Taiwanese journal of obstetrics & gynecology
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Taiwan J Obstet Gynecol · Mar 2013
Review Comparative StudyThe meridian system and mechanism of acupuncture--a comparative review. Part 2: mechanism of acupuncture analgesia.
In traditional Chinese medicine (TCM), pain is never merely a sign of discomfort. It is usually an integral part of a particular disease or physiological malfunction. Thus pain should not be treated in isolation since it will disappear as soon as its cause is identified and removed. ⋯ Two consequent scenarios are possible. (1) If the impedance of the meridian hugely mismatches with that of the brain after acupuncture, then the traveling wave of pain signal will be largely reflected back and only partially transmitted to the brain, hence pain relief can be achieved. (2) If the impedance of the meridian entirely matches that of the pain source after acupuncture, then the pain source would appear to be nonexistent to the brain, hence analgesia can be achieved. The former mechanism can be used to explain the relief for chronic pain and the latter one for acute pain. It is believed that the proposed mechanisms via match or mismatch of the impedances can explain how the acupuncture works not only in the treatment of pain, but also in various other therapies of Part 3.
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To investigate the incidence, management, and perinatal and long-term outcomes of term pregnancies with umbilical cord prolapse (UCP) at Mackay Memorial Hospital, Taipei, from 1998 to 2007. ⋯ Early detection of UCP and expeditious delivery are crucial to good perinatal outcomes. An emergency CS remains the mainstream management. Multiparous women whose cervixes are nearly fully dilated and who are expecting babies relatively smaller than their elder brothers or sisters born vaginally may still have vaginal deliveries managed by well-experienced birth teams, with good perinatal outcomes. Otherwise, vaginal delivery is not recommended and CS is the wiser choice.
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Taiwan has a unique cultural milieu and integrated medical education so that is a bellwether for acupuncture research. Pioneer researches here on electrophysiology and neuroendocrine illustrate a crucial role of the central nervous system (CNS) plays in acupuncture treatment. With different frequency of stimulation, acupuncture can elicit different physiologic responses in the CNS and neuroendocrine systems. ⋯ In addition to pain syndromes, Taiwanese clinicians pay much attention to diverse kinds of diseases. This broadens the spectrum of acupuncture trials and clinical application of acupuncture treatment. The exploration conducted in Taiwan leads acupuncture research worldwide.
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Taiwan J Obstet Gynecol · Jun 2012
Case ReportsOsteogenesis imperfecta type IV: prenatal molecular diagnosis and genetic counseling in a pregnancy carried to full term with favorable outcome.
To present molecular diagnosis and genetic counseling for osteogenesis imperfecta (OI) type IV in a pregnancy carried to term with favorable outcome. ⋯ The present case adds to previous examples of favorable outcome in pregnancies with non-lethal forms of OI.