[Objective]The purpose of this study was the analysis of factors that are connected with acupuncturists'hand hygiene, and suggestions for improvement of hand hygiene inclinical practice of acupuncture.
[Design]A cross-sectional study.
[Methods]Subjects were 122 acupuncturists. Using a questionnaire, we investigated the difference in years of experience, daily number of patients, therapy policy, method of needle insertion, education, gender and age according to the difference in hand hygiene behavior. Furthermore, each items relation to hand hygiene behavior was examined.
[Results]The number of valid responses was 109 (89.3%). The group that does not wash its hands had a younger average age (P<0.01), shortness of clinical experience (P<0.01), and much higher number of patients per day (P<0.05) as compared with the group that washes its hands. The group with the behavior of using tools to prevent bare hands from touching needles (tools such as individual finger stalls) had a high ratio of a policy of contemporary medicine (P<0.05) and experience of education (P<0.05) as compared with the group using bare hands. Neglectfulness of hand washing was associated with younger age [odds ratio (OR) = 1.10, 95%confidence interval (CI) = 1.01-1.20]and higher daily number of patients (OR = 0.90, 95%CI = 0.83-0.98). Furthermore, behaviors of the use of tools such as individual finger stalls was related to experience of education (OR = 3.45, 95%CI = 1.27-9.36).
[Conclusion]Performance of hand washing before therapy is related with youth and greater numbers of patients per day, which cause hygiene neglect. Educational experience promotes the use of tools such as individual finger stalls.

The purpose of this study was to observe the effect on the change of heart rate and respiratory function by four kinds of different stimulation. We applied low frequency stimulation (1-30Hz) to 15 healthy volunteers. Each subject received stimulation at both 1Hz and 30Hz on Hegu (LI4)/Kong zui (L6) and rhomboids muscles.
The results indicated that a 1Hz current injection on the rhomboids muscle was the most effective for the respiratory function. An increase in the forced vital capacity (FVC) and the forced expiratory volume in one second (FEV1), and a decrease in the peak expiratory flow (PF) were observed. The change showed a similar tendency to that of a 1Hz stimulation to the rhomboids muscles of the patients wish asthma. This results suggests that the clinical application of acupuncture stimulation is feasible for respiratory diseases.
We also observed a correlation between the respiratory function and the autonomic function of heart on the 30Hz stimulation using points Hegu (LI4) and Kong zui (L6).