Scalp acupuncture for sleep disorder induced by pre-examination anxiety in undergraduates

Objective： To explore the therapeutic effects of scalp acupuncture on sleep disorder induced by preexamination anxiety in the undergraduates.Methods： A total of 60 undergraduates with sleep disorder induced by the final examination anxiety were randomized into three groups, named a control group（20 cases）, a traditional acupuncture group（20 cases） and a scalp acupuncture group（20 cases）. In the control group, no any treatment was given. In the traditional acupuncture group, acupuncture was given at Sìshéncōng（四神聪EX-HN1）, bilateral Shénmén（神门HT 7） and bilateral Sānyīnjiāo（三阴交SP 6）. The needles were manipulated with the even-needling technique and retained for 30 min. In the scalp acupuncture group, acupuncture was applied to uppermiddle line of occiput（枕上正中线MS 12）, middle line of vertex（顶中线MS 5） and middle line of forehead（额中线MS 1）. The needles were manipulated with the even-needling technique and retained for 30 min.The treatment was given once a day and 5 treatments made one course. There were 2 days at interval among the courses. The therapeutic effects were analyzed statistically after 4 courses of treatment. Before and after treatment, the Hamilton anxiety scale（HAMA） and the Pittsburgh sleep quality index（PSQI）were adopted to evaluate the conditions of pre-examination anxiety and sleep in the patients.Results： In comparison of PSQI score, compared with those before treatment, the score in the scalp acupuncture group（12.95 ± 1.76 vs 15.95 ± 1.82） and in the traditional acupuncture group（13.75 ± 1.62 vs15.75±1.86） after 1-week of treatment were reduced（both P0.05）. Compared with control group, the score in the scalp acupuncture group（12.95 ± 1.76 vs15.78 ± 2.02） and in the traditional acupuncture group（13.75± 1.62 vs 15.78 ± 2.02） were better（both P〈0.05）. The difference was not significant between the scalp acupuncture group and the traditional acupuncture group（P0.05）. In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group（in 2-week treatment： 8.95 ± 1.88 vs 15.94 ± 1.89, in4-week treatment： 5.95 ± 1.05 vs 16.5 ± 1.95, 1 week after treatment termination： 4.7 ± 0.77 vs 9.78 ± 2.10）and the traditional acupuncture group（in 2-week treatment： 11.15 ± 1.31 vs 15.94 ± 1.89, in 4-week treatment： 8.05 ± 0.89 vs 16.5 ±1.95, 1 week after treatment termination： 6.25 ± 0.85 vs 9.78 ±2.10） were all lower（all P0.05） separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group（all P0.05）. In comparison of HAMD score, compared with those before treatment, the score in the scalp acupuncture group（22.4 ± 5.31 vs 25.2 ± 6.18） and in the traditional acupuncture group（22.4 ± 5.31 vs 25 ±5.97） after 1-week of treatment were reduced（both P〈0.05）.Compared with control group, the score in the scalp acupuncture group（22.4± 5.31 vs 23.28 ±5.53）and in the traditional acupuncture group（22.4± 5.31 vs 23.28 ±5.53） were better（both P〈0.05）. The difference was not significant between the scalp acupuncture group and the traditional acupuncture group（P0.05）. In 2 and 4 weeks of treatment, as well as 1 week after treatment termination, compared with the control group at the same time point, the scores in the scalp acupuncture group（in2-week treatment： 18.5 ±4.56 vs 24.22 ± 5.22, in 4-week treatment： 5.8 ±3.52 vs 21.22 ± 6.7,1 week after treatment termination： 4.55 ± 2.72 vs 11.78 ± 9.36） and the traditional acupuncture group（in 2-week treatment： 17.5 ± 4.59 vs 24.22 ± 5.22, in 4-week treatment： 6.95 ± 3.33 vs 21.22 ± 6.7, 1 week after treatment termination： 5.8 ± 2.76 vs 11.78 ± 9.36） were all lower（all P〈0.05） separately. The scores in the scalp acupuncture group were superior to the traditional acupuncture group（all P〈0.05）. In 4-week treatment and 1 week after treatment termination, compared with control group, the total effective rates in the traditional acupuncture group（in 4-week treatment： 95% vs 11%, 1 week after treatment termination： 100% vs 83.33%, both P〈0.05） and the scalp acupuncture group（in 4-week treatment： 95% vs 11%, 1 week after treatment termination： 100% vs 83.33%, both P〈0.05） were better and the difference was not significant between the traditional acupuncture group and the scalp acupuncture group（both P0.05）.Conclusion： Both scalp acupuncture and traditional acupuncture therapies are effective on sleep disorder induced by pre-examination anxiety in the undergraduates. The scalp acupuncture therapy achieves the better effects on the instant relief of symptoms.

Chinese Experts Consensus on Pre-examination and Triage in Dermatology Clinics during the COVID-19 Outbreak

The SARS-CoV-2 infection has brought a great challenge in prevention and control of the national epidemic of coronavirus disease 2019(COVID-19)in China.During the COVID-19 epidemic,properly carrying out pre-examination and triage for patients with skin lesions and fever has become a practical problem encountered in hospitals for skin diseases and dermatology clinics in general hospitals.Some of the carriers of the SARS-CoV-2 and patients with COVID-19 in the early stage may not present with any symptoms of COVID-19,while certain other skin diseases can also cause fever.Therefore,to properly deal with the patients presenting at dermatology clinics,the Chinese Society of Dermatology organized experts to formulate principles and procedures for the pre-examination and triage of patients at dermatology clinics during the COVID-19 epidemic.

Application of Mobile Technology and Information Management in Emergency Pre- Examination and Triage

The primary objective of emergency pre-examination and triage is to provide the most appropriate clinical service to patients with acute and critical illnesses while ensuring the optimal utilization of limited medical resources.With the advancement of medical information technology,mobile technology,and information management,these features have been gradually incorporated into emergency pre-examination and triage and have shown promising outcomes.In this article,the benefits of implementing mobile technology and the current status of integrated information management to provide a reference for the future development and enhancement of emergency pre-examination and triage are reviewed.