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At least 181 records · Page 10Linked to original sources

Performance of Meridian ImmunoCard Mycoplasma test in a multicenter clinical trial.

Serology is the principal laboratory method used to diagnose Mycoplasma pneumoniae infection. Meridian Diagnostics has developed the ImmunoCard Mycoplasma kit, a 10-min card-based enzyme-linked immunosorbent assay (ELISA) designed to detect immunoglobulin M (IgM) antibodies to M. pneumoniae. We compared the ImmunoCard with two M. pneumoniae IgM-specific assays (immunofluorescence assay [IFA] and ELISA) and a standard complement fixation (CF) procedure using 896 specimens submitted to clinical laboratories for M. pneumoniae serology. Equivocal results obtained by CF, IFA, or ELISA were resolved by testing with an additional method or by reviewing patient chart information. The ImmunoCard had sensitivities ranging from 74% compared with the ELISA to 96% compared with CF results with IFA. ImmunoCard specificities ranged from 85% compared with the IgM-specific ELISA to 98% compared with IgM-specific IFA results resolved with clinical chart review. We also compared the ImmunoCard results with consensus results of 694 specimens tested on at least two non-ImmunoCard methods because of the lack of a "gold standard" for M. pneumoniae serology. Overall, the ImmunoCard Mycoplasma IgM assay had 90% sensitivity, 93% specificity, and 92% agreement with the consensus results. The ImmunoCard is technically less complex and requires less equipment that the three other assays. Our results indicate that the ImmunoCard Mycoplasma IgM assay is a valid and simple procedure which can reduce technologist time (and, thus, labor cost) and turnaround time for laboratories analyzing small numbers of specimens (< 10 per batch) submitted for IgM anti-M. pneumoniae testing.

Adult↗

A birdcage model for the Chinese meridian system: part III. Possible mechanism of magnetic therapy.

Based on the electromagnetic model of the transmission line for the channel and the birdcage resonator for the meridian network, we interpret two effects, seemingly incomprehensible in terms of current Western physiology, the lasting effect and the remote effect. For the lasting effect, acupuncture enhances the amplitude of the Qi standing wave, and this increased amplitude is retained and thus is able to sustain a gradual remodeling of the extracellular matrix in interstitial connective tissues, resulting in a lasting therapeutic effect. For the remote effect (acupuncture effect far from the site of needle insertion), our model puts the mechanism of magnetic therapy on an equal footing with that of acupuncture. It may not be a coincidence that accounts of investigators in both acupuncture and magnetotherapy about the depth of the effective site--along cleavage planes between muscles, or between muscle and bone or tendon--are in accord with that of the Huang Di Nei Jing about the course of channels: "they are embedded and travel between interstitial muscles, deep and invisible." A possible magnetic field generated outside the birdcage may be manipulated to produce local areas of higher temperature or very strong fields.

Acupuncture Therapy↗

[Denitrification potential and CO2 emission in the northern forest soils of the Enisei meridian (the Siberian IGBP transect)].

To estimate the probable contribution of northern forest soils to the global budget of greenhouse microgases, the cryogenic soils along the Yenisei meridian have been studied with respect to their potential denitrification and carbon mineralization activities. It is shown that the forest soils of the boreal zone have a high denitrification potential and, under conditions of a high nitrate nitrogen content, may be a source of nitrogen oxide emission. A significant correlation is observed between N2O and CO2 emissions (r = 0.85, p < 0.001).

Carbon Dioxide↗

'Scrapbooks' provide warm touch to two organizations' annual reports. New York-Presbyterian Hospital, Meridian Health create beauties.

As Profiles begins accepting entries for its seventh annual competition for Annual Reports, we review examples of two outstanding reports. New York Presbyterian Hospital (The University Hospitals of Columbia and Cornell), New York; and Meridian Health, Woburn, N.J., both employed the "scrapbook" theme in their 2002 annual reports.

Annual Reports as Topic↗

New Jersey hospitals renew their identities; part of Meridian Health. Raising awareness of the advantages of a healthcare system.

Meridian Health, Wall, N.J., is a three-hospital system that also includes a network of partner companies. The objectives of this branding campaign were to create a better awareness of the benefits of academic medicine, to close the physician referral loop and to improve internal morale. The objectives were realized by emphasizing the teamwork of the system's doctors and showing their actual faces and voices.

Advertising↗

Meridian health annual report focuses on what is 'brand new'.

