Accuracy of acupuncture point location among first-year acupuncture students: A pilot study evaluating the impact of training and use of an adjustable ruler

2020 ◽  
pp. 096452842092030
Author(s):  
Debra R Godson ◽  
Jonathan L Wardle

Background The proportional method of acupuncture point location (APL) currently taught at Endeavor College of Natural Health and advocated by the World Health Organization Regional Office for the Western Pacific (WPRO) was found to be imprecise and/or inaccurate in previous student studies. The ruler and elastic methods of APL were identified as more accurate or precise than the proportional method of APL but were not well received by student participants. Use of an adjustable ruler may overcome barriers to uptake of the more accurate APL methods. This pilot study was the first to evaluate the comparative accuracy of the adjustable ruler and the proportional methods of APL in first-year students at a major Australian acupuncture training college. Methods After 10 weeks of in-class instruction in both proportional and adjustable ruler methods of APL, student participants (n = 14) attempted location of three acupuncture points (LI10, SP6 and ST38) on a volunteer using both APL methods of interest. A self-administered questionnaire and lecturer field notes elucidated attitudes to implementation of both APL methods. Results Points marked using the adjustable ruler were closer to the correct location than those marked using the proportional method across all three acupuncture points. Students and lecturers rated the adjustable ruler more highly than the proportional method for ease of learning and ease of use. Conclusion Encouraging results with the adjustable ruler method warrant further larger scale studies. Use of the adjustable ruler method of APL should be considered for use in point location training at educational institutions teaching traditional acupuncture.

2000 ◽  
Vol 18 (1) ◽  
pp. 15-21 ◽  
Author(s):  
Mark Aird ◽  
Meaghan Coyle ◽  
DM Cobbin ◽  
C Zaslawski

The ability to locate an acupuncture point accurately is an essential component of both effective treatment and meaningful acupuncture research. This study examined the comparative accuracy of two commonly used mechanical methods of acupuncture point location: directional and proportional. Twenty final-year acupuncture students attempted to locate the points LI.10 (Shousanli) and ST.40 (Fenglong) using each method contralaterally on a volunteer. Both methods are appropriate for use in the locating of these points. Analysis of the results found no significant difference in accuracy between the two methods for either LI.10 (t=1.05, p=0.31) or ST.40 (t=0.59, p=0.57), both methods being found to be similarly inaccurate. The findings of this study demonstrate the serious limitations of both methods for accurate point location. Implications for acupuncture research and treatment are discussed.


Foods ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 1772
Author(s):  
Mariana Santos ◽  
Filipa Matias ◽  
Ana Isabel Rito ◽  
Isabel Castanheira ◽  
Duarte Torres ◽  
...  

Ready-to-eat cereals (RTECs) have become a popular breakfast option claiming to provide important nutrients to children’s diets, despite being a source of excess sugar and, therefore, a health concern. Thus, food reformulation constitutes an important public health strategy that could benefit from inputs provided by nutrient profiling. This study aimed to assess the adequacy of the RTECs for children available in Portuguese supermarkets, applying three nutrient profile models (NPMs)—the nutrient profile model of the World Health Organization’s Regional Office for Europe (WHO-EURO), the profile of the private-sector EU Pledge (EU-Pledge), and the national model developed by the Directorate-General of Health (NPM-PT)—in order to explore the potential for reformulation of the RTECs identified as not adequate and evaluate the impact of RTECs’ reformulation on the nutritional quality of Portuguese children’s diets. In total, 78 RTECs intended for children were assessed and two scenarios—current (not considering reformulation) and alternative (considering reformulation to accomplish the nutrient profile requirements)—were considered to assess the impact of reformulation on nutritional quality. Across all RTECs, only 5.1% could be promoted to children according to the considered NPMs. The most common nutrients requiring reformulation were sugar, saturated fatty acids (SFA), salt, and dietary fiber. The scenarios of reformulation considered could reduce the RTECs average content of total sugars, SFA, and salt by 43%, 8.7%, and 1.1%, respectively, and dietary fiber intake could be increased by 34%. Thus, these results support policies to implement reformulation strategies for developing healthier food products to be promoted to children.


