A Case of Recurrent Nausea with Vomiting for Past Sixteen Years Successfully Treated with a Kampo Formulation Shimbuto / 日本東洋医学雑誌

We herein report a 36-year-old male patient, who complained of persistent and recurrent nausea with vomiting for 16 years in spite of various standard treatments, was successfully treated with Kampo formulation Shimbuto, which selected based on the left para-navel tender point. We speculated that the clinical disorder in this case was related to suitai i.e. water imbalance syndrome in Kampo medicine. However, there has never been such a case report in the field of Kampo, and no related papers have been found in the standard database Medline. We believe this report is valuable from the viewpoint of therapeutics in both Western and Kampo medicine.

Effectiveness and Safety of Chinese Medicine at Shenque (CV 8) for Primary Dysmenorrhea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials / 中国结合医学杂志

BACKGROUND@#Primary dysmenorrhea (PD) is the most common complaint associated with menstruation and affects up to three-quarters of women at some stage of their reproductive life. In Chinese medicine, navel therapy, treatment provided at Shenque (CV 8), is used as a treatment option for PD.@*OBJECTIVE@#To evaluate the effect of navel therapy on pain relief and quality of life in women with PD, compared with Western medicine (WM).@*METHODS@#China National Knowledge Infrastructure (CNKI), Chinese Scientific Journal Database (VIP), SinoMed and Wanfang Database, MEDLINE, the Cochrane Library, Embase, Web of Science, and the International Clinical Trial Registry of the U.S. National Institutes of Health were searched from their inceptions to April 1, 2021. Randomized controlled trials (RCTs) assessing therapeutic effects of navel therapy on PD were eligible for inclusion. RevMan 5.4 software was used for data analyses. The certainty of the evidence was assessed using the online GRADEpro tool.@*RESULTS@#Totally 24 RCTs involving 2,614 participants were identified. Interventions applied to acupuncture point CV 8 included: herbal patching, moxibustion or combined navel therapy (using at least 2 types of stimulation). Compared to placebo, there was a significant effect in favor of navel therapy on reducing overall menstrual symptom scores at the end of treatment [mean difference: -0.82, 95% confidence interval (CI): -1.00 to -0.64, n=90; 1 RCT]. As compared with Western medicine, navel therapy had a superior effect on pain intensity as assessed by Visual Analogue Scale at the end of treatment [standardized mean difference (SMD): -0.64, 95% CI: -1.22 to -0.06, I2=80%, n=262; 3 RCTs]; on symptom resolution rate at 3-month follow-up (risk ratio: 1.94, 95% CI: 1.47 to 2.56, n=1527, I2=38%; 13 RCTs); and on global menstrual symptoms score at the end of treatment (SMD: -0.67, 95% CI: -0.90 to -0.45, I2=63%, n=990; 12 RCTs). Subgroup analyses showed either a better or an equivalent effect comparing navel therapy with Western medicine. No major adverse events were reported. The methodological quality of included trials was poor overall.@*CONCLUSIONS@#Navel therapy appears to be more effective than Western medicine in decreasing menstrual pain and improving overall symptoms of PD. However, these findings need to be confirmed by well-designed clinical trials with adequate sample size (Systematic review registration at PROSPERO, No. CRD42021240350).

Clinical Observation on Herb-partitioned Moxibustion on Navel Combined with Yishen Tongluo Prescription in Treatment of Infertility Induced by Idiopathic Asthenozoospermia with Kidney-Yang Deficiency and Collateral Obstruction Syndrome / 中国实验方剂学杂志

