before injection is not generally considered
necessary and observations of lack of infection
following injections without prior skin disinfection
support this; however, contamination by microorganisms not normally resident on skin can pose a
higher risk of infection. If skin is visibly soiled, it should
be washed and if needle insertion is near an infected or
contaminated site, it should be disinfected with alcohol.
Practitioner hand hygiene between patients is
important, even if gloves are worn. Hands should be
washed with soap or detergent and water, or an alcohol
handrub can be used if hands are physically clean
627- gera: 146467/di/re
SYSTEMATIC REVIEW OF ADVERSE EVENTS
FOLLOWING ACCUPUNCTURE : THE JAPANESE
LITTERATURE. yamashitah, tsukayama h, white ar,
tanno y, sugishita c, ernst e. complement ther med.
2001;9(2):98-104 (eng).
628- gera: 5851/nd/re
ACUPUNCTURE AND ENDOCARDITIS. RIEB MK. j
am board fam pract. 2002;15(5):433 (fra).
629- gera: 5852/co/re
ACUPUNCTURE AND ENDOCARDITIS. EVANS P. j
am board fam pract. 2002;15(5):432-3 (eng).
630- gera: 10683/di/re
GROUP B STREPTOCOCCUS ENDOGENOUS
ENDOPHTHALMITIS : CASE REPORTS AND
REVIEW OF THE LITERATURE. LEE SY ET AL.
ophthalmology. 2002;109(10):1879-86 (eng).
PURPOSE: To report five cases of group B
Streptococcus endogenous endophthalmitis (GBSEE)
and to review the literature. DESIGN: Retrospective,
noncomparative, interventional case series and
literature review. PATIENTS: All patients with this
condition treated at the Singapore National Eye Centre
from 1994 through 2001. INTERVENTIONS: Core or
complete vitrectomy and intravitreal and systemic
antibiotics. METHODS: A review of the systemic and
ocular characteristics and treatment. MAIN OUTCOME
MEASURE: Visual outcome. RESULTS: Group B
Streptococcus endogenous endophthalmitis developed
in four patients after the onset of septic arthritis and in
one patient with cervical epidural abscess after
acupuncture, presenting as a diffuse endophthalmitis.
Group B Streptococcus was isolated in the blood,
vitreous, and joints. Despite the use of high-dose
intravenous antibiotics within 72 hours of ocular
presentation, intravitreal antibiotic injection, and
vitrectomy (two eyes), all eyes lost light perception and
became phthisical. A survey of the literature revealed
that GBSEE is rare and that 17 cases have been
reported since 1985. For purposes of analysis, four of
these cases were excluded because of inadequate
details and our five cases were included. Group B
Streptococcus endogenous endophthalmitis was found
to arise from hematogenous spread from cutaneous
sites of infection (16.7%), pharyngitis (11.1%), and
pneumonia (11.1%). Septic arthritis (38.9%) and
endocarditis (33.3%) were concomitant sites of infection
along with endophthalmitis. The septic arthritis typically
involved multiple joints. Four patients (22.2%) had
diabetes mellitus and three had other underlying
predisposing illness. Although most patients received
intravenous (83.3%) and intravitreal (55.6%) antibiotics
and four eyes underwent therapeutic vitrectomy, useful
vision was preserved in only four eyes. Two patients
died of sepsis. CONCLUSIONS: Group B
Streptococcus endogenous endophthalmitis is a
devastating condition often associated with septic
arthritis. The visual prognosis is poor, despite therapy.
631- gera: 72252/di/re
HEPATITIS B AND C VIRUS PREVALENCE IN A
RURAL AREA OF SOUTH KOREA : THE ROLE OF
ACUPUNCTURE. SHIN HR ET AL. br j cancer.
2002;87(3):314-8 (eng).
A cross-sectional study evaluated the prevalence of and
the risk factors for hepatitis C and B viruses among 700
adults above the age of 40 years in a rural area of
South Korea. Seropositivity for hepatitis C virus
antibody (11.0%, 95% confidence interval: 8.7-13.6)
was higher than that for hepatitis B surface antigen
(4.4%, 95% confidence interval: 3.0-6.2). Anti-hepatitis
C virus seropositivity was associated with a history of
repeated acupuncture (odds ratio=2.1, 95% confidence
interval: 1.1-4.0), and blood transfusion (odds ratio=5.5,
95% confidence interval: 1.6-19.3) before 1992 when
hepatitis C virus screening in blood donors became
mandatory. Hepatitis C virus 2a was the most prevalent
genotype, followed by 1b. Hepatitis C virus risk
attributable to acupuncture was 38% (9% for men and
55% for women). Safer acupuncture practice has
become a priority for
632- gera: 95647/di/ra
THE ACUPUNCTURE MURDERS. MAYOR D.
acupuncture med. 2002;20(2-3):140 (eng).
633- gera: 96007/di/ra
INFECTED COMPARTMENT SYNDROME AFTER
ACUPUNCTURE. SHAN N ET AL. acupuncture med.
2002;20(2-3):105-6 (eng).
We present a case of septicaemia and compartment
syndrome of the leg in a diabetic patient, following
acupuncture to his calf. An emergency decompression
fasciotomy was performed on the patient and grampositive cocci were grown from the posterior
compartment wound swab cultures and group A
streptococcus from his blood cultures. He remained in
the Intensive Therapy Unit postoperatively, requiring
inotropic support and intravenous antibiotics for his
septicaemia. We would like to remind acupuncturists, to
consider the possibility of heightened
634- gera: 96008/di/ra
GALACTORRHOEA FOLLOWING ACUPUNCTURE.
JENNER C ET AL. acupuncture med. 2002;20(23):107-8 (eng).
A 41-year-old woman with breast cancer was referred
to the pain management clinic for a course of
50
acupuncture for intense pain following a subcutaneous
mastectomy and a latissimus dorsi flap reconstruction.
She was treated with a standard course of acupuncture
for breast pain, using paravertebral segmental points,
trigger points, plus contralateral L14 on the nonlymphoedematous arm. She experienced an episode of
galactorrhoea six days following the first treatment and
during the second treatment. She had not previously
lactated for four years. CT and MRI of the brain
revealed no focal abnormality. Acupuncture has been
used in to promote lactation in the Traditional Chinese
literature using the 'Tianzong' acupoint SI11. This
acupoint coincided with a trigger point over
infraspinatus that was included in the
neurophysiologically based acupuncture treatment.
Quantitative analysis has shown an increase in the
production of prolactin and oxytocin following
acupuncture. These hormones are involved in the
synthesis and release of milk from mammary glands
respectively. This is the first report of galactorrhoea, in
the contralateral normal breast, following acupuncture
in a patient with breast cancer.
635- gera: 99526/nd/re
BILATERAL PNEUMOTHORAX AFTER
ACUPUNCTURE. KAO CL, CHANG JP. j emerg med.
2002;22(1):101-2 (eng).
636- gera: 99531/nd/re
SAFETY OF ACUPUNCTURE. WILSON T. bmj.
2002;324(7330:170A (eng).
637- gera: 101026/di/re
CD30-POSITIVE T-CELL-RICH PSEUDOLYMPHOMA
INDUCED BY GOLD ACUPUNCTURE. KIM KJ ET AL.
br j dermatol. 2002;146(5):882-4 (eng).
638- gera: 101028/di/re
COMPLICATION OF ACUPUNCTURE IN A PATIENT
WITH BEHCET'S DISEASE. MURRAY PI ET AL. br j
ophthalmol. 2002;86(4):476-7 (eng).
639- gera: 101037/nd/re
COMPLEMENTARY MEDICINE ACUPUNCTURE
AND PNEUMOTHORAX. LEUNG JS. hong kong
medicine. 2002;8(3):225 (eng).
640- gera: 101038/nd/re
COMPLEMENTARY MEDICINE ACUPUNCTURE
AND PNEUMOTHORAX: AUTHOR'S REPLY. SUN
KO. hong kong medicine j. 2002;8(3):225-6 (eng).
Pas en France
641- gera: 101042/di/re
APPARENT ADVERSE OUTCOME OF
ACUPUNCTURE. LEAVY BR. j am board fam pract.
2002;15(3):246-8 (eng).
642- gera: 101044/di/re
RELATIVELY ALCOHOL-RESISTANT
MYCOBACTERIA ARE AMERGING PATHOGENS IN
PATIENTS RECEIVING ACUPUNCTURE
TREATMENT. WOO PC ET AL. j clin microbiol.
2002;40(4):1219-24 (eng).
643- gera: 101045/di/re
ACUPUNCTURE ASSOCIATED ARTHRITIS IN A
JOINT WITH AN ORTHOPAEDIC IMPLANT. LAING
AJ ET AL. j infect. 2002;44(1):43-4 (eng).
644- gera: 102014/di/ra
[STUDY ON ADVERSE EFFECTS OF
ACUPUNCTURE AND MOXIBUSTION]. WU QIANG,
HUANG JIANHONG, LAI JINSHENG. chinese
Adverse effects of acupuncture and moxibustion have
not been studied seriously. At present, acupuncture and
moxibustion is gradually acknowledged in world, it is not
enough to study only their functions. It is necessary to
study deeply the adverse effects of acupuncture and
moxibustion. The present paper studies reasons why
adverse reactions of acupuncture and moxibustion have
not been devoted much attention to and its
consequences, and possible causes of I acupuncture
and moxibustion producing adverse reactions, and
significance and possibility of
645- gera: 103841/di/ra
MATTERS NEEDING ATTENTION IN
ACUPUNCTURE. QIAO HAIFA . international journal
of clinical acupuncture. 2002;13(1):71 (eng).
646- gera: 106655/di/ra
[[GLOBAL COMMUNICATIONS ON ACUPUNCTURE
(18) DISPOSA]. ODA HIROHISA. journal of the japan
2002;52(4): (jap).
647- gera: 108949/di/ra
[HEPATITIS B VIRUS IS DETECTED ON THE
SURFACE OF ACUPUNCTURE NEEDLES]. UMEDA
TAKASHI, ET AL. journal of the japan society of
acupuncture and moxibustion. 2002;52(2): (jap).
648- gera: 109009/di/ra
REPETITIVE EPILEPTIC FITS - A POSSIBLE
POST-STROKE PATIENT. ROSTED P. acupuncture
in medicine. 2002;19(1):46 (eng*).
649- gera: 109030/di/ra
ACUPUNCTURE (SAFA): A PROSPECTIVE STUDY
OF 32,000 CONSULTATIONS. WHITE A, HAYHOE S,
HART A, EDZARD E. acupuncture in medicine.
2002;19(2):84 (eng*).
Acupuncture is increasingly used, so it is important to
establish whether its benefits outweigh its risks.
Numerous case reports of adverse events show that
acupuncture is not free of risk, but accurate data from
prospective investigations is scarce. A prospective
survey was undertaken using intensive event
monitoring. Forms were developed for reporting minor
events each month and significant events as they
occurred. The sample size was calculated to identify
any adverse events that occurred more frequently than
once in 10,000 consultations. Acupuncturists were
recruited -from two professional organisations in the
UK. Seventy-eight acupuncturists, all doctors or
physiotherapists , reported a total of 2178 events
occurring in 31,822 consultations, an incidence of 684
per 10,000 consultations. The most common minor
adverse events were bleeding, needling pain, and
aggravation of symptoms; aggravation was followed by
resolution of symptoms in 70% of cases. There were 43
significant minor adverse events reported, a rate of 14
per 10,000, of which 13 (30%) interfered with daily
activities. One patient suffered a seizure (probably
reflex anoxic) during acupuncture, but no adverse event
51
was classified as serious. Avoidable events included
forgotten patients, needles left in patients, cellulitis and
moxa burns. In conclusion, the incidence of adverse
events following acupuncture performed by doctors and
physiotherapists can be classified as minimal; some
avoidable events do occur. Acupuncture seems, in
skilled hands, one of the safer forms of medical
intervention.
650- gera: 109031/di/ra
A PROSPECTIVE SURVEY OF ADVERSE EVENTS
AND TREATMENT REACTIONS FOLLOWING 34,000
CONSULTATIONS WITH
PROFESSIONALACUPUNCTURISTS. HUGH
MACPHERSON, KATE THOMAS, STEPHEN
WALTERS,. acupuncture in medicine. 2002;19(2):93
(eng*).
The paper describes the type and frequency of adverse
events and transient reactions following consultations
with professional acupuncturists. In a postal survey,
involving 1848 professional acupuncturists, all of whom
were members of the British Acupuncture Council and
practising in the UK, details of adverse events and
transient reactions following treatment were recorded
on standardised self-report forms. A sample size of
30,000 treatments was sought, and piloting indicated
that a four-week period was required. Practitioners also
provided information on themselves, including age, sex,
length of training and years of practice. A total of 574
practitioners responded, 31% of the total population.
These practitioners reported on adverse events and
transient reactions associated with 34,407 treatments.
No serious adverse events were reported, where these
were defined as requiring hospital admission,
prolonging hospital stays, permanently disabling, or
resulting in death (95% CI: 0 to 1. 1 per 10,000
treatments). A total of 43 significant minor adverse
events were reported, a rate of 1.3 per 1,000 treatments
(95% CI: 0.9 to 1.7). These included severe nausea and
actual fainting (12), unexpected, severe and prolonged
aggravation of symptoms (7), prolonged and
unacceptable pain and bruising (5) and psychological
and emotional reactions (4). There were three
avoidable events: two patients had needles left in by
mistake, and one patient had moxa burns to the skin,
also caused by practitioner error. The acupuncturists
also recorded 10,920 mild transient reactions occurring
in 5136 treatments, 15% (95% CI: 14.6 to 15.3) of the
34,407 total. In terms of local reactions, there were
reports of mild bruising (1.7%), pain (1.2%) and
bleeding (0.4%). Practitioners reported that patients
experienced an aggravation of existing symptoms after
2.8% of treatments. The most common mild transient
reactions to treatment were feeling relaxed (11.9%) and
feeling energised (6.6%). In this prospective survey of
34,407 treatments, practitioners reported no serious
adverse events. This conclusion was based on data
collected from one in three members of the British
Acupuncture Council. Given that the whole membership
delivers between one and a half and two million
treatments a year, this is important evidence on public
health and safety. When compared with medication
routinely prescribed in primary care, the results suggest
that acupuncture is a relatively
651- gera: 109032/di/ra
RARE BUT SERIOUS COMPLICATIONS OF
ACUPUNCTURE: TRAUMATIC LESIONS. ELMAR
PEUKER DIETRICH GRONEMEYER. acupuncture in
medicine. 2002;19(2):103 (eng*).
Acupuncture has a reputation among the public of
being safe. Although recently performed prospective
studies on the frequency of adverse effects of
acupuncture found no severe complication, since 1965
many case reports of serious or even life-threatening
incidents caused by acupuncture have appeared in the
scientific literature. The most frequently reported
complications are pneumothorax and lesions of the
spinal cord. Severe injuries of peripheral nerves and
blood vessels due to acupuncture seem to be very rare.
Although case reports do not produce reliable data on
the frequency of adverse events, information on
sources of application errors can be extracted to
increase the quality of acupuncture in education and
therapy. All traumatic injuries described in this article
could be avoided if practitioners had better anatomical
knowledge, applied existing anatomical knowledge
652- gera: 109033/di/ra
CONTROL OF INFECTION IN ACUPUNCTURE.
BARRY WALSH. acupuncture in medicine.
2002;19(2):109 (eng*).
This paper is an update on infections, and potential
infections, related to acupuncture, and a brief review of
the relevant infection control procedures. There is no
evidence at present to suggest that significant numbers
of infections are being transmitted through standard
acupuncture treatments in the UK. None the less, good
infection control is essential. Like any other science,
new research forces infection control to evolve and
refine its procedures. Acupuncturists need to constantly
review their standards as new viruses and risks are
identified.
653- gera: 109034/di/ra
SKIN DISINFECTION AND ACUPUNCTURE.
HOFFMAN P. acupuncture in medicine.
2002;19(2):112 (eng*).
The need for skin disinfection before insertion of an
acupuncture needle is controversial and there is no
specific research on this topic. However research and
observations on the effect of, and the need for, skin
disinfection before injections forms a good analogy of
acupuncture. Whilst microorganisms present on the
surface of the skin are accessible to disinfection, those
located under the surface in ducts, glands and follicles
are out of reach and can be inoculated into the sterile
tissues below by needle insertion. Fortunately, the
bacteria resident on the skin have a low potential to
cause infection if host immunity is not severely impaired
or compromised by the long-term presence of foreign
material, such as a surgical stitch. Disinfection of clean
skin before injection is not generally considered
necessary and observations of lack of infection
following injections without prior skin disinfection
support this; however, contamination by microorganisms not normally resident on skin can pose a
higher risk of infection. If skin is visibly soiled, it should
be washed and if needle insertion is near an infected or
contaminated site, it should be disinfected with alcohol.
Practitioner hand hygiene between patients is
important, even if gloves are worn. Hands should be
washed with soap or detergent and water, or an alcohol
handrub can be used if hands are physically clean.
654- gera: 109035/di/ra
SAFETY ASPECTS OF ACUPUNCTURE IN
PALLIATIVE CARE. FILSHIE J. acupuncture in
medicine. 2002;19(2):117 (eng*).
Acupuncture can mask symptoms of cancer and tumour
52
progression. It is not safe to use such a therapy without
full knowledge of the clinical stage of the disease, and
the current status of orthodox therapy.
Contraindications to acupuncture needling include an
unstable spine , severe clotting disorder, neutropenia
and lymphoedema. Whilst semi-permanent needles are
used increasingly in symptom control and pain
management they should not be used in patients with
valvular heart disease or in vulnerable neutropenic
patients. Acupuncture has an increasing role in support
for pain and symptom management, but patients should
not be advised to abandon conventional treatments in
favour of complementary or alternative therapies alone,
and should not have their hopes raised inappropriately,
or have any guilt projected on to them for the cause of
their cancer.
655- gera: 109036/di/ra
INFORMED CONSENT FOR ACUPUNCTURE - AN
INFORMATION LEAFLET DEVELOPED BY
CONSENSUS. WHITE A, CUMMINGS M, VAL
HOPWOOD V. acupuncture in medicine.
2002;19(2):123 (eng*).
656- gera: 109037/di/ra
ADVERSE EVENTS ASSOCIATED WITH
ACUPUNCTURE REPORTED IN 2000. WHITE A,
ERNST E. acupuncture in medicine. 2002;19(2):136
(eng).
Patients have the right to be fully informed about the
likely benefits and risks of any proposed examination or
treatment, and practitioners are obliged to obtain
informed consent beforehand. Accurate information
about the risks of acupuncture is available following
publication of the results of two prospective surveys. At
a joint meeting on the safety of acupuncture, members
of the three largest UK professional bodies expressed a
need to establish what information on risks patients
should be given. A standard Information Leaflet was
developed by consensus between these organisations ,
and is intended to be used as a stimulus for discussion
of standard risks as well as any particular risks that
might apply to individual patients. Additionally, it may be
used as a form for written consent when this is required.
To provide the context for using the Leaflet, the legal
and ethical bases of informed
657- gera: 109038/di/ra
RISK INFORMATION AND INFORMED CONSENT IN
ACUPUNCTURE - A PROPOSAL FROM GERMANY.
ELMAR PEUKER, DIETRICH GRONEMEYER.
acupuncture in medicine. 2002;19(2):137 (eng).
658- gera: 109169/di/cg
MEDICOLEGAL ASPECTS RELATED TO
ACUPUNCTURE-MOXIBUSTION. P ARBARELLO.
wfas international symposium on acupuncture.
2002;:34 (eng).
659- gera: 109256/di/cg
INFORMED CONSENT IN ACUPUNCTURE: OUR
EXPERIENCE IN CLINICAL PRACTICE. V SPINELLI
ET AL. wfas international symposium on
acupuncture. 2002;:213 (eng).
660- gera: 109868/di/cg
AUDIT SUR LE RISQUE CONTAMINANT DES
AIGUILLES D'ACUPUNCTURE -. CLEMENT P. vi
congres national de la faformec,clermont-ferrand.
2002;:119 (fra).
661- gera: 109877/di/cg
CONTRE INDICATIONS EN ACUPUNCTURE:. BUI
VAN THO,. vi congres national de la
faformec,clermont-ferrand. 2002;:174 (fra).
662- gera: 110538/di/ra
SERIOUS ADVERSE EVENTS FOLLOWING
ACUPUNCTURE ARE REASSURINGLY RARE'.
CUMMINGS TM. focus on alternative and
Résumé et commentaires de : Ernst E, White A.
Prospective studies of the safety of acupuncture: a
systematic review. Am j Med 2001; 110: 481-5.
663- gera: 110539/di/ra
ACUPUNCTURE SIDE-EFFECTS CAN BE POSITIVE.
BENSOUSSAN A. focus on alternative and
Résumé et commentaires de : Odsberg A, Schill U,
Haker E. Acupuncture treatment - side effects and
complications reported by Swedish physiotherapists.
Complement Ther Med 2001; 9: 17-20.
664- gera: 110961/di/ra
[GUIDELINES FOR ACUPUNCTURE SAFETY IN
DIFFERENT COUNTRIES.]. COMMITTEE FOR
SAFARY OF ACUPUNCTURE, JSAM. journal of the
japan society of acupuncture and moxibustion.
2002;52(5):509 (35) (jap).
665- gera: 111087/di/ra
ADVERSE EVENTS IN ACUPUNCTURE-MOSTLY
MINOR BUT SIGNIFICANT VARIATIONS EXIST IN
PRACTITIONER REPORTING. BENSOUSSAN A.
focus on alternative and complementary therapies.
2002;7(1):11 (eng).
Résumé et commentaires de : White A, Hayhoe S, Hart
A, Ernst E. Adverse events following acupuncture:
prospective survey of 32 000 consultations with doctors
and physiotherapists. BMJ 2001; 323: 485-6. (99600) et
de MacPherson H, Thomas K, Walters S, Fitter M. z
The York acupuncture safety study: prospective survey
of 34 000 treatments by traditional acupuncturists. BMJ
2001; 323: 486-7. (99599)
666- gera: 114933/di/ra
AN ANALYSIS ON THE ACCIDENT OF
PNEUMOTHORAX INDUCED BY INCORRECT
ACUPUNCTURE TREATMENT.. SONG GUOHUA, ET
AL. world journal of acupuncture-moxibustion.
2002;12(4):29 (eng*).
Acupuncture induced pneumothorax is a rarely seen
clinical accident. In the present paper, the authors
analyze its causes of onset, clinical manifestations and
measures for prevention and management.
667- gera: 140989/di/re
PSEUDOANEURYSM OF THE ABDOMINAL AORTA
CAUSED BY ACUPUNCTURE THERAPY. KIM DI,
HUH SH, LEE BB, KIM DK, DO YS. surg today.
2002;32(10:942-3 (eng).
Acupuncture is a major treatment modality used in
Oriental medicine to control chronic pain. However,
several complications have been reported, including
spinal cord injury, pneumothorax, and subcutaneous
pseudoaneurysm, according to the puncture sites. We
report the case of a pseudoaneurysm of the abdominal
aorta
53
668- gera: 141470/nd/re
[DISINFECTION OF THE SKIN PRIOR TO
INJECTIONS DOES NOT INFLUENCE THE
INCIDENCE OF INFECTIONS; A LITERATURE
STUDY]. LIEFFERS MA, MOKKINK HG. ned tijdschr
geneeskd. 2002;146(26):765-7 (deu).
OBJECTIVE: To assess the incidence of infections after
subcutaneous, intramuscular or intravenous injections-using sterile needles--with or without prior disinfection
of the skin. METHOD: Literature searches were made
in the database Medline from 1966-June 2001, in the
databases Picarta, Embase and the Cochrane Library,
as well as manually in the reference lists of the
collected articles. Original papers in English, Dutch or
German were selected. RESULTS: Four relevant
studies were found, generally of poor quality. In these
two infections were reported after disinfecting the skin
prior to over 2300 injections in 156 patients, and none
were reported after not disinfecting the skin prior to over
7000 injections in more than 700 patients.
CONCLUSION: Both disinfection prior to skin injections
and omission of disinfection were followed by (almost)
no infections.
669- gera: 47373/di/re
MULTIPLE RETAINED ACUPUNCTURE NEEDLE
FRAGMENTS. VASSIOU K, KELEKIS NL,
FEZOULIDIS IV. eur radiol. 2003;5:1188-9 (eng).
670- gera: 115167/di/ra
EMBEDDED NEEDLES. WIGHTMAN A. acupuncture
in medicine. 2003;18(2):126 (eng).
671- gera: 115177/di/ra
REPETITIVE EPILEPTIC FITS-A POSSIBLE
POST-STROKE PATIENT PALLE ROSTED
COMMENTARY. JOHANSSON B. acupuncture in
medicine. 2003;19(1):46 (eng*).
A case of repetitive epileptic fits in a post stroke patient
after transcutaneous electrical nerve stimulation (TENS)
is presented. It seems more likely than not that the
TENS triggered the repetitive fits in this patient.
Although the risk of this adverse effect seems to be
small, it should be borne in mind when TENS is used in
a post-stroke patient. Since TENS is now used
commonly in post-stroke patients, this problem is
worthy of further study.
672- gera: 117309/di/ra
SAFETY OF ACUPUNCTURE AND MOXIBUSTION
(8) APPLICATION OF MERCURY ON INSERTION
AND PUNCTURING THE INTERNAL ORGANS.].
UMEDA TAKASHI, ET AL. journal of the japan
2003;51(2):195 (47) (jap*).
We reviewed papers published in Japan, regarding the
application of mercury in the insertion and puncturing of
internal organs in acupuncture and moxibustion
treatment. Nine papers (8 from commercial journals and
1 from an academic journal, published between 1964
and 1972) on application of mercury were located. All
the authors were acupuncturists except for one medical
doctor. Of the 9 papers, 7 argued about the advisability
of using mercury to facilitate insertion of the needle. In
addirion, seven papers (written by 5 acupuncturists and
2 medical doctors; all published in 1968) on puncturing
the internal organs were located. Of these 7 papers, 3
discussed the method, and 4 argued about the
advisability of the technique.
673- gera: 117310/di/ra
[(9) DERMATOLOGICAL ADVERSE EVENTS IN
ACUPUNCTURE TREATMENT.]. YAMASHITA
HITOSHI, ET AL. journal of the japan society of
acupuncture and moxibustion. 2003;51(2):201 (53)
(jap*).
We reviewed Japanese literature on acupuncturerelated adverse events in the field of dermatology.
Between 1983 and 2000, 27 cases of adverse events
were reported in 20 articles. The events were localized
argyria caused by embedded needles (19 cases), metal
allergy or contact dermatitis (3), nodular lesions (2),
cutaneous chromatosis caused by embedded needles
(1), enlargement of malignant melanoma (1), and
silicone granuloma (1). Causal relationship was definite
in almost all cases, If acupuncturists find dermal lesions
corresponding to the sites needled, they should
discontinue their treatment and immediately
recommend that their patients consult a
674- gera: 117358/di/re
[BILATERAL PNEUMOTHORAX AND TAMPONADE
AFTER ACUPUNCTURE]. CANTAN R ET AL. presse
medicale. 2003;32(7):311-2 (eng).
675- gera: 117382/di/re
STATEMENT ABOUT RISKS OF ACUPUNCTURE IS
MISLEADING. LEVY DS. am fam physician.
2003;68(9): :713 (eng).
author reply 1713. Comment on: Am Fam Physician.
2003 Jan 15;67(2):339-44.Comment Letter
676- gera: 117401/di/re
SOFT TISSUE ABSCESS AND OSTEOMYELITIS
SECONDARY TO ACUPUNCTURE. LIN F, CHOONG
P. anz j surg. 2003;73(9):770. (eng).
Letter
677- gera: 117413/di/ra
INCIDENCE OF ADVERSE EFFECTS DURING
ACUPUNCTURE THERAPY-A MULTICENTRE
SURVEY. ERNST G, STRZYZ H, HAGMEISTER H.
complement ther med. 2003;11(2):93-7. (eng).
INTRODUCTION: Acupuncture is frequently used to
treat chronic pain syndromes or other chronic diseases.
Several hundred reports have been published of lifethreatening adverse events after acupuncture. The aim
of our study was to assess the adverse effects of
acupuncture during a normal treatment routine.
METHODS: Thirteen general practitioners and
outpatient clinics and 16 other practitioners were
included in a questionnaire survey in Germany. Patient
gender and age, indications for and method of
treatment, and adverse effects were documented by the
therapists. RESULTS: Four hundred and nine patients
receiving 3535 acupuncture treatment were included.
Adverse effects were observed in 402 treatments
(11.4%) in 153 different patients. The main side effects
were slight haemorrhage (2.9%), haematoma (2.2%),
dizziness (1%) and other systemic symptoms (2.7%).
Other side effects mentioned (all below 1%) were
fainting, nausea, prolonged DeQi effect (paraesthesia)
and increase of pain. In one case, aphasia was
reported lasting 1h after acupuncture. CONCLUSION:
Acupuncture has adverse effects, like any therapeutic
approach. If it is used according to established safety
rules and carefully at appropriate
54
678- gera: 117433/di/re
FEZOULIDIS IV. eur radiol. 2003;13(5):1188-9. ().
Case Reports Letter
679- gera: 117457/nd/re
BLOOD DONATION AND ACUPUNCTURE.
SHEFFIELD PR, JORGENSEN VR, BUNDGAARD M.
br dent j. 2003;195(6):295. (eng).
680- gera: 117463/nd/re
SIDE-EFFECTS OF COMPLEMENTARY AND
ALTERNATIVE MEDICINE. NIGGEMANN B, GRUBER
C. allergy. 2003;58(8:707-16. (eng).
Complementary and alternative medicine are
increasingly used to diagnose or treat allergic diseases,
and numerous studies have reported benefits of this
type of medicine. This article presents a review of the
literature on risks of these methods. The potential
sensitizing capacity of numerous herbal remedies may
lead to allergic contact dermatitis and more rarely to
IgE-mediated clinical symptoms. Mechanical injuries
may be observed following acupuncture leading to
pneumothorax, cardiac tamponade or spinal injury.
Infectious complications after acupuncture include
hepatitis and bacterial endocariditis. Organ toxicity has
been observed associated with various herbal
preparations involving the liver, kidneys, and the heart.
Some herbs may have cancerogenic properties. Severe
nutritional deficiencies can occur in infants and small
children given strict alternative diets, resembling
'kwashiorkor'. Finally, among other miscellaneous
adverse effects, adulteration with steroids, and herbal
and drug interactions are discussed. The pattern of
side-effects is similar to that observed by the use of
conventional medicine. Therefore, caution may be
justified using both conventional and unconventional
methods. Only if the benefit is proven and the sideeffects are established, should a given method be
chosen.
681- gera: 117471/di/re
ADVERSE EFFECTS OF ACUPUNCTURE. WHICH
ARE CLINICALLY SIGNIFICANT?. CHUNG A, BUI L,
MILLS E. can fam physician. 2003;49:985-9. (eng).
OBJECTIVE: To review potentially serious adverse
events associated with acupuncture. QUALITY OF
EVIDENCE: Studies in the medical literature primarily
provide level II evidence from retrospective reviews,
case reports, and prospective surveys of practitioners.
MAIN MESSAGE: Both the general public and
physicians are becoming more interested in the ancient
Chinese medical practice of acupuncture. This paper
discusses the basic philosophy of acupuncture and
describes adverse events that might be associated with
acupuncture treatment. Some events, such as nausea
and syncope, can be mild and transient, but rare
events, such as septicemia and hepatitis C infection,
can be fatal. As the role of acupuncture in today's
multidisciplinary clinics increases, the complications of
acupuncture, although infrequent, cannot be
overlooked. CONCLUSION: Responsible clinicians
practising acupuncture and seeing patients who use
acupuncture should be aware of the adverse events
associated with it.
682- gera: 117490/di/re
MYCOBACTERIUM CHELONAE INFECTION WITH
MULTIPLE CUTANEOUS LESIONS AFTER
TREATMENT WITH ACUPUNCTURE. ARA M, DE
SANTAMARIA CS, ZABALLOS P, YUS C, LEZCA. int j
dermatol. 2003;42(8):642-4. (eng).
683- gera: 117515/di/re
PERONEAL NERVE PALSY FOLLOWING
ACUPUNCTURE TREATMENT. A CASE REPORT.
SATO M, KATSUMOTO H, KAWAMURA K,
SUGIYAMA H, TAKA. j bone joint surg am. 2003;85A(5):916-8. (eng).
684- gera: 117532/di/re
IS ACUPUNCTURE A RISK FACTOR FOR
HEPATITIS? SYSTEMATIC REVIEW OF
EPIDEMIOLOGICAL STUDIES. ERNST E, SHERMAN
KJ. j gastroenterol hepatol. 2003;18(11):1231-6.
(eng).
OBJECTIVE: Acupuncture has been repeatedly
associated with infectious hepatitis. The aim of the
present systematic review was therefore to critically
evaluate such data from epidemiological investigations.