Author(s):  
Peter Watt ◽  
George Boak ◽  
Marija Krlic ◽  
Dawn Heather Wilkinson ◽  
Jeff Gold

This reflective case-history presents the findings of a 12-week pilot study of a collaborative organizational change project which oversaw the implementation of predictive policing technology (PPT) into a territorial police force in the North of England. Based on the first year of a two-year initiative, the reflections consider the impact on the future of the project and their potential future application and cultural embeddedness, beyond the organizational and time-bound specifics of this case.


Author(s):  
Wendy Stanyon ◽  
Bill Goodman ◽  
Marjory Whitehouse

Mental illness is a major public health concern in Canada and also globally. According to the World Health Organization, five of the top ten disabilities worldwide are mental health disorders. Within Canada, one in five individuals is living with mental illness each year. Currently, there are 6.7 million Canadians living with mental illness and over 1 million Canadian youth living with mental illness. Police are frequently the first responders to situations in the community involving people with mental illness, and police services are increasingly aware of the need to provide officers with additional training and strategies for effectively interacting with these citizens.This study examined the effectiveness of four online, interactive video-based simulations designed to educate police officers about mental illness and strategies for interacting with people with mental illness. The simulations were created through the efforts of a unique partnership involving a police service, a mental health facility and two postsecondary institutions. Frontline police officers from Ontario were divided into one of three groups (simulation, face to face, control). Using a pre- and post-test questionnaire, the groups were compared on their level of knowledge and understanding of mental illness. In addition, focus groups explored the impact of the simulations on officers’ level of confidence in engaging with individuals with mental illness and officers’ perceptions of the simulations’ ease of use and level of realism. The study’s findings determined that the simulations were just as effective as face-to-face learning, and the officers reported the simulations were easy to use and reflected real-life scenarios they had encountered on the job. As mental health continues to be a major public concern, not only in Canada but also globally, interactive simulations may provide an effective and affordable education resource not only for police officers but for other professionals seeking increased knowledge and skills in interacting with citizens with mental illness.Keywords: policing, mental illness, education, computer-based simulation


2005 ◽  
Vol 33 (05) ◽  
pp. 729-735 ◽  
Author(s):  
Chang Shik Yin ◽  
Hi-Joon Park ◽  
Jung-Chul Seo ◽  
Sabina Lim ◽  
Hyeong-Gyun Koh

Locating acupuncture points reliably and reproducibly is indispensable for the scientific research of acupuncture and for assuring the best care of patients. Unreliable point location can produce confounding results for acupuncture research and clinical practice. Two traditional methods of point location are currently used, directional (F-cun) and proportional (B-cun) methods, which are collectively called the cun measurement system. Reports have been published on the validity of the cun measurement system in Australian subjects; however, as acupuncture originated in ancient East China, it is possible that anthropometric data may differ in Asian people and other races. Therefore, we measured anthropometric data according to the cun measurement system in contemporary Korean patients. The F-cun measurements were significantly different from the B-cun measurements and varied significantly according to the arbitrarily selected F-cun standard. In addition, we observed further differences of F-cun measurements in the extremities of obese subjects. We concluded that the F-cun method is unreliable and that further research should be conducted to determine a more accurate point-locating method primarily based on the B-cun method.


2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Dora Buonfrate ◽  
Lorenzo Zammarchi ◽  
Zeno Bisoffi ◽  
Antonio Montresor ◽  
Sara Boccalini

