A relationship of meridian point-jingluo to secretion of insulin was evaluated by blocking the large intestine channel of hand-yangming.
Subjects were divided into three groups; (1) group of subjects in whom saline was injected in Quchi (LI-11), (2) group of subjects whose Quchi was cooled by an ice bag, and (3) group of subjects whose Quchi was pressed. Insulin secretion following acupuncture stimulation to Hege (LI-4) was measured in these groups. As a result, all three groups showed significant reduction in secretion of insulin and integrated insulin response for 60 minutes during oral glucose tolerance test.
The result obtained seems to suggest that stimuli given to Hege are blocked to transmit due to the interferance given to Quchi. This implies that blocking phenomenon of the jingluo take place in the large intestine channel of hand-yangming.

As reported in a previous paper, acupuncture stimulus at 8 meridian points, CV-3, ST-25, BL-20, BL-18, LI-11, ST-36, SP-8 and LV-3 revealed significant increase in supplementary secretion of insulin during OGTT in normal subjects.
In this study it was cauied out to evaluate effect on secretion of insulin during OGTT using the same 8 meridian points individually as acupuncture stimulus.
It was clear that supplementay secretion, total secretion and secretion response of insulin during OGTT showed a highly significant increase by acupuncture stimalus at LI-11 and supplementary secretion and secretion response of it resulted in a marked increase at LV-3. However, no significant changes of insulin secretion were observed at ST-36 and ST-25.
The results suggested that significant differeuce in insulin secretion existed among these meridian points which used popularly for diabetes mellitus.

A relationship of acupuncture stimulation to secretion of insulin was investigated by stimulating various meridian points which are usually used for the treatment of diabetes mellitus. As a result, it was demonstrated that Quchi (LI-11) is closely related to insulin secretion. This study was carried out to investigate a relationship of each of Hege (LI-4), Shousanli (LI-10), Jugu (LI-16), Yingxing (LI-20), which are located on the large intestine channel of hand-yangming, to secretion of insulin.
When stimulated by a 30 minutes placing needle, all four meridian points evidently increased secretion of insulin and integrated insulin response for 60 minutes during oral glucose tolerance test. Among others, Hege stimulation showed the most remarkable increase in insulin secretion.
The result obtained seems to suggest that is a close relationship between insulin secretion and the large intestine channel of hand-yangming.

Studies on relationship between insulin secretion and 8 meridian points, namely St-39, Ren-12, LI-11, UB-20, UB-18, St-36, Sp-8, and Liv-3 which are extensively used for the treatment of diabetes mellitus, revealed that LI-11 and UB-18 are closely related to secretion of insulin.
The twelve segmentations of Hirata, LI-11 corresponds to the 5th response zone of upper extremity region and UB-18 to the 5th response zone of truncal region, respectively. In order to investigate relationship between insulin secretion and the 5th response zone of Hirata's twelve segmentations, GB-10 of capital region, St-3 of collar region, SI-16 of facial region and Sp-6 of lower extremity region were stimulated by placing needle during oral glucose loading and insulin secretion was evaluated.
As a result, none of the meridian point locating in the 5th response zone in each region of Hirata's twelve segmentations showed positive relation to insulin secretion, except LI-11 of upper extrmity region and UB-18 of truncal region.

Introduction
Recently, the increasing prevalence of chronic and lifestyle-related diseases has become the most crucial global health issue, even in low- and middle-income countries. However, current health systems are often unable to address the large burden of such diseases because of their poor capacity. In Sri Lanka, a country facing such issues, we implemented a school initiative project, the effect of which expanded beyond the school to the student's family as well as the local community. The project was aimed at prevention of chronic and lifestyle-related diseases among adults through school children's activities.
Activities
Major interventions such as workshops and regular publication of newsletters including the results of the workshops were implemented at four selected primary and secondary schools in the Southern Province of Sri Lanka. The newsletters the children brought home facilitated their communication with the parents regarding health issues. All the schools conducted health camps, which children planned and managed themselves, and incentive funds were offered to support the children's activities.
Results
Through discussion and learning at the workshops, children's self-confidence and self-reliance might be enhanced, particularly in regard to developing their health literacy. The health camps and incentive funds helped promote children's autonomy and capability. The attendance rate of the students at the four schools has increased since the inception of the project, while a questionnaire survey showed that the proportion of parents who smoked has decreased.
Conclusion
The trial suggested that school children have the potential not only to improve their own health but also to help their parents and the broader community adopt a healthier lifestyle. Application of the child-to-child strategy may be useful to deal with chronic and lifestyle-related diseases of adulthood as it expands to the child-to-parents and the child-to-community approach.