METHODS: Four independent literature searches were
carried out to identify all epidemiological evidence
linking acupuncture with hepatitis. All studies were
validated by the authors and data extracted according
to predefined criteria. RESULTS: Fifteen investigations
fulfilled our inclusion criteria. Most studies originated
from Asia. One study included markers to hepatitis A
virus, three to hepatitis B virus, and 13 to hepatitis C
virus. Five investigations reported associations between
acupuncture and seropositivity to hepatitis C virus. In
those studies, acupuncture increased the risk only
modestly. CONCLUSION: A modest association
between hepatitis C and acupuncture has been
reported in some countries. This emphasizes the
importance of exclusively using disposable acupuncture
685- gera: 117536/nd/re
RETROPERITONEAL ABSCESS COMPLICATED BY
ACUPUNCTURE: CASE REPORT. CHO YP, JANG
HJ, KIM JS, KIM YH, HAN MS, LEE SG. j korean med
sci. 2003;18(5):756-7. (eng).
With acupuncture treatment becoming an increasingly
popular analgesic, there have been increasing reports
on its associated complications. Although
pneumothorax is the most frequently reported injury
caused by acupuncture needles, infectious
complications may not be uncommon. Most infectious
complications show less serious clinical manifestations
than pneumothorax, but retroperitoneal or
intraabdominal abscess caused by acupuncture may be
much more serious conditions. We experienced a 56-yrold male diabetic patient presenting with serious
retroperitoneal abscess after acupuncture treatments.
Emergency operative drainage with adequate antibiotic
therapy was performed. Bacterial culture of blood and
closed pus specimens recovered Klebsiella
pneumoniae. In addition to application of better
knowledge on anatomy, appropriate antiseptic practice
by practitioners will reduce many serious complications
associated with acupuncture.
686- gera: 117610/nd/re
AN AUTOPSY CASE OF BILATERAL TENSION
PNEUMOTHORAX AFTER ACUPUNCTURE.
IWADATE K, ITO H, KATSUMURA S, MATSUYAMA N,
SATO. leg med (tokyo). 2003;5(3):170-4. (eng).
Acupuncture is one of the most popular complementary
therapies in the world. Pneumothorax due to perforation
55
of the lungs by needle insertion is one of the most
common and serious complications of acupuncture
treatment. Although there have been several case
studies of pneumothorax induced by acupuncture, as
far as we know there have been no reports on the
pathological findings of autopsy cases.In this report, we
describe the pathological findings of an autopsy case of
bilateral tension pneumothorax after acupuncture. The
patient suffered dyspnea and chest pain soon the
completion of an acupuncture treatment, and died 90
min later. Several ecchymoses were macroscopically
observed on the parietal pleura in the left and right
thoracic cavity, suggesting that needles were inserted
into the thoracic cavity and that the lungs were
perforated. The many black spots we observed on the
parietal pleura along the vertebral column
microscopically consisted of a number of dust-like black
pigments and macrophages containing these pigments.
These spots seemed to have appeared because of the
previous insertion
687- gera: 117650/nd/re
br dent j. 2003;195(6):295. (eng).
688- gera: 117656/di/re
ACUPUNCTURE AND ADVERSE EFFECTS.
BURFORD-MASON A. can fam physician. 2003;1588:
(eng).
689- gera: 117657/nd/re
RAPSON LM. can fam physician. 2003;:1588-9 (eng).
690- gera: 117685/di/re
CHRONIC INFLAMMATORY GRANULOMA MIMICS
CLINICAL MANIFESTATIONS OF LUMBAR SPINAL
STENOSIS AFTER ACUPUNCTURE: A CASE
REPORT. HA KY, KIM YH. spine. 2003;28(11):217-20.
(eng).
STUDY DESIGN: A case report and review of the
literature. OBJECTIVES: To present a case of chronic
inflammatory epidural granuloma formed after
acupuncture. SUMMARY OF THE BACKGROUND
DATA: A number of cases of complications resulting
from acupuncture have been reported, including acute
infection, hemorrhage, and direct injury to internal
organs or neural tissues. However, to the best of our
knowledge, there has been no report of epidural
granuloma formed following acupuncture and mimicking
clinical manifestations of lumbar stenosis. METHODS:
A 68-year-old woman suffered from low back pain and
sciatica aggravated by acupuncture. We reviewed her
medical record, imaging studies, microscopic findings of
the mass, and related literature. RESULTS: Microscopic
examination revealed the mass as a chronic
inflammatory granuloma. From her previous history and
imaging study, the mass, which compressed the lumbar
forth nerve and dural sac,was highly suspected to have
been formed after acupuncture. Surgical
decompression and excision of the epidural mass
relieved her symptoms. CONCLUSION: Chronic
inflammatory granuloma may be formed as a
complication of acupuncture. Under such
circumstances, surgical excision of the mass may be an
effective way of relieving the symptoms.
691- gera: 117687/nd/re
BLOOD DONATION! IS ACUPUNCTURE
PERFORMED BY DENTISTS A
CONTRAINDICATION?]. ROSTED P. ugeskr laeger.
2003;165(46):4438-9 (dan).
692- gera: 117701/di/re
STREITBERGER K ET AL. college of family
physicians of canada. 2003;49:1588-91 (eng).
693- gera: 117827/di/ra
[CARRYING OUT TECHNICAL APPRAISAL OF
MEDICAL ACCIDENTS PROPERLY .]. TAN MING.
shanghai journal of tcm. 2003;37(8):64 (chi).
694- gera: 117828/di/ra
INFORMATION DU PATIENT ET CONSENTEMENT
ECLAIRE EN ACUPUNCTURE. ROUXEVILLE Y ET
NGUYEN J. acupuncture & moxibustion.
2003;2(3):153 (fra).
695- gera: 117829/di/ra
ACUPUNCTURE, STERILISATION ET LEGISLATION.
FRAUX G, STEPHAN JM. acupuncture &
moxibustion. 2003;2(3):156 (fra).
696- gera: 117830/di/ra
ATTENTION, C'EST DEJA ARRIVE ! INCIDENTS ET
ACCIDENTS ATTRIBUES A L'ACUPUNCTURE.
2003;2(3):179 (fra).
697- gera: 118362/di/ra
[HANDLING THE NEEDLE : IMPORTANCE AND
SAFETY IN JAPANESE STYLE ACUPUNCTURE .].
KATAI SHUICHI. journal of the japan society of
698- gera: 118513/di/ra
ACUPUNCTURE, STERILISATION ET LEGISLATION.
STEPHAN JM. acupuncture & moxibustion.
2003;2(1-2):73 (fra).
699- gera: 118521/di/ra
ATTENTION, C'EST DEJA ARRIVE ! INCIDENTS ET
ACCIDENTS ATTRIBUES A L'ACUPUNCTURE. BUI
A ET NGUYEN J. acupuncture & moxibustion.
2003;2(1-2):100 (fra).
700- gera: 119251/di/ra
SURVEY. G ERNST, H STRZYZ, H HAGMEISTER.
complementary therapies in medicine. 2003;11(2:93
(eng).
701- gera: 122194/di/ra
[PRESENT SITUATION OF HAND HYGIENE IN THE
MEDICAL PERSONNEL AND IMPROVEMENT OF
ACUPUNCTURE METHODS]. HU KE. chinese
702- gera: 124879/di/ra
[SIDE-EFFECTS ASSOCIATED WITH
ACUPUNCTURE AND A SHAM TREATMENT:
PERHAPS WE SHOULD TAKE A CLOSER LOOK AT
WHAT IS REALLY RESPONSIBLE? ]. LEWITH GT
AND WHITE P. journal of alternative and
complementary medicine:research on
paradigm,practice,and p. 2003;9(1):16 (chi).
56
703- gera: 125707/di/ra
LES RISQUES PROFESSIONNELS DU PERSONNEL
AU CABINET. ROUXEVILLE Y. acupuncture et
704- gera: 125714/di/ra
ATTENTION, C'EST DÉJA ARRIVÉ ! INCIDENTS ET
ACCIDENTS ATTRIBUÉS A L'ACUPUNCTURE.
NGUYEN J. acupuncture et moxibustion.
2003;2(4):242 (fra).
705- gera: 125820/nd/re
br dent j. 2003;195(6):295 (eng).
706- gera: 125823/nd/re
C. allergy. 2003;58(8: (eng).
707- gera: 125963/nd/re
IN THE REVIEW OF THE LITERATURE, AN
ANALYSIS OF COMPLICATIONS AND ADVERSE
EFFECTS OF ACUPUNCTURE IS GIVEN, WAYS FOR
THEIR PREVENTION ARE OUTLINED. X. lik sprava.
2003;(5-6): (eng).
708- gera: 125992/nd/re
SOFT TISSUE ABSCESS AND OSTEOMYELITIS
SECONDARY TO ACUPUNCTURE. LIN F, CHOONG
P. anz j surg. 2003;73(9):770 (eng).
709- gera: 126048/nd/re
STATEMENT ABOUT RISKS OF ACUPUNCTURE IS
MISLEADING. LEVY DS. am fam physician.
2003;68(9): :713 (eng).
710- gera: 126107/nd/re
FEZOULIDIS IV. eur radiol. 2003;13(5):1188-9. (eng).
711- gera: 126137/nd/re
C. allergy. 2003;58(8:707-16. (eng).
712- gera: 126144/di/re
RAPSON LM. can fam physician. 2003;:1588-9 (eng).
713- gera: 126189/nd/re
PERONEAL NERVE PALSY FOLLOWING
ACUPUNCTURE TREATMENT. A CASE REPORT.
SUGIYAMA H, TAKA. j bone joint surg am. 2003;85A(5):916-8. (eng).
714- gera: 126217/di/ra
SURVEY. ERNST G, STRZYZ H, HAGMEISTER H.
complement ther med. 2003;11(2):93-7. (eng).
715- gera: 134913/di/ra
[EDUCATIONAL ROLES FOR PROMOTING SAFETY
OF ACUPUNCTURE THERAPY (REPLY)]. OZAKI
TOMOFUMI . journal of the japan society of
acupuncture and moxibustion. 2003;53(1):103(103)
(jap).
716- gera: 134935/di/ra
[PRESENT STATE OF INFECTION CONTROL IN
ACUPUNCTURE AND MOXIBUSTION - THE
QUESTIONNAIRE SURVEY FOR MAINLY
PRACTICING ACUPUNCTURISTS ]. SHINBARA
HISASHI ET AL . journal of the japan society of
(jap*).
[Purpose] This study investigated the safety of
acupuncture and moxibustion in Japan. A questionnaire
about infection control was developed based on the
"Guidelines on basic training and safety in acupuncture"
published by the World Health Organization (WHO) in
1999.[Method] The questionnaire was sent to the
members of the Japan Society of Acupuncture and
Moxibustion (JSAM) and the Japan Acupuncture and
Moxibustion Association (JAMA) in August 2000 and in
September 2001, respectively. The items on the
questionnaire were "a clean working environment",
"clean hands of the practitioner", "preparation of the
needling sites", "sterile needles and equipment, and
appropriate storage", "aseptic technique" and "careful
management and disposal of used needles and swabs".
[Result and conclusion] The questionnaire response
rate was 49.6% (443/894). The results suggest that
approaches to infection control are better than those in
our previous report in 1996. However, the rate of using
disposable needles was still low and most
acupuncturists held the needle with bare hands during
inserting. It is necessary to
717- gera: 136118/di/ra
MESURES PRÉVENTIVES DU « MAL D'AIGUILLE ».
CHEN YI GUO. acupuncture traditionelle chinoise.
2003;8:69 (fra).
Source : Lin Zheng Xuan Xue Shi Zhen Zhi Nan (Guide
de la pratique acupuncturale et du choix des points
visant les symptômes)"
718- gera: 141471/di/re
BEST INFECTION CONTROL PRACTICES FOR
INTRADERMAL, SUBCUTANEOUS, AND
INTRAMUSCULAR NEEDLE INJECTIONS. HUTIN Y,
HAURI A, CHIARELLO L, CATLIN M, STILWELL B,
GHEBREHIWET T, GARNER J; INJECTION SAFETY
BEST PRACTICES DEVELOPMENT GROUP. bull
world health organ. 2003;81(7):491-500 (eng).
OBJECTIVE: To draw up evidence-based guidelines to
make injections safer. METHODS: A development
group summarized evidence-based best practices for
preventing injection-associated infections in resourcelimited settings. The development process included a
breakdown of the WHO reference definition of a safe
injection into a list of potentially critical steps, a review
of the literature for each of these steps, the formulation
of best practices, and the submission of the draft
document to peer review. FINDINGS: Eliminating
unnecessary injections is the highest priority in
preventing injection-associated infections. However,
when intradermal, subcutaneous, or intramuscular
injections are medically indicated, best infection control
practices include the use of sterile injection equipment,
the prevention of contamination of injection equipment
and medication, the prevention of needlestick injuries
to the provider, and the prevention of access to used
needles. CONCLUSION: The availability of best
infection control practices for intradermal,
subcutaneous, and intramuscular injections will provide
57
a reference for global efforts to achieve the goal of safe
and appropriate use of injections. WHO will revise the
best practices five
719- gera: 53233/di/re
ACUPUNCTURE ASSOCIATED PNEUMOTHORAX.
Saifeldeen K, Evans M. emerg med j. 2004;21(3):398
(eng).
720- gera: 126316/di/re
PROSPECTIVE INVESTIGATION OF ADVERSE
EFFECTS OF ACUPUNCTURE IN 97 733 PATIENTS.
MELCHART D, WEIDENHAMMER W, STRENG A,
REITMAYR S,. arch intern med. 2004;164(1):104-5.
(eng).
721- gera: 126367/di/re
IMAGES IN CLINICAL MEDICINE.
INTRAABDOMINAL ABSCESS AFTER
ACUPUNCTURE. STUDD RC, STEWART PJ. n engl j
med. 2004;350(17):1763. (eng).
722- gera: 126393/di/re
ACUPUNCTURE NEEDLE SCARS. PIGATTO PD,
GUZZI G. br j dermatol. 2004;150(2):364. (eng).
723- gera: 126407/di/re
ACUPUNCTURE ASSOCIATED PNEUMOTHORAX.
SAIFELDEEN K, EVANS M. emerg med j.
2004;21(3):398. (eng).
724- gera: 126429/nd/re
NECROTISING FASCIITIS: A LIFE-THREATENING
COMPLICATION OF ACUPUNCTURE IN A PATIENT
WITH DIABETES MELLITUS. SAW A, KWAN MK,
SENGUPTA S. singapore med j. 2004;45(4):180-2.
(eng).
725- gera: 131450/di/ra
A FRAMEWORK FOR CLASSIFYING UNPLEASANT
RESPONSES TO ACUPUNCTURE . DANIEL
SCHULMAN. journal of chinese medicine.
2004;75:10 (eng).
726- gera: 131696/di/ra
DESINFECTION CUTANEE ET ACUPUNCTURE.
STEPHAN JM. acupuncture et moxibustion.
2004;3(1):47 (fra).
727- gera: 131698/di/ra
LA DESINFECTION CUTANEE AVANT PUNCTURE :
UN RITUEL INUTILE. NGUYEN J. acupuncture et
728- gera: 131710/di/ra
LA DESINFECTION DU PAVILLON DE L'OREILLE.
ROUXEVILLE Y. acupuncture et moxibustion.
2004;3(2):133 (fra).
729- gera: 131739/di/ra
FACIITE NECROSANTE CHEZ UN DIABETIQUE
APRES ACUPUNCTURE. STEPHAN JM.
acupuncture et moxibustion. 2004;3(3):219 (fra).
730- gera: 131871/di/ra
[[]CLINICAL ANALYSIS OF THE THERAPEUTIC
EFFECT OF FAINTING DURING ACUPUNCTURE
AND PRELIMINARY STUDY OF THE MECHANISM].
HE JUN, TANG QING-FEN, ZHUANG LI-XING .
2004;24(8):553 (chi*).
Objective To study on the mechanism of increase of
clinical therapeutic effect after fainting during
acupuncture. Methods The 32 cases in whom the
clinical therapeutic effect increased after fainting during
acupuncture, were respectively induced and
summarized in age, kinds of diseases, state of illness,
duration of illness, and so on. Results Most of the
patients in whom symptoms improved significantly or
were cured after fainting during acupuncture, were
those with pain and vegetative nerve functional
disturbance. Conclusion Fainting during acupuncture is
caused by a kind of over stress response of the
organism to acupuncture. The increase of clinical
therapeutic effect is possibly related with adaptation
response of the organism and further consolidation and
731- gera: 132698/di/ra
[FIRE-NEEDLE TREATING 60 PATIENTS WITH
COM]. MA LIANG-ZHI, SONG YAN-ZHUANG . jingxi
journal of tcm. 2004;35(9):33 (chi).
732- gera: 134012/di/ra
L'AIGUILLE DE FEU EST À PROSCRIRE,
PARTICULIÈREMENT EN CAS DE DIABÈTE.
2004;3(4):275-6 (fra).
733- gera: 134050/di/re
A MIGRATED ACUPUNCTURE NEEDLE IN THE
MEDULLA OBLONGATA. HAMA YUKIHIRO , KAJI
TATSUMI. archives of neurology. 2004;61(10): (eng).
734- gera: 134054/di/re
CERVICAL SUBDURAL EMPYEMA FOLLOWING
ACUPUNCTURE. CHEN MH, CHEN MH, HUANG JS. j
clin neurosci. 2004;11(8):909-11 (eng).
A review of the literature reveals only a few cases of
spinal subdural empyema. Etiologies of spinal subdural
empyema include hematogenous spread from skin
lesions, systemic sepsis, direct spread from spinal
osteomyelitis and complications of discography.
However, in this report, we describe a patient who
developed spinal subdural empyema following several
cervical acupuncture sessions. Operative treatment with
adequate laminectomy, removal of abscess, and
copious irrigation resulted in good recovery.
Microbiologic culture study of pus obtained at surgery
was positive for Staphylococcus aureus. The need for
sterilization procedures for acupuncture is emphasized
and a brief review of the relevant literature is presented.
735- gera: 134259/di/ra
[STUDY ON NEEDLING DEPTH AND DIRECTION
FOR DANGEROUS ACU-POINTS ]. YAN ZHEN-GUO,
BAI JUAN, SHAO SHUI-JIN, ET AL. chinese
acupuncture and moxibustion. 2004;24(11):769
(chi*).
Objective To provide safe depth and direction of
needling for clinical physicians. Methods (1)
Tomographic dissection of acupoints. i, e. acupoints
were located in the dead body, which was frozen at 20~—30 C , and then various cross-sections passing
the acupoint were made to reflect cross-sectional
anatomical structures involved at various angles,
depths and ranges of needling. (2) Layered dissection
of acupoints. i.e. acupoints on the dead body was
selected and inserted with steel needle or stained
needle, and then layered dissection to reflect
anatomical structures of the acupoint region. Results
58
The ranges of safe depth and dangerous depth of
needling for commonly-used dangerous acupoints at
the head-neck. the chest-abdominal and the
lumbodorsal parts, and the needling direction and angle
for a part of dangerous acupoints were attained.
736- gera: 134944/di/ra
[UPDATE OF ADVERSE EVENTS ASSOCIATED
WITH ACUPUNCTURE AND MOXIBUSTION IN
JAPAN (1998-2002) AND CONTROVERSY OVER
INFECTION CONTROL IN ACUPUNCTURE
TREATMENT]. YAMASHITA HIROSHI, EGAWA
MASATO, UMEDA TAKASHI MIYAMOTO
TOSHIKAZU, ISHIZAKI NAOTO AND KATAI SHUICHI
(COMMITTEE FOR SAFETY OF ACUPUNCTURE,
RESEARCH DIVISION, JSAM. journal of the japan
2004;54(1):55 (jap*).
We updated safety information on acupuncture and
moxibustion, focusing on adverse events. Case reports
published between 1998 and 2002 were searched,
using "Ichu-shi Web" (Web version of Japana Centra
Medio Medicina) and "PubMed". Thirty-six cases of
acupuncture-associated adverse events (13 infections,
11 dermatological problems, 6 organ injuries or foreign
bodies, 5 nerve injuries etc.) and nine cases of
moxibustion- associated adverse events (6
dermatological problems etc.) were located. Most cases
were pub lished in academic journals in the field of
modern Western medicine, which clinical acupuncturists
usually do not read. Therefore, our committee should
play a role of collecting safety information and
performing the feedback for the acupuncturists. We also
summarize the contents of the Workshop held by our
committee on June 6, 2003. The most con. troversial
issue was determining an appropriate method of needle
insertion in terms of infection control. More evidence is
needed for establishing a good manual for safety
acupuncture.
737- gera: 134947/di/ra
[EFFECT OF WIPING ACUPUNCTURE NEEDLES
WITH COTTON ON REMOVING HEPATITIS C
VIRUSES CONTAMINATING THE NEEDLE
SURFACE.]. KASAHARA YUKI ET AL . journal of the
japan society of acupuncture and moxibustion.
2004;54(1):87 (jap*).
We examined whether wiping acupuncture needles with
cotton could remove Hepatitis C viruses (HCV)
adhering to the needles. The needles were incubated in
the serum from patients infected with HCV, then the
needles were wiped with dry cotton or cotton soaked in
80% ethanol. RNA was extracted from these needles
and the HCV genome was amplified by reverse
transcription-polymerase chain reaction (RT-PCR). The
results indicated that the HCV genome was not
detected when the needles were wiped with dry cotton.
However, in one of two experiments, the HCV genome
was detected after wiping the needles with cotton
soaked in ethanol. We also examined the HCV
contamination on the needles extracted from patients
infected with HCV. The HCV genome was detected on
extracted needles that were not wiped with cotton, but
the genome was not found on needles wiped with
cotton= at the time of extraction. Therefore, wiping
acupuncture needles with cotton might effectively
remove HCV on the contaminated needles, but the
viruses could not always be removed by simply wiping
the needles with cotton.
738- gera: 134951/di/ra
[AN AUTOPSY CASE OF BILATERAL TENSION
PNEUMOTHORAX AFTER ACUPUNCTURE].
IWADATE KIMIHARU ET AL. journal of the japan
2004;54(2):137(19) (jap*).
Acupuncture is one of the most popular complementary
therapies in the world. Pneumothorax due to perforation
of the lungs by needle insertion is one of the most
common and serious complications of acupuncture
treatment. Although there have been several case
studies of pneumothorax induced by acupuncture, as
far as we know there have been no reports on the
pathological findings of autopsy cases. In this report, we
describe the pathological findings of an autopsy case of
bilateral tension pneumothorax after acupuncture. The
patient suffered dyspnea and chest pain soon the
completion of an acupuncture treatment, and died 90
min later. Several ecchymoses were macroscopically
observed on the parietal pleura in the left and right
thoracic cavity, suggesting that needles were inserted
into the thoracic cavity and that the lungs were
perforated. The many black spots we observed on the
parietal pleura along the vertebral column
microscopically consisted of a number of dust-like black
pigments and macrophages containing these pigments.
These spots seemed to have appeared because of the
previous insertion of needles.
739- gera: 134952/di/ra
[ACUPUNCTURE AND BILATERAL
PNEUMOTHORAX ]. YAMASHITA HITOSHI AND
KATAI SHUICHI . journal of the japan society of
(jap*).
We reviewed case reports of bilateral pneumothorax
after acupuncture treatment from the point of view of
clinical acupuncture. A paper showing pathological
findings based on autopsy suggests that, in more case
than we had expected, acupuncture needles penetrate
the lung or the pleura. We speculate a portion of then
cases develop into pneumothorax and a few of these
become serious. By means of literature search, we hae
found that 23 cases of bilateral pneumothorax after
acupuncture have been published in Japan and other
countries. We must learn from these case reports.
Further, we should reassess the contents of clinical
acupuncture education and introduce
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MEDICAL ACUPUNCTURE REVIEW: SAFETY,
EFFICACY, AND TREATMENT PRACTICES. STEVEN
E BRAVERMAN, MD. medical acupuncture.
2004;15(3):12 (eng*).
Medical acupuncture combines the understanding of
neuroanatomy and pain physiology with the basic
tenets of Eastern thought and the concept of Qi. More
than 100 scientific papers suggest that pain-relieving
aspects of acupuncture are in part mediated by
endogenous monoamines and neuropeptides that are
activated by needling. In the United States, acupuncture
has its greatest success and acceptance in the
treatment of musculoskeletal pain. When acupuncturists
are appropriately trained, significant adverse events are
rare. Scientific data confirm that medical acupuncture is
effective for some medical conditions, while findings are
inconclusive for others.
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ADVANCES IN RESEARCH ON THE SAFETY OF
59
ACUPUNCTURE FOR ACUPOINTS GV 15, GV 16,
AND GB 20 IN THE TREATMENT OF
CEREBROVASCULAR DISEASE. JIXIAN ZHAO, MD
AND BING JIE LIAO, MD . medical acupuncture.
2004;15(3):27 (eng*).
Acupoints GV 15, GV 16, and GB 20 are significant in
the treatment of cerebrovascular disease. Incorrect
direction or the wrong depth of needling will result in
damage to the tissue of the central nervous system.
The recommended regression equation for clinical
depth of needling GV 15, 16 when obtaining Qi, is:GV
15 Y(cm)=2.7183 + 0.07X GV 16 Y(cm)=2.6475 +
0.0778X X Length of the cervical girth of the patient Y
Depth of needling when obtaining Qi In ancient Chinese
classical work in acupuncture, the safe direction of
needling insertion for GB 20 is in the direction of the
contralateral eyeball. Recent Chinese researchers
suggest that the correct direction of needling insertion
for GB 20 is in the direction of the apex of the nose. We
discuss herein the depths and directions of
742- gera: 135070/di/ra
EMBEDDED NEEDLES IN ACUPUNCTURE: CASE
REPORT AND REVIEW OF THE LITERATURE.
KAZUTOSHI YOKOGUSHI, MD . medical
acupuncture. 2004;15(3):34 (eng*).
Background Recent studies provide evidence that the
incidence of serious adverse events with acupuncture
therapy is rare in standard practice; serious
complications usually arise only from illicit use or from
gross abuse by incompetent practitioners. Objective To
explain and warn that serious and life-threatening
complications may arise through the use of illicit
techniques. Design, Setting, and Patient Case report of
a 50-year-old man with a history of receiving embedded
acupuncture needles for back pain. In addition, review
of the literature on complications due to use of
embedded needles. Main Outcome Measures Location
of embedded needles on spine radiographs and
computed tomography; reports of embedded
acupuncture needles and complications. Results
Imaging studies revealed the needles had migrated into
the patient's retroperitoneal space and abdominal aorta.
He received an L5 nerve root block resulting in
successful pain relief. The patient quit working and
limited his activities to prevent further migration of the
needles. In the English-language literature,
complications due to embedded acupuncture needles
and their penetration into vital organs are rarely
reported, but there are some cases in the Japanese
literature. Conclusion Serious or fatal complications
may occur with incompetent and careless implantation
of needles.
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NEEDLE SHOCK: ADVERSE EFFECT OR
TRANSFORMATIONAL SIGNAL. GREENWOOD MT.
medical acupuncture. 2004;16(1):14 (eng*).
744- gera: 135577/di/re
INFECTIVE ENDOCARDITIS, CARDIAC
TAMPONADE, AND AIDS AS SERIOUS
COMPLICATIONS OF ACUPUNCTURE. CHENG TO.
arch intern med. 2004;164(13):1464 (eng).
745- gera: 135578/nd/re
A MIGRATED ACUPUNCTURE NEEDLE IN THE
MEDULLA OBLONGATA. HAMA Y, KAJI T. arch
neurol. 2004;61(10):1608 (eng).
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AN INTERNAL STANDARD FOR VERIFYING THE
ACCURACY OF SERIOUS ADVERSE EVENT
REPORTING: THE EXAMPLE OF AN
ACUPUNCTURE STUDY OF 190,924 PATIENTS.
ENDRES HG, MOLSBERGER A, LUNGENHAUSEN M,
TRAMPISCH HJ. eur j med res. 2004;9(12):545-51
(eng*).
Background: Reporting of all serious adverse events
(SAEs) is a requirement for regulatory approval of a
drug. Can equally rigorous reporting standards be
expected in studies of non-drug treatments and how
can underreporting, if any, be detected and proven?
Using data from our large-scale prospective cohort
study of acupuncture on outpatients, we examine the
use of an internal standard, a principle taken from
laboratory medicine, to quantify real event rates. Methods: A total of 190,924 patients (68.6% women)
seeking treatment for chronic pain (headache, low back
pain, coxarthrosis or gonarthrosis) from 12,000
physicians in private practice in Germany were
observed during a six-month period ending in May
2002. Most received ten sessions of body acupuncture.
Mean treatment time was six weeks. All practitioners
were certified in acupuncture and received written
instructions on completing forms for basic patient data
and SAE monitoring. They were also informed that
payment by insurers would be made only upon return of
the completed form. All SAEs occurring between start of
the first acupuncture session and end of the last one
were to be reported, whether causally related to the
treatment or not. Multiple minor adverse events (AEs)
per single patient were to be reported only once. As the
internal standard we chose the expected number of
deaths, based on the death rate for the German
population, adjusted for age, sex distribution and mean
observation time of our study patients. - Results: 45
SAEs and 14,404 AEs were reported (i.e. 2.4 SAEs and
754 AEs per 10,000 patients). The number of reported
deaths (9) was only 5% of the statistically expected
number (180). Applying the resulting correction factor of
20 to all reported SAEs, resulted in 900 expected SAEs
(versus 45 reported) or 47 per 10,000 patients. Conclusions: Without verifying the accuracy of a
measurement, results remain speculative. Our internal
standard for the first time provides a means of verifying
the accuracy of the reported SAE rate and correcting it
to the statistically expected SAE rate.
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THE OTHER SIDE OF THE COIN: SAFETY OF
COMPLEMENTARY AND ALTERNATIVE MEDICINE.
MYERS SP, CHERAS PA. med j aust.
2004;181(4):222-5 (eng*).
Most consumers consider complementary and
alternative medicine (CAM) products inherently safe.
The growing simultaneous use of CAM products and
pharmaceutical drugs by Australian consumers
increases the risk of CAM- drug interactions. The
Therapeutic Goods Administration (TGA) has a two-tier,
risk-based regulatory system for therapeutic goods CAM products are regulated as low risk products and
are assessed for quality and safety; and sponsors of
products must hold the evidence for any claim of
efficacy made about them. Adverse reactions to CAM
products can be classified as intrinsic (innate to the
product), or extrinsic (where the risk is not related to the
product itself, but results from the failure of good
manufacturing practice). Adverse reactions to CAM
practices can be classified as risks of commission
60
(which includes removal of medical therapy) and risks
of omission (which includes failure to refer when
appropriate). While few systematic studies of adverse
events with CAM exist, and underreporting is likely,
most CAM products and practices do not appear to
present a high risk; their safety needs to be put into the
perspective of wider safety issues. A priority for
research is to rigorously define the risks associated with
both CAM products and practices so that their potential
impact on public health can be assessed.
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[TRANSMISSION OF HEPATITIS C VIRUS (HCV) BY
TATTOOING AND ACUPUNCTURE]. AIKAWA T,
KOJIMA M. nippon rinsho. 2004;7(1):330-4 (jap*).
.
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PATIENT REPORTS OF ADVERSE EVENTS
ASSOCIATED WITH ACUPUNCTURE TREATMENT:
A PROSPECTIVE NATIONAL SURVEY.
MACPHERSON H, SCULLION A, THOMAS KJ,
WALTERS S. qual saf health care. 2004;13(5):349-55
(eng*).
OBJECTIVE: The primary aim was to establish from
acupuncture patients the type and frequency of adverse
events they experienced and attributed to their
treatment. Secondary aims included the measurement
of patient reported adverse consequences arising from
advice received about conventional/prescribed
medication or from delayed conventional diagnosis and
treatment. METHODS: Postal survey of prospectively
identified acupuncture patients. One in three members
of the British Acupuncture Council (n = 638) invited
consecutive patients to participate in the survey.
Participating patients gave baseline data and
consented to direct follow up by the researchers at 3
months. A structured questionnaire was used to collect
data on perceived adverse events. RESULTS: 9408
patients gave baseline information and consent and
6348 (67%) completed 3 month questionnaires.
Responders were not dissimilar to non-responders for
all known characteristics. 682 patients reported at least
one adverse event over 3 months, a rate of 107 per
1000 patients (95% CI 100 to 115). Three patients
reported a serious adverse event. The most common
events reported were severe tiredness and exhaustion,
pain at the site of needling, and headache. Patients
receiving acupuncture treatment that was not funded by
the NHS and patients not in contact with a GP or
hospital specialist were less likely to report adverse
events (odds ratios 0.59 and 0.66, respectively). 199
(3%) of responding patients reported receiving advice
about conventional/prescribed medication, six of whom
reported adverse consequences after taking the advice.
Two patients reported delayed conventional treatment.
CONCLUSION: Patients report a range of adverse
events but these do not prevent most patients seeking
further acupuncture. This large scale survey supports
existing evidence that acupuncture is a relatively safe
intervention when practised by regulated practitioners.
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[ACCIDENTS IN ACUPUNCTURE TREATMENT:
HISTORY AND CURRENT STATE]. ZHANG R. zhong
xi yi jie he xue bao. 2004;2(4):306-13) (chi).