The 2003-2004 annual report by Meridian Health, Neptune, N.J., is titled brand new. The high-end publication was produced especially for the healthcare system's employees, board members, shareholders and volunteers.

Annual Reports as Topic↗

[Comparative study of cerebral infarction treated with acupuncture at 6 acupoints of yang meridian and calan].

UNLABELLED: This article reports the curative effects of acupuncture on 6 acupoints of Yang meridian in treating 32 cases of cerebral infarction in comparison with another 31 cases treated with calan tablets 55 out of 63 patients have been diagnosed as cerebral infarction by computer tomography. Diagnosis of 8 cases relied on history, symptoms, signs together with cerebrospinal fluid examination. Patients were divided randomly into two treatment groups: acupuncture group and calan tablet group. Therapeutic method: (1) For acupuncture group, main acupoints consisted of Jianyu (L.I. 15), Quchi (I. I. 11), Hegu (L. I.4) in the upper extremity and Huantiao (G. B. 30), Yanglingquan (G. B. 34), Guangming (G. B. 37) in the lower extremity. According to the syndrome differentiation, Taichong (Liv. 3), Fengchi (G. B. 20), Tianshu (St. 25), Fenglong (St. 40), Zusanli (St. 36), Sanyinjiao (Sp. 6), Taixi (K. 3) were added. The lifting and thrusting was manipulated. The needles were retained for 30 minutes after the patient felt local sourness, distension and heaviness. Acupuncture was carried out every day for 6 weeks. (2) For calan tablet group, calan tablet 5 mg was administered 3 times a day for the same treatment session as the former group. RESULT: The total effective rates were 93. 75% and 83.87% respectively. The therapeutic effect in the acupuncture group was much better than that in the calan tablet group (P less than 0.05). The majority of hemorheological indices of patients in two groups were obviously higher than those of the normal in the same age group.(ABSTRACT TRUNCATED AT 250 WORDS)

Acupuncture Points↗

Vertical displacement threshold sensitivity along the horizontal meridian as a function of stimulus rate, duration, and length.

Vertical displacement thresholds (DT) were quantified in 24 observers at the fovea and each of 8 retinal positions out to 80 degrees along the horizontal meridian during binocular viewing. Stimulus length was increased with eccentricity angle in accordance with the cortical magnification factor (21); a 1 degree arc long stimulus served as a control at each position. Three movement durations (from 0.25 to 4 s) and three angular rates (from 0.04 to 0.42 degrees arc.s-1) were also quantified at each position to determine whether peripheral DT is mediated predominantly by an image displacement- or rate-sensitive mechanism. It was found that 1) DT is mediated predominantly by a constant rate-sensitive mechanism at each position when stimulus length is increased in proportion to the cortical magnification factor; 2) mean percent correct displacement judgments decrease significantly into the periphery for both stimulus lengths, however, increasing stimulus length yields significantly higher accuracy; and 3) at 10 and 30 degrees eccentricity, increasing rate and duration significantly improve displacement judgment accuracy, but beyond 40 degrees only lengthening the stimulus improves accuracy. The findings are related to the design optimization of dynamic attitude displays and symbology for aircraft.

Adolescent↗

Callosal projections in the visual cortex and the vertical meridian of the visual field in the albino rat.

Studies using electrophysiological and HRP-labeling techniques showed that the lateral border of physiologically determined primary visual cortex coincides with the cytoarchiectonically defined area 17/18a border. The dense callosal projections are distributed in a zone, about 1.5 mm wide, along this border, which lies in the callosal zone, about 1/4-1/3 of the zone width from its lateral limit. There are two representations of the vertical meridian of the visual field, one in the proper of area 17, about 1/3 of the zone width from its medial limit, the other in area 18a, at about the lateral zone limit.

Animals↗

Resolution of gratings oriented along and across meridians in peripheral vision.

Grating resolution was measured at various locations of the visual field for four grating orientations. As an instance of the oblique effect, vertical and horizontal gratings produced the highest resolution values in the central area. At eccentricities larger than about 20 deg, the oblique effect was replaced by a meridional resolution effect, in which resolution was systematically best for meridionally oriented grating bars and worst for grating bars perpendicular to the visual-field meridians. The origin of the effect seems to be neural because it was not caused by peripheral refractive errors or optical distortion of the peripheral retinal image.

Humans↗

Alignment ability of strabismic and eye enucleated subjects on the horizontal and oblique meridians.