A 72-year-old man suffering from postinfarction angina and atrial septal defect (ASD) underwent a combined operation of four bypass graftings and direct closure of ASD. The great saphenous vein was harvested with the use of a bipolar Nd-YAG laser dissector without scissors or threads. Nd-YAG laser (wavelength: 1.064um) was irradiated to the branches of the saphenous vein through the ceramic tips of the dissector. After about five minutes exposure, the branch was dissected and bleeding from the dissected edge was not seen. Postoperative angiogram six months after grafting showed all grafts were patent, and morphological abnormalities such as reginoal shrinkage, diffuse narrowing and aneurysmal dilation were not observed. We conclude that laser graft harvesting using the bipolar dissector is safe and effective in saving time.

A 51-year-old male, who had undergone aortic valve replacement (BS27A) 13 years ago, was admitted with a sudden onset of cerebral stroke and SVC syndrome. Computed tomography and aortography revealed aneurysmal dilatation and dissection of the ascending thoracic aorta with occlusion of the superior vena cava and the right pulmonary artery. A modified Collins procedure was performed and the postoperative course was uneventful.

  A Health Promoting Schools (HPS) program was conducted among primary and secondary school children in Southern Province, Sri Lanka. The HPS program included implementation of health education and workshops, as well as publication of school newsletters that communicated the material the children discussed and learned in school to their families. The study aimed to determine whether the HPS program had any effects on the health of the school children, their parents and teachers.
  A total of 22 adults (nine parents, nine school teachers, and four school principals) were invited for in-depth individual interviews and reported their views on changes after the implementation of the project. The interviewees reported that the school children substantially improved their behaviors regarding dietary habits, basic hygiene, lifestyle, and exercise. They also expressed that the school environment improved. They indicated direct and indirect changes in their own awareness and attitudes, as well as in other family members.
  After the implementation of the HPS program, improved health behaviors and subsequent improved health across two generations were observed. Beyond providing students with health knowledge, more emphasis on motivating children to spread their health knowledge in their communities will make a more effective health intervention.

Since arteriosclerosis is a general progressive disease, an aneurysm of the thoracic aorta is not infrequently complicated by ischemic heart disease. Therefore, assessment of indications of surgical treatment and selection of the surgical procedure and auxiliary procedures on the basis of accurate preoperative evaluation of ischemic heart disease are considered to be very important for improving the results of operations for thoracic aortic aneurysm. Recently. we successfully operated on a 64-year-old patient with a left ventricular aneurysm and a descending aortic aneurysm. One-stage operation was performed by a left thoracotomy approach and partial left heart bypass by draining the pulmonary artery into the femoral artery with mild hypothermia. The approach and the auxiliary procedures employed in this patient are considered to be a useful combination applicable also to one-stage operation for descending aortic aneurysm and coronary artery bypass grafting.

A 60-year-old woman underwent surgical treatment of postinfarction ventricular septal perforation (VSP) in the early phase after receiving total cardiopulmonary bypass without aortic occlusion. VSP developed four days after anterior myocardial infarction. On admission, inraaortic balloon pumping was used to obtain hemodynamic stabilization. On the day of admission, emergency total cardiopulmonary bypass was performed. VSP was closed with a Dacron felt patch positioned on the left side of the septum. The anterior wall of the left ventricle was closed with Dacron felt strips and reinforced using a Gore-Tex sheet. Postoperative hemodynamics improved significantly. Although the operation while the heart was beating was difficult technically, the total cardiopulmonary bypass time of this method was not longer than that of operations under cardioplegic arrest. Further more, the area of infarction was easily distinguished by color and bleeding. The surgery during normothermic heart beat was effective in preventing further ischemia of the myocardium. The surgical treatment of VSP in the early phase during normothermic heart beat under total cardiopulmonary bypass was considered to be more effective and safer than operations under cardioplegic arrest.