Acupuncture is widely used as an alternative therapy
with few side effects because of its simple manipulation
and low cost. However, accidents may occur if the
practitioner uses it improperly. Early in the Qin dynasty,
the Canon of Medicine mentioned that improper use of
acupuncture could cause injury to the body and even
death, and it systematically described the occurrence
and prevention of acupuncture accidents. Physicians in
the successive dynasties frequently reported it, and
realized that the manipulation skills were significantly
important in preventing the occurrence of acupuncture
accidents. Since the 1950s, acupuncture accidents had
been effectively prevented because of the improving of
acupuncture instruments, enhancing of the quality of
the practitioners, popularizing of sterilization and
disseminating of anatomic knowledge. Nevertheless,
with the renovating of acupuncture techniques, new
accidents may occur constantly. The prevention of
acupuncture accidents still should be an arduous task
for acupuncturists. Nowadays, acupuncture therapy is
being used in more than 140 countries, and
acupuncture accidents due to improper application are
increasing. Prevention of acupuncture accidents has
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GUIDELINES FOR CASE REPORTS OF ADVERSE
EVENTS RELATED TO ACUPUNCTURE. PEUKER E,
FILLER T. acupunct med. 2004;22(1):29-33 (eng*).
Numerous case reports of adverse events of
acupuncture have been published, mostly in journals
which are not related to acupuncture. The authors
usually have no training in acupuncture. In principle,
case reports on adverse events are of value as an aid
for learning. They can only achieve this effect if useful
information is provided. In the case of acupuncture
related adverse events and complications, basic
information about the patient and the therapist as well
as the treated acupuncture points and topographical
regions and the needling technique are desirable. This
article offers suggestions on what details should be
included in a case report on adverse events
752- gera: 135948/di/ra
TOWARDS GREATER SAFETY IN ACUPUNCTURE
PRACTICE--A SYSTEMS APPROACH. WHITE A.
acupunct med. 2004;22(1):34-9 (eng*).
Everyone wants safe medicine. The traditional
approach to adverse events has developed within a
culture of blaming the individual practitioner. Such an
approach is likely to be damaging to individuals and
possibly counterproductive by creating an atmosphere
of defensiveness and denial. Industries such as airlines
have developed an alternative culture using a systems
approach. This approach concentrates on assessing
and improving the systems of working rather than
blaming an individual's performance. Frameworks have
been developed for applying this approach to
investigating and avoiding medical accidents. These
form the basis of a check-list for acupuncture practice
that is presented here, and may be useful for individuals
and organisations who
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CASE REPORT OF TENSION PNEUMOTHORAX
RELATED TO ACUPUNCTURE. PEUKER E.
acupuncture in medicine. 2004;22(1):40-3 (eng*).
Although recent prospective studies came to the
conclusion that the incidence of adverse events
following acupuncture can be classified as minimal,
many cases of acupuncture-related pneumothorax have
been published over the years, among them some
cases of tension pneumothorax. In this case, a slender
woman received acupuncture from a fully trained
medical acupuncturist including needling of the points
61
LU1 in the subacromial region and BL13, which is a
paravertebral point at the level of the spinous process
of the third thoracic vertebra. During the final treatment,
she experienced difficulties in breathing and pain in the
left chest. On x ray examination a tension
pneumothorax was diagnosed. Even though
pneumothorax is the most frequently reported serious
complication related to acupuncture, it is not an
inevitable complication of acupuncture, and in most
cases
754- gera: 135950/di/ra
AN AUDIT OF ACUPUNCTURE IN GENERAL
PRACTICE. DAY A, KINGSBURY-SMITH R.
acupuncture in medicine. 2004;22(2):87-92 (eng*).
An audit was conducted to determine the effects of
acupuncture treatment used in a dedicated clinic in
primary care by a GP, starting shortly after first learning
acupuncture. The outcome measure was MYMOP2
which was developed into the MYMOP pictorial during
the course of the audit to improve patient compliance.
Out of 62 patients enrolled in the audit, 55 completed
both the initial and follow-up questionnaires: they had a
mean age of 56 years, and included 43 women. The
overall mean improvement in symptom 1 was 2.0
(standard deviation 1.6) scale points, and the
improvement was significant in 30 patients (55%).
Twenty-eight patients reported significant improvement
in activity (58% of those reporting this section), and 23
patients (48% of those reporting) obtained a significant
improvement in wellbeing. Adverse events were minor,
though one patient fainted and fell to the floor. Although
the conclusions of this audit are limited by its small size,
nevertheless the results were generally encouraging,
and the authors recommend that acupuncture should
be considered for use in primary care for a wide
755- gera: 135958/di/ra
UNILATERAL SEPTIC ARTHRITIS OF A LUMBAR
FACET JOINT SECONDARY TO ACUPUNCTURE
TREATMENT--A CASE REPORT. DAIVAJNA S,
JONES A, O'MALLEY M, MEHDIAN H. acupuncture in
medicine. 2004;22(3):152-5 (eng*).
This report describes a case of septic arthritis of the
lumbar facet joint probably as a result of acupuncture
treatment. A 48 year old man with a long history of back
pain presented with a two week history of increasing
pain following a third session of acupuncture.
Examination revealed tenderness in the right
lumbosacral area and laboratory investigations revealed
raised inflammatory markers with negative blood
cultures. A bone scan and MRI scan showed evidence
of septic arthritis of the right L5/S1 facet joint. An x ray
computed tomography guided biopsy was carried out
which isolated staphylococcus aureus. The patient was
initially treated with intravenous antibiotics. A repeat
MRI scan demonstrated persistent septic arthritis with
adjacent early abscess formation. Surgical debridement
of the facet joint was therefore performed. The patient
had resolution of his symptoms and the inflammatory
markers returned to normal. He regained a full range of
movement of the lumbar spine. Very few cases have
been reported of lumbar facet joint septic arthritis and
this condition is rare in association with acupuncture
treatment. A high index of suspicion needs to be
maintained and if conservative management fails
756- gera: 135964/di/ra
A CUMULATIVE REVIEW OF THE RANGE AND
INCIDENCE OF SIGNIFICANT ADVERSE EVENTS
ASSOCIATED WITH ACUPUNCTURE. WHITE A
WHITE A. acupuncture in medicine. 2004;22(3):12233 (eng*).
OBJECTIVE: To summarise the range and frequency of
significant adverse events associated with acupuncture
in order to provide evidence on which to base
continuing efforts to improve the safety of acupuncture
practice. METHODS: Searches were conducted of
computerised databases, previous reviews of case
reports, population surveys, prospective surveys of
acupuncture practice and relevant sections of textbooks
for primary and secondary reports to indicate the range
of significant adverse events associated with
acupuncture. Data from prospective surveys of
acupuncture were combined to estimate the incidence
of serious adverse events. RESULTS: A total of 715
adverse events was included. There were 90 primary
reports of trauma, and 186 secondary reports; the most
common were pneumothorax and injury to the central
nervous system. Infection accounted for 204 primary
reports and 91 secondary reports. Over 60% of these
cases were hepatitis B. The next most common
infection was of the external ear, as a complication of
auricular acupuncture. The 144 miscellaneous events
mainly comprised seizures and drowsiness judged
severe enough to cause a traffic hazard. There were 12
primary reports of deaths. According to the evidence
from 12 prospective studies which surveyed more than
a million treatments, the risk of a serious adverse event
with acupuncture is estimated to be 0.05 per 10 000
treatments, and 0.55 per 10 000 individual patients.
CONCLUSIONS: The risk of serious events occurring in
association with acupuncture is very low, below that of
many common medical treatments. The range of
adverse events reported is wide and some events,
specifically trauma and some episodes of infection, are
likely to be avoidable.
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ACUPUNCTURE IN PATIENTS WITH VALVULAR
HEART DISEASE AND PROSTHETIC VALVES.
STELLON A. acupuncture in medicine. 2004;21(3):87
(eng*).
Endocarditis has been reported in patients with valvular
heart disease who have undergone acupuncture
treatment, although most have been associated with the
use of semi-permanent needles. This has led reviewers
to suggest that acupuncture may not only be
contraindicated in such patients but that prophylactic
antibiotics should be given. This study investigated the
use of acupuncture treatment in patients with proven
valvular heart disease and observed whether
endocarditis developed in such patients. All patients in
a single-handed GP practice with proven valvular heart
disease, including those with prosthetic valves, were
identified over a ten-year period. Those who had
undergone acupuncture treatment underwent a clinical
examination and diagnostic tests, which focused on the
signs, symptoms and laboratory criteria for the
diagnosis of endocarditis and included a transthoracic
echocardiogram. Autopsy findings were reviewed in any
patient who died. Based on these clinical and laboratory
data, using the modified Duke’s criteria for the
diagnosis of endocarditis, patients were identified as
having definite or possible endocarditis, or the
diagnosis was rejected. All patients underwent brief
acupuncture with no skin disinfectant and no
prophylactic antibiotics were given. Semi-permanent
needles were avoided. Thirty-six patients with valvular
heart disease underwent a total of 479 acupuncture
62
treatments over a ten-year period. The median number
of treatments was 9 (range 1 - 72), with a follow-up after
treatment of 5.75 years (range 0.5 - 10 years). Definite
endocarditis was not found in any patient, but two
patients had possible endocarditis, eventually
discounted by both negative blood cultures and
echocardiography. In conclusion, brief acupuncture was
safe in this small cohort of valvular heart disease
patients and no case of
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CLINICAL RESEARCH ON ACUPUNCTURE: PART 1.
WHAT HAVE REVIEWS OF THE EFFICACY AND
SAFETY OF ACUPUNCTURE TOLD US SO FAR?.
BIRCH S, HESSELINK JK, ET AL. journal of
2004;10(3):468-80 (eng).
759- gera: 136387/di/ra
ACUPUNCTURE NEEDLE FAINTING: ANALYSIS OF
INCIDENT REPORTS AT A NATIONAL COLLEGE
CLINIC IN JAPAN (ABSTRACT). YAMASHITA H,
TSUKAYAMA H, AOYAGI K. focus altern
complement ther. 2004;9(sup 1):60 (eng).
Objective. To investigate needle fainting (syncope or
feeling faintness) during or after needling in
acupuncture treatment. Methods. At our clinic, all
adverse events during and after acupuncture must be
reported, using a semi- structured case report form, to
the acupuncture office. We focused on reports on
needle fainting and analysed the accumulated cases.
Results. During the period between April 2000 and June
2004, 53 cases (51 patients) of needle fainting were
reported at our clinic. The incidence (percentage of total
number of 39 691 sessions) was 0.13%. The patients’
mean age was 41.5 years (SD 14.6) with a range of 14
to 75 years. Loss of consciousness occurred in three
cases (three patients) in which epilepsy was diagnosed
or suspected. In 27 cases (51%), fainting occurred at
the first, second or third visit. Fainting occurred during
needling in a sitting or standing position in 22 cases
(42%) and during sitting or standing up immediately
after treatment in 10 cases (19%). The patients
recovered within 5 min in 22 cases (42%) and 6–60 min
in 20 cases (38%). Conclusion. Attention should be paid
when a patient has little or no experience of receiving
acupuncture, when needles are inserted in a standing
or sitting position and when a patient stands or sits up
quickly after a treatment. Although most cases of
needle fainting were mild and transient, the three cases
of loss of consciousness suggest that needling might
induce seizure in some epileptic patients.
760- gera: 139010/di/ra
[EVIDENCE IN SAFETY ISSUE OF ACUPUNCTURE
(1).]. YAMASHITA HITOSHI, KATAI SHUICHI, ET AL.
journal of the japan society of acupuncture and
Knowledge and procedures regarding safe acupuncture
practices often include conjecture and anecdotes
lacking scientific evidence. In order to improve the
safety standards of acupuncture, we should collect,
scrutinize, and apply evidence on the safe management
of acupuncture. We, the Committee for Safe
Acupuncture, have commenced collecting and
reviewing relevant evidence published. Subjects in
2004 were as follows: 1. The present situation of safety
education and damages (by Katai) 2. Hand washing
and finger disinfection (by Ishizaki) 3. Disinfection of the
needle insertion area (by Umeda) 4. Procedures of
needle insertion and removal (by Miyamoto) 5. Safe
insertion depth (by Yamashita) 6. Environmental
sanitation (by Egawa) We hope that the knowledge and
questions which come to light through the present work
will influence school education, clinical practice, manual
editing and research activities.
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MAL DE ACUPUNTURA . X. medicina tradicional.
2004;199:76 (esp).
762- gera: 141042/di/re
DISCITIS IN AN ADULT FOLLOWING
ACUPUNCTURE TREATMENT: A CASE REPORT.
KIM PSY, HSU W. j can chirop assoc.
2004;48(2):132-6 (eng).
Des travaux récents, dont une étude menée par van
Tulder et al., donnent à penser qu'il existe une pénurie
d’information en ce qui concerne les traitements
d’acupuncture. Cependant, on assiste à une hausse
marquée de l’usage de l’acupuncture dans le traitement
de différents malaises, y compris les douleurs
lombaires. Selon un sondage effectué dernièrement par
l’Association de protection chiropratique canadienne
(APCC), les chiropraticiens ainsi que les autres
professionnels de la santé utilisent l’acupuncture en
guise de traitement d’appoint à leur intervention
thérapeutique principale. Cependant, comme dans le
cas de beaucoup d’autres interventions, dont l’utilisation
des AINS et les manipulations vertébrales, les signes
d’effets secondaires doivent être surveillés lorsque des
traitements d’acupuncture sont envisagés. Des
documents récents ont noté que des complications
telles que le pneumothorax et l’hépatite sont survenues
après des traitements d’acupuncture. Dans le cas
exposé, un patient qui a déjà reçu des traitements
d’acupuncture s’est présenté à une clinique de
chiropratique en se plaignant de douleurs dans la
région lombaire et dans les jambes. Il est possible de
minimiser les risques de déficience et de handicap en
détectant au plus tôt les complications potentielles à la
suite d’un traitement d’acupuncture.
763- gera: 148769/di/re
PATIENT REPORTS OF ADVERSE EVENTS
ASSOCIATED WITH ACUPUNCTURE TREATMENT:
A PROSPECTIVE NATIONAL SURVEY.
MACPHERSON H, SCULLION A, THOMAS K,
WALTERS S. qual saf health care. 2004;13(5):349355 (eng).
764- gera: 117437/di/re
THE NEED FOR SKIN PREPARATION PRIOR TO
INJECTION: POINT- COUNTERPOINT, PRATT RJ ET
AL. british journal of infection control. 2005;6:18-20
(eng).
765- gera: 117528/di/ra
CONVULSIVE SYNCOPE: AN UNUSUAL
COMPLICATION OF ACUPUNCTURE TREATMENT
IN OLDER PATIENTS. KUNG YY, CHEN FP, HWANG
SJ, HSIEH JC, LIN YY. j altern complement med.
2005;11(3):535-7. (eng).
Vasovagal syncope is an uncommon complication
during acupuncture. However, convulsive syncope
during acupuncture treatment in older individuals is
seldom reported in the literature. Two older patients
who experienced convulsive syncope during
acupuncture treatment at Taipei Veterans Hospital,
Taipei, Taiwan, from January 2000 to December 2002
63
are reported. These cases are instructive to
acupuncturists. Although acupuncture treatment is
generally safe in most situations, one needs to be
cautious in delivering acupuncture to older and
766- gera: 135623/nd/re
ACUPUNCTURE TRIGGERING INAPPROPRIATE
ICD SHOCKS. LAU EW, BIRNIE DH, LEMERY R,
TANG AS, GREEN MS. europace. 2005;7(1):85-6
(eng*).
Acupuncture is a modality of alternative medicine
popular certain sectors of society. The possible
interaction between acupuncture and ICD therapy has
not been previously investigated. A case of acupuncture
triggering inappropriate shocks from
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COMMENTS ON THE CONTRAINDICATIONS OF
ACUPUNCTURE FOUND IN THE ANCIENT CHINESE
MEDICAL CLASSICS. FAN QU, JUE ZHOU AND
BAOZHANG MA. international journal of clinical
This article summarizes the statements regarding the
contraindications of acupuncture found in the ancient
Chinese medical classics, including the Ling Shu
(Miraculous Pivot); the Su Wen (Plain Questions); the
Zhen Jiu Da Chen (Great Compendium of Acupuncture
and Moxibustion) etc. Acupuncture practitioners can
learn some useful things from these comments and
discussions.
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ACUTE PANCREATITIS INDUCED BY TRADITIONAL
ACUPUNCTURE THERAPY. UHM MS, KIM YS, SUH
SC, KIM I, RYU SH, LEE JW, MOON JS. eur j
gastroenterol hepatol. 2005;17(6): (eng).
Although rare, it is possible for acute pancreatitis to
develop after blunt or penetrating abdominal trauma.
We report here a very rare case of acute pancreatitis
induced by traditional acupuncture therapy. A 42-yearold woman with a low body mass index had suffered
from functional dyspepsia for one year. She visited an
acupuncture clinic and underwent long needle (13 cm)
and gold thread needle (3 mm) acupuncture therapy.
Five hours later, she presented at our emergency room
complaining of severe periumbilical pain. Levels of
serum amylase (1162 U/l, normal <220 U/l), and lipase
(5195 IU/l, normal <60 IU/l) were high, and an
abdominal computed tomography scan showed a
diffusely swollen pancreas and ill-defined infiltration of
the peripancreatic fat, indications of possible acute
pancreatitis. Multiple small acupunctured gold thread
needles were also found on the anterior abdominal wall
and back muscles. After excluding other possible
causes of pancreatitis, traumatic pancreatitis was
769- gera: 136518/nd/re
RECTUS SHEATH HEMATOMA AFTER
ACUPUNCTURE. CHENG SP, LIU CL. j emerg med.
2005;29(1):101-2 (eng).
.
770- gera: 137451/di/tp
LE RISQUE DES PROFESSION SDE SANTÉ EN
2004, X. responsabilite. 2005;HS: (fr*).
Mention d'un sepsis cutané,,
771- gera: 137526/di/ra
[SOME SIDE EFFECTS DURING MANUAL
THERAPY.]. DU HUI. chinese manipulation and qi
64
gong therapy. 2005;21(1):40 (chi).
treatment.
772- gera: 138304/di/ra
[EFFECTS OF MOXA-CONE MOXIBUSTION AT
DAZHUI ACUPOINT ON THE PHAGOCYTIC
FUNCTION OF MACROPHAGES IN HYPOIMMUNE
MICE]. ZHU WENLIAN 9 LIU ROWAN. journal of
beijing university of tcm. 2005;28(1):89 (chi).
Objective To investigate the regulating effect of moxacone moxibustion on the phagocytic function of
macrophages, in order to provide experimental data for
the study of other moxibustion methods. Method 130
Mice were divided into the normal control group,
moxibustion group, hypoimmune-model group, and
hypoimmune-plus- moxibustion group. Flow cytometry
and smear examination were adopted to observe
phagocytosis of macrophages in these groups . Results
Moxa-cone moxibustion of Dazhui acupoint had no big
influence on phagocytosis of macrophages in the
normal mice whereas it exerted marked enhancing
effect on phagocytosis of macrophages in the
hypoimmune mice. Conclusion Moxa-cone moxibustion
possesses homeostatic effect.
776- gera: 140743/di/re
ERYTHEMA NODOSUM INDUCED BY THE
SYNERGISM OF ACUPUNCTURE THERAPY AND
FLU-LIKE INFECTION. INOUE T, KATOH N,
KISHIMOTO S. j dermatol. 2005;32(6):493-6 (eng*).
A 32-year-old female patient developed erythema
nodosum-like lesions at needle prick sites after
acupuncture therapy. Over the next few days, she
developed similar new lesions over the extremities,
trunk and face along with flu-like symptoms. There were
neither genital ulcerations nor eye lesions. A skin
biopsy specimen from an extremity lesion showed the
characteristic findings of erythema nodosum. Treatment
with oral potassium iodide at a dose of 750 mg/day was
effective, and there has not been any recurrence to
date. We diagnosed this case as erythema nodosum
induced by a synergism between acupuncture therapy
and a flu-like infection.
773- gera: 139286/di/ra
PNEUMOTHORAX USING BLADDER 14. THYE K
LEOW, MB. medical acupuncture. 2005;16(2):44
(eng*).
4This case report describes an adverse event,
pneumothorax, resulting from the use of acupuncture
point Bladder 14. The pneumothorax resolved without
surgical intervention.
774- gera: 140344//re
SUCCESSFUL REMOVAL OF MIGRATED
ACUPUNCTURE NEEDLES IN A PATIENT WITH
CARDIAC TAMPONADE BY MEANS OF
INTRAOPERATIVE TRANSESOPHAGEAL
ECHOCARDIOGRAPHIC ASSISTANCE. PARK JH,
SHIN HJ, CHOO SJ, SONG JK, KIM JJ. j thorac
cardiovasc surg. 2005;130(1):210-2 (eng).
.
775- gera: 140632//re
INFECTION WITH MYCOBACTERIUM ABSCESSUS
AFTER MOHS MICROGRAPHIC SURGERY IN AN
IMMUNOCOMPETENT PATIENT. FISHER EJ,
GLOSTER JR HM. dermatol surg. 2005;7(PT1):790
(eng*).
Background:Nontuberculous mycobacterial infections
are increasing in incidence. They have been reported
following multiple procedures, including dialysis,
liposuction, soft tissue augmentation, pedicures, public
baths, acupuncture, placement of contaminated foreign
devices such as the Norplant (Wyeth Pharmaceuticals,
Collegetown, PA, USA), intravenous catheters, and
during surgery from contamination of medical
instruments.Objective:We report a case of
Mycobacterium abscessus infection presenting as
erythematous papules occurring after Mohs
micrographic surgery. We also review the literature on
nontuberculous mycobacterial infection to discuss
common presentations, diagnosis, and treatment
options.Methods/Materials:One case presenting to an
outpatient dermatology surgery clinic is presented with
extensive review of the medical literature on M.
abscessus.Results/Conclusion:Infection with
nontuberculous mycobacteria can present with varied
nonspecific morphologies. A high degree of clinical
suspicion is necessary to avoid delays in diagnosis and
777- gera: 140954/di/re
AORTODUODENAL FISTULA COMPLICATED BY
ACUPUNCTURE. CHANG SA, KIM YJ, SOHN DW,
PARK YB, CHOI YS. int j cardiol. 2005;104(2):241-2
(eng).
Recently, acupuncture has become a common
therapeutic procedure for pain control worldwide.
Although it has been repeatedly reported that
acupuncture is effective and safe, several serious
complications were also reported. In this article, we
present a case of 68-year-old man who died of massive
hematemesis resulting from aortoduodenal fistula
(ADF), a rare complication of acupuncture therapy.
778- gera: 140976/di/re
IATROGENIC MYCOBACTERIUM ABSCESSUS
INFECTION ASSOCIATED WITH ACUPUNCTURE:
CLINICAL MANIFESTATIONS AND ITS
TREATMENT. RYU HJ, KIM WJ, OH CH, SONG HJ.
int j dermatol. 2005;44(10):846-50 (eng).
779- gera: 141039/di/re
IATROGENIC BILATERAL PNEUMOTHORAX
ARISING FROM ACUPUNCTURE: A CASE REPORT.
LEE WM, LEUNG HB, WONG WC. j orthop surg
(hong kong). 2005;13(3):300-2 (eng).
Acupuncture is often regarded as innocuous. However,
its complication can be serious and deadly if
unattended. We report a case of iatrogenic bilateral
pneumothorax after acupuncture therapy. Setting up a
government regulatory body and using needles with
safety design can prevent further inadvertent incidences
from occurring.
780- gera: 141058/nd/re
A CASE CONTROL INVESTIGATION OF HEPATITIS
C RISK FACTORS IN HAWAII. LASHER LE, ELM JL,
HOANG Q, NEKOMOTO TS, CASHMAN TM, MILLER
FD, EFFLER PV. hawaii med j. 2005;64(11):296-300
(eng).
This case control investigation of hepatitis C risk factors
in Hawaii showed that IV drug use, blood transfusion,
tattoos, incarceration, acupuncture, prior dental or oral
surgery, and HIV infection were associated with HCV
Future public health efforts in Hawaii should focus on
developing effective and appropriate community
interventions targeting those with well-established risk
factors for HCV
65
781- gera: 141067/di/re
IATROGENIC BURNS CAUSED BY INFRA RED
LAMP AFTER TRADITIONAL ACUPUNCTURE. GUL
A, O'SULLIVAN ST. burns. 2005;31(8):1061-2 (eng).
potential adverse events. This manuscript was
designed to discuss the causes and clinical outcomes
and to identify topics for potential research regarding
acupuncture's adverse events.
782- gera: 141129/di/re
LUMBAR EPIDURAL HEMATOMA DUE TO LUMBAR
ACUPUNCTURES. EFTEKHAR B, KETABCHI E,
GHODSI M, ESMAEELI B. neurol india.
2005;53(2):245-6 (eng).
787- gera: 142313/di/ra
SMART UK: THE SUBSTANCE MISUSE
ACUPUNCTURE REGISTER AND TRAINING.
DEADMAN P, COX S,WAGER K. journal of chinese
medicine. 2005;78:52 (eng).
the Substance Misuse Acupuncture Register and
Training (SMART UK) teaches people who work in the
substance -nisuse field the application of a five point
auricular acupuncture formula treatment as part of their
approach to >ubstance misuse. Over the last nine years
it has trained three thousand people in the technique
which is used to .?.nhance already existing recovery
programmes. The SMART programme is now being
used in around four hundred: community drug and
alcohol treatment centres and hospital units and eightyseven prisons. The protocol is widely sccepted for its
supportive role in the treatment of addiction and has
boosted the profile of acupuncture throughout: the
world. The course is accredited by the UK's National
Heatth Service and the Home Office.
783- gera: 141525/di/ra
PROPER NEEDLING TECHNIQUES FOR TEN
POTENTIALLY-DANGEROUS AREAS. JIANG W,
GONG C. international journal of clinical
Proper needling techniques are a crucial element of
acupuncture theory and practice, particularly for those
potentially-dangerous areas of the body. When inserting
and manipulating acupuncture needles, practitioners
should pay particular attention to these areas of the
body in order to avoid unexpected accidents. For
example, if the internai organs or the vessels are
pierced, patients can be injured, even to the point of
death. Practitioners should familiarize themselves with
the areas of the body which are risky to needle and use
special techniques in these areas. This paper explores
the conventional needling techniques for ten potentiallydangerous areas and
784- gera: 141529/di/ra
ACUPUNCTURE ADVERSE EVENTS. WU Q, HUANG
J, LAN X. international journal of clinical
No systemic study has been done about acupuncture's
adverse events. Today, the world is paying more and
more attention to acupuncture. It is not enough that we
just study its applications; we should also study its
potential adverse events. This manuscript was
designed to discuss the causes and clinical outcomes
and to identify topics for potential research regarding
acupuncture's adverse events.
785- gera: 142044/di/ra
PROPER NEEDLING TECHNIQUES FOR TEN
POTENTIALLY-DANGEROUS AREAS. JIANG W,
GONG C. international journal of clinical
Proper needling techniques are a crucial element of
acupuncture theory and practice, particularly for those
potentially-dangerous areas of the body. When inserting
and manipulating acupuncture needles, practitioners
should pay particular attention to these areas of the
body in order to avoid unexpected accidents. For
example, if the internai organs or the vessels are
pierced, patients can be injured, even to the point of
death. Practitioners should familiarize themselves with
the areas of the body which are risky to needle and use
special techniques in these areas. This paper explores
the conventional needling techniques for ten potentiallydangerous areas and
786- gera: 142048/di/ra
ACUPUNCTURE ADVERSE EVENTS. WU Q, HUANG
J, LAN X. international journal of clinical
No systemic study has been done about acupuncture's
adverse events. Today, the world is paying more and
more attention to acupuncture. It is not enough that we
just study its applications; we should also study its
788- gera: 144179/di/ra
DESINFECTION ET STERILISATION A FROID.
STEPHAN JM. acupuncture & moxibustion.
2005;4(4):326 (fra).
789- gera: 125840/di/ra
[CLINICALLY ANATOMIC STUDY ON THE
RELATION BETWEEN THE FORM OF PLEURAL
CUPULA AND ITS SURROUNDING COMMONLYUSED ACUPOINTS]. CHEN Y, WU BH, XIE YC,
ZHANG WG, QUE QH, TANG XH, DONG WG, ZHANG
JD. chinese acupuncture and moxibustion.
2006;26(5):346-8 (chi).
OBJECTIVE: To explore the relation of the form of
pleural cupula of the normal adult with safety of
acupuncture at commonly-used acupoints around the
pleural cupula. METHODS: The safe depth for the
commonly-used acupoints around the pleural cupula
and the relation with the form of pleural cupula were
investigated in 46 adult corpses with small Kirschner
wire location and arrangement dissection. RESULTS:
The width of the pleural cupula projection equal to
clavicle medial 1/3 accounted for 32. 6% of all the
corpses, and the width of the pleural cupula projection
more than clavicle medial 1/3 accounted for 59. 8% of
all the corpses, the width of the pleural cupula
projection less than clavicle medial 1/3 and pleural
cupula medial margin located at the sternoclavicular
joint medial accounted for 7.6% of all the corpses. The
observed points such as Tiantu (CV 22), Qishe (ST 11),
Jianjing (GB 21), Dingchuan (EX-B1), Dazhu (BL 11)
which were considered be not related to the pleural
cupula. When acupuncture is carried out according to
criteria of acupoint location and needling direction, and
the needle exceeded a limit, the pleural menbrane will
be broken and induce destruction. CONCLUSION:
Position and form of the pleural cupula have anatomical
relation to acupuncture accident for needling the points
around the superior pleural cupula, which should be
played attention to.
790- gera: 137446/di/tp
LE RISQUE DES PROFESSION SDE SANTÉ EN
2005, X. responsabilite. 2006;HS: (fr*).
Mention d'un cas d'abcès du tendon d'achille après
acupuncture (p 16),
791- gera: 141081/di/re
AN OUTBREAK OF POST-ACUPUNCTURE
CUTANEOUS INFECTION DUE TO
MYCOBACTERIUM ABSCESSUS. SONG JY, SOHN
JW, JEONG HW, CHEONG HJ, KIM WJ, KIM MJ. bmc
infect dis. 2006;6(1):6 (eng).
ABSTRACT: BACKGROUND: Despite the increasing
popularity of acupuncture, the importance of infection
control is not adequately emphasized in Oriental
medicine. In December 2001, an Oriental medical
doctor in Seoul, South Korea, encountered several
patients with persistent, culture-negative skin lesions on
the trunk and extremities at the sites of prior
acupuncture treatment. We identified and investigated
an outbreak of Mycobacterium abscessus cutaneous
infection among the patients who attended this Oriental
medicine clinic. METHODS: Patients were defined as
clinic patients with persistent cutaneous infections at
the acupuncture sites. Medical records for the previous
7 months were reviewed. Clinical specimens were
obtained from the patients and an environmental
investigation was performed. M. abscessus isolates,
cultured from patients, were compared by pulsed-field
gel electrophoresis (PFGE). RESULTS: Forty patients
who attended the Oriental medicine clinic and
experienced persistent cutaneous wound infections
were identified. Cultures from five of these patients
proved positive, and all other diagnoses were based on
clinical and histopathologic examinations. All
environmental objects tested were negative for M.
abscessus, however, most were contaminated by
various nosocomial pathogens. Molecular analysis
using PFGE found all wound isolates to be identical.
CONCLUSIONS: We have identified a large outbreak of
rapidly growing mycobacterial infection among patients
who received acupuncture at a single Oriental medicine
clinic. Physicians should suspect mycobacterial
infections in patients with persistent cutaneous
infections following acupuncture, and infection control
education including hygienic practice, should be
emphasized for Oriental medical doctors practicing
acupuncture.
792- gera: 141135/di/re
ACUTE SPINAL EPIDURAL HEMATOMA AFTER
ACUPUNCTURE. CHEN JC, CHEN Y, LIN SM, YANG
HJ, SU CF, TSENG SH. j trauma. 2006;60(2):414-416
(eng).
793- gera: 141175/di/re
POPULATION GENETIC HISTORY OF HEPATITIS C
VIRUS 1B INFECTION IN CHINA. NAKANO T, LU L,
HE Y , FU Y, ROBERTSON BH, PYBUS OG. j gen
virol. 2006;87(PT1):73-82 (eng).
Subtype 1b is the most common strain of Hepatitis C
virus (HCV) in China. Here, the molecular epidemiology
and epidemic history of this strain were investigated by
conducting phylogenetic and population genetic
analyses of E1 and NS5B gene sequences sampled
from nine Chinese cities. The phylogenetic analysis
indicated the presence of two clusters of Chinese
strains that did not include reference strains from other
countries, suggesting that these clusters represent two
independent chains of HCV transmission within China.
The remaining Chinese isolates were more closely
related to reference strains from other countries. The
date of origin and past population dynamics of the two
66
groups were investigated using a new population
genetic method, the Bayesian skyline plot. The
estimated dates of origin of both groups coincide with
the period of the Chinese 'Cultural Revolution' during
the years 1966-1976. Both groups grew at a rapid
exponential rate between approximately 1970 and
approximately 1990, after which transmission slowed
considerably. Possible explanations for the groups' fast
spread and subsequent slowdown are discussed,
including parenteral transmission by unsafe injection,
iatrogenic transmission by infected blood or blood
products and improvements in blood safety since 1990.
