Recent AP Abstracts on Medline

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Hi All,

 

See these.

 

Phil

 

Anesth Analg. 2003 Nov;97(5):1469-73. Electrical stimulation of

auricular AP points is more effective than conventional manual

auricular AP in chronic cervical pain: a pilot study. Sator-

Katzenschlager SM, Szeles JC, Scharbert G, Michalek-Sauberer

A, Kober A, Heinze G, Kozek-Langenecker SA. Department of

Anesthesiology and Intensive Care B, Outpatient Pain Center,

Department of Vascular Surgery, and. Department of Medical

Computer Science, University of Vienna, Vienna, Austria. In this

prospective, randomized, double-blinded, controlled study, we

tested the hypothesis that auricular electroAP relieves pain more

effectively than conventional manual auricular AP. We studied 21

chronic cervical pain patients without radicular symptoms with

insufficient pain relief (visual analogue scale >5) treated with

standardized analgesic therapy. All patients received disposable

AP needles on the dominant side on the following AP points:

cervical spine, shen men, and cushion. In 10 patients, needles

were continuously stimulated (2-mA constant current, 1 Hz

monophasic) by using the electrical point stimulation device P-

STIM. In 11 control patients, no electrical stimulation was

administered. All needles were withdrawn 48 h after insertion. AP

was performed once a week for 6 wk. Patients had to complete a

questionnaire assessing pain intensity, psychological well-being,

activity, sleep, and demand for rescue medication (lornoxicam and

tramadol). The reduction in pain scores was significant in the

electrical AP group. Similarly, psychological well-being, activity,

and sleep were significantly improved in patients receiving electrical

AP, and consumption of rescue medication was significantly less.

These results demonstrate that continuous electrical stimulation of

auricular AP points by using the new point stimulation device P-

STIM improves the treatment of chronic cervical pain in an

outpatient population. IMPLICATIONS: Continuous electrical

stimulation of auricular AP points by using the new point

stimulation device P-STIM significantly decreases pain

intensity and significantly improves psychological well-being,

activity, and sleep in chronic cervical pain patients. PMID:

14570667 [PubMed - in process]

 

Leg Med (Tokyo). 2003 Sep;5(3):170-4. An autopsy case of

bilateral tension pneumothorax after AP. Iwadate K, Ito H,

Katsumura S, Matsuyama N, Sato K, Yonemura I, Ito Y. Section of

Forensic Medicine, Department of International Health

Development, Division of Public Health, Graduate School, Tokyo

Medical and Dental University, Yushima 1-5-45, Bunkyo-ku, Tokyo

113-8519, Japan AP 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 AP treatment. Although there have been several

case studies of pneumothorax induced by AP, 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 AP. The

patient suffered dyspnea and chest pain soon the completion of an

AP 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.

PMID: 14568778 [PubMed - in process]

 

Fetal Diagn Ther. 2003 Nov-Dec;18(6):418-21. AP conversion of

fetal breech presentation. Habek D, Cerkez Habek J, Jagust M.

Clinical Department of Obstetrics and Gynecology, Clinical

Hospital Osijek, Osijek, Croatia. AIM: The aim of this study was to

assess the value of AP (AP) in the conversion of fetal breech

presentation into vertex presentation. PATIENTS AND METHODS:

A randomized prospective controlled clinical study included 67

pregnant women with fetal breech presentation: 34 women with

singleton pregnancies treated with manual AP (urinary bladder 67,

Zhiyin) and a control group which included 33 women with singleton

pregnancies without AP treatment. The AP treatment lasted 30 min

a day, and was conducted during and after 34 weeks of pregnancy

with simultaneous cardiotocography. RESULTS: The success rate

of the AP correction of fetal breech presentation is 76.4% (26

women), and spontaneous conversion without AP in vertex

presentation is observed in 15 women (45.4%; p < 0.001).

CONCLUSIONS: We believe that AP correction of fetal

malpresentation is a relatively simple, efficacious and inexpensive

method associated with a lower percentage of operatively

completed deliveries, which definitely reflects in improved

parameters of vital and perinatal statistics. Copyright 2003 S.

Karger AG, Basel PMID: 14564112 [PubMed - in process]

 

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