ObjectiveTo observe the clinical efficacy of herb-partitioned moxibustion on the navel combined with Yishen Tongluo prescription in the treatment of infertility induced by idiopathic asthenozoospermia （iAZS） with kidney-Yang deficiency and collateral obstruction syndrome and its effect on sperm DNA damage and superoxide dismutase （SOD） in the seminal plasma. MethodsA total of 112 eligible patients who met the inclusion criteria were randomly divided into an observation group （56 cases） and a control group （56 cases）. The patients in the observation group were treated with herb-partitioned moxibustion on the navel combined with Yishen Tongluo prescription，while those in the control group received levocarnitine oral liquid. The primary observation indicators included spouse pregnancy rate，progressive motility （PR），and total sperm motility，and the secondary observation indicators included sperm DNA fragmentation index （DFI），SOD in the seminal plasma， and improvement of TCM syndromes. The treatment cycle was 12 weeks. Before and after treatment，the PR，total sperm motility，sperm DFI，SOD in the seminal plasma， and TCM syndrome scores were recorded. The patients were followed up for 12 weeks and the pregnancy status of spouses within 24 weeks （half a year） was recorded. The clinical efficacy of the two groups was evaluated. ResultThe pregnancy rate of spouses in the observation group was 15.69% （8/51）， higher than 3.85% （2/52） in the control group （χ2=4.118，P<0.05）. The total effective rate of the observation group was 88.24%（45/51）， superior to 69.23% （36/52）in the control group （Z=-3.402，P<0.01）. After treatment， PR， total sperm motility，sperm DFI， SOD in the seminal plasma， and TCM syndromes of the two groups were improved compared with those before treatment （P<0.05）， and the observation group was superior to the control group （P<0.05）. ConclusionHerb-partitioned moxibustion on the navel combined with Yishen Tongluo prescription in the treatment of iAZS-induced infertility patients with kidney-Yang deficiency and collateral obstruction syndrome can increase PR，total sperm motility， and SOD level in the seminal plasma， reduce sperm DFI，improve the TCM symptoms of patients， and improve the pregnancy rate of spouses. The mechanism may be attributed to the fact that this treatment can increase the SOD level in the seminal plasma of patients，enhance the body's antioxidant function，protect sperm from oxidative stress damage，and reduce sperm DFI.

Do buraco do trauma, flores de umbigo / From the hole of trauma, navel flowers / Del hueco del trauma, flores de ombligo / Du trou du traumatisme, fleurs de nombril

Num ensaio composto por relatos subjetivos e vinhetas clínicas do contexto da pandemia de 2020, articulados a exemplos da cultura e da história da psicanálise, proponho discutir o potencial poético do trauma em sua relação com a constituição triangular do psiquismo, representada aqui pela noção freudiana de umbigo do sonho.

In an essay composed by subjective reports and clinical vignettes from the context of the 2020 pandemic, linked to examples from the culture and from the history of Psychoanalysis, I propose to discuss the poetic potential of trauma in its relation to the triangular constitution of the psyche, represented here by the Freudian notion of dreams navel.

En un ensayo compuesto por informes subjetivos y viñetas clínicas del contexto de la pandemia de 2020, vinculado a ejemplos de la cultura y de la historia del Psicoanálisis, propongo discutir el potencial poético del trauma en su relación con la constitución triangular de la psique, representada aquí por la noción freudiana de ombligo del sueño.

Dans un essai composé par des rapports subjectifs et des vignettes cliniques du contexte de la pandémie de 2020, articulés avec des exemples de la culture et de l'histoire de la Psychanalyse, je propose de discuter le potentiel poétique du traumatisme dans sa relation avec la constitution triangulaire du psychisme, représentée ici par la notion freudienne de nombril du rêve.

Effects of delayed cord clamping and early targeted nursing intervention on the control effect of umbilical infection in premature infants / 中国实用护理杂志

Objective@#To investigate the effects of delayed cord clamping and early targeted care intervention on the infection control of premature infants.@*Methods@#A retrospective study of 362 premature babies admitted to our hospital from June 2016 to June 2017 was conducted. There are two groups based on the time of the broken navel. The control group (n=202) was the group with premature umbilical rupture. The observation group (n=160) was the late umbilicus breaking group. The umbilical cord complications, the residual blood volume of the placenta and the time of umbilical cord shedding were observed.@*Results@#The umbilical cord complications of premature infants were compared between the two groups. The incidence of umbilical hemorrhage, periumbilical redness, infection of umbilicus in the observed group was 1.88%(3/160), 2.50%(4/160), 3.75%(6/160), and the control group was 9.90%(20/202), 7.92% (16/202), and 13.27% (27/202), respectively. There were significant differences between the two groups (χ2=9.666, 5.026, 9.965, P<0.05). Umbilical cord abscission time and residual blood volume of placenta in the observation group were (7.36±2.18) d, (67.43±17.37) ml, and the control group were (9.98±3.18)d, (146.03±31.45)ml, with significant differences between the two groups (t=4.151, 13.577, P<0.05).@*Conclusions@#Delayed cord clamping can reduce the incidence of anemia and umbilical infection in premature infants, reducing the incidence of umbilical infection.but in clinical practice, it is recommended to select appropriate methods according to the condition of premature infants.