These results shed light on HCV transmission in China
and may help to predict the future burden of HCVrelated disease in the country.
794- gera: 141240/nd/re
THE EVALUATION OF BLOOD DONOR DEFERRAL
CAUSES. GULEN H, TUZUN F, AYHAN Y, ERBAY A,
OZTURK E, INAN S, VERGIN C. pediatr hematol
oncol. 2006;2(2):91-4 (eng).
Safety of blood and blood products is a major problem
all over the world. Screening for the markers of
infectious diseases is an incomplete solution. One of
the most important steps in improving the safety of
blood and blood products is donor selection. In this
study, causes of donor deferral were evaluated
retrospectively in the blood center of a children's
hospital. Analysis of the deferrals showed that the most
commonly defined causes were recent sexual exposure
in high-risk activity, recent ingestion of medication, low
hemoglobin level, abnormal blood pressure, being
underweight, tattoos, piercing or acupuncture in the
preceding 6 months, recent history of infection and
presenting for a subsequent donation too soon,
elevation of transaminases, presence of the markers of
the
795- gera: 141304/di/re
DIABETIC KETOACIDOSIS PRECIPITATED BY
STAPHYLOCOCCUS AUREUS ABSCESS AND
BACTEREMIA DUE TO ACUPUNCTURE: CASE
REPORT AND REVIEW OF THE LITERATURE.
SEELEY EJ, CHAMBERS HF. clin infect dis.
2006;43(1):e6-8 (eng).
Acupuncture use is increasing in the United States.
Despite multiple studies, the efficacy and safety of
acupuncture are poorly defined. We report a previously
healthy patient who developed a thigh abscess,
bacteremia, and diabetic ketoacidosis after acupuncture
treatment. We review the literature on infectious
complications of
796- gera: 141343/nd/re
[SKIN LESIONS FROM THE APPLICATION OF
SUCTION CUPS FOR THERAPEUTIC PURPOSES.].
MATAIX J, BELINCHON I, BANULS J, PASTOR N,
BETLLOCH I. actas dermosifiliogr. 2006;97(3):212-4
(esp).
The application of suction cups or cupping is a
medicinal practice that is very widespread in Asian
countries. The presence of circular areas of erythema,
ecchymosis or blood blisters symmetrically distributed
on the shoulders, back, thorax or lumbar area should
suggest the use of this technique. The number of
followers of traditional Chinese medicine is increasing in
the Western world, so we should be familiar with these
practices in order to prevent social and/or legal conflicts
that may arise from mistaken diagnoses of abuse. We
present the case of a 65- year-old male with multiple
circular, erythematous, bullous lesions, symmetrically
distributed, which occurred after the application of
suction cups in the context of polymyalgia rheumatica
797- gera: 141479/di/re
HEMORRHAGE AFTER AURICULAR
ACUPUNCTURE DUE TO POSTOPERATIVE
DILUTIONAL THROMBOCYTOPENIA. USICHENKO
TI, DINSE M, PAVLOVIC D, LEHMANN C. anesth
analg. 2006;103(5)::1333-4 (eng).
798- gera: 141483/di/re
A CASE-CONTROL STUDY OF RISK FACTORS FOR
HEPATITIS C INFECTION IN PATIENTS WITH
UNEXPLAINED ROUTES OF INFECTION*.
KARMOCHKINE M, CARRAT F, DOS SANTOS O,
CACOUB P, RAGUIN G; THE GERMIVIC STUDY
GROUP. j viral hepat. 2006;13(11):775-82. (eng).
Twenty to 40% of hepatitis C virus (HCV)-infected
patients do not have a recognized parenteral risk factor
suggesting that still-unidentified modes of transmission
exist. In order to investigate potential routes of HCV
transmission for patients with no recognized parenteral
risk factor, we conducted a multicentre case-control
study. A total of 450 HCV-seropositive patients with no
history of transfusion or intravenous drug use and 757
controls were recruited from the general population and
matched for sex, age, geographical residence and
number of chronic diseases. All subjects answered an
interviewer-administered questionnaire on potential risk
factors for HCV. Eighty per cent of cases had chronic
hepatitis or cirrhosis. Respective percentages of
genotypes 1, 2, 3, 4 and 5 were 65, 14, 11, 5 and 4.
Among the 66 items considered, multivariate analysis
identified 15 independent risk factors for HCV infection:
nosocomial [admission to medical (odds ratio, OR =
2.1) or surgical ward (OR = 1.7), digestive endoscopy
(OR = 1.9), abortion (OR = 1.7)], outpatient treatments
[cutaneous ulcer and wound care (OR = 10.1),
diathermy (OR = 3.0), gamma globulin (OR = 1.7),
intravenous (OR = 1.7) or intramuscular (OR = 1.4)
injections, varicose vein sclerotherapy (OR = 1.6),
acupuncture (OR = 1.5)] and lifestyle-associated
[intranasal cocaine use (OR = 4.5), practice of contact
sports (OR = 2.3), beauty treatments (OR = 2.0),
professional pedicure/manicure (OR = 1.7)]. These
factors could explain 73% of community-acquired
hepatitis C. In conclusion, for patients with unexplained
routes of HCV infection, our data incriminate previously
unidentified risk factors (abortions, some dermatological
procedures, outpatient injections, contact sports, beauty
treatments, professional pedicure/manicure) and
confirm those already recognized (hospitalization,
digestive endoscopy, acupuncture and intranasal
cocaine use).
799- gera: 141498/di/re
NECROTISING FASCIITIS AND TRADITIONAL
MEDICAL THERAPY-- A DANGEROUS LIAISON. LIM
YJ, YONG FC, WONG CH. ann acad med singapore.
2006;35(4):270-3 (eng).
INTRODUCTION: Necrotising fasciitis is a disease
associated with high morbidity and mortality, and multifocal necrotising fasciitis is uncommon. We present 2
cases of concurrent necrotising fasciitis of contralateral
upper and lower limbs. CLINICAL PICTURE: Both
presented with pain, swelling, bruising or necrosis of the
affected extremities. Traditional medical therapy was
sought prior to their presentation. TREATMENT: After
initial debridement, one patient subsequently underwent
67
amputation of the contralateral forearm and leg. The
other underwent a forearm amputation, but refused a
below-knee amputation. Outcome: The first patient
survived, while the second died. CONCLUSION:
Traditional medical therapy can cause bacterial
inoculation, leading to necrotising fasciitis, and also
leads to delay in appropriate treatment. Radical surgery
is needed to optimise patient
800- gera: 141577/di/ra
ACUPUNCTURE ADVERSE EVENTS (AAE): A
SURVEY. QIANG WU, JEFFREY HUANG, HONG LIN,
LIDIAN CHEN, KAI LIU, XIANGBIN WANG, HAIXING
ZHANG, XUAN WANG, YONGZHONG WANG.
2006;14(1):1 (eng).
801- gera: 141600/di/ra
COMMENTS ON THE DEPTH OF NEEDLE
INSERTION AND PRECAUTIONS FOR
ACUPUNCTURE THERAPY. JUE ZHOU AND
JIANLING LIU. international journal of clinical
802- gera: 141614/di/ra
PREVENTION AND MANAGEMENT OF POTENTIAL
ACCIDENTS IN ACUPUNCTURE. FAN QU, LICHUN
PAN AND ZHANG MINGJING. international journal of
clinical acupuncture. 2006;14(3):193 (eng).
During treatment with acupuncture, unexpected
accidents may occur due to different causes including
the clinician's improper manipulation, negligence in
respecting the contraindication, carelessness,
incompetence or poor quality of the needle appliance.
This article summarizes 11 kinds of common accidents
that may happen during an acupuncture treatment as
well as the management of the accident, which will
benefit the clinical
803- gera: 142062/di/ra
ACUPUNCTURE ADVERSE EVENTS (AAE): A
SURVEY. QIANG WU, JEFFREY HUANG, HONG LIN,
LIDIAN CHEN, KAI LIU, XIANGBIN WANG, HAIXING
ZHANG, XUAN WANG, YONGZHONG WANG.
2006;14(1):1 (eng).
804- gera: 142085/di/ra
COMMENTS ON THE DEPTH OF NEEDLE
INSERTION AND PRECAUTIONS FOR
ACUPUNCTURE THERAPY. JUE ZHOU,JIANLING
LIU. international journal of clinical acupuncture.
2006;14(2):125 (eng).
805- gera: 142099/di/ra
PREVENTION AND MANAGEMENT OF POTENTIAL
ACCIDENTS IN ACUPUNCTURE. FAN QU, LICHUN
PAN,ZHANG MINGJING. international journal of
clinical acupuncture. 2006;14(3):193 (eng).
During treatment with acupuncture, unexpected
accidents may occur due to different causes including
the clinician's improper manipulation, negligence in
respecting the contraindication, carelessness,
incompetence or poor quality of the needle appliance.
This article summarizes 11 kinds of common accidents
that may happen during an acupuncture treatment as
well as the management of the accident, which will
benefit the clinical
806- gera: 142326/di/re
PSEUDOCALCIFICATION IN A PATIENT WITH
INFLAMMATORY ARTHRITIS. YOONG JK,
THUMBOO J. rheumatol int. 2006;26(9): (eng).
807- gera: 142441/di/ra
[EVIDENCE IN SAFETY ISSUE OF ACUPUNCTURE
(2)]. YAMASHITA HITOSHI, KATAI SHUICHI, ISHIZAKI
NAOTO, EGAWA MASATO UMEDA TAKASHI,
MIYAMOTO TOSHIKAZU, KOMATSU HIDETO.
journal of the japan society of acupunture and
We continued reviewing published evidence and
information regarding the safety of acupuncture.
Subjects i 2005 were as follows: Safety during
acupuncture stimulation Quality and strength of
acupuncture needle Sterilization and storage of
equipments Hygienic handling of equipments Relevant
notices from the Government Standards of notification
regarding hygienic practice and contaminated wastes
We hope that the information here will influence the
future school education, clinical practice, manual editing
ad research activities.
808- gera: 142926/nd/re
OUTBREAK OF ACUPUNCTURE-ASSOCIATED
CUTANEOUS MYCOBACTERIUM ABSCESSUS
INFECTIONS. TANG P, WALSH S, MURRAY C,
ALTERMAN C, VARIA M, BROUKHANSKI G,
CHEDORE P, DEKOVEN J, ASSAAD D, GOLD WL,
GHAZARIAN D, FINKELSTEIN M, PRITCHARD M,
YAFFE B, JAMIESON F, HENRY B, PHILLIPS E. j
cutan med surg. 2006;10(4):166-169 (eng).
BACKGROUND: C utaneous atypical mycobacterial
infections have been increasingly described in
association with cosmetic and alternative procedures.
OBJECTIVE: We report an outbreak of acupunctureassociated mycobacteriosis. Between April and
December 2002, 32 patients developed cutaneous
mycobacteriosis after visiting an acupuncture practice in
Toronto, Canada. RESULTS: Of 23 patients whose
lesions were biopsied, 6 (26.1%) had culture-confirmed
infection with Mycobacterium abscessus. These
isolates were genetically indistinguishable by amplified
fragment length polymorphism. The median incubation
period was 1 month. Of 24 patients for whom clinical
information was available, 23 (95.8%) had resolution of
their infection. All patients developed residual scarring
or hyperpigmentation. CONCLUSION: Nontuberculous
mycobacteria should be recognized as an emerging,
but preventable, cause of acupuncture-associated
infections.
809- gera: 143902/di/re
MOXIBUSTION BURNS. CHAU N. j hosp med.
2006;1(6):367 (eng).
810- gera: 144201/di/ra
PSEUDOANEVRYSME DE L’AORTE ABDOMINALE
APRES ACUPUNCTURE LOMBAIRE ?. STEPHAN
JM, NGUYEN J. acupuncture & moxibustion.
2006;5(1):71 (fra).
Un homme de 54 ans se présente aux urgences pour
douleurs abdominales accompagnées d’une masse
palpable et pulsatile. En raison de douleurs
abdominales, il avait été traité un mois auparavant par
acupuncture avec des aiguilles longues d’environ 10 cm
insérées au niveau lombaire. Après la séance, la
douleur abdominale avait été exacerbée. Un scanner
abdominal révèle un pseudoanévrysme de l’aorte
abdominale (7 x 5 x 3,5 cm). Une inter-vention
68
chirurgicale est effectuée. En l’absence d’autres
facteurs (traumatisme, maladie de Behçet ou maladie
du tissu conjonctif) les auteurs rattachent le
pseudoanévrysme à la séance d’acupuncture avec les
811- gera: 144202/di/ra
PARAPLEGIE AVEC SPONDYLODISCITE, ABCES
EPIDURAL ET ABCES DU PSOAS APRES
ACUPUNCTURE. STEPHAN JM, NGUYEN J.
acupuncture & moxibustion. 2006;5(1):73 (fra).
Un homme de 64 ans consulte en urgence pour des
douleurs lombaires sévères avec troubles de la marche.
Trois jours auparavant il avait été traité par acupuncture
pour des lombalgies évoluant depuis 20 ans. D’après le
patient, la séance d’acupuncture avait comporté quatre
aiguilles lombaires d’une longueur supérieure à 10 cm.
Une IRM au premier jour ne montre pas de différence
avec une autre IRM réalisée il y a quelques mois
(diagnostiquant alors un canal lombaire étroit). Une
infection est suspectée sur les premiers examens
biologiques. Au deuxième jour apparaît un fort état
fébrile et une confusion mentale faisant entreprendre un
traitement antibiotique. Au 3ème jour un choc septique
se déclare entraînant son transfert en réanimation et sa
mise sous respiration artifcielle. L'écho-graphie
abdominale est normale. Au 5ème jour les
hémocultures mettent en évidence Escherichia coli. Un
scanner et une nouvelle IRM montrent alors des abcès
bilatéraux du psoas, une spondylodiscite et un abcès
épidural. Au 9ème jour l’examen neurologique décèle
l’installation d’une paraplégie. Le patient refuse le
drainage chirurgical des abcès et le traitement médical
est maintenu jusqu’à résolution de l’état infectieux. Le
patient est alors transféré dans le service de
rééducation fonctionnelle d’où il sort trois mois après
sans récupération de sa paraplégie (classée ASIA C
niveau L1 : atteinte neurologique incomplète, la fonction
motrice est conservée en dessous de L1 et la majorité
des muscles clés en dessous de ce niveau ont un score
moteur inférieur à 3 sur 5). Les auteurs rattachent la
succession dramatique des événements à la puncture
profonde des points lombaires. Ils évoquent la
possibilité de microperforations du colon par
l’acupuncture expliquant les abcès par Escherichia
coli.Bang MS, Lim SH. Paraplegia caused by spinal
infection after
812- gera: 144203/di/ra
BRULURE APRES ACUPUNCTURE ASSOCIEE A UN
TRAITEMENT AUX INFRAROUGES. STEPHAN JM,
2006;5(1):74 (fra).
Une patiente de 68 ans est admise dans le service de
chirurgie plastique et reconstructive. Elle présente une
brûlure profonde du 3ème degré au niveau du dos
(fgure ci-contre). Elle avait eu trois séances
d’acupuncture associées à un traitement par lampe à
infrarou-ges dans un «centre d’acupuncture
traditionnelle». Les deux premières séances avaient
duré 30 minutes et la troisième plus d’une heure (10
jours avant l’hospitalisation). Après
813- gera: 144210/di/ra
RESULTATS DE L’ENQUETE 2002 SUR LE
CONTROLE DU RISQUE CONTAMINANT DES
AIGUILLES D’ACUPUNCTURE. CLEMENT P,
CASTERA P. acupuncture & moxibustion.
2006;5(2):123 (fra).
Résumé : A partir d’une proposition de moyens
reconnus comme pouvant permettre de réduire le
risque contaminant, tels que l’utili-sation systématique
d’aiguilles à usage unique, l’utilisation de collecteurs
d’aiguilles homologués et la vaccination des praticiens
contre le virus de l’hépatite B, les auteurs ont réalisé
une enquête en 2002 évaluant la pratique des
acupuncteurs de 3 régions françaises. Le comparatif
des résultats à une enquête de 1997 permet d’évaluer
les progrès accomplis en 5 ans et les auteurs
souhaitent inciter les méde-cins à poursuivre l’effort afn
que l’acupuncture reste une pratique sûre. Ce travail
original s’inscrit dans le cadre d’une démarche
814- gera: 144287/nd/ra
[A CROSS-SECTIONAL SURVEY ON HUMAN
IMMUNODEFICIENCY VIRUS INFECTION IN A
FORMER COMMERCIAL BLOOD DONATING
COMMUNITY, SHANXI PROVINCE.]. SHI XM, YANG
ZM, QIAN HZ, QIAO XC, GAO JH, ZHENG XW, WANG
N. zhonghua yu fang yi xue za zhi. 2006;40(6):427-32
(eng).
OBJECTIVE: To determine the sero-prevalence of and
the risk factors for human immunodeficiency virus
infection among residents in a former commercial blood
donating community, Shanxi Province. METHODS: A
community- based cross-sectional survey was
conducted among all residents aged 18 - 64 years in 4
villages in a rural county of Shanxi Province. A
standardized structured questionnaire was administered
to collect socio-demographic, medical and risk
behavioral information. Venous blood was collected for
HIV antibody testing. Generalized estimating equation
with logistic regression was used to analyze the risk
factors for HIV infection. Population attributable fraction
was used to evaluate the role of public health in the risk
factors for the incidence of HIV. RESULTS: A total of
3062 villagers participated in the study and provided
their blood samples for HIV antibody testing. 29.5% of
the participants had a history of selling blood and/or
plasma. Among the subgroup of former blood donors
(FBDs), 71.9% sold whole blood only, 4.1% sold
plasma only and 24.0% sold both. Forty HIV infected
persons were identified in the four villages. HIV
prevalence was 1.3%, overall, 4.1% in FBDs and 0.1%
in non-FBDs in the community. Amongst the subgroup
of FBDs, HIV prevalence was 1.5% for whole blood
only, 21.6% for plasma only and 8.8% for both.
Univariate analysis showed that village of residence,
education, marital status, gender, plasma/blood
donation were statistically associated with HIV
seropositivity in the villagers. Other variables, such as
gender, age, occupation, number of sexual partners,
drug use, histories of tooth extraction, acupuncture,
surgical operation and medical injection were not found
to be statistically associated with HIV seropositivity.
Multivariate analysis found that selling whole blood only
(adjusted OR = 13.25, 95% CI: 3.02 - 58.25) and selling
plasma or both (adjusted OR = 87.85, 95% CI: 22.22 347.27) were significantly associated with HIV
seropositivity, and the additive population attributable
fraction (PAF) was 89.8%. Villagers in village 03 were
more likely to be HIV positive than those in village 04
(adjusted OR = 12.26, 95% CI: 1.46 - 103.00).
CONCLUSION: At present, HIV epidemic in the former
commercial blood donating community has a low
prevalence in Shanxi Province and the majority of HIV
infections should be related to the blood and plasma
donation. This study reveals the existence of HIV
second-generation transmission from the infected blood
donors to the general population. However, HIV had
69
815- gera: 144301/nd/ra
THE SAFETY OF ACUPUNCTURE - EVIDENCE
FROM THE UK. WHITE A. acupunct med. 2006;x:s5357 (eng).
BACKGROUND: Patients are attracted to acupuncture
partly by its reputation for having low risks. The safety
of acupuncture should be established by positive
evidence. METHODS: Two prospective surveys were
conducted among different groups of professionals in
the UK, including doctors, physiotherapists and
practitioners primarily trained in acupuncture.
Participants monitored adverse events over a defined
period of time, and reported minor and significant
events on purpose designed forms. RESULTS: A total
of 652 acupuncturists reported 6733 adverse reactions
including tiredness in 66 229 patients, an adverse event
rate of 10.2%. The most common events were tiredness
(3%) bleeding or bruising (3%), aggravation of
symptoms (2%) and pain at the needling site (1%).
There were no serious adverse events. A total of 86
(0.1%) of the treatments was associated with an event
that the practitioner judged to be significant though
without persistent consequences for the patient's
health. CONCLUSION: The risks associated with
acupuncture can be classified as negligible, and
acupuncture is a very
816- gera: 144428//ra
SAFETY OF ACUPUNCTURE – RESULTS OF A
LARGE COHORT STUDY. Witt C, Brinkhaus B, Mank
S, Willich SN. focus on alternative and
817- gera: 144677/di/ra
ACUPUNCTURE WITH SIGNIFICANT INFECTION, IN
A 'WELL' PATIENT. SIMMONS R. acupuncture in
medicine. 2006;24(1):37 (eng).
818- gera: 144679/di/ra
NYSTAGMUS FOLLOWING ACUPUNCTURE--A
CASE REPORT. BRADBURY A, BOTANCOR J,
WHITE A. acupuncture in medicine. 2006;24(1):33
(eng).
819- gera: 145370/di/re
PNEUMOTHORAX SECONDARY TO
ACUPUNCTURE THERAPY. CHAUFFE RJ, DUSKIN
AL. south med j. 2006;99(11):1297 (eng).
A 27-year-old medical student seeking acupuncture
therapy for a right levator scapular muscle spasm
developed acute dyspnea, chest pain, and
nonproductive cough within minutes following the
treatment. The patient was later diagnosed with a 30%
pneumothorax of the right lung. Pneumothorax is a wellknown adverse effect of medical procedures such as
central line placement, thoracocentesis and
transbronchial lung biopsy. This case illustrates another
iatrogenic cause of pneumothorax--acupunctureinduced pneumothorax. A review of the literature since
1985 reveals nine case reports of acupuncture-induced
pneumothorax.
820- gera: 145384/di/re
IMAGES IN CARDIOVASCULAR MEDICINE. RIGHT
VENTRICULAR ACUPUNCTURE NEEDLE
EMBOLISM DETECTED ON CORONARY
COMPUTED TOMOGRAPHY ANGIOGRAPHY. KIM
YJ, KIM JY, CHOI BW, NAM JE, KIM TH, CHOE KO.
circulation. 2006;114(23):e623-26 (eng).
821- gera: 146663/nd/re
RISK FACTORS OF HEPATITIS C VIRUS INFECTION
IN BLOOD DONORS IN THAILAND: A
MULTICENTER CASE- CONTROL STUDY.
TANWANDEE T, PIRATVISUTH T, PHORNPHUTKUL
K, MAIRIANG P, PERMPIKUL P, POOVORAWAN Y. j
med assoc thai. 2006;89 SUP5:S79-83 (eng).
OBJECTIVE: To investigate the risk of hepatitis C virus
(HCV) infection in healthy blood donors in Thailand
MATERIAL AND METHOD: We performed a casecontrol study of 435 HCV-seropositive blood donors and
894 HCV-seronegative blood donors as controls. The
study was done with direct interview regarding
demographic characteristics and risk factors. Odds
ratios (OR) with 95% confidence intervals (CIs) were
calculated by using conditional logistic regression.
RESULTS: The final multivariable model included only
the following independent HCVrisk factors: intravenous
drug user (IDU) (OR = 61.5; 95%CI, 26.6-142.5),
previous blood or blood products transfusion (OR =
12.3; 95%CI, 7.6 -19.9), sharing of razors (OR = 2.3,
95%CI, 1.6-3.2),unsafe injection (OR = 3.3, 95%CI, 1.85.9), unused condom (OR = 1.6; 95%CI, 1.1, 2.4). No
risk was shown for a history of tattoo, ear piercing, or
acupuncture and multiple sexual partners.
CONCLUSION: The risk factors for HCV infection in
healthy blood
822- gera: 142913/di/re
BILATERAL PNEUMOTHORACES AS A
COMPLICATION OF ACUPUNCTURE. SU JW, LIM
CH, CHUA YL. singapore med j. 2007;48(1):e32-e33
(eng).
Pneumothorax developing secondary to acupuncture is
rare. However, in an undiagnosed case, it may cause
fatality. The real incidence of acupuncture-related
pneumothorax is not known but is acknowledged to be
underdiagnosed and under-reported. We describe
pneumothorax occurring in a 52-year-old woman who
developed bilateral pneumothoraces, with one side
being a tension pneumothorax, immediately following
acupuncture. The needle was inserted at a
paravertebral point at the level of the third vertebral
spinous process.
823- gera: 143312/di/re
MEDITATION-INDUCED PSYCHOSIS, KUIJPERS HJ,
VAN DER HEIJDEN FM, TUINIER S, VERHOEVEN.
psychopathology. 2007;40:461-4 (eng*).
824- gera: 144291/di/ra
BROKEN NEEDLE IN THE CERVICAL SPINE: A
PREVIOUSLY UNREPORTED COMPLICATION OF
XIAOZENDAO ACUPUNCTURE THERAPY. LIOU JT,
LIU FC, HSIN ST, SUM DC, LUI PW. j altern
Xiaozendao (meaning "small-needle-knife," in Chinese)
is a form of alternative medical instrument shaped like
an acupuncture needle with a flat edge on the needle
tip. It is widely used for the treatment of many different
disorders in Asian countries, especially in the People's
Republic of China. Its use has gained increasing
popularity. To our knowledge, there are no reports of
practitioners' experiences or adverse events related to
"small-needle- knifed" therapy until now. We reported
the first case of spinal-cord injury with delayed onset of
neurologic symptoms from a broken small-needle-knife
insertion into the spinal cord.
825- gera: 144296/di/ra
70
THE SAFETY OF ACUPUNCTURE TECHNIQUES.
WHITE A WHITE A. j altern complement med.
2007;13(1):9-10 (eng).
826- gera: 144505/di/re
VIDEO-ASSISTED THORASCOPIC REMOVAL OF
MIGRATORY ACUPUNCTURE NEEDLE CAUSING
PNEUMOTHORAX. VON RIEDENAUER WB, BAKER
MK, BREWER RJ. chest. 2007;131(3):899-901 (eng).
We report the case of a 25-year-old African-American
man presenting to the Henry Ford Hospital emergency
department with acute dyspnea secondary to a
pneumothorax resulting from a migratory acupuncture
needle. The patient received acupuncture treatment
approximately 5 years prior to this presentation for
treatment of posttraumatic chronic right shoulder pain.
Chest radiography revealed retained needles in his right
shoulder girdle and a needle overlying the thoracic cage
with an attendant pneumothorax. Catheter aspiration for
simple pneumothorax provided immediate symptomatic
relief. Video-assisted thoracoscopy was then used to
remove the migratory acupuncture needle from the
chest wall. The patient recovered without complication
and was discharged
827- gera: 145427/di/re
THE SELF-PITH. ANDERSON DW, DATTA M. ajnr am
j neuroradiol. 2007;28(4):714-5 (eng).
SUMMARY: We describe a middle-aged woman who
inserted a sewing needle into her spinal cord in an
attempt at performing her own acupuncture. Reports of
neurologic injury are rare in the literature, despite the
widespread use of acupuncture. This is the first case
we have identified involving spinal cord injury from selfperformed
828- gera: 145430/nd/re
[BILATERAL CEREBELLAR INFARCTION CAUSED
BY INTRACRANIAL DISSECTION OF THE
VERTEBRAL ARTERY AFTER LONG PERIODS OF
"SHIATSU"]. IWANAMI H, ODAKA M, HIRATA K. no
to shinkei. 2007;59(2):169-71 (eng).
For five years, a 56-year-old woman had undergone
"Shiatsu" (a technique that uses fingers and the palm of
the hand to apply pressure to particular sections of the
body's surface to correct neck stiffness and body
imbalances in order to maintain and promote health).
She suddenly developed neck pain, dizziness,
dysphagia, and speech and gait disturbances during
treatment. A neurological examination detected
bradylalia and truncal and mild bilateral limb ataxia of
the cerebellar type. Diffusion-weighted brain MRI
showed multiple hyperintense signal lesions at the
bilateral cerebellar hemisphere in the posterior inferior
cerebellar artery territory. Three-dimensional computed
tomographic angiography (3D-CTA) revealed irregular
stenosis of the intracranial right vertebral artery (string
sign). Dissection of the intracranial portion of the
vertebral artery owing to trauma is rare. Physicians
need to be aware of patients who have acute dissecting
infarction after long periods of repeated trivial pressure
such as "Shiatsu". 3D829- gera: 145476/di/re
[RISK OF HEPATITIS C RELATED TO TRADITIONAL
MEDICINE: A CASE CONTROL STUDY IN HO CHI
MINH CITY, VIETNAM.]. NGO Y, MAUGAT S, DUONG
QT, NGUYEN TN, ASTAGNEAU P. rev epidemiol
sante publique. 2007;apr16:x (eng).
BACKGROUND: The transmission of hepatitis C virus
(HCV) is strongly associated with blood transfusion and
drug abuse. However, in about a third of HCV-infected
subjects, the risk factors are not clearly identified
though some cases are likely to be healthcare
associated. In an Asian country such as Vietnam,
invasive procedures used for traditional and beauty
care could be potential risk factors. The aim of the
present study was to identify the risk factors of HCV
infection in a population sample in Ho Chi Minh City.
METHOD: A case-control study matched by gender and
age was performed among blood adults donors at the
Centre of hematological diseases and blood
transfusion. Cases were defined as blood donors with
HCV-positive Elisa. Controls were selected at random
among ELISA HCV-negative donors. A standardized
questionnaire was used to collect data focusing on
invasive medical procedures, beauty care and on
invasive procedures related to traditional medicine.
RESULT: Among the 80 cases and 240 controls, the
independent predictors of anti-HCV positivity using a
stepwise logistic regression were: blood transfusion,
intravenous drug abuse, acupuncture, ventoused
scarification and practice of scarification (adjusted odds
ratio and IC95%: 3.8 [1.1-13.1], 3.5 [1.7-7.3], 5.4 [2.312.7], 5.4 [2.5-11.7], 6.6 [1.6-26.4] respectively). The
other risk factors such as past hospitalization surgery,
tattooing, being a healthcare worker, or practising
tattooing or piercing were not associated with HCV
infection. CONCLUSION: To be exposed to ventoused
scarifications or acupuncture are risk factors for the
transmission of HCV in Vietnam. A wide information
campaign on hygiene practices for general population
as well as the practitioners is needed to ensure safer
health cares in traditional medicine.
830- gera: 145585/nd/re
[SEROPREVALENCE OF VIRAL HEPATITIS IN A
REPRESENTATIVE GENERAL POPULATION OF AN
URBAN PUBLIC HEALTH AREA IN CASTILLA Y
LEON (SPAIN).]. LOPEZ-IZQUIERDO R, UDAONDO
MA, ZARZOSA P, GARCIA- RAMON E, GARCINUNO
S, BRATOS MA, ORDUNA A, RODRIGUEZ-TORRES
A, ALMARAZ A. enferm infecc microbiol clin.
2007;25(5):317-23 (esp).
INTRODUCTION: Viral hepatitis is a major social,
health and economic problem worldwide, requiring strict
epidemiological control. METHODS: This study
presents the viral hepatitis seroprevalence in a
representative sample from an urban health care area
in Valladolid (Spain). RESULTS: Antibody prevalence
was as follows: anti- HAV 52%; anti-HBc, 8.2%; antiHCV, 1.1%; anti-HEV, 0.8%; and anti-HGV 5.8%.
Prevalence of anti-HAV, anti-HBc and anti-HGV
increased significantly with age (P < 0.005 in all cases).
In individuals younger than 20, prevalence of anti-HAV
was 3.8%, anti-HBc < 0.28% and anti-HGV 1.3%. In the
20-39 year-old group, seroprevalence against HAV was
associated with low educational levels (P = 0.009) and
with birth in other provinces (P = 0.016). Anti-HBc
seroprevalence was mainly associated with three
factors: prior hospitalization before 1990 (P = 0.002; OR
3.32 [1.48-7.42]); compulsory military service before
1990 (P < 0.0001; OR 37.33 [3.68-378.03]); and
acupuncture treatments (P = 0.018; OR 57.75 [26.17127.42]). Seroprevalence against HGV was associated
with hospitalizations before 1990 (P = 0.019; OR =
2.969 [1.154-7.639]). Seropositive status to HCV
revealed a transfusion history (2 cases), hospitalization
(1 case) or drug addiction (1 case). Only one case
among those seropositive to HEV had a history of a
71
prior trip to a HEV-endemic area. CONCLUSIONS: Our
study shows that the seroprevalences of viral hepatitis
in a representative sample of urban population of
Castille and Leon are similar to the seroprevalences
observed in the rest of Spain and other developed
countries, lower than the ones observed in the studies
performed in Spain in the last 20 years due to the
measures of prophylaxis that werw taken.
831- gera: 145820/di/ra
IDEAS FOR SAFER ACUPUNCTURE PRACTICE (1).
YAMASHITA HITOSHI, KATAI SHUICHI, EGAWA
MASATO, ISHIZAKI NAOTO,MIYAMOTO TOSHIKAZU,
UMEDA TAKASHI, IMAI KENJ. journal of the japan
2007;57(1):15 (jap).
Abstract We have been collecting various ideas on
safer acupuncture practice from participants in our
workshop as well as members of the committee.