Abstract Background Implementation of control programmes for Strongyloides stercoralis infection is among the targets of the World Health Organization Roadmap to 2030. Aim of this work was to evaluate the possible impact in terms of economic resources and health status of two different strategies of preventive chemotherapy (PC) compared to the current situation (strategy A, no PC): administration of ivermectin to school-age children (SAC) and adults (strategy B) versus ivermectin to SAC only (strategy C). Methods The study was conducted at the IRCCS Sacro Cuore Don Calabria hospital, Negrar di Valpolicella, Verona, Italy, at the University of Florence, Italy, and at the WHO, Geneva, Switzerland, from May 2020 to April 2021. Data for the model were extracted from literature. A mathematical model was developed in Microsoft Excel to assess the impact of strategies B and C in a standard population of 1 million subjects living in a strongyloidiasis endemic area. In a case base scenario, 15% prevalence of strongyloidiasis was considered; the 3 strategies were then evaluated at different thresholds of prevalence, ranging from 5 to 20%. The results were reported as number of infected subjects, deaths, costs, and Incremental-Effectiveness Ratio (ICER). A 1-year and a 10-year horizons were considered. Results In the case base scenario, cases of infections would reduce dramatically in the first year of implementation of PC with both strategy B and C: from 172 500 cases to 77 040 following strategy B and 146 700 following strategy C. The additional cost per recovered person was United States Dollar (USD) 2.83 and USD 1.13 in strategy B and C, respectively, compared to no treatment in the first year. For both strategies, there was a downtrend in costs per recovered person with increasing prevalence. The number of adverted deaths was larger for strategy B than C, but cost to advert one death was lower for strategy C than B. Conclusions This analysis permits to estimate the impact of two PC strategies for the control of strongyloidiasis in terms of costs and adverted infections/deaths. This could represent a basis on which each endemic country can evaluate which strategy can be implemented, based on available funds and national health priorities.


1989 ◽  
Vol 6 (2) ◽  
pp. 354-357
Author(s):  
IIIT - USA

The Eastern Mediterranean Regional Office of the World Health Organization,the Islamic Organization for Medical Sciences, and the Royal Academyfor Islamic Civilization Research (the Aal Al-Bayt Foundation) jointly sponsoreda seminar on “Islamic Lifestyles and their Impact on Health and theGeneral Development of Mankind” in order to put this Islamic heritage inthe service of all human beings.The idea of.holding this Seminar was first conceived by the EasternMediterranean Regional Office of the World Health Organization becauseof its profound conviction that:1. Health constitutes the physical, psychological, and social wellbeingof the individual.2. Particular lifestyles have a major impact on the health ofthe individual and the society at large.3. Islam views the concept of well-being as a pre-requisite of‘Aqidah (creed) and Shari’ah which the Muslims fully appliedand implemented in their Golden Age -thus, providingliving proof of its success in real life.The first task undertaken by the participants involved the exhaustive listingand description of Islamic lifestyles in all spheres, and, the determiningof their Islamic roots on the basis of evidence from the Qur’an and Hadith.The second task focused on exploring the benefits to be acquired and theharms to be avoided through the adoption of these Islamic lifestyles by theindividual, the family, the society, and all human beings especially in thespheres of mental and physical health, and the well-being of social and humanrelationships. The third task involved devising plans of action for utilizingand applying all or part of the knowledge gained about Islamic lifestylesin order to demonstrate their beneficial influence as a means of reforminglife and setting mankind on the straight path.The Seminar participants also formed a smaller committee to exatninethe results of its research and deliberations so as to prepare, as soon as possible ...


2021 ◽  
Vol 47 (3) ◽  
pp. 166-169
Author(s):  
Katrine Habersaat ◽  
Noni E MacDonald ◽  
Ève Ève Dubé

Despite efforts to promote vaccination and make vaccination services easily accessible, vaccination coverage rates remain below the target rate for many vaccines in various jurisdictions. The Tailoring Immunization Programmes (TIP) approach was developed by the World Health Organization Regional Office for Europe to support efforts of countries to achieve high and equitable vaccination uptake. In this Canadian Vaccination Evidence Resource and Exchange Centre (CANVax) series, we present key insights from the TIP planning framework to assist vaccine program planners, policy makers and vaccine providers to identify the interventions that will lead to increased vaccine uptake. The TIP is a phased approach that involves the following: 1) a clear diagnosis of the root cause of low vaccination; 2) an intervention based on this understanding; and 3) an evaluation of the implementation process and the impact of the interventions. At the provider-patient level, the approaches and insights of the TIP planning framework could inform vaccination consultation by emphasizing the importance of engaging with and listening to the patients and caregivers, and responding to their needs.


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