Analysis of treating syndrome by I-Ching navel acupuncture / 中国针灸

Based on the theories of I-Ching and umbilicus-hologram, the navel acupuncture is considered as a new acupuncture therapy that only acupuncture at Shenque (CV 8). It has a good effect on the treatment of syndrome and provides a new treatment idea for syndrome. This article presents the definition, etiology and treatment of syndrome, and introduces the application of umbilical-holographic, the principle and method of positioning and needle-inserting, the adjustment of therapies and the analysis of cases, in order to introduce the idea of treating syndrome by I-Ching navel acupuncture.

Effects of delayed cord clamping and early targeted nursing intervention on the control effect of umbilical infection in premature infants / 中国实用护理杂志

Objective To investigate the effects of delayed cord clamping and early targeted care intervention on the infection control of premature infants. Methods A retrospective study of 362 premature babies admitted to our hospital from June 2016 to June 2017 was conducted. There are two groups based on the time of the broken navel. The control group (n=202) was the group with premature umbilical rupture. The observation group (n=160) was the late umbilicus breaking group. The umbilical cord complications, the residual blood volume of the placenta and the time of umbilical cord shedding were observed. Results The umbilical cord complications of premature infants were compared between the two groups. The incidence of umbilical hemorrhage, periumbilical redness, infection of umbilicus in the observed group was 1.88%(3/160), 2.50%(4/160), 3.75%(6/160), and the control group was 9.90%(20/202), 7.92% (16/202), and 13.27% (27/202), respectively. There were significant differences between the two groups (χ2=9.666, 5.026, 9.965, P<0.05). Umbilical cord abscission time and residual blood volume of placenta in the observation group were (7.36 ± 2.18) d, (67.43 ± 17.37) ml, and the control group were (9.98 ± 3.18)d, (146.03 ± 31.45)ml, with significant differences between the two groups (t=4.151, 13.577, P<0.05). Conclusions Delayed cord clamping can reduce the incidence of anemia and umbilical infection in premature infants, reducing the incidence of umbilical infection.but in clinical practice, it is recommended to select appropriate methods according to the condition of premature infants.

Marcação dos retalhos da neo-onfaloplastia com emprego de molde padronizado na abdominoplastia em âncora / Marking of neo-omphaloplasty flaps using a standardized mold in anchor-line abdominoplasty

INTRODUÇÃO: As dermolipectomias abdominais têm se mostrado altamente valiosas na promoção de melhor qualidade de vida para pacientes pós-bariátricos, sendo o umbigo uma cicatriz essencial para beleza de um abdome. Várias técnicas de neo-onfaloplastia são descritas na literatura para os pacientes submetidos à abdominoplastia em âncora, porém não há registro do uso sistemático de um molde para marcação pré-operatória. O objetivo é padronizar a marcação dos retalhos para confecção da neo-onfaloplastia com emprego de um molde e demonstrar os resultados da sua aplicação clínica. MÉTODOS: Estudo prospectivo, descritivo e analítico. Entre abril de 2015 e dezembro de 2016, 50 pacientes foram submetidos à dermolipectomia abdominal em âncora com neo-onfaloplastia utilizando molde para marcação dos dois retalhos para confecção do neoumbigo. Foi utilizado um questionário para avaliar o índice de satisfação em relação ao novo umbigo. RESULTADOS: Quarenta e oito pacientes eram do gênero feminino, a idade média foi de 40,5 anos e índice de massa corporal médio de 27,9 kg/m 2 antes da abdominoplastia. Os novos umbigos resultaram em uma cicatriz pequena, com formato mais ovalado, sem cicatrizes ao redor e com profundidade adequada. Ocorreu baixo índice de complicações e não houve insatisfação nos pacientes estudados. CONCLUSÃO: O uso do molde na padronização da marcação pré-operatória da neo-onfaloplastia mostra-se eficaz, com aprendizado fácil e seguro, apresenta baixo custo, é rápido, reprodutível, com baixo índice de complicações e bons resultados cirúrgicos, com excelente satisfação dos pacientes.

