Under ultrasound guidance, a blunt suture needle was inserted around the Glissonian pedicle and then sutured. This technique significantly reduced the blood loss and facilitated the procedure of partial hepatectomy. W...Under ultrasound guidance, a blunt suture needle was inserted around the Glissonian pedicle and then sutured. This technique significantly reduced the blood loss and facilitated the procedure of partial hepatectomy. We applied this technique in 182 patients who needed partial hepatectomy. We concluded that this method is simple and easy to occlude the vascular inflow and outflow, and allows an accurate delineation of the anatomic zone and therefore, simplifies the procedure of partial hepatectomy.展开更多
Since acupuncture came to western countries,research has been done to try and prove whether or not it is effective.Current Acupuncture research is most often based on the sham needle which was first designed by K Stre...Since acupuncture came to western countries,research has been done to try and prove whether or not it is effective.Current Acupuncture research is most often based on the sham needle which was first designed by K Streitberger and J Kleinhenz in 1998.The sham acupuncture needles are developed for the control group and do not penetrate the skin.Sham acupuncture has been used in randomized controlled trial(RCT) for diseases which normally benefit from acupuncture treatment.The sham needle is not the best placebo needle though.Because of the use of sham acupuncture,the result of those research shows acupuncture having no effect or it shows there is no significant difference between real acupuncture(verum) and sham acupuncture(placebo).However,a detailed introduction of the Nine Classical Needles(ancient) and the Nine Modern Needles(SHI's nine needles) shows that the use of sham acupuncture in RCT research is flawed by design.This then casts doubt on the findings and conclusions reached by using sham acupuncture in RCT acupuncture research.展开更多
基金supported by a grant from Scientific and Technological Project of Chongqing city(CSTC2012gg-yyjs10016)
文摘Under ultrasound guidance, a blunt suture needle was inserted around the Glissonian pedicle and then sutured. This technique significantly reduced the blood loss and facilitated the procedure of partial hepatectomy. We applied this technique in 182 patients who needed partial hepatectomy. We concluded that this method is simple and easy to occlude the vascular inflow and outflow, and allows an accurate delineation of the anatomic zone and therefore, simplifies the procedure of partial hepatectomy.
文摘Since acupuncture came to western countries,research has been done to try and prove whether or not it is effective.Current Acupuncture research is most often based on the sham needle which was first designed by K Streitberger and J Kleinhenz in 1998.The sham acupuncture needles are developed for the control group and do not penetrate the skin.Sham acupuncture has been used in randomized controlled trial(RCT) for diseases which normally benefit from acupuncture treatment.The sham needle is not the best placebo needle though.Because of the use of sham acupuncture,the result of those research shows acupuncture having no effect or it shows there is no significant difference between real acupuncture(verum) and sham acupuncture(placebo).However,a detailed introduction of the Nine Classical Needles(ancient) and the Nine Modern Needles(SHI's nine needles) shows that the use of sham acupuncture in RCT research is flawed by design.This then casts doubt on the findings and conclusions reached by using sham acupuncture in RCT acupuncture research.