Subjects and presentations of the present workshop
were as follows:1. Forgotten needles Ideas of
prevention based on a questionnaire survey (Egawa
and Ishizaki)Effect of incident reporting system
(Yamashita)2. Cleaner method of needle insertion and
Oshide (needle-supporting forgers)Merits and demerits
of sterilized fingerstall and glove (Miyamoto)History of
the clean needle development (Umeda)A novel clean
acupuncture needle device (Imai and Ishizaki)Although
there was not enough time for discussion, we collected
some useful ideas from the participants. A novel clean
needle invented by 1mai gave a strong impression to
the audience. We should continue to dis-cuss a diverse
impact when such new devices and concepts become
widespread in traditional acupuncture practices. We
welcome more ideas and opinions from relevant
832- gera: 146158/di/ra
EVAMED – A PRESCRIPTION-BASED ELECTRONIC
PHARMACOVIGILANCE SYSTEM IN
COMPLEMENTARY MEDICINE. JESCHKE E1,
BUCHWALD D1, LÜKE C1, TABALI M1, OSTERMANN
T2, MATTHES H1. forschende
komplementarmedizin and klassische
naturheilkunde. 2007;14(S1): (deu).
Aims: Although there is evidence that herbal medicines
can cause seri-ous adverse reactions (ADRs), there is
still a lack of knowledge about ADRs of Complementary
and Alternative Medicines (CAM) in general practise.
Hence, there is a need for a qualified reporting system
for adverse events of CAM based on the number of
patients treated with a given medicine. Therefore, we
developed an electronic system for the continuous
report of all prescriptions as well as ADRs if they
occurred. Material and Methods: Based on a web
oriented database system, EvaMed can easily be
connected to the data of usual practice-software of
physicians. Both, documentation and classification of
ADRs are based on the WHO-standards of adverse
reaction terminology (WHO-ART) and the grade of
severity (from 1=light to 4=severe). Results: Since
September 2004, data of 35 German
anthroposophically oriented physicians have been
collected. So far, a total of 294,037 prescriptions (for
62,685 patients, 60% female, children: 51%) were
documented. They comprised 542,983 prescribed
medicines (42% allopathic, 43% anthroposophical, 8%
homeopathic, 7% herbal). Until September 2006 ADRs
were reported in 288 cases (WHO-grade I: 41.3%, H:
46.5%, III: 10.8% and IV: 1.4%). In total, 74 cases were
associated with anthropo-sophical therapies (25.7%).
12 (4.2%) of all ADRs where classified to serious but
none of them was related to CAM-therapies.
Conclusion: The described system for the collection and
documentation of ADRs has proved effective for the
evaluation of reported ADRs in close coopera-tion
between prescribing physicians and the study center.
General stan-dards for the collection, transfer and
evaluation of data can be used in any other
environment. They also may contribute to an effective
Phar-macovigilance system within the European Union.
Acknowledgements: The EvaMed project is sponsored
with a grant of the SAG-Foundation and financially
supported by WALA and WELEDA.
833- gera: 146281/nd/re
[BILATERAL CEREBELLAR INFARCTION CAUSED
BY INTRACRANIAL DISSECTION OF THE
VERTEBRAL ARTERY AFTER LONG PERIODS OF
"SHIATSU"]. IWANAMI H, ODAKA M, HIRATA K.
brain nerve. 2007;59(2):169-71 (jap).
For five years, a 56-year-old woman had undergone
"Shiatsu" (a technique that uses fingers and the palm of
the hand to apply pressure to particular sections o f the
body's surface to correct neck stiffness and body
imbalances in order to maintain and promote health).
She suddenly developed neck pain, dizziness,
dysphagia, and speech and gait disturbances during
treatment. A neurological examination detected
bradylalia and truncal and mild bilateral limb ataxia of
the cerebellar type. Diffusion-weighted brain MRI
showed multiple hyperintense signal lesions at the
bilateral cerebellar hemisphere in the posterior inferior
cerebellar artery territory. Three-dimensional computed
tomographic angiography (3D-CTA) revealed irregular
stenosis of the intracranial right vertebral artery (string
sign). Dissection of the intracranial portion of the
vertebral artery owing to trauma is rare. Physicians
need to be aware of patients who have acute dissecting
infarction after long periods of repeated trivial pressure
such as "Shiatsu". 3D834- gera: 146324/di/re
ACUPUNCTURE NEEDLES CAUSING LUMBAR
CEREBROSPINAL FLUID FISTULA\. CASE REPORT.
ULLOTH JE, HAINES SJ. j neurosurg spine.
2007;6(6):567-9 (eng).
Acupuncture is a frequently used adjuvant treatment for
chronic pain conditions\. The authors report the case of
a patient in whom the delayed migration of embedded
acupuncture needles into the lumbar spinal canal
caused the formation of a cerebrospinal fluid fistula and
spine-related headache\. The needles were safely
removed surgically and the patient improved clinically.
835- gera: 146397/di/ra
SPONTANEOUS POST-INSERTION NEEDLE
MOVEMENT--AN UNUSUAL RISK IN
ACUPUNCTURE TREATMENT. SMYTH MJ.
acupunct med. 2007;25(1-2):49 (eng).
836- gera: 146422/nd/re
HIGHLY ENDEMIC HEPATITIS B INFECTION IN
RURAL VIETNAM. NGUYEN VT, MCLAWS ML, DORE
GJ. j gastroenterol hepatol. 2007;20 jul:x (eng).
Background and Aim: Hepatitis B is a major public
health problem in Vietnam; however, estimates of the
prevalence of hepatitis B virus (HBV) and hepatitis delta
virus (HDV), and risk factors in rural Vietnam are
limited. The aim of this study was to determine HBV
and HDV prevalence, and identify risk factors for HBV
72
infection. Methods: A cross-sectional seroprevalence
study was undertaken in two rural districts in Thai Binh
province. The study population was randomly selected
using multistage sampling. Demographic and
behavioral risk information and serological samples
were obtained from 837 participants. Results: Mean age
was 42.3 years +/- 15.8 (range, 16-82 years), and
50.8% were female. Prevalence of anti-HBV core
antibody (anti-HBc) and hepatitis B virus surface
antigen (HBsAg) was 68.2% and 19.0%, respectively,
and hepatitis B e antigen HBeAg was detected in 16.4%
of the HBsAg-positive group. Prevalence of HDV was
1.3% in the HBsAg-positive group. Factors associated
with HBV infection (anti-HBc or HBsAg positive) were
age 60 years or older (OR, 3.82; 95% CI, 1.35-10.80; P
= 0.01), residence in Vu Thu district (OR, 3.00; 95% CI,
2.16-4.17; P < 0.0001), hospital admission (OR, 2.34;
95% CI, 1.33-4.13; P = 0.003) and history of
acupuncture (OR, 2.01; 95% CI, 1.29-3.13; P = 0.002).
Household contact with a person with liver disease (OR,
2.13; 95% CI, 1.29-3.52; P = 0.003), reuse of syringes
(OR, 1.81; 95% CI, 1.25-2.62; P = 0.002) and sharing of
razors (OR, 1.69; 95% CI, 1.03-2.79; P = 0.04) were
independent predictors of HBsAg positivity. Alanine
aminotransferase (ALT) level was elevated (>40 IU/L) in
43% of the HBsAg-positive group; proportion elevated
was higher in HBeAg-positive (65%) compared with
HBeAg-negative (39%) individuals in this group (P =
0.02). Conclusion: Hepatitis B virus infection is highly
endemic in rural Vietnam. Poor infection control
activities in health-care settings contribute to high HBV
prevalence in this region. Universal HBV infant
vaccination and improved infection control procedures
are required for improved HBV control in Vietnam.
837- gera: 146433/di/re
HAZARDS OF COMPLEMENTARY AND
ALTERNATIVE MEDICINE. CHONG VH, YAAKUB AB.
singapore med j. 2007;4856°:592 ().
838- gera: 146540/di/ra
[ON RELATIONSHIP OF ACUPOINT-INJECTION
WITH INJURY OF PERIPHERAL NERVES]. GUO CQ,
CHEN YN. chinese acupuncture and moxibustion.
2007;27(4):294-6 (chi).
OBJECTIVE: To provide basis for strengthening safety
of acupoint-injection and increasing clinical therapeutic
effect. METHODS: Analyze and study on the relative
articles from the databank of whole articles of Chinese
periodicals of CNKI by information retrieval with
computer, with acupoint-injection, nerve injury as key
words. RESULTS: Most of clinical reports focus on
acupoint-injection for treatment of nervous injury
induced by trauma and birth injury. The studies indicate
that the injuries of the peripheral nerves induced by
acupoint-injection can be divided into 3 grades and the
injury mechanisms can be divided into 3 classifications.
The injuring causes include improper posture of the
patients, improper angle and depth of injection and
improper medicine selection. CONCLUSION: Acupointinjection can be applied more widely as soon as the
accomplishment of the
839- gera: 146682/di/ra
COMPLEMENTARY AND ALTERNATIVE MEDICINE
(CAM) IN PALESTINE: USE AND SAFETY
IMPLICATIONS. SAWALHA AF. j altern complement
med. 2007;13(2):263-9 (eng).
AIM: Utilization of complementary and alternative
medicine (CAM) is exponentially rising. There are no
published data available about the attitude and use of
CAM in Palestine. The purpose of this study was to
investigate the attitude, pattern of use, and reasons for
CAM utilization among a random sample of people in
north Palestine. METHODS: A questionnaire was used
to carry out the objective of the study. The
questionnaire was distributed to a random sample of
people in north Palestine during the month of October
2005. The questionnaire included three sections:
demographic factors and attitude toward CAM, types of
CAM encountered by the respondents in the last year,
and reasons that motivated CAM use. Data collected
from the returned questionnaire were coded and
entered into the Statistical Package for Social Sciences
program (SPSS) version 10 (SPSS Software, Inc.,
Chicago, IL). RESULTS: 72.8% of respondents have
used at least one type of CAM in the last year. CAM
users were mainly middle-aged, low-income, educated
women. Herbal therapy, prayers, and honey were the
most commonly utilized types of CAM. Respondents
have used CAM mainly to treat respiratory and
gastrointestinal disorders. Respondents have utilized
CAM mainly because they believed that it is all natural
and safe. DISCUSSION AND CONCLUSIONS: CAM
utilization in Palestine is very common. Some of the
types of CAM used in Palestine are common
elsewhere, whereas other types were unique to this
area. The herbal products used by the respondents
were mainly collected from nature. Safety of such
products is questionable, and contamination cannot be
ruled out. Awareness of potential adverse effects and
proven benefits of various types of CAM needs to
840- gera: 146960/nd/ra
FOREIGN METALLIC PELLET IN THE HEART. AN Y,
XIAO YB, ZHONG QJ. chin j traumatol.
2007;10(5):318-20 (eng).
Foreign bodies in the heart are a rare but serious form
of cardiac injury. The objects usually are sharp pointed.
Such as acupuncture needles, sewing needles, coat
hangers, fragments of Kirschner wires, pins, etc.(1) We
report a patient with a metallic pellet lodged in the heart,
which was accurately diagnosed and successfully
removed.
841- gera: 146972/nd/re
[SUCCESSFUL DEPLOYMENT OF A STENT GRAFT
IN THE POPLITEAL ARTERY FOR
PSEUDOANEURYSM AFTER ACUPUNCTURE: A
CASE REPORT]. NAKANISHI N, MATSUO A,
MATSUO K, SHIONO Y, YAMAGUCHI S, NISHIBORI
Y, INOUE K, TANAKA T, FUJITA H, KITAMURA M,
INOUE N. j cardiol. 2007;50(3):213-18 (eng).
A 71-year-old man was admitted to our hospital
because of swelling and pain in his right calf developing
after acupuncture for intermittent claudication.
Computed tomography with contrast medium revealed
a large hematoma with contrast medium leakage in his
right calf. Emergent angiography demonstrated a
pseudoaneurysm of the right popliteal artery with
severe stenosis. Intravascular ultrasound showed
lumen narrowing with a large amount of concentric
plaque and disruption of the vessel wall communicating
to a large cavity outside. A polytetrafluoroethylenecovered Jostent graft was deployed into the stenotic
lesion across the opening into the pseudoaneurysm
cavity. Subsequent angiography showed no leakage of
contrast medium. This unique case of pseudoaneurysm
caused by acupuncture in the popliteal artery was
treated successfully by endovascular repair.
73
842- gera: 147132/di/ra
ACUPUNCTURE ABDOMINALE ET LONGUES
AIGUILLES : DANGER !. STÉPHAN JM. acupuncture
et moxibustion. 2007;6(3):255 (fra).
843- gera: 147147/di/re
TAMPONNADE ET PNEUMOTHORAX BILATERAL
AU COURS D'UNE SEANCE D'ACUPUNCTURE. X.
responsabilite. 2007;7(28):9-10 (fra).
844- gera: 147363/di/ra
AN EXPLORATION INTO THE ACUPUNCTURING
METHOD OF YAMEN POINT. WANG QI. journal of
clinical acupuncture and moxibustion. 2007;23(8):57
(eng).
Acupuncturing Yamen point has the risk, because its
deep portion is close to the vital centre medulla
oblongata. Analyzing the literature of ancient times and
the research cn the anatomy aspect and the clinical
practice aspect, the author points out the standpoints
the do::tor should acupuncture this point after knowing
the structure ar its deep portion well, then insert the
needle carefully. The author also suggests directing the
needlepoint to the mouth and lip or to the mandible. It is
suitable to insert the needle to the depth of 1. 0 -1. 5
cun.
845- gera: 147447/nd/re
[PNEUMOTHORAX AFTER ACUPUNCTURE:
CLINICAL PRESENTATION AND MANAGEMENT.].
TERRA RM, FERNANDEZ A, BAMMANN RH,
CASTRO AC, ISHY A, JUNQUEIRA JJ. rev assoc med
bras. 2007;53(6):535-8 (por).
INTRODUCTION: Pneumothorax is a rare but
dangerous complication of acupuncture. Because of its
rarity, there are few reports in literature and, therefore
little information regarding clinical and therapeutic
aspects. This article aims to analyze the clinical
presentation, management and follow-up of patients
with pneumothorax after acupuncture. METHODS:
Retrospective study of patients with post-acupuncture
pneumothorax evaluated in a tertiary hospital during a
five-year period (2001-2006). RESULTS: Five patients
(3 male and 2 female), mean age 46 years (30 73) were
included. All patients but one (who had a bilateral
pneumothorax) had left-sided pneumothorax . Chest
pain, which was the initial symptom in all patients was
severe in three cases and mild in two. Four patients
underwent tube thoracostomy (pig-tail catheter), three
of them immediately after admission and the other after
a failed 12-hour conservative treatment period. One
patient had a successful conservative management. All
had an excellent outcome and were asymptomatic and
exhibited a normal chest X-ray at 6- month follow-up
CONCLUSION: In all patients, the initial symptom was
chest pain, of varying intensity. Tube thoracostomy was
the therapeutic modality most frequently employed. All
patients had a successful outcome with no further
complications.
846- gera: 147457/di/ra
THE NEED FOR TRADITIONAL CHINESE MEDICINE
MORBIDITY RESEARCH. MEIER PC, ROGERS C.
complement ther med. 2007;15(4):284 (eng).
Traditional Chinese medicine (TCM) has long justified
its practice on empirical phenomenology. Questions
remain, however, as to the legitimacy of this approach
and its relevance to TCM practice and educational
developments in the 21st century. General medical
practice (GMP) has used practice-based data collected
over the past 25 years to develop relevant medical
curriculum and enhance patient care. As TCM becomes
ever more incorporated into Western educational and
health systems, it too must concern itself with providing
a solid evidence base to be used in enhancing patient
care and educational curriculum. Computer generated
data related to patient problems or problem complexes
abstracted from TCM clinical records can provide the
basis for practitioner development and the
enhancement of training programs that will lead to
improvements in patient care. Such locally valid and
representative data can also be used to inform research
programs, public policy and evidence-based
commissioning. The key to developing such systems is
standardising TCM terminology and data
847- gera: 147494/nd/re
NECROTIZING FASCIITIS AND GANGRENE
ASSOCIATED WITH TOPICAL HERBS IN AN
INFANT. HON KL, LEUNG E, BURD DA, LEUNG AK.
adv ther. 2007;24(4):921-5 (eng).
A 4-mo-old Chinese infant developed necrotizing
fasciitis and gangrene from a small skin infection on his
buttock that was treated with topical herbs. Sequential
cultures revealed a number of organisms: Enterococcus
species, sensitive to ampicillin, were isolated
throughout the course, and coagulasenegative
staphylococci replaced gram- negative rods during the
later phase of the illness. The infant required prolonged
intravenous antibiotic treatment and underwent multiple
surgical procedures for debridement and reconstruction.
This report serves to alert the public of the importance
of avoiding application of unknown topical herbs in
children with skin disease. A seemingly small wound, if
inappropriately treated, may result in extensive tissue
destruction and require extensive
848- gera: 147615/di/re
LOCALIZED CUTANEOUS ARGYRIA FROM AN
ACUPUNCTURE NEEDLE CLINICALLY
CONCERNING FOR METASTATIC MELANOMA.
RACKOFF EM, BENBENISTY KM, MAIZE JC, MAIZE
JC JR. cutis. 2007;80(5):423-6 (eng).
Localized cutaneous argyria presenting as an
asymptomatic blue-gray macule has been rarely
reported from diverse etiologies including occupational
exposures, topical medications, alternative medical
therapies, body jewelry, and dental procedures
(amalgam tattoos). The lesions often are clinically
indistinguishable from blue nevi and malignant
melanoma. We present a case of localized cutaneous
argyria from an acupuncture needle in a patient with a
history of malignant melanoma. Fine granules of
nonbleachable dark particles coating collagen and
elastin fibers, altered yellow-brown collagen bundles
similar to ochronosis, and involvement of eccrine
structures were histologically consistent with the
pseudo-ochronosis pattern of localized cutaneous
argyria, demonstrating
849- gera: 147618/di/re
BARRATT S, STEER H, ONYIRIOHA T. br j hosp med
(lond). 2007;68(12):677 (eng).
850- gera: 147762/di/ra
BUILDING PARTNERSHIPS WITH TRADITIONAL
CHINESE MEDICINE PRACTITIONERS TO
INCREASE HEPATITIS B AWARENESS AND
74
PREVENTION. CHANG ET, LIN SY, SUE E, BERGIN
M, SU J, SO SKS. journal of alternative and
complementary medicine. 2007;13(10):1125 (eng).
Objectives: The annual Hepatitis B Prevention and
Education Symposium aims to develop partnerships
between non-Western and Western health care
providers to prevent chronic hepatitis B virus (HBV)
infection and death from liver cancer among Asians and
Pacific Islanders (APIs).Design: Each year from 2004
through 2007, we partnered with professional,
academic, and community-based organizations to
organize an educational symposium for Traditional
Chinese Medicine practitioners and acupuncturists in
California. Participants completed pre- and
postsymposium surveys assessing knowledge about
HBV and liver cancer.Setting: The symposia were held
in San Francisco, Los Angeles, and Stanford,
California.Subjects: Over 1000 participants attended the
four symposia combined; most were born in
Asia.Intervention: Symposium activities included
educational lectures and games, presentation of a
physician's guide to HBV management, and case
studies.Outcome measures: Chi-square tests were
used to compare the proportion of correct responses to
each knowledge-based question, as well as the total
number of correct responses, before and after the
symposium.Results: Knowledge about HBV and liver
cancer was low prior to the symposium. The proportion
of correct responses to the most commonly mistaken
questions increased significantly at the conclusion of
each symposium. The total number of correct
responses rose from below 60% to above 75% each
year.Conclusions: Similar educational symposia
targeting health care providers who serve API patients
can improve HBV and liver cancer awareness and
prevention throughout the API community.
851- gera: 147872/di/ra
A RETROSPECTIVE SURVEY ON ADVERSE
EVENTS ASSOCIATED WITH ACUPUNCTURE
PRACTICE BY REGISTERED PRACTITIONERS
(ABSTRACT). MANSU S ET AL. journal of alternative
and complementary medicine. 2007;13(8):881 (eng).
852- gera: 148489/di/ra
HOW TO DEAL WITH FEAR OF NEEDLES. DAIYI
TANG. international journal of clinical acupuncture.
2007;16(4):279 (eng).
853- gera: 151964/di/ra
ACUPUNCTURE ABDOMINALE ET LONGUES
AIGUILLES : DANGER !. STEPHAN JM. acupuncture
et moxibustion. 2007;6(2):175 (fra).
854- gera: 148670/di/ra
13 PROPOSITIONS DE RECOMMANDATIONS DES
BONNES PRATIQUES MÉDICALES SUR LE RISQUE
INFECTIEUX EN ACUPUNCTURE. STEPHAN JM,
NGUYEN J. acupuncture et moxibustion.
2008;7(1):48 (fra).
855- gera: 148754/di/re
TRAUMATIC COMPLICATIONS OF ACUPUNCTURE.
LEE TL. singapore med j. 2008;49(4):362 (eng).
856- gera: 148953/di/re
ACUPUNCTURE-ASSOCIATED LISTERIA
MONOCYTOGENES ARTHRITIS IN A PATIENT WITH
RHEUMATOID ARTHRITIS. TIEN CH, HUANG GS,
CHANG CC, CHANG DM, LAI JH. joint bone spine.
2008;may 1:x (eng).
Septic arthritis is a rare complication of acupuncture.
We present a patient with rheumatoid arthritis who
developed septic arthritis of the right knee after
consecutive weekly sessions of acupuncture therapy for
3 weeks. The infection was localized by
musculoskeletal sonography and magnetic resonance
imaging, with culture of the synovial fluid aspirated from
the joint yielding Listeria monocytogenes. The patient
responded well to antibiotic treatment and regained joint
mobility. A high index of suspicion for an infectious
process is required for prompt diagnosis and treatment
of acupuncture-induced joint infections in rheumatoid
arthritis patients who might have additional risk
857- gera: 148956/nd/re
ACUPUNCTURE INDUCED NECROTIZING AORTITIS
WITH INFECTED PSEUDOANEURYSM FORMATION.
LEE S, LIM SH, KIM DK, JOO HC. yonsei med j.
2008;49(2):322-4 (eng).
Necrotizing aortitis is a rare and life-threatening
complication of local or generalized bacterial infections
and most commonly affects the abdominal aorta. We
described a case of a 79-year-old man with an
acupuncture-induced bacterial aortitis associated with
pseudoaneurysm formation causing near rupture. The
patient underwent emergent explolapartomy, resection
of the infected aorta, wide debridement of surrounding
infected tissues, and extra-anatomic axillary to
bifemoral graft bypass. The microbiologic examination
revealed Escherichia coli and methicillin resistant
Staphylococcus aureus (MRSA). Necrotizing aortitis is
very serious and fatal disease, careful history taking as
well as rapid diagnosis and urgent treatment are of
critical importance.
858- gera: 149265/nd/re
ACUPUNCTURE USE AMONG PEOPLE LIVING
WITH HIV/AIDS IN NORTHERN THAILAND:
MOTIVES, BARRIERS, AND ATTITUDES. ARBISI A,
PANPANICH R. j med assoc thai. 2008;91(4):533-41
(eng).
OBJECTIVE: The present cross-sectional, qualitative
study examined attitudes toward and motives for
acupuncture use and disuse among people with
HIV/AIDS (PHA) in Northern Thailand. MATERIAL AND
METHOD: Over a seven-day period, interviews were
conducted in Thai by two research assistants and two
PHA volunteers on 20 patients. RESULT: The social
support, psychological well-being, clinical symptoms,
and analgesic avoidance were the primary motives for
use among acupuncture users. Among nonacupuncture users, better health status, instrument
aversion, lower effectiveness, high perceived risk of
deleterious interactions with antiretroviral therapy,
inferiority to conventional medicine, and lack of time
and knowledge were the main reasons for disuse.
Nineteen out of twenty patients expressed positive or
neutral attitudes toward acupuncture. Further study is
recommended to explore long-term benefits and
ramifications of acupuncture as a substitute for
pharmacological pain interventions. CONCLUSION:
Though acupuncture is not a panacea that is
recommended for everyone, health care provide.rs
should educate patients about acupuncture's
prophylactic benefits, offer services at more convenient
times, and be
859- gera: 149285/co/re
TRAUMATIC SUBARACHNOID HEMORRHAGE
75
ASSOCIATED WITH ACUPUNCTURE. TSUKAZAKI Y,
INAGAKI T, YAMANOUCHI Y, KAWAMOTO K, OKA N.
headache. 2008;JUN 10:X (eng).
Subarachnoid hemorrhage as a complication of
acupuncture has been reported in only a few cases. We
report another case and discuss the implications of
subarachnoid hemorrhage following acupuncture.
Although acupuncture has traditionally been thought to
be relatively safe, physicians should be aware that it
may be a cause
860- gera: 149286/nd/re
[BLADDER STONE SECONDARY TO MIGRATION
OF AN ACUPUNCTURE NEEDLE]. IZUMI K,
TAKIZAWA A, UDAGAWA K, MURAI T, MURAI M.
hinyokika kiyo. 2008;5455°:365-7 (jap).
A 61-year-old man who had been suffering from benign
prostatic hyperplasia (BPH) for ten years visited our
hospital complaining of dysuria and bladder pain.
Abdominal X-ray showed a 2 cm calculus containing a
needle- like shadow in the pelvis. Transurethral
lithotripsy and trunsurethral resection of the prostate
(TURP) were done. The calculus was a brown clubshaped bladder stone with the core being a 2 cm
needle one side of which was broken. It was supposed
to be an acupuncture needle that was retained in his
back twenty years ago. This is the first case of a
bladder stone secondary to migration of an acupuncture
needle.
861- gera: 149293/di/re
VASCULAR INJURIES CAUSED BY
ACUPUNCTURE. BERGQVIST D. eur j vasc
endovasc surg. 2008;jun 4:x (eng).
AIM: to systematically review the literature on vascular
injuries caused by acupuncture. METHOD: systematic
literature search in Medline and PubMed. RESULTS:
twentyone cases were identified and the majority
developed symptoms in direct connection with the
acupuncture treatment. Three patients died, two from
pericardial tamponade and one from an aortoduodenal
fistula. There were five more tamponades, seven
pseudoaneurysms, two with ischaemia, two with venous
thrombosis, one with compartment syndrome and one
with bleeding. The two patients with ischaemia had
remaining sequeleae. Information on follow-up was
suboptimal with no information in nine patients.
CONCLUSION: vascular injuries are rare, bleeding and
pseudoaneurysm dominating. Follow-up is
862- gera: 149523/di/ra
IDEAS FOR SAFER ACUPUNCTURE PRACTICE (2)
LITERATURE REVIEW ON ADVERSE EVENTS
(2003-2006) AND DEBATE ON WEARING
STERILIZED FINGERSTALL OR GLOVE.
YAMASHITA HITOSHI, UMEDA TAKASHI, KATAI
SHUICHI, ISHIZAKI NAOTO, EGAWA, MASATO,
MINOWA MASAHIRO, HATAKEYAMA HIRONORI,
FURUYA EIJI, HANDA MIKAKO, MIYAMOTO
TOSHIKAZU. journal of the japan society of
acupuncture and moxibustion. 2008;58(2):27 (jap).
Continued from the previous year's theme of our
workshop, we collected various information and ideas
for safer acupuncture practice. Subjects and
presentations of the present workshop were as follows:
1. Literature review of papers on adverse events
published between 2003 and 20061) Papers in
domestic journals (by Ishizaki and Egawa)2) Papers in
foreign journals (by Yamashita and Umeda)2. Debate
on wearing sterilized fingerstall or glove1) Present
status of the use of fingerstall in acupuncture practice
(by Katai and Minowa)2) Practical side of clinical
education of acupuncture using fingerstall (by
Hatakeyama and Furuya)3) Problem of using individual
fingerstalls in acupuncture practice (by Handa and
Miyamoto) We will continue to provide information and
discuss solutions in order to reach a common
understanding and specific methods for safer
863- gera: 150216/di/re
OUTBREAK OF INVASIVE METHICILLINRESISTANT STAPHYLOCOCCUS AUREUS
INFECTION ASSOCIATED WITH ACUPUNCTURE
AND JOINT INJECTION. MURRAY RJ, PEARSON JC,
COOMBS GW, FLEXMAN JP, GOLLEDGE CL,
SPEERS DJ, DYER JR, MCLELLAN DG, REILLY M,
BELL JM, BOWEN SF, CHRISTIANSEN KJ. infect
control hosp epidemiol. 2008;aug 6:x (eng).
Objective. To describe an outbreak of invasive
methicillin-resistant Staphylococcus aureus (MRSA)
infection after percutaneous needle procedures
(acupuncture and joint injection) performed by a single
medical practitioner. Setting. @nbsp; A medical
practitioner's office and 4 hospitals in Perth, Western
Australia. Patients. @nbsp; Eight individuals who
developed invasive MRSA infection after acupuncture
or joint injection performed by the medical practitioner.
Methods. @nbsp; We performed a prospective and
retrospective outbreak investigation, including MRSA
colonization surveillance, environmental sampling for
MRSA, and detailed molecular typing of MRSA isolates.
We performed an infection control audit of the medical
practitioner's premises and practices and administered
MRSA decolonization therapy to the medical
practitioner. Results. @nbsp; Eight cases of invasive
MRSA infection were identified. Seven cases occurred
as a cluster in May 2004; another case (identified
retrospectively) occurred approximately 15 months
earlier in February 2003. The primary sites of infection
were the neck, shoulder, lower back, and hip: 5 patients
had septic arthritis and bursitis, and 3 had pyomyositis;
3 patients had bacteremia, including 1 patient with
possible endocarditis. The medical practitioner was
found to be colonized with the same MRSA clone
[ST22-MRSA-IV (EMRSA-15)] at 2 time points: shortly
after the first case of infection in March 2003 and again
in May 2004. After the medical practitioner's premises
and practices were audited and he himself received
MRSA decolonization therapy, no further cases were
identified. Conclusions. @nbsp; This outbreak most
likely resulted from a breakdown in sterile technique
during percutaneous needle procedures, resulting in the
transmission of MRSA from the medical practitioner to
the patients. This report demonstrates the importance
of surveillance and molecular typing in the identification
and control of outbreaks of
864- gera: 150459/di/re
PNEUMOTHORAX AND PLEURAL EMPYEMA
AFTER ACUPUNCTURE. RICHTER JC, KAMALI W,
O'CONNOR P. intern med j. 2008;38(8):678-80 (eng).
865- gera: 150573/di/ra
TECHNICAL TRAINING TO PREVENT MEDICAL
ACCIDENTS CAUSED BY DEEP ACUPUNCTURE
STICKING. SAITO TAKAO, WATANABE YOSHIKO,
HAYASHI SHINJI, OGAWA HIROO, ISHIKAWA
SHINTARO. journal of the japan society of
acupuncture and moxibustion. 2008;58(4):69 (jap).
[Objective] It is important for students to learn in school
76
education how to prevent medical accidents caused by
deep insertion of a needle. Also, it is essential in safe
acupuncture treatment that students are always
reminded there are individual variations in
subcutaneous structure and to confirm the position of
the needle tip in the subcutaneous tissue. To recognize
the acupuncture needle tip, muscle twitch induced by
electrical stimulation through the acupuncture needle tip
was felt with fingers of training students. [Methods] To
prevent accidental pneumothorax, acupuncture training
was performed in the upper and lower extremities. After
the class, we conducted a questionnaire investigation
with the students. 1-[Result] As the result, students
realized that the position of 'the needle tip which they
assumed is different from the real position in
subcutaneous tissue.[Discussion] Without knowing the
precise position of the acupuncture needle tip, a
desirable effect is not provided, and furthermore, a
medical accident may be caused. It is important to
confirm the position of the acupuncture needle tip with
consideration to individual variation for safe and
effective acupuncture treatment. [Conclusion] We
concluded that the skill to prick and insert the
acupuncture needle to the correct position is so
important in preventing medical accidents that training
to learn correct needle tip position should be given in
866- gera: 151032/di/ra
INVESTIGATING THE SAFETY OF
ELECTROACUPUNCTURE WITH A PICOSCOPE.
THOMPSON JW, CUMMINGS M. acupuncture in
medicine. 2008;26(3):133-9 (eng).
Our wish to know more about the paths taken by
electrical currents in electroacupuncture (EA) with
special reference to the heart, particularly in patients
with an implanted pacemaker, prompted us to
undertake this study. Using ourselves as subjects, we
have developed a safe oscillographic method to detect,
visualise and record the EA currents that avoids the use
of equipment requiring mains electricity. After two trials
with unsatisfactory equipment, we found that the newly
developed model 3425 PicoScopeTM (Pico Technology
Ltd), with a four channel differential amplifier input
connected to a laptop PC operating in battery mode,
satisfied our criteria. With this recording system, we
carried out two sets of experiments in which EA was
provided by a Cefar acus4TM stimulator. The results
confirm that the placement of a pair of acupuncture
needles for EA can be used to predict the paths taken
by the stimulating currents, and thus their areas of likely
influence. When the needles are placed in closely
adjacent acupuncture points in a limb, there is little or
no detectable spread of the currents along the limb or
into the chest. By contrast, when the needles are
placed far apart, the electrical currents spread widely.