INTRODUCTION: Abdominal dermolipectomies have shown to be highly valuable in promoting a better life quality for post-bariatric patients, with the navel being an essential scar for the aesthetics of the abdomen. Several neo-omphaloplasty techniques are described in the literature in patients who undergo anchor-line abdominoplasty, but the systematic use of a mold for preoperative marking has not been reported yet. The objective of this study was to standardize the marking of the flaps for the preparation of the neo-omphaloplasty using a mold and to demonstrate the results of its clinical application. METHODS: A prospective, descriptive, and analytical study was conducted. Between April 2015 and December 2016, 50 patients underwent anchor-line abdominal dermolipectomy with neo-omphaloplasty using a mold to mark the two flaps for the neo-navel. A questionnaire was used to evaluate the satisfaction index regarding the new navel. RESULTS: Forty-eight patients were female. The mean age and body mass index of the patients before abdominoplasty was 40.5 years and 27.9 kg/m 2, respectively. The new navels resulted in a smaller, more oval scar, with no scars around and with adequate depth. The rate of complications was low, and none of the patients expressed dissatisfaction. CONCLUSION: The use of the mold in the standardization of the preoperative marking in neo-omphaloplasty was effective, easy and safe to learn, low-cost, fast, and reproducible, with a low index of complications, good surgical results, and excellent patient satisfaction.

Effect of Anshen Navel Plaster on Spontaneous Activities And Levels of GABA, 5-HT in Insomnia Rats Caused by PCPA / 世界科学技术-中医药现代化

This experiment was aimed to mainly observe the effect of Anshen navel plaster on autonomic activities and to compare neurotransmitter gamma-aminobutyric acid (GABA) and monoamine neurotransmitter (5-HT) contents change of insomnia rats.The rats were treated by P-chlorophenylalanine (PCPA),which can make healthy rats lose sleep.The rat model of insomnia was prepared by intraperitoneal injection of PCPA.The healthy SD rats were randomly divided into the blank control group,model control group,low dosage of Anshen navel plaster group,high dosage of Anshen navel plaster group and Tongren Anshen pill group according to the random number table.EthoVision were used to record the rat's autonomic activities.Content changes of 5-HT and GABA of rats in each group were measured by enzyme-linked immunosorbent assay (ELISA).The results showed that rat's autonomic activities were decreased in the Anshen navel plaster group and Tongren Anshen pill group,which indicated that the Anshen navel plaster had a good sedative effect.Intraperitoneal injection of PCPA can remarkably change rat's serum neurotransmitter expression levels,especially GABA and 5-HT.After the intervention of experimental drugs,compared with the model group,the expression levels of GABA and 5-HT were increased significantly.It was concluded that Anshen navel plaster has obvious sedative effect.It can regulate the contents of sleep factors such as GABA and 5-HT.

Herb-partitioned moxibustion on navel for anovulatory infertility:a randomized controlled trial / 中国针灸

<p><b>OBJECTIVE</b>To observe the efficacy differences between herb-partitioned moxibustion on navel and clomiphene for anovulatory infertility.</p><p><b>METHODS</b>With double-blind double-dummy randomized control method, a total of 40 patients with anovulatory infertility were randomly divided into a moxibustion group and a clomiphene group, 20 cases in each one. Blinding was conducted on both patients and doctors. The patients in the moxibustion group were treated with herb-partitioned moxibustion on navel and oral administration of clomiphene placebo, while the patients in the clomiphene group were treated with placebo-partitioned moxibustion on navel and oral administration of clomiphene. The herb-partitioned moxibustion and placebo-partitioned moxibustion were given at the end of menstruation, 1.5 hours per treatment, once a week, and no treatment was given during menstruation. The oral administration of clomiphene and clomiphene placebo were given from 5 days into menstruation, 50 mg, once a day, for consecutive 5 days. One menstrual cycle was taken as one treatment course, and 3 treatment courses were conducted. After 3 treatment courses, the endometrial thickness (ET), maximum follicular diameter (MFD), ovulation rate (OR) and effective rate (ER) were evaluated between the two groups.</p><p><b>RESULTS</b>(1) Compared before treatment, ET was significantly increased after treatment in the two groups (both<0.05); after treatment, the ET in the moxibustion group was higher than that in the clomiphene group (<0.05). (2) After treatment, MFD was significantly increased in the moxibustion group (<0.05) and insignificantly increased in the clomiphene group (>0.05); the MFD in the moxibustion group was higher than that in the clomiphene group (<0.05). (3) The OR was 75.0% (15/20) and 65.0% (13/20) in the two groups respectively, which were not significantly different (>0.05). (4) The total ER in the moxibustion group was 95.0% (19/20), which was superior to 70.0% (14/20) in the clomiphene group (<0.05).</p><p><b>CONCLUSIONS</b>The clinical efficacy of herb-partitioned moxibustion at navel on anovulatory infertility was superior to that of clomiphene, but their effects on OR was similar.</p>

