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Your search keyword '"Huang, Kang-bai"' showing total 5 results
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5 results on '"Huang, Kang-bai"'

2. Evidence-based assessment of acupuncture skills using a newly developed simulation-based test:A validation study

Author

XIE, Su jun, WANG, Zheng, ZHOU, Ying fang, KONGE, Lars, WAN, Lai siqi, CAO, Xi jun, WAN, Xing, HU, Yun, FANG, Fang, HUANG, Kang bai, ZHANG, Liang, and ZHUANG, Xun

Subjects
Mastery learning, Acupuncture, Assessment, Simulation, Validity
Abstract

Objective: Acupuncture is an efficient treatment modality for many different training, but the technique can be challenging to master. Identification of the different acupuncture points can now be practiced in a standardized and patient-safe simulation-based environment. We aim to gather additional evidence regarding simulation-based training of acupuncture skills and hope that the simulation-based test developed and will be used for simulation-based mastery learning in future develop. Methods: The aim of this study was to develop a test of acupuncture skills using the TCM (Traditional Chinese Medicine) Meridians & Acupoints Anatomy Teaching Platform and gather validity evidence using Messick's framework. Novice medical students without prior experience in acupuncture (n = 43), intermediate medical students who had finished the mandatory acupuncture course (n = 24), and skilled acupuncture doctors (n = 17) were included in the study. One-hundred and seven acupuncture points were presented to the participants in identical randomized order and they were asked to identify each point by touching the correct anatomical location on the simulator. The simulator automatically registered the accuracy of participants’ answers. Results: The reliability of the final test (66 acupuncture points) was at a high level with a Cronbach's alpha of 0.98 and only 16 acupuncture points were needed to ensure a reliability of 0.90. The test could discriminate significantly between all three groups and a credible pass/fail-score of 34 points was determined which resulted in eight out of 43 (19%) novices passing the test and only two out of 17 (12%) experienced failing the test. These consequences were statistically significant (P < 0.001). Conclusion: Based on Messick's framework we demonstrated strong validity evidence for a newly developed simulation-based test of acupuncture points localization skills. The test can be used as an aid to decide when trainees are ready to progress to more advanced training and clinical practice. Compared with the traditional point-point test, the point-point evaluation of the simulator can be more objective and reduce the effort of teachers.

Published
2022

5. [Effect of electroacupuncture on expression of signal transducer and activator of transcription 3 in focal ischemic cerebral tissue in cerebral ischemia rats].

Author

Su MZ, Yi W, Huang KB, Liu R, and Xu NG

Subjects
Animals, Brain Ischemia metabolism, Disease Models, Animal, Humans, Male, Rats, Rats, Sprague-Dawley, STAT3 Transcription Factor metabolism, Brain Ischemia genetics, Brain Ischemia therapy, Electroacupuncture, STAT3 Transcription Factor genetics
Abstract

Objective: To observe the effect of electroacupuncture (EA) intervention on expression of signal transducer and activator of transcription 3 (STAT 3) in the focal ischemic cerebral tissue, so as to study its mechanism underlying improving ischemic stroke., Methods: A total of 150 SD rats were randomized into sham operation (control) group, cerebral ischemia (CI) model (model) group and EA group which were further randomly divided into 2 hour (2 h), 1 day (1 d), 3 d, 1 week (1 W) and 3 W subgroups (n = 6/subgroup for immunohistochemistry, n = 4/subgroup for Western blot). CI model was established by occlusion of the middle cerebral artery with electro-coagulation method. EA (3 Hz/20 Hz, 2-3 V) was applied to "Baihui" (GV 20) and "Dazhui "(GV 14) for 30 min. The expression of cerebral STAT 3 was detected by immunofluorescence histochemistry and laser-confocal microscopy, and Western blot, separately., Results: Compared with the control group, cerebral STAT 3 immunofluorescence intensity values at the time-points of 2 h, 1 d, 3 d and 1 W, STAT 3 protein expression levels at the time-points of 2 h, 1 d and 3 d in the model group were increased significantly (P < 0.001, P < 0.05). After acupuncture intervention, cerebral STAT 3 immunofluorescence intensity values at the time-points of 1 d, 3 d, 1 W and 3 W, STAT 3 protein expression levels at the time-points of 1 d, 3 d and 3 W in the EA group were down-regulated considerably (P < 0.001, P < 0.01, P < 0.05). No significant differences were found between the control and model groups in STAT 3 immunofluorescence intensity at 3 W, and in STAT 3 protein expression levels at 1 W and 3 W, and between the EA and model groups in STAT 3 immunofluorescence intensity at 2 h, and in STAT 3 protein expression at 2 h, 3 d and 1 W (P > 0.05)., Conclusion: EA therapy can down-regulate the expression level of STAT 3 protein in the regional ischemic cerebral tissue in cerebral ischemia rats, which may contribute to its efficacy in the treatment of acute and chronic ischemic stroke.

Published
2012

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