Thus, when each of a pair of needles is placed in a
point on opposite arms, the electrical currents recorded
in the area of the pectoral muscles is of an order that
might trigger an abnormal cardiac rhythm in a
susceptible heart or activate a cardiac pacemaker
incorporating an intracardiac defibrillator (ICD). Our
results confirm the guidelines for EA safe practice
recommended by the British Medical Acupuncture
Society (BMAS) to avoid adverse events, ie EA should
not be applied such that the current is likely to traverse
the heart. We can now be confident that electric fields
generated by pairs of needles below the knee or elbow
do not create detectable currents in the chest. It is likely
that similar results would be obtained with the use of
transcutaneous electrical nerve stimulation (TENS) but
this remains to be established by additional
experiments.
867- gera: 151040/di/ra
ACUPUNCTURE INDUCED PNEUMOTHORAX - A
CASE REPORT. JUSS JK, SPEED CA,
WARRINGTON J, MAHADEVA R. acupuncture in
medicine. 2008;26(3):193-6 (eng).
We report a significant complication of acupuncture in a
50 year old woman who developed a pneumothorax
shortly after receiving acupuncture needling to her
scapulothoracic region in a lateral oblique direction. As
acupuncture is increasingly being used in pain
management, physicians need to be aware of its
potential adverse effects. We discuss issues relating to
appropriate counselling of patients receiving this form of
therapy. The inner Bladder line should be needled
obliquely towards the spine.
868- gera: 151205/di/ra
POSSIBLE RISKS OF TRANSMISSION OF
BLOODBORNE INFECTION VIA ACUPUNCTURE
NEEDLES IN GUIZHOU PROVINCE, SOUTHWEST
CHINA. REYNOLDS L, MCKEE M. journal of
2008;14(10):1281-5. (eng).
BACKGROUND: Acupuncture is in widespread use in
China, a country where the prevalence of infection with
hepatitis B (HBV) is high and that of other bloodborne
viruses is growing. Policies to reduce iatrogenic
transmission have so far focused on injections,
overlooking the risks connected with acupuncture.
OBJECTIVE: To assess knowledge, attitudes, and
practice relevant to the potential iatrogenic transmission
of bloodborne viruses in Guizhou province, southwest
China. MATERIALS AND METHODS: Semi-structured
interviews and focus groups were conducted (in 2005)
with 80 health care workers, patients, and other key
informants in health facilities at provincial, county, and
village levels. RESULTS: In village clinics, reusable
acupuncture needles were disinfected with alcohol
rather than being sterilized, because of concerns that
sterilization might blunt the needles. Sterilization of
equipment by acupuncturists in the informal sector may
be inadequate, but official monitoring of their practice
appears not to be taking place. Acupuncturists working
in hospitals are not included in formal training on
bloodborne diseases and do not routinely receive HBV
immunization. Some health workers lack clear
understanding of asymptomatic infections.
CONCLUSION: Policy on iatrogenic transmission of
bloodborne viruses in China needs to place a greater
emphasis on safe acupuncture, taking account of
prevailing beliefs that may lead to hazardous practices,
while enforcing safe procedures.
869- gera: 151208/di/ra
PNEUMORETROPERITONEUM FOLLOWING
ACUPUNCTURE. HWANG JK, KIM J, LEE BJ, PARK
JJ, KIM JS, BAK YT. journal of alternative and
complementary medicine. 2008;14(10):1299-301
(eng).
Pneumoretroperitoneum is a rare event. It can be
associated with infection, trauma, and medical
interventions such as endoscopic procedures.
Acupuncture is generally regarded as a safe procedure,
yet cases of iatrogenic complications related with
acupuncture have been reported. This report describes
a case of pneumoretroperitoneum that developed after
acupuncture. A 25-year-old female patient had been
77
treated with acupuncture for her low back pain. Fever
and right flank pain developed thereafter. Abdominal
plain radiography and computed tomography (CT)
disclosed retroperitoneal air along the right psoas
muscle. After treatment with antibiotics and analgesics
for a week, she was transferred to our hospital. The
pneumoretroperitoneum disappeared on the follow-up
abdominal CT. This is the first report of
pneumoretroperitoneum following acupuncture.
870- gera: 152713/di/ra
SAFETY OF ACUPUNCTURE PRACTICE IN JAPAN:
PATIENT REACTIONS, THERAPIST NEGLIGENCE
AND ERROR REDUCTION STRATEGIES. HITOSHI
YAMASHITA AND HIROSHI TSUKAYAMA. evid based
complement alternat med. 2008;5(4):391-398 (eng).
Evidence-based approach on the safety of acupuncture
had been lagging behind both in the West and the East,
but reliable data based on some prospective surveys
were published after the late 1990s. In the present
article, we, focusing on ‘Japanese acupuncture’, review
relevant case reports and prospective surveys on
adverse events in Japan, assess the safety of
acupuncture practice in this country, and suggest a
strategy for reducing the therapists’ error. Based on the
prospective surveys, it seems reasonable to suppose
that serious adverse events are rare in standard
practice by adequately trained acupuncturists,
regardless of countries or modes of practice. Almost all
of adverse reactions commonly seen in acupuncture
practice—such as fatigue, drowsiness, aggravation,
minor bleeding, pain on insertion and subcutaneous
hemorrhage—are mild and transient, although we
should be cautious of secondary injury following
drowsiness and needle fainting. After demonstrating
that acupuncture is inherently safe, we have been
focusing on how to reduce the risk of negligence in
Japan, as well as educating acupuncturists more about
safe depth of insertion and infection control. Incident
reporting and feedback system is a useful strategy for
reducing therapist errors such as forgotten needles. For
the benefit of acupuncture patients in Japan, it is
important to establish mandatory postgraduate clinical
training and continued education system.
871- gera: 152720/di/re
SPINAL EPIDURAL ABSCESS ASSOCIATED WITH
MOXIBUSTION-RELATED INFECTION OF THE
FINGER. KYUNG WHAN LEE, SOO JEONG HAN,
DONG JUN KIM, AND MEE JIN LEE. j spinal cord
med. 2008;31(3):319-323 (eng).
Objective: To describe a spinal epidural abscess that
originated from cellulitis after moxibustion. Methods:
Case report. Findings: A 78-year-old woman with
diabetes mellitus was diagnosed with tetraplegia due to
a cervical spinal epidural abscess extending to the
thoracic spinal epidural space. The abscess was
caused by osteomyelitis and cellulitis of the right third
finger, which had been cauterized repeatedly with
moxa. After surgical decompression and drainage of the
spinal epidural abscess and comprehensive
rehabilitation, motor strength and functional level
improved. Conclusions: This case illustrates the risk of
spinal epidural abscess in persons with diabetes
mellitus who present with focal cellulitis and
osteomyelitis.
872- gera: 153125/nd/re
ISOLATED MEDIAN SENSORY NEUROPATHY
AFTER ACUPUNCTURE. LEE CH, HYUN JK, LEE SJ.
arch phys med rehabil. 2008;89(12):2379-81 (eng).
A 47-year-old left-handed man presented with pain and
numbness in his left thumb and index finger after
acupuncture treatment on an acupoint in his left wrist. A
technique of herbal acupuncture, involving the use of a
needle coated with apricot seed extract, was used.
Median nerve conduction study showed an absence of
sensory nerve action potential in the left index finger,
whereas the results were normal in all other fingers.
The radial and ulnar nerves in the left thumb and ring
finger, respectively, showed no abnormality. Infrared
thermography of the left index finger showed severe
hypothermia. The patient was diagnosed as having an
isolated injury to the sensory nerve fibers of the median
nerve innervating the index finger. This is the first case
report of complications from an herbal acupuncture
treatment, and it highlights the possibility of focal
peripheral nerve injury caused by
873- gera: 153126/nd/re
CLINICAL IMAGE: GOLD THREAD ACUPUNCTURE,
A HEDGEHOG-LIKE APPEARANCE. PARK KS,
SOHN TS, SON HS, CHO CS, KIM HY. arthritis
rheum. 2008;58(12):3669 (eng).
874- gera: 153140/nd/re
[DISSOCIATED SENSORY LOSS CAUSED BY
ACUPUNCTURE INJURY TO THE CERVICAL
SPINAL CORD]. ONDA K, HONDA H, ARAI H,
UCHIYAMA S. brain nerve. 2008;60(10):1187-90 (jap).
A 31-year-old woman developed dissociated sensory
loss below the right C-3 dermatome within an hour after
acupuncture therapy for the left posterior neck pain.
Moxa has been applied on the top of the acupuncture
needle: Moxa needle. T2-weighted MR images on the
following day showed a high-signal cord lesion at the
C1/2 level on the left. After 10 days, the MRI lesion
became clear; it involved the left lateral spinothalamic
tract and the lateral corticospinal tract; however, her
muscle strength and deep tendon reflexes were normal.
The C1/2 focus reduced slightly 2 months after the
accident, and the sensory impairment was localized
below the Th7 dermatome. It was suggested that the
cervical cord lesion was caused by the direct insertion
of and thermal injury by the Moxa needle.
875- gera: 153157/nd/re
TWO CASES OF FACTITIAL PANNICULITIS
INDUCED BY ELECTROACUPUNCTURE. JEONG
KH, LEE MH. clin exp dermatol. 2008;DEC: (eng).
Factitial panniculitis can be produced by mechanical,
physical, or chemical means. It often causes an unusual
clinical and histological feature that defies diagnosis
until self-inoculation or mechanical trauma is suspected
and proved. Acupuncture has been used in East Asia
for centuries as a method of treatment for various
conditions, especially for pain relief, and is known to be
a relatively safe system. The needles are often
manipulated by hand once they are placed at the
acupuncture points. Electroacupuncture, the application
of pulsating electrical current to acupuncture needles,
was developed in China as an extension of hand
manipulation, and produces continuous and stronger
stimulation; however, although this may provide more
effective treatment, it may also provoke more
mechanical trauma. We report two cases of factitial
panniculitis in two young women, who presented with
multiple
876- gera: 153175/nd/re
78
POTT'S PUFFY TUMOR AFTER ACUPUNCTURE
THERAPY. WU CT, HUANG JL, HSIA SH, LEE HY,
LIN JJ. eur j pediatr. 2008;DEC: (eng).
We report a case of Pott's puffy tumor (PPT) with
Pseudomonas infection occurring after acupuncture
therapy in a ventilator-dependent child. Acupuncture
use has been growing during the past decade in the
whole world. Infectious complications range from
benign to lethal. PPT is a subperiosteal abscess of the
frontal bone associated with underlying osteomyelitis. It
presents as a localised swelling of the forehead. This
paper describes a 12-year- old girl with PPT. To our
knowledge, this is the first case report of PTT caused
by acupuncture therapy.
877- gera: 153189/di/ra
THE BIOLOGICAL SAFETY OF STAINLESS STEEL
NEEDLES USED IN WARM-NEEDLING. LIM S, LEE
S, YI SH, SON YS, CHOI SM, KIM YK. evid based
complement alternat med. 2008;DEC: (eng).
Warm-needling (also called thermo-acupuncture) is a
combination of acupuncture and moxibustion. Due to
the intense heat involved, there have been concerns
over the biological safety of the acuneedles used in the
treatment. This paper reports two phases of a safety
test. For a preliminary test, we compared the
temperature change patterns of stainless steel (SS304)
needles and traditional gold alloy needles, which have
been increasingly replaced by the former. To verify the
effects of the presence of coating materials, the main
test involved three different kinds of SS304: siliconecoated, salicylic acid-coated and non-coated needles.
Each group of needles was tested for pH level, heavy
metals and UV absorbance spectrum along with
biological tests on the cytotoxicity and hemolysis of the
needle. All the tests on the extractants from the needles
were negative. In the biological tests, each test result
showed a significant difference from the positive control
samples, while no significant difference was observed
compared with the negative control samples. In the
hemolysis tests, all samples satisfied the Korean
Government Standards. All the results suggest that
SS304 needles are biologically safe to be used in
warm-needling, though they can be improved to
perform as well as the gold alloy needles in terms of
temperature fluctuations.
878- gera: 152460/di/ra
TREATMENT OF PNEUMOTHORAX FOLLOWING
ACUPUNCTURE: IS A CLOSED THORACOSTOMY
NECESSARY FOR A FIRST CHOICE OF
TREATMENT MODALITY. KIM E-S, KANG J-Y, PYO
C-H, RHEE G-W. journal of alternative and
Background: Acupuncture is currently the most popular
of all forms of complementary and alternative medicine,
and acupuncture is not dangerous in the hands of a
trained practitioner. However, complications of
acupuncture including pneumothorax have been
reported. Objectives: Despite the use of fine needles in
acupuncture, the lung-collapsed degree of acupuncture
pneumothorax is relatively high. In general, the
treatment modality of acupuncture pneumothorax is
closed thoracostomy with a chest tube of larger
diameter. However, the treatment of acupuncture
pneumothorax frequently faces controversy concerning
the necessity of a standard chest drain insertion.
Design: This was a retrospective study from March
1994 to February 2004. Subjects: Nine (9) patients
were admitted due to pneumothorax following
acupuncture from March 1994 to February 2004 in
Hanil General Hospital, KEPCO Medical Foundation
(Seoul, Republic of Korea). Results: Five (5) patients
had a moderate degree of pneumothoraces, while 4
patients had a severe degree of pneumothoraces. Four
(4) patients were treated by closed thoracostomy with a
standard chest drain and the other four patients were
treated by the percutaneous chest drainage with a
narrow-bore central venous catheter. One (1) patient
with a mild degree of pneumothorax was treated only by
nasal oxygen inhalation. One (1) patient was treated by
video-assisted thoracic surgery after the closed
thoracostomy due to continuous air leak. Conclusions:
We treated the acupuncture pneumothorax by making a
choice between the closed thoracostomy and the
percutaneous chest drainage based on a smoking
history and chest radiographic findings. In the absence
of smoking history and pulmonary emphysema or
bullae, we got favorable results, not by the closed
thoracostomy but only by the percutaneous chest
drainage with a narrow-bore central venous catheter.
879- gera: 152658/nd/re
BILATERAL PSOAS ABSCESS FORMATION AFTER
ACUPUNCTURE. KUO CM, WU CK, LIEN WC. j
emerg med. 2009;APR 1: (eng).
880- gera: 152870/di/ra
[CLINICAL ANALYSIS ON 38 CASES OF
PNEUMOTHORAX INDUCED BY ACUPUNCTURE
OR ACUPOINT INJECTION]. ZHAO DY, ZHANG GL..
2009;29(3):239-42 (chi).
To probe into the mechanism of pneumothorax caused
by acupuncture or acupoint injection and the preventive
methods. METHODS: Retrospectively analyze the
clinical original symptoms of 38 cases with
pneumothorax caused by acupuncture and acupoint
injection, which were divided into four clinical types:
dyspnea type, shock type, thoracalgia type and tardy
type. Illustrate the relation of the clinical types with
severe degrees of pneumothorax, and the mechanism
of pneumothorax inducing death of the patient.
RESULTS: In the series there were 38 cases with
pneumothorax induced by acupuncture or acupoint
injection, including 4 cases of dyspnea type, 16 cases
of shock type, 14 cases of thoracalgia type, 4 cases of
tardy type. After proper treatment, 37 cases were cured
and one case of dyspnea type died of tension
pneumothorax. CONCLUSION: The mechanism of
pneumothorax caused by acupuncture or acupoint
injection is that due to the filiform needle tip or the
syringe's needle tip inserting into the lung tissue at the
patient's respiration in acupuncture or acupoint
injection, the filiform needle tip or the syringe's needle
tip lacerates the lung tissue. Air in alveolus goes into
the thorax pleura cavity to form pneumothorax. In
acupuncture or acupoint injection, the needle tip must
not insert into the lung tissue, which is a key for
prevention of pneumothorax.
881- gera: 153048/di/re
ULCERS RELATED TO ACUPUNCTURE AND
TRADITIONAL CHINESE MEDICINE: A CASE
SERIES AND REVIEW OF THE LITERATURE. TEO
LH, TANG MB, TAN AW, TAN HH, NG SK. arch
dermatol. 2009;145(4):490-2 (eng).
882- gera: 153171/nd/re
FIRST REPORT OF METHICILLIN-RESISTANT
79
STAPHYLOCOCCUS AUREUS SEPTIC ARTHRITIS
COMPLICATING ACUPUNCTURE: SIMPLE
PROCEDURE RESULTING IN MOST DEVASTATING
OUTCOME. WOO PC, LAU SK, YUEN KY. diagn
microbiol infect dis. 2009;63(1):92-5 (eng).
We report the 1st case of methicillin-resistant
Staphylococcus aureus (MRSA) septic arthritis after
acupuncture, with articular cartilage destruction and
chronic osteomyelitis. The patient responded to
arthrotomy, synovectomy, and 6 months of antibiotics.
The emergence of community-associated MRSA
infections would further aggravate the problem. Strict
adherence to proper infection control guidelines is
mandatory.
883- gera: 153284/di/ra
POLYARTICULAR SEPTIC ARTHRITIS WITH
BILATERAL PSOAS ABSCESSES FOLLOWING
ACUPUNCTURE. OGASAWARA M, ODA K, YAMAJI
K, TAKASAKI Y. acupunct med. 2009;27(2):81-2
(eng).
We report a case of polyarticular septic arthritis with
bilateral psoas abscesses. A 50-year-old woman was
admitted with fever, multiple joint swelling and pain. She
had a clinical history of acupuncture therapy for
treatment of her chronic lower back pain two days
before the appearance of her symptoms. Methicillinsensitive Staphylococcus aureus was isolated from
blood culture, knee joint fluids and psoas abscess. After
a long course of antibiotics for 70 days together with
drainage of the abscess, the condition completely
resolved. The acupuncture is the probable cause of the
infection, and this case report reveals the importance of
asking about a clinical history of acupuncture treatment
and of making repeated bacterial examinations in
undiagnosed polyarthritis patients.
884- gera: 153294/di/ra
PSOAS ABSCESS AND ACUPUNCTURE. WHITE A,
CUMMINGS M. acupunct med. 2009;27(2):48-9 (eng).
885- gera: 153673/nd/re
AN OUTBREAK OF SKIN AND SOFT TISSUE
INFECTION CAUSED BY MYCOBACTERIUM
ABSCESSUS FOLLOWING ACUPUNCTURE. KOH
SJ, SONG T, KANG YA, CHOI JW, CHANG KJ, CHU
CS, JEONG JG, LEE JY, SONG MK, SUNG HY, KANG
YH, YIM JJ. clin microbiol infect. 2009;AUG 20: (eng).
Although outbreaks of Mycobacterium abscessus
infection have been reported, none of these reports
have identified the potential sources of infection and
modes of transmission. In April 2008, we identified and
investigated an outbreak of M. abscessus skin and soft
tissue infections following acupuncture among the
patients who visited an oriental medical clinic. Active
surveillance of patients who had visited the clinic was
conducted to define the extent of the outbreak.
Environmental cultures and a case-control study were
performed to elucidate the source of infection and mode
of transmission. From 1,002 patients interviewed, 109
patients were identified to have suffered M. abscessus
skin and soft tissue infections at acupuncture sites. A
single strain of M. abscessus was isolated from the
wounds of 31 patients and nine environmental samples,
including a diluted glutaraldehyde solution. The casecontrol study revealed that a higher numbers of visits to
the clinic for acupuncture (aOR, 20.12; 95% CI 4.3493.35) and the use of interferential current therapy or
low-frequency therapy (aOR, 36.12; 95% CI, 5.54235.44) were associated with the development of
80
M.abscessus infection. The contaminated diluted
glutaraldehyde solution that was used to disinfect the
physical therapy devices may have been the source of
the outbreak of M. abscessus infection in 109 patients
who underwent acupuncture.
886- gera: 153734/di/ra
ACUPUNCTURE: COMPLICATIONS ARE
PREVENTABLE NOT ADVERSE EVENTS. LEUNG
PC, ZHANG L, CHENG KF. chin j integr med.
2009;15(3):229-32 (eng).
If adverse effects are understood as "something that
happened unexpectedly" while receiving drug
treatment, there is no difference between adverse
effects and complications. However, acupuncture is a
process different from the use of drugs. While
acupuncture procedures should not be taken for
granted as safe, complications causing harm are
usually, according to the authors, the result of
negligence, and should be differentiated from other
adverse effects. Harmful complications noted consisted
of bleeding and damage to the tissues and organs
under the puncture sites. Adverse effects consisted of
symptomatology like fainting and other systemic
disturbances difficult to explain. In a study of
acupuncture complications and adverse effects in 2000
procedures conducted by experienced professional
acupuncturists in a research institution, it was found
that complications did not occur, and adverse events
happened infrequently. Attempts were made to explain
the causes of adverse effects. Now that acupuncture is
being widely incorporated into medical practice, a good
understanding of adverse effects and
Index des auteurs
ABBOT NC ET AL¤ 420 , 451 ,
ABUMI K ET AL¤ 425 ,
AIKAWA T, KOJIMA M¤ 748 ,
AKIYOSHI F ET AL¤ 505 , 519 ,
ALANI RM, BUSAM K¤ 608 ,
ALEXANDER P ET AL¤ 34 ,
ALEXIS J¤ 239 ,
ALLISONS G ET AL¤ 47 ,
ALTER MJ¤ 522 ,
AMTER F¤ 147 ,
AN XIULING ET AL¤ 490 ,
AN Y, XIAO YB, ZHONG QJ¤ 840 ,
ANDERSON DW, DATTA M¤ 827 ,
ANH NT¤ 62 ,
APALOO F¤ 414 ,
APTE-KAKADE S¤ 424 ,
ARA M, DE SANTAMARIA CS, ZABALLOS P, YUS C,
LEZCA¤ 682 ,
ARBISI A, PANPANICH R¤ 858 ,
ARIE E¤ 167 ,
ASANO K¤ 12 ,
ASNES RS ET AL¤ 121 ,
ASO Y ET AL¤ 82 ,
AVERILL A ET AL¤ 574 ,
BACKINGER C¤ 272 ,
BAEK SY ET AL¤ 328 ,
BALASEKARAN R ET AL¤ 507 ,
BALDRY P ¤ 347 ,
BALDWIN OF BEWDLEY E¤ 441 ,
BALTIMORE RS ET AL¤ 56 ,
BAO XIANG-YANG¤ 409 ,
BARRATT S, STEER H, ONYIRIOHA T¤ 849 ,
BARROCAS A¤ 51 ,
BARRY WALSH¤ 652 ,
BATISSE C¤ 212 ,
BECKE H¤ 251 , 288 ,
BEHRSTOCK BB ET AL¤ 30 ,
BENN JM¤ 154 ,
BENSOUSSAN A¤ 602 , 663 , 665 ,
BENSOUSSAN A ET AL¤ 573 ,
BENSSOUSSAN A¤ 563 ,
BERGQVIST D¤ 861 ,
BERGQVIST D ET AL¤ 475 ,
BERRY RG ET AL¤ 348 ,
BIRCH S, HESSELINK JK, ET AL¤ 758 ,
BLANCHARD B¤ 322 ,
BLANCO G¤ 66 ,
BODNER G ET AL¤ 138 ,
BOMBIN J¤ 112 ,
BORK K¤ 143 ,
BOUWMAN R ET AL¤ 361 ,
BOXALL EH¤ 76 ,
BRADBURY A, BOTANCOR J, WHITE A¤ 818 ,
BRATTBERG G¤ 211 ,
BRAVERMAN SE¤ 495 ,
BRESLER DE ET AL¤ 50 ,
BRETTEL HF¤ 113 ,
BROUSSE E ET AL¤ 555 ,
BRUGUERA M ET AL¤ 53 ,
BUCHTA RM¤ 18 ,
BUI A ET NGUYEN J¤ 699 ,
BUI VAN THO,¤ 661 ,
BURDON DW¤ 155 ,
BURFORD-MASON A¤ 688 ,
CAMPBELL AE¤ 129 ,
CANDELA BLANES A ET AL¤ 396 ,
CANTAN R ET AL¤ 674 ,
81
CANTONI G¤ 15 ,
CARDINI F ET AL¤ 517 ,
CARETTE MF ET AL¤ 160 ,
CARRON H ET AL¤ 37 ,
CASTELAIN M ET AL¤ 221 ,
CASTERA P ET AL¤ 455 ,
CEREZAL GARRIDO LJ ET AL¤ 360 ,