Therapeutic Observation of Navel Acupuncture for Lumbar Spinal Stenosis / 上海针灸杂志

Objective To observe the clinical efficacy of navel acupuncture in treating lumbar spinal stenosis. Method A total of 120 patients with lumbar spinal stenosis were randomized into a treatment group and a control group, 60 cases each. The treatment group was intervened by navel acupuncture based on syndrome differentiation of traditional Chinese medicine, while the control group was intervened by oral administration of Bulleyaconitine A tablets, 10 d as a treatment course, for successive 2 courses. The Visual Analogue Scale (VAS) was observed before and after the intervention, and the clinical efficacies were compared.Result The total effective rate was 98.3% in the treatment group versus 76.6% in the control group, and the between-group difference was statistically significant (P<0.01). The VAS scores were significantly changed after the intervention in both groups (P<0.05); the VAS score in the treatment group was significantly different from that in the control group after the treatment (P<0.05).Conclusion Navel acupuncture is an effective approach in treating lumbar spinal stenosis.

Effects of Herb-partition Moxibustion at Navel on Protein and mRNA Expressions of Bcl-2 and Bax in Rats Model with Premature Ovarian Failure / 中国中医药信息杂志

Objective To observe the effects of herb-partition moxibustion at navel on the expressions of Bcl-2 and Bax in rats with premature ovarian failure (POF); To explore its mechanism underlying improvement of POF. Methods POF model was established by intraperitoneal injection of cyclophosphamide. Forty-eight Female Wistar rats were randomly divided into normal group, model group, moxibustion group and Western medicine group, with 12 rats in each group. Rats of moxibustion group were treated with herb-partition moxibustion at navel (Shenque, CV8), 30 min/d, once every other day; rats of Western medicine group were given intragastric dose of estradiol valerate, once a day, for 14 d. The protein and mRNA expressions of Bax and Bcl-2 in ovarian granulosa cells were detected by immunohistochemal method, Western blot and qRT-PCR, respectively.Results The weights of ovaries in the model group rats were significantly lower than those in the normal group (P<0.05). The expressions of Bcl-2 and Bax protein in ovarian tissue of each group were mainly expressed brown coloration and in the cytoplasm of cells. The range of Bax protein in granulosa cells of moxibustion group and Western medicine group was significantly less than that in model group. The range of Bcl-2 in moxibustion group and Western medicine group was significantly larger than that in model group. Compared with the normal group, the expressions of Bcl-2 protein and mRNA in the model group rats significantly decreased (P<0.05,P<0.01), and the expression of Bax protein and mRNA significantly increased (P<0.05,P<0.01). The expression level of Bcl-2 protein and mRNA was significantly higher in the moxibustion group and in the western medicine group than that in the model group (P<0.05,P<0.01). The expression level of Bax protein and mRNA in the moxibustion group was significantly lower than that in the model group (P<0.05,P<0.01). ConclusionThe herb-partition moxibustion at navel can improve the function of ovaries by up regulating the expression of Bcl-2 and down regulating the expression of Bax in POF rats model.

Analysis of specificity of Shenque (CV 8) based on vascular biology / 中国针灸

To analyze the structural specificity of Shenque (CV 8) in terms of vascular biology from the three aspects of structure, tissue and molecular anatomies. On structural anatomy Shenque (CV 8) possessed defined vascular structure and was the only acupoint directly affected vascular intima. The basis of the specific therapeutic effects was owing to its relation with vessel and abundant microcirculation. Endothelial cells and microvascular endothelial cells were the tissue basis of the starting of therapeutic specificity. Molecular anatomy involved in the functions of transient receptor potential vanilloid family (TRPV) pathway and neuronal peptide secretion of endothelial cells in the structural function of the point. The "restoringfor collapse" effect of salt-partition moxibustion at Shenque (CV 8) was analyzed based on the local biological specificity of blood vessels. The mechanisms were concluded as effectively targeting the dysfunction of microvascular endothelial cells and acquiring the maximum quantity of moxibustion by repeated warm-heat stimulation. The vascular biological structural features of Shenque (CV 8) may contribute to direct therapeutic effects on endothelial cells by the point.

