The location of organs and tissues at the tip of acupuncture needle inserted in acupuncture point was studied on the human transverse sections.
A female, Japanese, cadavar (135cm long and 52kg in weight) was fixed with aldehyde mixture and frozen from 3 weeks at -30°C. Then the cadaver was cut into blocks along the transverse planes perpendicular to the median plane at each point of Bladder meridian.
This report describes the depth of organs and tissues in 5 transverse planes from SHINYU BL 15 (Bladder meridian) to TANYU BL 19 (Bladder meridian).
At SHINYU BL 15, acupuncture needle penetrates through 5mm thick skin, 2mm thick hypodermis, 3mm thick trapezius, and 17mm thick deep back muscle in thick was respectively. The needle reaches to the 6th rib at 27mm away from the surface.
At TOKUYU BL 16, the needle penetrates through the skin, hypodermis, trapezius, and deep back muscles of 5, 3, 3, 17mm in thickness respectively.
The needle reaches to the 7th rib at 28mm away from the surface.
At KAKUYU BL 17, the needle penetrates through the skin, hypodermis, trapezius, latissimus dorsi, and deep back muscles of 4, 2, 3, 1, 20 in thickness respectively. The needle reaches to the 8th rib at 30mm away from the surface.
At KANYU BL 18, the needle penetrates through the skin, hypodermis and deep back muscles of 5, 6, 32mm in thickness respectively. The needle reaches to the 10th rib at 43mm away from the surface.
At TANYU BL 19, needle penetrates through the skin, hypodermis, and deep back muscles of 4, 7, 32mm in thickness respectively. The needle reaches to the 11th rib at 43mm away from the surface.
Depth of acupuncture points studies was discussed from the clinical points of views.

The location of organs and tissues at the tip of acupuncture needle inserted in acupuncture points was studied on the human transverse sections.
A female, japanese, cadaver (139cm long, and 52kg in weight) was fixed with an aldehyde mixture and frozen for 3 weeks at -30°C. Then the cadaver was cut into blocks along the transverse planes perpendicular to the median plane at each point of Bladder meridian.
This report describes the depth of organs and tissues in 5 transverse planes from Hiyu (BL, 20 Bladder meridian) to KiKaiyu (BL, 24 Bladder meridian).
At Hiyu (BL, 20), acupuncture needle penetrates through 5mm thick skin, 4mm thick hypodermis, and 30mm thick deep back muscies in thick was respectively. The needle reches to the 12th rib at 39mm away from the surface.
At Iyu (BL, 21), the needle penetrates through the skin, hypodermis and deepback muscles of 5, 3, 28mm in thickness respectively. The needle reaches to the 1st lumber at 36mm away from the surface.
At Sanshoyu (BL, 22), needle pentrares through the skin hypodermis and deep back muscles of 5, 5, 26mm in thickness respectively. The needle reaches to the 2nd lumber at 36mm away from the surface.
At Jinyu (BL, 23), the needle penetrates through the skin, hypodermis and deep back muscles of 4, 5, 32mm in thickness respectively. The needle reaches to the 3rd lumber at 41mm away from the surface.
At Kikaiyu (BL, 24), the needle penetrates through the skin, hypodermis and deep back muscles of 4, 5, 30mm in thickness respectively. The needle reaches to the 4th lumber at 39mm away from the surface.
The depth of acupuncture points studies was discussed from the clinical points of view.

A 61-year-old woman who presented with symptoms of dysphagia was hospitalized after right subclavian artery aneurysm was diagnosed. A selective right subclavian arteriogram revealed the presence of two large subclavian arterial aneurysms. The operative procedure consisted of aneurysmectomy through a right supuraclavian incision followed by the reconstruction of the blood vessel by end-to-end anastomosis of the right subclavian artery. The postoperative course was uneventful. Multiple subclavian artery aneurysms are rare among peripheral aneurysms. This case was found by the symptoms of dysphagia caused by compression of the esophagus. The etiology of this case is unclear, but most likely was due to trauma.

It has been reported that diabetes mellitus is a significant risk factor for adverse outcomes after conventional CABG using cardiopulmonary bypass. However, the effects of diabetes on postoperative outcomes after off-pump coronary artery bypass grafting (OPCAB) are unclear. The effects of diabetes on early and mid-term results were studied by comparing the outcomes between 82 patients (65±5 years) with diabetes and 112 patients (68±11 years) without diabetes. The diabetic group included a greater preoperative presence of renal insufficiency (22.0% vs 8.9%, p=0.011) and history of cerebral vascular accident (25.6% vs 11.6%, p=0.012). Strategies, including graft choice, were not changed by presence of diabetes. The use of bilateral internal thoracic arteries (70.7% diabetes vs 67.0% nondiabetes), and frequency of total arterial bypass were similar in the 2 groups. The number of distal anastomoses was higher in the diabetic group (3.0±0.9 vs 2.7±0.9, p=0.042). The operation time and frequency of blood transfusion were similar in both groups. There was no hospital death in either group. Although mechanical ventilation time and postoperative ICU stay did not differ, hospital stay was significantly longer in the diabetic group (16.2 vs 13.3 days, p=0.0085). Postoperative major complications including atrial fibrillation were not significantly different between the 2 groups. Minor wound infection occurred in 2 patients, 1 in each group. There was no mediastinitis in either group. During the mean follow-up period of 20.8 months (1-39), there were two sudden deaths in the diabetic group, but no other cardiac death in either group. Cardiac event-free rate did not differ between the 2 groups. Although hospital stay in diabetic patients was longer than that in nondiabetic patients, early and mid-term results of OPCAB were not significantly affected by diabetes mellitus.

The location of organs and tissues at the tip of acupuncture needle inserted in acupuncture points was studied on the human transverse sections.
A female, japanese, cadaver (139cm long, and 52kg in weight) was fixed with an aldehyde mixture and frozen for 3 weeks at -30°C. Then the cadaver was cut into blocks along the transverse planes perpendicular to the median plane at each point of Bladder meridian.
This report describes the depth of organs and tissues in 5 transverse planes from DAITSUI (Governor vessel meridian) to KETSUINYU (Bladder meridian).
At DAITSUI, acupuncture needle penetrates through 7.5mm thick skin, 28.5mm thick hypodermis, and reaches to the transverse process of the 7th cervical vertebra at 36mm away from the surface. At DAIJO, the needle penetrates through the skin, hypodermis, trapezius, rhomboideus, and deep back muscles of 6, 8, 5.5, 10 and 14mm in thickness respectively. The needle reaches to the 2nd rib at 43.5mm away from the surface. At FUMON, the needle penetrates through the skin, hypodermis, trapezius rhomboideus, deep back muscles of 7, 5, 3.5, 4 and 18.5mm in thickness respectively. The needle reaches to the 3rd rib at 38mm away from the surface. At HAIYU, the needle penetrates the skin, hypodermis, trapezius, and deep back muscles of 6, 4, 3 and 22mm in thickness respectively, and reaches to the 4th rib at 35mm away from the surface. At KETSUINYU, the needle penetrates the skin, hypodermis, trapezius, and deep back muscles of 5, 3, 4 and 21mm in thickness respectively, and reaches to the 5th rib at 33mm away from the surface.
The depth of acupuncture points studies was discussed from the clinical points of view.