For normal sighted observers visual performance is often superior on the principal meridians than on the oblique. There has been no clear consensus on whether disruption of the visual system affects performance on orientation sensitivity tasks. Here we compare the abilities of normally sighted subjects tested monocularly, subjects with one eye enucleated and strabismic subjects using the non-deviating eye, in an orientation task. Subjects were asked to align a dot with a bar that was oriented either horizontally or on the oblique. For all groups, alignments were significantly more accurate and precise for the horizontal bar as compared to the oblique bar. Normally sighted subjects were significantly more precise on alignments in the horizontal and oblique planes than strabismic subjects, using the non-deviating eye. Precision for eye enucleated subjects was similar to that of normally sighted subjects. Precision of alignments did not correlate to the age at diagnosis of strabismus or to depth of amblyopia in strabismus. We conclude that for alignment ability, the disruption of visual development produced by enucleation of eye is not equivalent to that produced by strabismus. This could represent an underlying difference in the visual system between these two groups.

Adolescent↗

The effect of Ting point (tendinomuscular meridians) electroacupuncture on thermal pain: a model for studying the neuronal mechanism of acupuncture analgesia.

OBJECTIVE: The aim of this study was to characterize the role of Ting points (TP) in acute pain management and its potential use in functional imaging studies by quantitatively assessing: (1) the change in peripheral thermal thresholds before and after the electroacupuncture (EA); and (2) the corresponding behavioral feedback of thermal pain stimulation and the de qi sensation of EA. DESIGN: The study design was prospective. SETTINGS/LOCATION: Healthy subjects were recruited for the study at the University of California, San Diego Medical Center. SUBJECTS/INTERVENTIONS: Thirteen (13) healthy subjects were studied. Baseline thermal thresholds (cold and warm sensations and cold and hot pain) were measured at premarked testing sites along the medial aspects of bilateral lower extremities. Five (5) seconds of hot pain (HP) was delivered to the testing sites and the corresponding pain visual analog scale (VAS) scores were recorded. Thirty (30) seconds of EA was delivered via the SP1 and LR1 on the left lower extremities at 5 Hz via a 6-V square-wave stimulator. OUTCOME MEASURES: The VAS scores of the HP and de qi sensation (tingling) during the EA were recorded. The thermal thresholds and VAS scores for the HP and de qi were obtained immediately and both 30 and 60 minutes after the EA. Adaptation testing was also carried out to assess the change in thermal thresholds and the VAS scores of HP without EA. RESULTS: The warm thresholds of bilateral medial calves significantly increased (p < 0.01) after 30 seconds of EA stimulation. The HP VAS score reduced significantly at the ipsilateral calf during EA in comparison to preacupuncture and postacupuncture (p < 0.01) measurements. No significant change in thermal thresholds was noted in the adaptation paradigm. CONCLUSIONS: EA at the TP has an inhibitory effect on the C-fiber afferents. The analgesic benefit observed is most likely A-delta afferent mediated. Further correlation studies in functional imaging may provide defining data for the observed analgesic mechanism.

Acupuncture Analgesia↗

The perineurial vessel: a possible candidate for the structural basis of the meridian (Jing-Luo) in Chinese medicine.

A new concept is proposed of the 'perineurial vessel' as another vascular system of the body. The effects of acupuncture and moxibustion are explained as mechanical or thermal stimulation of intraperineurial cerebrospinal fluid (CSF). Fenestrated venous capillaries of circumventricular organs, including the choroid plexus, instead of arachnoid granulations, are shown to be the main site of CSF absorption. A new concept is also presented of a double circulatory system of the body, namely, in addition to the cardiovascular system, a lympho-liquid system with complete fluid circulation throughout the entire body.

Acupuncture↗

A birdcage model for the Chinese meridian system: Part V: Applications to animals and plants.

Since we all belong to the Kingdom Animalia, it is not surprising that animals in general benefit from the healing art of acupuncture that helps humans. Consequently, any proposed mechanism of Qi and acupuncture for humans based on animal physiology is probably applicable to animals as well, yet none is capable of explaining most of the complicated physiological effects observed. Not much attention was paid to the effects of Qi and acupuncture on plants (Kingdom Plantae) and on enoki mushrooms (Kingdom Fungi) by the TCM community, probably because they cannot be explained in terms of neurochemistry or connective tissue structures. However, our transmission and birdcage model is in principle applicable across Kingdom boundaries, because it is based on physical properties underlying the biological structure, thus its explanatory power is not restricted by categories of biology. We estimate several possible parameters of the birdcage model for animals and plants and give a possible interpretation for the sound fertilization phenomenon.

Acupuncture Therapy↗