Neo-onfaloplastia com enxerto cutâneo / Neoomphaloplasty with cutaneous graft

Introdução: A cicatriz umbilical é decorrente da queda do coto umbilical, que ocorre alguns dias após o nascimento. Sua presença, formato e localização na parede abdominal fornecem ao indivíduo uma conotação estética e sensual. Métodos: Estudo primário, prospectivo, de intervenção. A casuística foi de conveniência, no período de fevereiro de 2006 a junho de 2016, incluindo pacientes de ambos os gêneros, alocados do ambulatório do Hospital das Clínicas da Universidade Federal de Pernambuco (HC-UFPE) e clínica privada. Os critérios de inclusão foram pacientes com indicação de abdominoplastia e que apresentavam um comprometimento da irrigação da pele da região umbilical e periumbilical devido a defeitos herniários da região. O estudo seguiu os critérios de Helsinki e os pacientes assinaram o Termo de Consentimento Livre e Esclarecido. Resultados: Foram operados 28 pacientes, sendo observada uma boa integração da pele enxertada, resultando em uma cicatriz umbilical de aparência natural e sem complicações. Conclusões: A neo-onfaloplastia com enxerto cutâneo é de fácil execução e que, a longo prazo, tem demonstrado um bom resultado estético, principalmente nos retalhos abdominais espessos, demonstrando ser mais uma opção técnica na realização de neo-onfaloplastias.

Introduction: The umbilical scar is due to the fall of the umbilical stump that occurs a few days after birth. Its presence, shape, and location on the abdominal wall provide the individual with an aesthetic and sensual connotation. Methods: A primary prospective interventional study. The sample was of convenience, from February 2006 to June 2016, and included patients of both sexes attending the outpatient clinic of the Hospital das Clínicas of the Federal University of Pernambuco (HC-UFPE), a private clinic . The inclusion criteria were patients with abdominoplasty indications presenting with compromised circulation to the skin of the umbilical and periumbilical region caused by hernia defects in this area. The study followed the criteria of Helsinki and the patients signed an Informed Consent Form. Results: Twenty-eight patients underwent surgery and good integration of the grafted skin was observed. This resulted in an umbilical scar with a natural appearance and without complications. Conclusions: Neoomphaloplasty with a cutaneous graft is easy to perform and, in the long term, has shown to provide good aesthetic results, especially in thick abdominal flaps, thus proving to be an additional technical option for neoomphaloplasty procedures.

Avaliação ultrassonográfica de componentes umbilicais inflamados em bezerros da raça Holandesa com até 30 dias de vida / Ultrassonographic avaliation of the inflamed umbilical structures in Holstein calves during their first 30 days of life

As afecções umbilicais merecem destaque entre as enfermidades que acometem bezerros no primeiro mês de vida, pela alta incidência durante essa fase da vida dos neonatos e pelas relevantes perdas econômicas, decorrentes da mortalidade, custos de tratamento e atendimento veterinário, além de sequelas que poderão determinar menores ganho de peso e produção leiteira. O diagnóstico dessas enfermidades muitas vezes é prejudicado pela dificuldade em se detectar os acometimentos das estruturas intra-abdominais do umbigo, o que afetará negativamente a escolha do tratamento mais adequado e o estabelecimento do real prognóstico para cada animal. No presente estudo, realizou-se a análise ultrassonográfica dos animais com inflamação/infecção dos componentes umbilicais sendo possível observar algumas características em relação a mensurações e ecogenicidade, presentes nos componentes umbilicais acometidos. A partir dessas avaliações concluiu-se que a medida mais adequada para identificar animais com possíveis processos inflamatórios nos componentes umbilicais é a espessura da parede dos vasos umbilicais quando comparada ao diâmetro dos mesmos. Ainda, o estudo possibilitou verificar algumas particularidades do comportamento dos componentes do cordão umbilical em bezerros sadios da raça Holandesa, bem como determinar que os vasos umbilicais intra-abdominais iniciam uma involução em porção mais interna e progridem para as extremidades próximas ao anel umbilical com o evoluir da idade. Destaca-se que o confronto desses resultados com aqueles poucos descritos na literatura disponível mostrou-se com notáveis diferenças.(AU)