CHANG ET, LIN SY, SUE E, BERGIN M, SU J, SO
SKS¤ 850 ,
CHANG SA, KIM YJ, SOHN DW, PARK YB, CHOI YS¤
777 ,
CHAU N¤ 809 ,
CHAU TN,LAI ST,YUEN H¤ 461 ,
CHAUFFE RJ, DUSKIN AL¤ 819 ,
CHEN CY ET AL¤ 437 ,
CHEN FP ET AL¤ 286 ,
CHEN GS ET AL¤ 55 ,
CHEN JC, CHEN Y, LIN SM, YANG HJ, SU CF,
TSENG SH¤ 792 ,
CHEN KE-QIN¤ 465 ,
CHEN MH, CHEN MH, HUANG JS¤ 734 ,
CHEN Y, WU BH, XIE YC, ZHANG WG, QUE QH,
TANG XH, DONG WG, ZHANG 789 ,
CHEN YI GUO¤ 717 ,
CHENG SP, LIU CL¤ 769 ,
CHENG TO¤ 156 , 194 , 269 , 744 ,
CHIN SP¤ 63 ,
CHISAGNE W ET AL¤ 463 ,
CHIU ES ET AL¤ 384 ,
CHO YP, JANG HJ, KIM JS, KIM YH, HAN MS, LEE
SG¤ 685 ,
CHONG VH, YAAKUB AB¤ 837 ,
CHOO DC ET AL¤ 550 ,
CHUN C¤ 99 ,
CHUNG A, BUI L, MILLS E¤ 681 ,
CHUNG C¤ 101 ,
CLEMENT P¤ 660 ,
CLEMENT P, CASTERA P¤ 813 ,
COMMITTEE FOR SAFARY OF ACUPUNCTURE,
JSAM¤ 664 ,
CONDE-SALAZAR MA ET AL¤ 315 ,
CONN HO¤ 241 ,
CORBETT M ET AL¤ 36 ,
CRANE PS¤ 60 ,
CRICENTI SERAFIM VINCENZO¤ 421 ,
CUI MENG¤ 382 ,
CUMMINGS TM¤ 601 , 662 ,
DAHLQVIST A ET AL¤ 226 ,
DAIVAJNA S, JONES A, O'MALLEY M, MEHDIAN H¤
755 ,
DAIYI TANG¤ 852 ,
DALE RA¤ 443 ,
DANIEL SCHULMAN¤ 725 ,
Dann TC¤ 16 ,
D'ASSUMPCAO EA¤ 249 ,
DAVIS O ET AL¤ 195 ,
DAY A, KINGSBURY-SMITH R¤ 754 ,
DE BILDERLING G¤ 164 ,
DE GALOCSY C ET AL¤ 130 ,
DE GROOT M¤ 609 ,
DE ORY MANCHON F ET AL¤ 589 ,
DE REYNAL B¤ 104 ,
DEADMAN P, COX S,WAGER K¤ 787 ,
DEGA H ET AL¤ 577 ,
DEHARO D ET AL¤ 336 ,
DENKLER K¤ 605 ,
DESPLANQUES T¤ 102 , 115 ,
DEVOUASSOUX G ET AL¤ 368 ,
DINOUART-JATTEAU P¤ 321 ,
DOMINGUEZ A ET AL¤ 188 ,
DONG JIANGTAO¤ 327 ,
DRAGO F ET AL¤ 404 , 530 ,
DRAKE TE¤ 28 ,
DU HUI¤ 771 ,
DUMORTIER P¤ 182 ,
DUNG HC¤ 228 ,
DURAND GORRY G¤ 137 ,
DWIVEDI SK ET AL¤ 323 ,
EFTEKHAR B, KETABCHI E, GHODSI M, ESMAEELI
B¤ 782 ,
EGAWA MASATO ET AL¤ 582 ,
ELMAR PEUKER DIETRICH GRONEMEYER¤ 651 ,
ELMAR PEUKER, DIETRICH GRONEMEYER¤ 657 ,
ENDRES HG, MOLSBERGER A, LUNGENHAUSEN M,
TRAMPISCH HJ¤ 746 ,
ENGEL WK ET AL¤ 26 ,
ERENGUL A¤ 317 ,
ERIKSSON M ET AL¤ 73 ,
ERNST E¤ 383 , 453 , 474 , 564 , 593 ,
ERNST E ET AL¤ 431 , 432 , 480 , 510 , 539 , 591 ,
ERNST E, SHERMAN KJ¤ 684 ,
ERNST G ¤ 364 ,
ERNST G, STRZYZ H, HAGMEISTER H¤ 677 , 714 ,
ESCUELA NEIJING¤ 300 ,
EUN HC¤ 117 ,
EVANS P¤ 629 ,
FAN QU, JUE ZHOU AND BAOZHANG MA¤ 767 ,
FAN QU, LICHUN PAN AND ZHANG MINGJING¤ 802 ,
FAN QU, LICHUN PAN,ZHANG MINGJING¤ 805 ,
FANG JILIANG ET AL¤ 568 , 569 ,
FELDMAN KW¤ 176 ,
FENG HECHANG ET AL¤ 491 ,
FIGAR S ET AL¤ 9 ,
FILSHIE J¤ 654 ,
FISHER AA¤ 74 , 210 ,
FISHER EJ, GLOSTER JR HM¤ 775 ,
Fleming DR et al¤ 460 ,
FOKIN AA¤ 571 ,
FRASER RM¤ 39 , 40 ,
FRAUX G, STEPHAN JM¤ 695 ,
FUJIWARA H ET AL¤ 97 ,
FUJIWARA T ET AL¤ 362 ,
FUKUDA K ET AL¤ 13 ,
G ERNST, H STRZYZ, H HAGMEISTER¤ 700 ,
GALUTEN A¤ 240 ,
GAO LUWEN¤ 285 ,
GAPONIUK PIA ET AL¤ 172 ,
GARCIA AA ET AL¤ 355 ,
GARCIA BENGOECHEA ET AL¤ 199 ,
GARNUSZEWSKI Z¤ 291 ,
GERARD PS ET AL¤ 344 , 386 ,
GILBERT JG¤ 230 ,
GLUCKMAN LK¤ 233 ,
GOLDEN SM ET AL¤ 69 ,
GORET O¤ 549 ,
GOTO N ET AL¤ 123 ,
GRALL G¤ 8 ,
GRANGE J¤ 289 ,
GRAY P¤ 415 ,
GRAY R ET AL¤ 302 ,
GREENWOOD MT¤ 743 ,
GROMB S¤ 537 ,
GRUSMOKOV VM¤ 116 ,
GUERIN JM ET AL¤ 238 ,
GUILLAUME G¤ 444 , 468 ,
GUL A, O'SULLIVAN ST¤ 781 ,
GULEN H, TUZUN F, AYHAN Y, ERBAY A, OZTURK
E, INAN S, VERGIN C¤ 794 ,
GUO CQ, CHEN YN¤ 838 ,
H GI ET AL¤ 372 ,
82
HA GY ET AL¤ 509 ,
HA KY, KIM YH¤ 690 ,
HADDEN WA ET AL¤ 127 ,
HAKER E¤ 470 ,
HALEY RW ET AL¤ 592 ,
HALVORSEN R¤ 512 ,
HALVORSEN TB ET AL¤ 385 ,
HAMA Y, KAJI T¤ 745 ,
HAMA YUKIHIRO , KAJI TATSUMI¤ 733 ,
HARTMANN G¤ 422 ,
HE BING-HUI¤ 350 ,
HE JUN, TANG QING-FEN, ZHUANG LI-XING ¤ 730 ,
HELMS J¤ 266 ,
HENNEGHIEN C ET AL¤ 163 ,
HICKS J ET AL¤ 440 ,
HIEJIMA M ET AL¤ 157 ,
HIROKO KOIZUMI ET AL¤ 273 ,
HIROSE K ET AL¤ 387 ,
HIROSHI I¤ 193 ,
HIROYUKI SUZUKI ET AL¤ 498 ,
HITOSHI YAMASHITA AND HIROSHI TSUKAYAMA¤
870 ,
HITOSHI YAMASHITA ET AL¤ 535 , 543 ,
HOFFMAN¤ 626 ,
HOFFMAN P¤ 653 ,
HON KL, LEUNG E, BURD DA, LEUNG AK¤ 847 ,
HU JINSHENG¤ 294 , 320 ,
HU KE¤ 701 ,
HU RUN-SHU¤ 467 ,
HUANG LONGXIANG¤ 234 ,
HUGH MACPHERSON, KATE THOMAS, STEPHEN
WALTERS,¤ 650 ,
HUSSAIN KK¤ 32 ,
HUSSON¤ 297 ,
HUSSON R¤ 181 , 263 ,
HUTIN Y, HAURI A, CHIARELLO L, CATLIN M,
STILWELL B, GHEBREHIWET T, 718 ,
HWANG JK, KIM J, LEE BJ, PARK JJ, KIM JS, BAK
YT¤ 869 ,
ILHAN A ET AL¤ 394 , 400 ,
IMRAY TJ ET AL¤ 45 ,
INOUE T, KATOH N, KISHIMOTO S¤ 776 ,
INSTITUTE OF ACUPUNCTURE¤ 133 ,
ISAAC V ET AL¤ 139 ,
ISHIBE M ET AL¤ 599 ,
ISRAELI E ¤ 392 ,
IWADATE K, ITO H, KATSUMURA S, MATSUYAMA N,
SATO¤ 686 ,
IWADATE KIMIHARU ET AL¤ 738 ,
IWANAMI H, ODAKA M, HIRATA K¤ 828 , 833 ,
IZATT E ET AL¤ 64 ,
IZUMI K, TAKIZAWA A, UDAGAWA K, MURAI T,
MURAI M¤ 860 ,
JACOBS GE¤ 253 ,
JALEH-PEUPION¤ 141 ,
JAMES R¤ 445 ,
JANSSENS LAA¤ 206 ,
JAUNG GENG LIN ET AL¤ 145 ,
JAUNG-GENG LIN¤ 428 ,
JAUNG-GENG LIN ET AL¤ 477 ,
JAWAHAR D ET AL¤ 506 ,
JEFFERYS DB ET AL¤ 140 ,
JENNER C ET AL¤ 634 ,
JEONG KH, LEE MH¤ 875 ,
JESCHKE E1, BUCHWALD D1, LÜKE C1, TABALI M1,
OSTERMANN T2, 832 ,
JI XIAO-PING¤ 410 ,
JIANG W, GONG C¤ 783 , 785 ,
JIXIAN ZHAO, MD AND BING JIE LIAO, MD ¤ 741 ,
JOHANSSON B¤ 619 , 671 ,
JONES KS¤ 483 ,
JONES RU ET AL¤ 103 ,
JORGENSEN VR ET AL¤ 597 ,
JOURET F¤ 488 ,
JUE ZHOU AND JIANLING LIU¤ 801 ,
JUE ZHOU,JIANLING LIU¤ 804 ,
JUNICHI HASEGAWA ET AL¤ 318 ,
JUSS JK, SPEED CA, WARRINGTON J, MAHADEVA
R¤ 867 ,
KAILIN DC¤ 520 ,
KAO CL, CHANG JP¤ 635 ,
KARMOCHKINE M, CARRAT F, DOS SANTOS O,
CACOUB P, RAGUIN G; THE 798 ,
KASAHARA YUKI ET AL ¤ 737 ,
KATAI SHUICHI¤ 697 ,
KATAI SHUICHI ET AL¤ 581 ,
KAWAMOTO H¤ 124 ,
KAWARITA K ET AL¤ 457 ,
KAYABA K ET AL¤ 481 ,
KAZUTOSHI YOKOGUSHI, MD ¤ 742 ,
KELLER WJ ET AL¤ 19 ,
KELSEY JH¤ 472 ,
KHOUBESSERIAN¤ 6 ,
KIDA Y ET AL¤ 242 ,
KIM DI, HUH SH, LEE BB, KIM DK, DO YS¤ 667 ,
KIM E-S, KANG J-Y, PYO C-H, RHEE G-W¤ 878 ,
KIM KJ ET AL¤ 637 ,
KIM PSY, HSU W¤ 762 ,
KIM YJ, KIM JY, CHOI BW, NAM JE, KIM TH, CHOE
KO¤ 820 ,
KIM YS ET AL¤ 369 ,
KIRCHGATTERER A ET AL¤ 570 ,
KIRSCHBAUM JO¤ 20 ,
KIRSCHENBAUM AE ET AL¤ 448 ,
KIYOSAWA K¤ 225 ,
KOBLER E, ET AL¤ 90 ,
KOGA K ET AL¤ 598 ,
KOH SJ, SONG T, KANG YA, CHOI JW, CHANG KJ,
CHU CS, JEONG JG, LEE 885 ,
KOIVISTO VA ET AL¤ 80 ,
KONDO A ET AL¤ 83 ,
KOTOH S ET AL¤ 354 ,
KR NEAL ET AL¤ 373 ,
KROHG-SORENSEN K ET AL¤ 365 ,
KROPP R, ET AL¤ 152 ,
KROSNAR S ET AL¤ 558 ,
KRUEGER HC¤ 177 ,
KUAN P ET AL¤ 209 ,
KUBIENA G ¤ 406 ,
KUIJPERS HJ, VAN DER HEIJDEN FM, TUINIER S,
VERHOEVEN¤ 823 ,
KUIPER JJ¤ 35 ,
KUNG YY, CHEN FP, HWANG SJ, HSIEH JC, LIN YY¤
765 ,
KUNO RC ET AL¤ 393 ,
KUO CM, WU CK, LIEN WC¤ 879 ,
KUSABA E ET AL¤ 89 ,
KYUNG WHAN LEE, SOO JEONG HAN, DONG JUN
KIM, AND MEE JIN LEE¤ 871 ,
LA BROOY EB¤ 10 ,
LAING AJ ET AL¤ 643 ,
LANDRY V¤ 94 ,
LAO L¤ 419 ,
LAPEER GL ET AL¤ 254 ,
LASHER LE, ELM JL, HOANG Q, NEKOMOTO TS,
CASHMAN TM, MILLER FD, 780 ,
LAU EW, BIRNIE DH, LEMERY R, TANG AS, GREEN
MS¤ 766 ,
LAU JY ET AL¤ 290 ,
LE HUA TY LIAO¤ 87 ,
83
LE PRESTRE C¤ 14 ,
LEAVY BR¤ 641 ,
LEE AY, EUN HC ET AL¤ 611 ,
LEE CH, HYUN JK, LEE SJ¤ 872 ,
LEE JS ET AL¤ 390 ,
LEE RJE ET AL¤ 189 ,
LEE S, LIM SH, KIM DK, JOO HC¤ 857 ,
LEE SY ET AL¤ 630 ,
LEE TL¤ 855 ,
LEE WM, LEUNG HB, WONG WC¤ 779 ,
LEGAT FJ ET AL¤ 486 ,
LEUNG CY ET AL¤ 134 ,
LEUNG JS¤ 639 ,
LEUNG PC, ZHANG L, CHENG KF¤ 886 ,
LEVY DS¤ 675 , 709 ,
LEWIS-DRIVER DJ¤ 24 ,
LEWITH GT AND WHITE P¤ 702 ,
LI CHANG-DU ET AL¤ 466 ,
LI CHUANJIE¤ 252 ,
LI FP ET AL¤ 93 ,
LI XL ¤ 370 ,
LI YING-SHI ¤ 618 ,
LIEFFERS MA, MOKKINK HG¤ 668 ,
LIM S, LEE S, YI SH, SON YS, CHOI SM, KIM YK¤ 877
,
LIM YJ, YONG FC, WONG CH¤ 799 ,
LIN F, CHOONG P¤ 676 , 708 ,
LIN JAUNG GENG ET AL¤ 306 ,
LIOU JT, LIU FC, HSIN ST, SUM DC, LUI PW¤ 824 ,
LIST T ET AL¤ 331 ,
LIU JIAN-JUN¤ 310 ,
LIU YINTAO ET AL¤ 214 ,
LOOK KM ET AL¤ 454 ,
LOONEY¤ 27 ,
LOPEZ-IZQUIERDO R, UDAONDO MA, ZARZOSA P,
GARCIA-RAMON E, 830 ,
LORD RV ET AL¤ 412 ,
LORD RVN ET AL¤ 542 ,
LU CHAO ET AL¤ 492 ,
LU HC¤ 81 ,
LY PEN D ET AL¤ 220 ,
LYTLE CD ET AL¤ 554 , 557 ,
LYU BS ET AL¤ 25 ,
MA LIANG-ZHI, SONG YAN-ZHUANG ¤ 731 ,
MA MENGCHANG¤ 513 ,
MA YING¤ 264 ,
MACPHERSON H¤ 504 , 508 , 527 , 534 ,
MACPHERSON H, SCULLION A, THOMAS K,
WALTERS S¤ 763 ,
MACPHERSON H, SCULLION A, THOMAS KJ,
WALTERS S¤ 749 ,
MacPherson H, Thomas K ET AL¤ 614 ,
MAJOR P¤ 131 ,
MAKIO NAKAMURA ET AL¤ 292 ,
MALAPERT¤ 5 ,
MALMROS H, WILANDER O, HERNER B¤ 3 ,
MANNING GL¤ 552 ,
MANSU S ET AL¤ 851 ,
MARCHUK IK¤ 271 ,
MARGOLIN A ET AL¤ 449 ,
MARTAILLE A¤ 231 ,
MATAIX J, BELINCHON I, BANULS J, PASTOR N,
BETLLOCH I¤ 796 ,
MATEO LAZARO ML ET AL¤ 357 ,
MATSUI S ET AL¤ 337 ,
MATSUMOTO T¤ 111 ,
MATSUMURA T ET AL¤ 329 ,
MATSUMURA Y ET AL¤ 473 ,
MATSUYAMA H ET AL¤ 471 ,
MAY B¤ 447 ,
MAYOR D¤ 632 ,
MAZAL DA ET AL¤ 96 ,
MCCARTHY JA, COVARRUBIAS B, SINK P¤ 352 ,
MCCARTNEY CJ ET AL¤ 521 ,
MCDANIELS A¤ 375 ,
MCINTYRE M ET AL¤ 418 ,
MCKEE D ET AL¤ 518 ,
MEIER PC, ROGERS C¤ 846 ,
MELCHART D¤ 610 ,
MELCHART D ET AL¤ 496 , 532 ,
MELCHART D, WEIDENHAMMER W, STRENG A,
REITMAYR S,¤ 720 ,
MEVEL JP¤ 284 ,
MI JINGHUA ET AL¤ 248 ,
MILSKY C ET AL¤ 267 ,
MORITZ CARNEIRO N ET AL¤ 388 ,
MORO AGUADO J ET AL¤ 192 ,
MORRONE N ET AL¤ 275 ,
MOZOYER J¤ 118 ,
MURATA K ET AL¤ 276 ,
MURRAY PI ET AL¤ 638 ,
MURRAY RJ, PEARSON JC, COOMBS GW,
FLEXMAN JP, GOLLEDGE CL, 863 ,
MUSSAT M¤ 265 ,
MYERS SP, CHERAS PA¤ 747 ,
NADIG SN ET AL¤ 562 ,
NAGASHIMA K ET AL¤ 343 ,
NAKANISHI N, MATSUO A, MATSUO K, SHIONO Y,
YAMAGUCHI S, 841 ,
NAKANO T, LU L, HE Y , FU Y, ROBERTSON BH,
PYBUS OG¤ 793 ,
NAMBIAR P, RATNATUNGA C¤ 612 ,
NAWATA N¤ 107 ,
NC ABBOT, AR WHITE, E ERNST¤ 426 ,
NEGRO FE ET AL¤ 68 ,
NEOH CHOO-AUN¤ 371 , 376 ,
NESBITT M¤ 511 ,
NEWMAN TURNER R¤ 257 ,
NGO Y, MAUGAT S, DUONG QT, NGUYEN TN,
ASTAGNEAU P¤ 829 ,
NGUYEN J¤ 136 , 142 , 144 , 168 , 179 , 250 , 458 ,
459 , 545 , 546 , 547 , 548 , 696 , 704 , 727 , 732 ,
NGUYEN VAN NGHI¤ 125 , 184 , 186 ,
NGUYEN VT, MCLAWS ML, DORE GJ¤ 836 ,
NIEDA S ET AL¤ 23 ,
NIGGEMANN B, GRUBER C¤ 680 , 706 , 711 ,
NOBUAKI OTSUKA ET AL¤ 299 ,
NOLLER BN, MYERS S, ABEGAZ B, SINGH MM,
KRONENBERG¤ 620 , 623 ,
NORHEIM AJ ¤ 359 , 417 ,
NORHEIM AJ ET AL¤ 389 , 403 , 529 ,
NORHEIM AJ, FONNEBO V¤ 427 ,
ODA HIROHISA¤ 646 ,
ODSBERG A ET AL¤ 588 , 595 ,
OGASAWARA M, ODA K, YAMAJI K, TAKASAKI Y¤
883 ,
OGATA M ET AL¤ 330 ,
OLUSANYA O ET AL¤ 438 ,
ONDA K, HONDA H, ARAI H, UCHIYAMA S¤ 874 ,
O'NEILL A ¤ 358 ,
ONIZUKA T ET AL¤ 485 ,
OOSTHUYSEN WT, ET AL¤ 91 ,
ORIGUCHI N ET AL¤ 575 ,
OZAKI T ET AL¤ 341 , 342 , 544 ,
OZAKI TOMOFUMI ¤ 715 ,
P ARBARELLO¤ 658 ,
PARK JH, SHIN HJ, CHOO SJ, SONG JK, KIM JJ¤ 774
,
PARK KS, SOHN TS, SON HS, CHO CS, KIM HY¤ 873
,
84
PARNEIX P¤ 536 ,
PEACHER WG¤ 46 ,
PEI YEMIN¤ 218 ,
PEN L¤ 207 ,
PEUKER E¤ 753 ,
PEUKER E, FILLER T¤ 751 ,
PEUKER ET ET AL¤ 452 , 524 , 565 ,
PHOON WO ET AL¤ 243 ,
PIALOUX G ET AL¤ 202 ,
PIERIK MG¤ 128 ,
PIGATTO PD, GUZZI G¤ 722 ,
POETINEN PJ¤ 86 ,
PRATT RJ ET AL¤ 764 ,
PUSCHEL K ET AL¤ 423 ,
QIANG WU, JEFFREY HUANG, HONG LIN, LIDIAN
CHEN, KAI LIU, XIANGBIN 800 , 803 ,
QIAO HAIFA¤ 607 , 625 , 645 ,
QIN LIANFU¤ 217 ,
RACKOFF EM, BENBENISTY KM, MAIZE JC, MAIZE
JC JR¤ 848 ,
RAFFI F¤ 256 ,
RAJANNA P¤ 150 ,
RAMPES H ET AL¤ 397 ,
RAPSON LM¤ 689 , 712 ,
RAU A¤ 201 ,
REINHART MA¤ 200 ,
REMPP C ET LA¤ 274 ,
REQUENA Y ET AL¤ 48 ,
REYNOLDS L, MCKEE M¤ 868 ,
RICHTER JC, KAMALI W, O'CONNOR P¤ 864 ,
RIEB MK¤ 628 ,
RITTER MG ET AL¤ 72 ,
ROGERS PAM¤ 108 , 183 ,
ROMAGUERA C ET AL¤ 92 , 105 ,
ROMAN E¤ 600 ,
ROMER A¤ 556 ,
ROSTED P ¤ 367 , 411 , 624 , 648 , 691 ,
ROUXEVILLE Y¤ 703 , 728 ,
ROUXEVILLE Y ET NGUYEN J¤ 694 ,
ROY JB¤ 38 ,
ROYLE J¤ 399 ,
RUBIN P¤ 65 ,
RYU HJ, KIM WJ, OH CH, SONG HJ¤ 778 ,
SADOWSKY M¤ 122 ,
Saifeldeen K, Evans M¤ 719 , 723 ,
SAITO TAKAO, WATANABE YOSHIKO, HAYASHI
SHINJI, OGAWA HIROO, 865 ,
SAKAI Y ET AL¤ 366 ,
SAMLERT H¤ 187 ,
SANDLER AP ET AL¤ 78 ,
SASAKI CT ET AL¤ 52 ,
SASAKI H ET AL¤ 171 ,
SASAKI Y ET AL¤ 405 ,
SATO M ET AL¤ 304 , 314 ,
SUGIYAMA H, TAKA¤ 683 , 713 ,
SAULSBURY FT ET AL¤ 198 ,
SAVAGE JONES H¤ 196 ,
SAW A, KWAN MK, SENGUPTA S¤ 724 ,
SAWALHA AF¤ 839 ,
SCHATZ CJ ET AL¤ 58 ,
SCHEEL O ¤ 363 ,
SCHEEL O ET AL¤ 305 , 316 , 338 ,
SCHEIDER G ET AL¤ 57 ,
SCHIFF AF¤ 11 ,
SCHMID E ET AL¤ 174 ,
SCHMITT A¤ 4 ,
SCHNEIDER LB¤ 166 ,
SCHNORRENBERGER C¤ 169 ,
SCHNORRENBERGER CC¤ 151 ,
SCHOTT GD¤ 162 ,
SEELEY EJ, CHAMBERS HF¤ 795 ,
SERFATY L¤ 502 ,
SERRES¤ 216 ,
SERRES G¤ 203 , 213 , 232 ,
SEYFFARTH H¤ 146 ,
SHAN HUAI-HAI ET AL¤ 260 ,
SHAN N ET AL¤ 633 ,
SHANAHAN¤ 190 ,
SHEFFIELD PR, JORGENSEN VR, BUNDGAARD M¤
679 , 687 , 705 ,
SHEN DIANJING ET AL¤ 604 ,
SHEN XI¤ 333 ,
SHEU CY ET AL¤ 332 ,
SHEUNG-MEI LAU ET AL¤ 484 ,
SHI XM, YANG ZM, QIAN HZ, QIAO XC, GAO JH,
ZHENG XW, WANG N¤ 814 ,
SHI ZHENG XIU¤ 165 ,
SHIINO M ET AL¤ 340 ,
SHIN HR ET AL¤ 631 ,
SHINBARA HISASHI ET AL ¤ 716 ,
SHIRAISHI S ET AL¤ 84 ,
SHU CHEN G¤ 85 ,
SICOT C¤ 353 , 374 , 402 , 429 , 469 , 514 , 578 ,
SILFEN E ET AL¤ 120 ,
SIM CB ET AL¤ 153 ,
SIMMONS R¤ 817 ,
SISCO V ET AL¤ 244 ,
SLATER PE ET AL¤ 245 ,
SMITH¤ 497 ,
SMITH DL ET AL¤ 205 ,
SMITH PF¤ 29 ,
SMYTH MJ¤ 835 ,
SOBEL E ET AL¤ 430 ,
SOHN RS¤ 596 ,
SONG GUOHUA, ET AL¤ 666 ,
SONG HONG-QUAN ET AL¤ 351 ,
SONG JY, SOHN JW, JEONG HW, CHEONG HJ, KIM
WJ, KIM MJ¤ 791 ,
SOO IL CHUN ET AL¤ 303 ,
SORE YANAGHIAN¤ 7 ,
SOUTHWORTH SR ET AL¤ 298 ,
SPELMAN DW ET AL¤ 346 ,
STACK BH¤ 49 ,
STANDISH LJ ET AL¤ 594 ,
STANEK L¤ 161 ,
STELLON A¤ 757 ,
STELLON AJ¤ 416 ,
STENBERG W ET AL¤ 180 ,
STEPHAN JM¤ 698 , 726 , 729 , 788 , 853 ,
STÉPHAN JM¤ 842 ,
STEPHAN JM, NGUYEN J¤ 810 , 811 , 812 , 854 ,
STEVEN E BRAVERMAN, MD¤ 740 ,
STRAUSS E¤ 590 ,
STREITBERGER K ET AL¤ 692 ,
STRYKER WS ET AL¤ 106 , 204 ,
STUDD RC, STEWART PJ¤ 721 ,
STUDDERT DM ET AL¤ 479 ,
SU JW, LIM CH, CHUA YL¤ 822 ,
SUI WAE¤ 41 , 42 , 43 , 44 ,
SULLIVAN JT ET AL¤ 67 ,
SUN CA ET AL¤ 515 ,
SUN KO¤ 640 ,
SUTTON CD, WHITE SA, EDWARDS R, LEWIS MH¤
538 ,
SUZUKI H ET AL¤ 345 ,
TAN MING¤ 693 ,
TANG A¤ 551 ,
TANG P, WALSH S, MURRAY C, ALTERMAN C,
VARIA M, BROUKHANSKI G, 808 ,
85
TANITA Y ET AL¤ 197 ,
TANWANDEE T, PIRATVISUTH T, PHORNPHUTKUL
K, MAIRIANG P, 821 ,
TARDIEU P¤ 295 ,
TEO LH, TANG MB, TAN AW, TAN HH, NG SK¤ 881 ,
TERRA RM, FERNANDEZ A, BAMMANN RH,
CASTRO AC, ISHY A, JUNQUEIRA 845 ,
TE-WEN CHANG¤ 33 ,
THOMPSON I¤ 395 ,
THOMPSON JW, CUMMINGS M¤ 866 ,
THYE K LEOW, MB¤ 773 ,
TIEN CH, HUANG GS, CHANG CC, CHANG DM, LAI
JH¤ 856 ,
TILLU A ET AL¤ 494 ,
TISSIER JF¤ 126 , 135 ,
TOMONAGA I ET AL¤ 158 ,
TORCY M¤ 71 , 227 ,
TOYOHIKO ISU ET AL¤ 185 ,
TRAUTERMAN HG¤ 109 ,
TRELLES MA ET AL¤ 149 ,
TRINH R ET AL¤ 70 , 79 ,
TSEUNG A¤ 191 ,
TSUJIIMOKO ET AL¤ 110 ,
TSUKAZAKI Y, INAGAKI T, YAMANOUCHI Y,
KAWAMOTO K, OKA N¤ 859 ,
TSUKERMAN IM¤ 17 ,
TSUNG O CHENG¤ 572 ,
TUKE J¤ 88 ,
TURNER RN¤ 296 ,
UDDIN J¤ 439 ,
UESHIMA Y ET AL¤ 356 ,
UEYAMA H ET AL¤ 54 ,
UHM MS, KIM YS, SUH SC, KIM I, RYU SH, LEE JW,
MOON JS¤ 768 ,
ULLOTH JE, HAINES SJ¤ 834 ,
UMEDA TAKASHI, ET AL¤ 621 , 647 , 672 ,
USICHENKO TI, DINSE M, PAVLOVIC D, LEHMANN
C¤ 797 ,
V SPINELLI ET AL¤ 659 ,
VALENTA J ET AL¤ 95 ,
VAN BENSCHOTEN MM¤ 442 ,
VAN DICK¤ 98 ,
VANEK E ET AL¤ 114 ,
VASSIOU K, KELEKIS NL, FEZOULIDIS IV¤ 669 , 678
, 710 ,
VAUTIER G ET AL¤ 391 ,
VILKE G M ET AL¤ 541 ,
VILKE GM ET AL¤ 434 , 450 ,
VINCENT C¤ 616 ,
VITIELLO A¤ 59 ,
VITIELLO A ET AL¤ 75 ,
VITTECOQ D ET AL¤ 255 ,
VLAY SC¤ 482 ,
VON RIEDENAUER WB, BAKER MK, BREWER RJ¤
826 ,
WAGNER RF¤ 293 ,
WALDMAN I¤ 31 ,
WALSH B¤ 553 ,
WALSH B ET AL¤ 500 ,
WAN LE-TIAN¤ 334 ,
WANG HEN-LI¤ 262 ,
WANG HUI-ZHU¤ 526 ,
WANG QI¤ 844 ,
WANG QI CAI¤ 567 ,
WANG QI-CAI¤ 566 ,
WANG ZHENLONG¤ 222 , 287 , 326 ,
WARWICK-BROWN NP ET AL¤ 208 ,
WATANABE HIROSHI¤ 580 ,
WEBER G ET AL¤ 21 ,
WEI CT¤ 100 ,
WEI FUSHUANG¤ 307 ,
WEI LIANG YU ET AL¤ 278 ,
WELLER I¤ 501 ,
WEN MUNSHENG¤ 339 ,
WHITE A¤ 398 , 531 , 752 , 815 ,
WHITE A ET AL¤ 446 , 525 , 533 ,
WHITE A 756 , 825 ,
WHITE A, ERNST E¤ 656 ,
WHITE A, HAYHOE S, HART A, EDZARD E¤ 649 ,
WHITE A, CUMMINGS M¤ 884 ,
WHITE A, CUMMINGS M, VAL HOPWOOD V¤ 655 ,
White A, Hayhoe S ET AL¤ 615 ,
WHITE AR¤ 587 ,
WHITE AR ET AL¤ 413 , 540 ,
WIGHTMAN A¤ 585 , 670 ,
WIGHTMAN AJA¤ 576 ,
WILLMS D¤ 324 ,
WILSON T¤ 636 ,
Witt C, Brinkhaus B, Mank S, Willich SN¤ 816 ,
WONG HCG ET AL¤ 516 ,
WOO PC ET AL¤ 642 ,
WOO PC, LAU SK, YUEN KY¤ 882 ,
WOO PC, LI JH ET AL¤ 613 ,
WRIGHT RS ET AL¤ 319 ,
WU CT, HUANG JL, HSIA SH, LEE HY, LIN JJ¤ 876 ,
WU JC ET AL¤ 433 ,
WU Q, HUANG J, LAN X¤ 784 , 786 ,
WU QIANG, HUANG JIANHONG, LAI JINSHENG¤ 644
,
X¤ 1 , 22 , 77 , 119 , 132 , 159 , 175 , 215 , 261 , 270 ,
279 , 280 , 281 , 282 , 283 , 301 , 377 , 378 , 379 , 380 ,
381 , 476 , 487 , 523 , 603 , 617 , 707 , 761 , 770 , 790 ,
843 ,
XU HONG TAO ET AL¤ 325 ,
XU HONG-TAO ET AL¤ 308 ,
XUE CHONGCHENG ET AL¤ 173 ,
YAMADA NOBUYUKI ET AL¤ 583 ,
YAMAGUCHI S ET AL¤ 258 ,
YAMASHITA H ET AL¤ 478 , 503 , 561 ,
YAMASHITA H, TSUKAYAMA H, AOYAGI K¤ 759 ,
YAMASHITA HIROSHI, EGAWA MASATO, UMEDA
TAKASHI MIYAMOTO 736 ,
YAMASHITA HITOSHI AND KATAI SHUICHI ¤ 739 ,
YAMASHITA HITOSHI ET AL¤ 584 ,
YAMASHITA HITOSHI, ET AL¤ 622 , 673 ,
YAMASHITA HITOSHI, KATAI SHUICHI, EGAWA
MASATO, ISHIZAKI 831 ,
YAMASHITA HITOSHI, KATAI SHUICHI, ET AL¤ 760 ,
YAMASHITA HITOSHI, KATAI SHUICHI, ISHIZAKI
NAOTO, EGAWA MASATO 807 ,
YAMASHITA HITOSHI, UMEDA TAKASHI, KATAI
SHUICHI, ISHIZAKI NAOTO, 862 ,
YAMASHITAH, TSUKAYAMA H, WHITE AR, TANNO
Y, SUGISHITA C, ERNST E¤ 627 ,
YAN ZHEN-GUO, BAI JUAN, SHAO SHUI-JIN, ET AL¤
735 ,
YANAGIHARA M ET AL¤ 579 ,
YANG BAOTANG ET AL¤ 170 ,
YANG FUMING¤ 335 ,
YANG JIASAN¤ 178 ,
YANG JIN FENG ET AL¤ 219 ,
YANG LIU-HONG ET AL¤ 312 ,
YANG ZHAN LIN¤ 246 , 247 ,
YANG ZHAN-LIN¤ 235 , 236 ,
YAZAWA S ET AL¤ 462 ,
YEATMAN GW ET AL¤ 61 ,
YI-MOU LI¤ 229 ,
YIN YC¤ 2 ,
YINGZHUN G¤ 401 ,
YOONG JK, THUMBOO J¤ 806 ,
86
YOSHINO S ET AL¤ 436 ,
YOSHITOSHI ICHIMAN¤ 499 ,
YU DONGSHENG¤ 435 ,
YUKIE UESHIMA ET AL¤ 268 ,
YUZAWA M ET AL¤ 313 ,
ZAHGER D ET AL¤ 259 ,
ZAKARIAN H ET AL¤ 223 ,
ZHANG JIANHUA ET AL¤ 489 , 493 , 528 , 559 , 586 ,
ZHANG QIN ET AL¤ 464 ,
ZHANG R¤ 750 ,
ZHANG SHUI SHENG¤ 560 ,
ZHANG TIAN-GE ET AL¤ 349 ,
ZHANG XIAOBIN ET AL¤ 224 , 277 ,
ZHANGTONG¤ 606 ,
ZHAO DY, ZHANG GL.¤ 880 ,
ZHENG GUAN-LI¤ 408 ,
ZHENGUO Y ET AL¤ 456 ,
ZHOU HAIPING¤ 309 ,
ZHOU SHUYING¤ 148 ,
ZHU PEI-LU¤ 237 ,
ZHU QI¤ 311 ,
ZHU WENLIAN 9 LIU ROWAN¤ 772 ,
ZUIJLMANS CW ET AL¤ 407 ,
index des sujets/ subject index
(non exhaustif)
-¤ /
1,01 -¤ GENERAL ASPECTS AND HISTORY/
ASPECTS GENERAUX ET HISTOIRE
acupuncteur¤ 470 ,
enseignement¤ 603 ,
législation¤ 50 , 169 , 295 , 297 , 358 ,
patient¤ 420 , 613 ,
1,03 -¤ medical classics/ classiques médicaux
*¤ 186 , 218 ,
da cheng¤ 125 ,
nei jing¤ 285 ,
su wen¤ 186 ,
traduction¤ 186 ,
2,01 -¤ ANATOMY- PHYSIOLOGY/ ANATOMIEPHYSIOLOGIE
anatomie¤ 182 , 248 , 268 , 279 , 281 , 340 , 341 ,
2,03 -¤ qi, blood, body fluids/ energie, sang et
liquides organiques
essentielle¤ 178 ,
2,05 -¤ meridians/ méridiens
méridien distinct¤ 518 ,
sensation propagée le long des méridiens¤ 170 , 560 ,
2,06 -¤ points/ points
*¤ 148 , 279 , 288 , 340 , 341 , 464 , 465 , 468 ,
E10¤ 356 ,
E12¤ 356 ,
E19¤ 342 ,
E35¤ 99 , 153 ,
E9¤ 307 ,
F2¤ 467 ,
GI15¤ 41 ,
Jing¤ 178 ,
P2¤ 70 , 202 ,
P7¤ 4 ,
RN21¤ 11 ,
RN22¤ 11 ,
V13¤ 248 , 604 ,
V14¤ 773 ,
V40¤ 42 ,
V54¤ 168 ,
VB20¤ 150 , 568 , 741 ,
VC17¤ 544 ,
VG14¤ 772 ,
VG15¤ 99 , 100 , 741 ,
VG16¤ 569 , 741 ,
3,01 -¤ chronobiology/ chronobiologie
chronopuncture¤ 125 ,
3,02 -¤ pathogeny. causes of diseases/ pathogénie
froid¤ 467 ,
4,02 -¤ tongue diagnosis/ glossoscopie
histologie¤ 124 ,
4,07 -¤ syndromes/ syndromes
froid¤ 467 ,
vide¤ 218 ,
yin¤ 218 ,
87
5,03 -¤ acupuncture/ acupuncture
*¤ 1 , 117 , 145 , 186 , 267 , 607 ,
acupuncteur¤ 470 ,
aiguille¤ 92 , 100 , 107 , 110 , 111 , 117 , 172 , 296 ,
302 , 303 , 313 , 314 , 317 , 318 , 337 , 344 , 366 , 375 ,
384 , 442 , 509 , 514 , 608 , 611 , 637 ,
deqi¤ 428 , 459 , 492 , 607 , 677 ,
profondeur de puncture¤ 1 , 145 , 186 , 267 , 306 , 332
, 340 , 341 , 342 , 459 , 477 , 489 , 493 , 528 , 559 , 568
, 569 , 586 , 735 , 741 , 844 ,
séance d'acupuncture¤ 153 ,
technique de puncture¤ 55 , 168 , 178 , 428 , 492 ,
tonification-dispersion¤ 267 ,
5,05 -¤ plum blossom needle/ fleur de prunier
*¤ 18 , 20 , 85 ,
5,06 -¤ intradermal needle. embedding sutures/
aiguille à demeure. catgut
*¤ 47 , 56 , 58 , 84 , 105 , 110 , 140 , 164 , 172 , 189 ,
195 , 196 , 197 , 240 ,
5,08 -¤ cupping/ ventouses
*¤ 78 , 121 , 384 , 435 , 555 ,
5,09 -¤ moxibustion/ moxibustion
*¤ 37 , 176 , 200 , 219 , 267 , 282 , 309 , 315 , 514 ,
516 , 517 , 584 , 809 ,
pneumothorax¤ 24 , 29 , 35 , 36 , 37 , 57 , 70 , 72 , 96 ,
113 , 138 , 145 , 152 , 159 , 160 , 163 , 166 , 181 , 202 ,
223 ,
5,10 -¤ ear acupuncture. auricular medicine/
auriculopuncture. auriculomédecine
*¤ 47 , 56 , 58 , 109 , 122 , 140 , 143 , 164 , 189 , 194 ,
195 , 196 , 230 , 469 , 728 ,
5,12 -¤ electro-acupuncture/ electro-acupuncture
*¤ 73 , 74 , 97 , 173 , 177 , 206 ,
5,15 -¤ drug acupuncture/ chimiothérapie
*¤ 370 , 371 , 376 ,
5,16 -¤ qi gong. massages/ qi gong. massages
*¤ 262 ,
manipulation¤ 229 ,
qi gong¤ 237 , 260 , 262 , 278 , 308 , 310 , 311 , 325 ,
333 , 334 , 349 , 350 , 351 , 513 ,
5,19 -¤ adverse effects/ accidents thérapeutiques
*¤ 1 , 4 , 6 , 7 , 15 , 21 , 25 , 29 , 31 , 50 , 52 , 55 , 112 ,
122 , 124 , 125 , 134 , 137 , 148 , 149 , 153 , 170 , 172 ,
173 , 178 , 182 , 183 , 184 , 206 , 214 , 218 , 226 , 228 ,
229 , 237 , 248 , 251 , 260 , 267 , 268 , 274 , 281 , 288 ,
295 , 307 , 308 , 309 , 310 , 311 , 312 , 314 , 325 , 333 ,
334 , 335 , 342 , 349 , 356 , 362 , 370 , 382 , 443 , 463 ,
477 , 489 , 491 , 494 , 513 , 516 , 517 , 518 , 528 , 532 ,
544 , 554 , 556 , 559 , 568 , 574 , 586 , 603 , 735 , 741 ,
771 , 772 , 789 , 808 , 823 , 844 ,
allergie¤ 221 ,
endocardite¤ 154 , 155 , 156 , 189 ,
fievre¤ 136 ,
hépatite¤ 32 , 34 , 48 , 53 , 68 , 76 , 90 , 93 , 94 , 106 ,
114 , 116 , 118 , 130 , 174 , 188 , 192 , 204 , 207 , 227 ,
241 , 243 , 245 , 259 , 505 , 507 , 631 ,
infection¤ 139 , 144 , 164 , 178 , 180 , 207 ,
pneumothorax¤ 24 , 29 , 35 , 36 , 37 , 57 , 70 , 72 , 96 ,
113 , 138 , 145 , 152 , 159 , 160 , 163 , 166 , 181 , 202 ,
223 , 434 , 472 , 493 , 506 , 512 , 518 ,
sida¤ 175 , 187 , 190 , 203 , 207 , 213 , 215 , 227 , 232
, 252 , 255 , 257 , 264 , 265 , 266 , 269 , 270 , 272 , 293
, 294 ,
sterilisation¤ 55 , 85 , 107 , 141 , 187 , 191 , 193 , 201 ,
203 , 216 , 232 , 244 , 253 , 284 ,
5,20 -¤ tcm and alternative medicine/ mtc et
médecines douces
homeopathie¤ 104 , 297 ,
6,01 -¤ algology/ algologie
*¤ 211 ,
7,01 -¤ CARDIOLOGY- ANGIOLOGY/
CARDIOLOGIE- ANGEIOLOGIE
pacemaker¤ 73 , 97 , 149 , 167 , 482 ,
7,03 -¤ coronary diseases/ coronaropathies
*¤ 11 , 466 ,
7,05 -¤ hypertension/ hypertension
*¤ 150 , 349 ,
8,01 -¤ DERMATOLOGY/ DERMATOLOGIE
*¤ 198 ,
8,04 -¤ allergic dermatitis/ dermatoses allergiques
*¤ 117 ,
8,07 -¤ psoriasis/ psoriasis
*¤ 20 ,
9,02 -¤ thyroid gland/ thyroïde
*¤ 299 ,
9,03 -¤ diabetes mellitus/ diabète
*¤ 462 , 724 , 732 ,
*¤ 181 ,
11,10 -¤ obstetrics/ obstétrique
pathologie de la grossesse¤ 148 , 274 ,
version¤ 516 , 517 ,
12,01 -¤ HEMATOLOGY/ HEMATOLOGIE
lymphocyte¤ 214 ,
13,01 -¤ INFECTIOUS DISEASES/ MALADIES
INFECTIEUSES
fievre¤ 136 ,
13,02 -¤ influenza/ grippe
*¤ 198 ,
13,03 -¤ septicemia. bacterial infections/
septicémies. infections bactériennes
*¤ 64 , 128 ,
13,05 -¤ tetanus. diphtheria. typhoid/ tétanos.