Umbilical disorders deserve mention among the illnesses affecting calves in the first month of life. The high incidence during this phase of life of newborns and relevant economic losses arising from mortality, cost of treatment and veterinary care, beyond sequelae may determine lower weight gain and milk production. The diagnosis of these diseases is often hampered by the difficulty to detect the involvement of intra-abdominal umbilical structures, which negatively affect the choice of the most appropriate treatment and the actual outcome for each calf. In the present study, we performed ultrasound examinations of calves with inflammation/infection in the umbilical components and observed some characteristics related with measurements and echogenicity present in umbilical affected components. From these evaluation it was concluded that the wall thickness of the umbilical vessels is the more reliable standard to determine changes in these components, as compared with that of the diameter of the umbilical vessels. Furthermore, from this study we observed some peculiarities of involution of the intra-abdominal umbilical cord components in healthy Holstein calves used for the control group to characterize the behavior of the umbilical structures during the progress of the age in the newborns. It is noteworthy that the comparison of these results with those found in the rare literature available showed notable differences.(AU)

The external treatment of traditional Chinese medicine research of cirrhosis ascites / 国际中医中药杂志

The external treatmen of traditional Chinese medicine, the enema and the acupuncture is the current methods of external treatment of traditional Chinese medicine treatment for cirrhosis ascites. In the field of external application and enema, most literature reported specific herbal formular for specific disease, while little literature reported combination of oral administration of herb and external application, or external application based on TCM pattern differentiation, or external application on the acupoints. Acupuncture can reduce drug use and avoid their damage on the liver. This paper summarized the current researches of Chinese medicine external treatment, and points out the direction of the research on the external treatment of traditional Chinese medicine.

Clinical Evaluation of Navel Therapy of Ancient Formula in Ehloasma of Liver Qistagnation Syndrome / 浙江中医药大学学报

Objective] To evaluate the navel therapy of ancient formula for ehloasma of liver qi stagnation syndrome. [Method] The 40 cases take navel therapy of ancient formula, change every 24 hours for one month; make therapeutic effect observation before and after the treatment . [Result] 21 cases were cured, 10 had marked effect,7 had effective,2 had no effect, and the total effective rate was 95%.[Conclusion] Navel therapy of ncient formula has good cure effect on ehloasma.

Realocação vertical da cicatriz umbilical em abdominoplastias do grupo IV de bozola e psillakis - padronização tática / Vertical relocation of the umbilical scar in abdominoplasty of Bozola and Psillakis Group IV cases ­ standardization of procedures

Introdução: O umbigo é a única cicatriz natural visível do corpo. É parte essencial da estética abdominal, fato que torna a umbilicoplastia fundamental no sucesso da abdominoplastia. A posição e a naturalidade de contorno são os dois fatores mais relevantes na avaliação do resultado estético da cicatriz umbilical. Classificações e padronizações têm sido ferramentas importantes para aprimoramento do diagnóstico e refinamentos no tratamento dos distúrbios estéticos do abdome. Além disso, têm facilitado a reprodutibilidade dos procedimentos e servido de base para estudos comparativos. Objetivos: Apresentar a experiência do autor com uma padronização tática para o reposicionamento e reimplante da cicatriz umbilical em casos de abdominoplastias do grupo IV. Demonstrar a tática de realocação vertical do umbigo com detalhamento da nova posição, avaliar a qualidade do resultado obtido e o grau de satisfação das pacientes. Métodos: Vinte pacientes, todas do sexo feminino, foram submetidas ao procedimento entre maio de 2010 e maio de 2012. O período mínimo de acompanhamento foi de trinta dias e o máximo, de dois anos. Resultados: A maioria dos resultados foi considerada excelente, atingindo alto nível de satisfação das pacientes, sem apresentar grandes complicações. Não foram necessárias reintervenções. A técnica mostrou-se segura, simples e de fácil execução. Conclusão: A marcação e o planejamento cirúrgico, com a proposta de um limite caudal máximo para o reposicionamento da cicatriz umbilical, podem ser de grande valia tanto no auxílio aos diagnósticos mais complexos dos tipos de defeitos estéticos do abdome quanto nas indicações das técnicas de abdominoplastias mais adequadas ao tratamento.

Introduction: The navel is the only natural visible scar on the body. It is an essential part of abdominal aesthetics, making umbilicoplasty critical for the success of abdominoplasty. The position and natural contour are the two important factors that are most relevant in evaluating the aesthetic result of the umbilical scar. Classifications and standards are important tools to improve the diagnosis and refine the treatment of abdomen aesthetic disorders. Furthermore, it has facilitated appropriate reproduction of the procedure and served as a basis for comparative studies. Objectives: This study presents the author's experience with procedure standardization for repositioning and re-implantation of the umbilical scar in abdominoplasty group IV cases. The study demonstrates the navel vertical relocation technique, along with details of the new position, and assesses the quality of results obtained and the degree of patient satisfaction. Case studies and methods: Twenty female patients underwent the procedure between May 2010 and May 2012. The minimum follow-up period was thirty days and the maximum follow-up period was two years. Results: Most results were considered excellent, with a high level of patient satisfaction and no major complications. There was no need for re-intervention. The technique was shown to be safe, simple and easy to perform. Conclusion: The marking and surgical planning, with a proposed maximum end limit for repositioning of the umbilical scar, can be valuable both in aiding the most complex diagnoses of aesthetic abdomen defect types and evaluating the technical aspects of abdominoplasty that are most appropriate for treatment.

Onfaloplastia secundária: descrição de uma nova proposição / Secondary omphaloplasty: description of a new proposal

Introdução: O umbigo é um componente essencial à estética do abdome. Sequelas de onfaloplastia podem comprometer o resultado final de uma dermolipectomia abdominal. Objetivo do trabalho é propor um procedimento alternativo, de fácil execução, com resultado estético favorável e bem aceito pelas pacientes. Métodos: Fizemos o levantamento dos casos de dermolipectomia abdominal operados no serviço de ensino e na clínica privada nos últimos cinco anos (433 casos) Resultados: Encontramos 30 casos (6,9%) com sequelas, assim distribuídos: 14 casos (3,2%) na cicatriz hipogástrica, e 16 casos de sequelas de umbigo (3,8%), assim caracterizados: sete casos (1,6%) constrição de umbigo e nove casos (2,07%) hipertrofia cicatricial. Conclusão: Analisamos os resultados da técnica de onfaloplastia secundária proposta quanto ao pós-operatório imediato (até 30 dias) e tardio (um ano).

Introduction: The navel is an essential component of abdominal aesthetics. Omphaloplasty sequelae can compromise the result of an abdominal abdominoplasty. The purpose of this article was to propose an alternative procedure that is simple to perform and well accepted by patients, with favorable cosmetic results. Methods: We surveyed cases of abdominal dermolipectomy in teaching hospitals and in private practice in the last 5 years (433 cases). Results: We found 30 cases (6.9%) of sequelae distributed as follows: 14 cases (3.2%) in the hypogastric scar and 16 cases in the umbilicus (3.8%). They are characterized as follows: 7 cases (1.6%) of constriction of the navel and 9 cases (2.07%) of scar hypertrophy. Conclusion: We analyzed the results of the proposed technique of secondary omphaloplasty in the immediate (up to 30 days) and late (1-year) postoperative periods.

Clinical Observation on Treatment of Essential Hypertension by Semen Cassiae Application on Navel / 中国中医药信息杂志

Objective To observe the clinical curative effect of Semen Cassiae application on navel in treating essential hypertension. Methods Totally 1674 cases of hypertension, according to visiting sequence, were randomly divided into treatment group (864 cases) and control group (810 cases). The control group was given hydrochloride enalapril 10 mg orally, 2 times a day. The treatment group was treated with Semen Cassiae application on navel, replaced per 24 h. The two groups were treated with moderate exercise, reasonable diet, and the course was 6 months. The clinical symptoms, blood pressure, blood lipid and blood rheology of the two groups were measured before and after treatment. Results To compare the symptoms efficacy, total effectiveness of treatment group was 95.14%(822/864), the control group was 71.11%(576/810), there was a significant difference (P<0.01). To compare antihypertensive effects, the total effective rate of the treatment group was 95.60% (826/864), the control group was 73.46% (595/810), there was a significant difference (P<0.01). The change of blood pressure in the treatment group was significantly better than the control group (P<0.01). TC, TG, HDL-C, LDL-C and blood rheology of the treatment group was significant different between before and after treatment (P<0.01). Conclusion On the basis of western medicine, Semen Cassiae application on navel played a double effect of acupoint and drug. It is more effective in lowering blood pressure, improving the clinical symptoms, blood lipid and blood rheology indexes.