diphtérie. thyphoïde
*¤ 183 ,
13,07 -¤ malaria/ paludisme
herpes¤ 33 ,
13,08 -¤ herpes zoster. herpes simplex/ zona.
herpes
*¤ 33 , 95 ,
14,02 -¤ headache/ céphalées
*¤ 84 , 162 ,
14,07 -¤ cerebrovascular diseases. hemiplegia/
accidents vasculaires cérébraux. *¤ 741 ,
9,08 -¤ obesity/ obésité
*¤ 47 ,
14,08 -¤ paraplegia. myelitis/ paraplégie.
myelopathies
*¤ 185 , 337 ,
10,05 -¤ stomach. duodenum/ estomac. duodénum
*¤ 23 ,
15,01 -¤ OPHTHALMOLOGY/ OPHTALMOLOGIE
*¤ 630 ,
10,07 -¤ diarrhea/ diarrhées
*¤ 162 ,
16,04 -¤ nose. sinus/ nez. sinus
*¤ 12 ,
sinusite¤ 12 ,
10,08 -¤ constipation/ constipation
*¤ 162 ,
10,10 -¤ liver/ foie
*¤ 224 , 513 ,
hepatite¤ 32 , 34 , 48 , 53 , 68 , 76 , 90 , 93 , 94 , 106 ,
114 , 116 , 118 , 130 , 174 , 188 , 192 , 204 , 207 , 227 ,
241 , 243 , 245 , 259 , 505 , 507 , 631 ,
10,12 -¤ pancreas/ pancréas
*¤ 768 ,
11,02 -¤ vulva. vagina. uterus. adnexa/ vulve. vagin.
utérus.annexes
*¤ 551 ,
herpes¤ 33 ,
ovaire¤ 15 ,
88
17,04 -¤ asthma/ asthme
*¤ 138 , 160 , 319 , 330 ,
17,06 -¤ pulmonary tuberculosis/ tuberculose
pulmonaire
*¤ 18 ,
18,02 -¤ reflex sympathetic dystrophy/
algodystrophies
*¤ 37 ,
18,04 -¤ rheumatoid arthritis/ polyarthrite
rhumatoïde
*¤ 299 ,
18,06 -¤ bone/ os
*¤ 103 , 393 ,
11,03 -¤ menstruation. menstruation disorders/
menstruation. troubles des règles
*¤ 566 , 567 ,
18,07 -¤ traumatology/ traumatologie
*¤ 229 ,
11,07 -¤ breast/ sein
18,08 -¤ hand/ main
*¤ 298 ,
*¤ 214 , 299 ,
18,09 -¤ elbow/ coude
*¤ 315 ,
23,11 -¤ pediatrics/ pédiatrie
*¤ 18 , 61 , 62 , 69 , 121 , 198 ,
18,10 -¤ shoulder/ epaule
*¤ 29 , 31 , 314 , 362 , 434 , 448 , 462 , 485 ,
24,07 -¤ / animaux de laboratoire
lapin¤ 153 ,
rat¤ 110 ,
souris¤ 772 ,
18,11 -¤ spine/ rachis
*¤ 206 ,
18,12 -¤ cervical spine. cervicobrachial neuralgia/
rachis cervical. névralgies cervico- brachiales
*¤ 166 , 337 , 550 ,
18,13 -¤ thoracic spine. intercostal neuralgia/ rachis
dorsal. névralgies intercostales
*¤ 96 , 434 ,
18,14 -¤ lombar spine/ rachis lombaire
*¤ 4 , 9 , 355 , 393 , 489 ,
18,16 -¤ sciatica/ sciatique
*¤ 127 ,
18,18 -¤ knee/ genou
*¤ 64 , 724 ,
19,04 -¤ jaw/ maxillaires
*¤ 331 ,
20,02 -¤ smoking/ tabagisme
*¤ 140 , 189 , 196 ,
21,02 -¤ fainting. shock/ syncopes. choc
*¤ 222 , 287 ,
21,03 -¤ burns/ brûlures
*¤ 4 , 315 ,
22,03 -¤ urinary calculi/ lithiases urinaires
*¤ 13 , 19 , 313 ,
22,04 -¤ enuresis. urinary incontinence. urinary
retention/ énuresie. incontinence et rétention
d'urine
*¤ 38 ,
23,02 -¤ allergology. immunology/ allergologie.
immunologie.
*¤ 214 , 270 ,
lymphocyte¤ 214 ,
89
25,10 -¤ central neurotransmitters/ neuromédiateurs
centraux
endorphine¤ 494 ,
27,01 -¤ methods/ méthodes
cas clinique¤ 198 , 221 , 466 , 511 , 526 , 551 ,
essai ouvert (acupuncture)¤ 109 , 172 ,
étude controlée (acupuncture)¤ 516 , 517 ,
étude experimentale humaine¤ 110 ,
experimentation animale¤ 1 ,
expérimentation animale (acupuncture)¤ 153 , 772 ,
méthodologie¤ 480 , 517 , 563 , 564 , 765 ,
revue générale¤ 207 , 397 , 417 , 418 , 447 , 474 , 508 ,
524 , 561 , 581 , 582 , 583 , 584 , 591 , 740 ,
revue générale (acupuncture)¤ 540 ,
27,02 -¤ / techniques d'exploration
histologie¤ 124 ,
IRM¤ 485 ,
isotope¤ 299 , 393 ,
radiologie¤ 45 , 58 , 220 , 240 , 302 , 328 , 344 , 362 ,
384 ,
27,03 -¤ biological l products/ produits biologiques
endorphine¤ 494 ,
27,04 -¤ pharmaceutical products/ produits
pharmaceutiques
antibiotiques¤ 304 , 490 ,
aspirine¤ 511 ,
27,05 -¤ / personnages
zhang ji¤ 309 ,
zhang zhong jing¤ 309 ,
27,06 -¤ geographical terms/ termes géographiques
australie¤ 358 ,
corée¤ 611 , 631 ,
japon¤ 384 , 505 , 535 ,
suede¤ 588 , 595 ,
taiwan¤ 101 ,
usa¤ 479 , 507 ,
vietnam¤ 61 , 69 , 120 ,
23,04 -¤ oncology/ cancérologie
Index des sources
1 - congrès
16ème congres national d'acupuncture,paris¤ 227 ,
1er congres national de la f a f o r m e c, bordeaux¤
455 ,
2eme congres mondial d'acupuncture et moxibustion,
paris¤ 288 ,
conferences d'acupuncture,gera,toulon¤ 59 ,
in selections from article abstracts on acupuncture and
moxiibustion, beijing¤ 224 ,
journees europeennes d'acupuncture, strasbourg¤ 291
,
second national symposium on acupuncture and
moxibustion,beijing¤ 169 , 170 , 173 ,
seminaire gera, toulon¤ 458 ,
the third world conference on acupuncture¤ 343 ,
third world conference on acupuncture¤ 340 , 341 , 342
,
vi congres national de la faformec,clermont-ferrand¤
660 , 661 ,
wfas international symposium on acupuncture¤ 658 ,
659 ,
2 - extraits de traités
bulletin général de thérapeutique¤ 1 ,
encyclopedie des medecines naturelles¤ 321 ,
in a research into acupuncture and its clinical
practice,commercial press,hong kong¤ 41 , 42 , 43 , 44
,
in the chinese version of modern acupuncture,academy
of oriental heritage,vancouver¤ 81 ,
3 - mémoires
memoire d'acupuncture, bordeaux 2¤ 231 ,
memoire d'acupuncture, diu bordeaux 2¤ 488 ,
memoire d'acupuncture,afa,paris¤ 126 ,
memoire d'acupuncture,oedea,toulouse¤ 66 ,
4 - revues d'acupuncture et MTC
abstract and review of clinical traditional chinese
medicine¤ 325 ,
acupunct med¤ 751 , 752 , 815 , 835 , 883 , 884 ,
acupuncture¤ 14 , 71 , 115 ,
acupuncture & moxibustion¤ 694 , 695 , 696 , 698 , 699
, 732 , 788 , 810 , 811 , 812 , 813 ,
acupuncture and electrotherapeutics research¤ 149 ,
286 , 394 ,
acupuncture and electro-therapeutics research¤ 400 ,
acupuncture et moxibustion¤ 703 , 704 , 726 , 727 , 728
, 729 , 842 , 853 , 854 ,
acupuncture in medicine¤ 398 , 399 , 414 , 415 , 416 ,
494 , 511 , 512 , 531 , 551 , 552 , 553 , 576 , 585 , 619 ,
624 , 648 , 649 , 650 , 651 , 652 , 653 , 654 , 655 , 656 ,
657 , 670 , 671 , 753 , 754 , 755 , 756 , 757 , 817 , 818 ,
866 , 867 ,
acupuncture in medicine - journal of the british medical
acupuncture society¤ 397 , 413 , 445 , 446 ,
acupuncture med¤ 632 , 633 , 634 ,
acupuncture research¤ 214 , 371 , 490 , 559 ,
acupuncture research quarterly¤ 99 , 100 , 101 , 145 ,
153 , 215 ,
acupuncture traditionelle chinoise¤ 717 ,
acupuncture traditionnelle chinoise¤ 567 ,
akupunktur¤ 147 ,
akupunktur theorie und praxis¤ 556 , 565 ,
alternative medicine¤ 228 ,
american journal of acupuncture¤ 65 , 85 , 86 , 108 ,
122 , 206 , 211 , 395 , 411 , 442 , 443 , 463 , 477 ,
90
american journal of chinese medicine¤ 46 , 55 ,
boletin de medicina tradicinal china¤ 216 ,
breath exercice (an exercice for health and longevity)¤
237 ,
british journal of acupuncture¤ 87 , 133 , 257 , 296 ,
326 ,
bulletin de la societe d'acupuncture¤ 5 , 6 , 7 , 8 ,
bulletin de la societe internationale medicale
d'acupuncture et de stimulotherapie¤ 161 ,
chin j integr med¤ 886 ,
chin j traumatol¤ 840 ,
chinese acupuncture and moxibustion¤ 165 , 222 , 264
, 277 , 307 , 309 , 435 , 489 , 491 , 568 , 569 , 586 , 644
, 701 , 730 , 735 , 789 , 838 , 880 ,
chinese journal of acupuncture and moxibustion¤ 252 ,
287 ,
chinese journal of integrated traditional and western
medicine¤ 306 , 308 ,
chinese journal of integrated traditional and western
medicine (english edition)¤ 426 ,
chinese journal of traditional medicine traumatology and
orthopedics¤ 229 ,
chinese manipulation and qi gong therapy¤ 771 ,
chinese medical journal¤ 2 , 260 , 428 ,
complement ther med¤ 677 , 714 , 846 ,
complementary medical research¤ 289 , 290 ,
complementary therapies in medicine¤ 449 , 480 , 532 ,
588 , 700 ,
der akupunkturarzt-aurikulotherapeut¤ 187 ,
deutsche zeitschrift fur akupunktur¤ 251 , 540 , 561 ,
deutsche zeitschrift für akupunktur¤ 317 ,
deutshe zeitschrift fur¤ 496 ,
ener qi¤ 528 ,
evid based complement alternat med¤ 870 , 877 ,
focus altern complement ther¤ 759 ,
focus on alternative and complementary therapies¤ 451
, 452 , 453 , 587 , 601 , 602 , 662 , 663 , 665 , 816 ,
forsch komplementarmed¤ 563 , 564 ,
forsch komplementarmed klass naturheilkd¤ 609 , 610 ,
forschende komplementarmedizin and klassische
naturheilkunde¤ 832 ,
international journal of chinese medicine¤ 180 ,
international journal of clinical acupuncture¤ 327 , 408 ,
409 , 410 , 464 , 465 , 466 , 467 , 492 , 526 , 566 , 604 ,
606 , 607 , 625 , 645 , 767 , 783 , 784 , 785 , 786 , 800 ,
801 , 802 , 803 , 804 , 805 , 852 ,
j altern complement med¤ 417 , 418 , 419 , 503 , 504 ,
525 , 557 , 765 , 824 , 825 , 839 ,
jingxi journal of tcm¤ 731 ,
journal de mtc¤ 178 ,
journal of alternative and complementary medicine¤
508 , 527 , 533 , 534 , 535 , 543 , 554 , 758 , 850 , 851 ,
868 , 869 , 878 ,
journal of alternative and complementary medicine:
research on paradigm , practice , ¤ 620 ,
journal of alternative and complementary medicine:
research on paradigm, practice, an¤ 623 ,
journal of alternative and complementary
medicine:research on paradigm,practice,and p¤ 702 ,
journal of beijing university of tcm¤ 772 ,
journal of chinese medicine¤ 190 , 201 , 285 , 725 , 787
,
journal of clinical acupuncture and moxibustion¤ 844 ,
journal of new chinese medicine¤ 218 ,
journal of tcm¤ 382 ,
journal of the japan society of acupuncture¤ 193 , 268 ,
279 , 280 , 281 , 282 , 283 , 292 , 301 , 354 , 356 , 377 ,
378 , 379 , 380 , 381 , 436 , 456 , 457 , 499 , 544 ,
journal of the japan society of acupuncture and
moxibustion¤ 107 , 110 , 111 , 580 , 581 , 582 , 583 ,
584 , 621 , 622 , 646 , 647 , 664 , 672 , 673 , 697 , 715 ,
716 , 736 , 737 , 738 , 739 , 760 , 831 , 862 , 865 ,
journal of the japan society of acupunture and
moxibustion¤ 807 ,
journal of traditional chinese medicine¤ 234 , 235 , 236 ,
294 ,
journal of traditional chinese medicine and chinese
materia medica of jilin¤ 312 ,
medical acupuncture¤ 375 , 424 , 495 , 518 , 740 , 741
, 742 , 743 , 773 ,
medicina holistica¤ 265 , 266 ,
medicina tradicional¤ 761 ,
medicina tradicional china¤ 300 ,
mensuel du medecin acupuncteur¤ 48 ,
meridiens¤ 15 , 295 ,
natura medicatrix¤ 139 ,
new journal of traditional chinese medicine¤ 335 ,
new zealand journal of acupuncture¤ 191 ,
north american journal of oriental medicine¤ 520 ,
officiel de l'homeopathie et de l'acupuncture¤ 297 ,
pacific journal of oriental medecine¤ 447 ,
perspectives yin yang¤ 119 ,
qi gong¤ 278 ,
qigong¤ 310 , 311 , 333 , 334 , 349 , 350 , 351 ,
qi-gong (an exercice for health and longevity)¤ 262 ,
qigong and physical training¤ 513 ,
quaderni di agopuntura tradizionale¤ 232 ,
revista argentina de acupuntura¤ 498 , 529 , 530 , 541 ,
542 ,
revista paulista de acupuntura¤ 421 ,
revista uruguaya de acupuntura¤ 124 , 213 , 249 ,
revue belge d'acupuncture¤ 77 , 164 ,
revue francaise d'acupuncture¤ 267 , 274 , 444 , 468 ,
revue francaise de medecine traditionnelle chinoise¤
284 ,
revue francaise de mtc¤ 125 , 136 , 142 , 144 , 168 ,
184 , 186 , 545 , 546 , 547 , 548 , 549 ,
revue internationale d'acupuncture¤ 4 ,
rivista italiana di agopuntura¤ 134 ,
rivista italiana di medicina tradizionale cinese¤ 320 ,
rivista italiana di mtc¤ 179 ,
shanghai journal of acupuncture and moxibustion¤ 148
, 248 , 401 , 493 , 560 , 618 ,
shanghai journal of tcm¤ 217 , 693 ,
shanxi journal of traditional chinese medicine¤ 246 ,
247 ,
veterinary acupuncture news letter¤ 183 ,
world journal of acupuncture-moxibustion¤ 339 , 376 ,
666 ,
yang ming¤ 112 ,
zhonghua yu fang yi xue za zhi¤ 814 ,
5 - revues extérieures
¤ 54 ,
778 , int j dermatol¤
act med int gastroenterologie¤ 256 ,
acta gastro-enterologica belgica¤ 130 ,
acta urologica japonica¤ 13 ,
actas dermosifiliogr¤ 796 ,
acupunct med¤ 626 ,
adv ther¤ 847 ,
aids care¤ 594 ,
aisd educ prev¤ 272 ,
ajnr am j neuroradiol¤ 827 ,
ajr am j roentgenol¤ 362 ,
allergy¤ 680 , 706 , 711 ,
am fam physician¤ 675 , 709 ,
am j dis child¤ 176 ,
am j emerg med¤ 506 ,
am j gastroenterol¤ 519 ,
91
american journal of cardiology¤ 209 ,
american journal of diseases of children¤ 18 ,
american journal of epidemiology¤ 106 ,
american journal of forensic medicine and pathology¤
330 ,
american journal of gastroenterology¤ 505 , 507 ,
american journal of medicine¤ 269 , 591 ,
american journal of public health¤ 243 ,
american journal roentgenol¤ 58 ,
american psychologist¤ 50 ,
an med interna¤ 396 ,
anaesthesia¤ 558 , 598 ,
anesth analg¤ 797 ,
ann acad med singapore¤ 799 ,
ann r coll surg engl¤ 538 ,
annales de dermatologie¤ 577 ,
annals of allergy¤ 138 ,
annals of emergency medicine¤ 166 ,
annals of internal medicine¤ 322 ,
anz j surg¤ 676 , 708 ,
arch bronconeumol¤ 357 , 360 ,
arch dermatol¤ 197 , 881 ,
arch fam med¤ 524 ,
arch intern med¤ 720 , 744 ,
arch neurol¤ 745 ,
arch orthop trauma surg¤ 599 ,
arch otolaryngol¤ 52 , 195 ,
arch phys med rehabil¤ 574 , 872 ,
archives of dermatology¤ 20 ,
archives of family medicine¤ 573 ,
archives of neurology¤ 242 , 733 ,
archives otolaryngology¤ 56 ,
arthritis rheum¤ 873 ,
aust n z j surg¤ 412 ,
bmc infect dis¤ 791 ,
bmj¤ 510 , 539 , 614 , 615 , 616 , 636 ,
br dent j¤ 679 , 687 , 705 ,
br j cancer¤ 631 ,
br j dermatol¤ 637 , 722 ,
br j hosp med (lond)¤ 849 ,
br j ophthalmol¤ 638 ,
br med j¤ 3 ,
brain nerve¤ 833 , 874 ,
brit j radiol¤ 129 ,
british journal of infection control¤ 764 ,
british journal of medicine¤ 347 ,
british medical journal¤ 32 , 34 , 49 , 72 , 88 , 140 , 391
, 432 , 439 , 440 , 441 ,
british medicine journal¤ 154 , 155 , 156 ,
bull world health organ¤ 718 ,
burns¤ 781 ,
can fam physician¤ 681 , 688 , 689 , 712 ,
can med assoc j¤ 22 , 40 ,
canadian association of radiologist journal¤ 302 ,
cardiology¤ 318 ,
certificat d'hygiene hospitaliere,montpellier¤ 137 ,
ceskoslovenska neurologie¤ 9 ,
chest¤ 97 , 570 , 572 , 826 ,
chest surgery clinics of north america¤ 571 ,
chung hua hu li tsa chih¤ 370 ,
circulation¤ 820 ,
clin exp dermatol¤ 875 ,
clin infect dis¤ 795 ,
clin microbiol infect¤ 885 ,
clin orthop¤ 123 ,
clin pediatr¤ 69 ,
clinical imaging¤ 344 ,
clinical nuclear medicine¤ 299 ,
clinical pediatrics¤ 200 ,
clinical rheumatology¤ 484 ,
cma journal¤ 39 ,
college of family physicians of canada¤ 692 ,
commun dis rep cdr wkly¤ 487 ,
communicable disease and public health¤ 500 , 501 ,
complement ther med¤ 427 , 595 , 627 ,
concours medical¤ 181 , 202 , 353 , 374 , 402 , 429 ,
476 , 514 , 536 , 537 , 555 , 600 ,
concours medical, 1998¤ 469 ,
contact derm¤ 92 , 315 ,
contact dermatitis¤ 105 , 117 , 221 , 273 , 611 ,
cutis¤ 74 , 120 , 210 , 390 , 848 ,
der hautartz¤ 143 ,
dermatol surg¤ 775 ,
deutsche medizinische wochenschrift¤ 57 ,
diabetes care¤ 352 , 460 ,
diagn microbiol infect dis¤ 882 ,
emc instantanes medicaux¤ 63 ,
emerg med j¤ 719 , 723 ,
enferm infecc microbiol clin¤ 830 ,
epidemiology and infection¤ 373 ,
eur j gastroenterol hepatol¤ 768 ,
eur j med res¤ 746 ,
eur j pediatr¤ 876 ,
eur j vasc endovasc surg¤ 861 ,
eur j vasc endovascul surg¤ 575 ,
eur radiol¤ 669 , 678 , 710 ,
euro urol¤ 82 ,
europace¤ 766 ,
european heart journal¤ 323 ,
european journal of cancer care¤ 497 ,
european journal of epidemiology¤ 245 ,
european spine journal¤ 425 ,
fortschr med¤ 174 , 474 ,
harefuah¤ 259 , 392 ,
hautarzt (der)¤ 21 ,
hawaii med j¤ 780 ,
headache¤ 550 , 596 , 859 ,
hepatology¤ 241 ,
hifu-byo shin-ryo¤ 157 ,
hinyokika kiyo¤ 258 , 313 , 860 ,
hno¤ 109 ,
hong kong medical journal¤ 461 ,
hong kong medicine¤ 639 ,
hong kong medicine j¤ 640 ,
infect control hosp epidemiol¤ 863 ,
int j cardiol¤ 777 ,
int j dermatol¤ 293 , 682 ,
intern med j¤ 864 ,
internal medicine¤ 462 ,
international journal of cardiology¤ 189 , 194 ,
international journal of risk and safety in medicine¤ 383
,
j am acad dermatol¤ 345 , 608 ,
j am board fam pract¤ 438 , 628 , 629 , 641 ,
j bone joint surg am¤ 683 , 713 ,
j can chirop assoc¤ 762 ,
j cardiol¤ 841 ,
j clin microbiol¤ 642 ,
j clin neurosci¤ 734 ,
j clin oncol¤ 593 ,
j comput assist tomogr¤ 328 ,
j cutan med surg¤ 808 ,
j cutan pathol¤ 579 ,
j dermatol¤ 329 , 776 ,
j emerg med¤ 472 , 635 , 769 , 879 ,
j epidemiol¤ 481 ,
j gastroenterol hepatol¤ 684 , 836 ,
j gen virol¤ 793 ,
j heart valve dis¤ 612 ,
j hepatol¤ 522 ,
92
j hosp med¤ 809 ,
j infect¤ 346 , 643 ,
j korean med sci¤ 369 , 685 ,
j med assoc thai¤ 821 , 858 ,
j med virol¤ 433 , 515 ,
j neurosurg spine¤ 834 ,
j orthop surg (hong kong)¤ 779 ,
j parasitol¤ 67 ,
j pediatr¤ 121 ,
j spinal cord med¤ 871 ,
j thorac cardiovasc surg¤ 774 ,
j trauma¤ 792 ,
j viral hepat¤ 798 ,
jama¤ 35 , 37 , 62 , 93 , 338 , 478 , 479 , 516 , 517 ,
562 , 605 ,
jap j thoracic surgery¤ 23 ,
joint bone spine¤ 856 ,
journal fam pract¤ 204 ,
journal med assoc state ala¤ 51 ,
journal of american pediatry assoc¤ 103 ,
journal of bone and joint surgery¤ 127 ,
journal of clinical dermatology¤ 219 ,
journal of clinical microbiology¤ 509 ,
journal of craniomandibular practice¤ 254 , 331 ,
journal of dermatology¤ 303 ,
journal of emergency medicine¤ 434 , 450 ,
journal of forensic science¤ 454 ,
journal of forensic sciences¤ 10 ,
journal of hand surgery¤ 298 ,
journal of laryngology and otology¤ 196 , 208 ,
journal of manipulative and physiological therapeutics¤
244 , 253 ,
journal of medical virology¤ 76 ,
journal of neurology,neurosurgery and psychiatry¤ 162 ,
journal of nuclear medicine¤ 393 ,
journal of oral and maxillofacial surgeons¤ 473 ,
journal of the american medical association¤ 19 , 25 ,
28 , 29 ,
journal of the american podiatric medical association¤
430 ,
journal of the canadian association of radiologists¤ 240
,
journal of urology¤ 471 ,
journal royal coll gen pract¤ 150 ,
journal tenn med assoc¤ 60 ,
kansenshogaku zasshi¤ 485 ,
kao hsiung i hsueh ko hsueh tsa chih¤ 437 ,
kekkaku¤ 405 ,
lakartidningen¤ 226 , 470 , 475 ,
lancet¤ 16 , 73 , 80 , 95 , 175 , 385 , 388 , 389 , 404 ,
486 ,
le concours medical¤ 263 ,
le quotidien du medecin¤ 250 ,
leg med (tokyo)¤ 686 ,
lik sprava¤ 707 ,
liver¤ 225 ,
med clin (barc)¤ 53 ,
med j aust¤ 361 , 483 , 747 ,
med welt¤ 152 ,
medecine et hygiene¤ 79 ,
medical journal of australia¤ 24 ,
medical times¤ 11 ,
medicina clinica¤ 188 , 192 , 199 , 207 , 220 ,
medicine (baltimore)¤ 592 ,
minerva medica¤ 68 ,
munch med wschr¤ 423 ,
munchen med wchnschr¤ 113 ,
n engl j med¤ 613 , 721 ,
national medical journal of china¤ 332 ,
nature¤ 420 ,
ned tijdschr geneeskd¤ 407 , 668 ,
ned tijdschr geneeskd (dut)¤ 98 ,
neurol india¤ 782 ,
neurol med chir,tokyo¤ 276 ,
neurological surgery¤ 372 ,
neurology¤ 84 ,
new england journal of medecine¤ 386 ,
new england journal of medicine¤ 26 , 27 , 31 , 33 , 36 ,
47 , 96 , 255 , 270 , 384 ,
new zealand medical journal¤ 233 ,
new zeanland medical journal¤ 230 ,
nippon kobu geka gakkai zasshi¤ 89 ,
nippon koshu eisei zasshi¤ 387 ,
nippon rinsho¤ 748 ,
no shinkei geka¤ 337 ,
no shinkei geka (neurological surgery)¤ 171 ,
no to shinkei¤ 828 ,
nouveau dermatologue¤ 336 ,
nouvelle presse medicale¤ 75 ,
ophthalmology¤ 630 ,
orthop surg trauma¤ 158 ,
orthopedics¤ 448 ,
otolaryngology (tokyo)¤ 12 ,
pacing clin electrophysiol¤ 482 ,
pain¤ 431 , 521 ,
pediatr hematol oncol¤ 794 ,
pediatric emergency care¤ 198 ,
pediatrics¤ 61 , 78 ,
physical therapy¤ 177 ,
plastic and reconstructive surgery¤ 366 ,
postgraduate medical journal¤ 64 ,
presse medicale¤ 502 , 674 ,
psychopathology¤ 823 ,
qual saf health care¤ 749 , 763 ,
quotidien du medecin¤ 141 , 167 ,
r i med j¤ 128 ,
radiology¤ 45 ,
responsabilite¤ 843 ,
rev assoc med bras¤ 845 ,
rev epidemiol sante publique¤ 829 ,
rev esp salud publica¤ 589 ,
rev med interne¤ 238 ,
rev paul med¤ 275 ,
rev pneumol clin¤ 368 ,
rev soc bras med trop¤ 590 ,
revue de pneumologie clinique¤ 160 , 163 ,
revue du rhumatisme et des maladies osteoarticulaires¤ 212 ,
rheumatol int¤ 806 ,
rhumatologie,lyon¤ 104 ,
rinsho shinkeigaku¤ 304 , 314 ,
s afr med j¤ 91 ,
93
schweiz arztezeitung¤ 422 ,
schweiz med wochenschr¤ 90 ,
sem hop, paris¤ 223 ,
singapore med j¤ 724 , 822 , 837 , 855 ,
soc sci med¤ 358 ,
societe medicale d'assurances et de defenses
professionnelles¤ 578 ,
south med j¤ 819 ,
southern medical journal¤ 239 ,
spine¤ 690 ,
surg neurol¤ 83 ,
surg today¤ 667 ,
surgical neurology¤ 185 ,
tempo medical¤ 159 ,
therapiewoche¤ 114 ,
tidsskr nor laegeforen¤ 131 , 359 , 363 , 364 , 365 , 403
,
tidsskrift for den norske laegeforening¤ 305 , 316 ,
tidssr nor laegeforen¤ 132 , 146 ,
ugeskr laeger¤ 367 , 597 , 691 ,
urology¤ 38 ,
vie medicale¤ 70 ,
voenno-meditsinskii zhurnal¤ 116 ,
vopr kurortol pizioter lech fiz kult¤ 172 ,
voprosy onkologii¤ 17 ,
vrach delo¤ 271 ,
west j med¤ 324 , 348 , 355 ,
western journal of medicine¤ 30 , 205 , 319 ,
yonsei med j¤ 857 ,
z arztl fortbild¤ 406 ,
zfa,stuttgart¤ 151 ,
zhong xi yi jie he xue bao¤ 750 ,
6 - thèses
these medecine,bordeaux 2¤ 118 ,
these medecine,lille¤ 182 ,
these medecine,marseille¤ 94 ,
these medecine,paris-cochin¤ 135 ,
these medecine,poitiers¤ 102 ,
7 - tirés- à- part ou manscrits non publiés
gera¤ 459 ,
le concours medical¤ 617 ,
nous deux¤ 523 ,
organisation mondiale de la sante, geneve¤ 603 ,
responsabilite¤ 770 , 790 ,
sia,paris¤ 203 ,
8 - traités
national commission of the certification of
acupuncturists, washington¤ 261 ,

index des auteurs abbot nc et al¤ 420

Transcription

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