[Three-dimensional computed tomography analysis and clinical application of sacroiliac screw placement].

Objective: To evaluate the possibility of transverse sacroiliac screw placement in different segments of the sacrum. Methods: Data of 80 pelvic CT scans (slice thickness ≤1.0 mm) archived in CT department of the Third Hospital of Hebei Medical University from September 2016 to October 2017 were retrospectively collected. Mimics software was used to rebuild the pelvis three-dimensional model. According to whether the sacral 1(S(1)) segment could place the transverse sacroiliac screws or not, all the sacrums were divided into normal group (n=55) and dysmorphic group (n=25). Simulation the S(1), sacral 2(S(2)) transverse sacroiliac screw placement in 3-Matic software. Analysis whether there was any difference in maximum diameter and length of S(2) transverse sacroiliac screw between the normal group and the dysmorphic group. The pelvic CT data of the dysmorphic group were measured, and the optimal tilt angle and length of the oblique S(1) screw were obtained. The feasibility of transverse sacroiliac screw insertion in sacral 3(S(3)) segment was evaluated.t-test, rank sum test, and χ(2) test was used to analyze data, respectively. Results: In the dysmorphic group, the largest diameter of the S(1) transverse screw was (4.9±1.6)mm, and the normal group was (13.6±3.6)mm (t=-15.07, P=0.00). In the dysmorphic group, the largest diameter of S(2) transverse screw was (13.8±3.0)mm, and was (12.4±2.2)mm in the normal group(t=2.11, P=0.04). There was no significant difference in the length of S(2) transverse sacroiliac screw between the two groups (t=0.47, P=0.64). In the dysmorphic group, the anterior vertebral height of S(1) was (23.1±4.0)mm, which was significantly higher than that of the normal group ((14.1±4.2)mm)(t=9.01, P=0.00). The angle of S(1)S(2) in the dysmorphic group was 10.9°(3.8°, 17.6°), which was significantly larger than that of the normal group (2.0°(1.0°, 2.0°) (Z=-4.03, P=0.00). In the dysmorphic group, the incline angle of the oblique S(1) sacroiliac screw was (35.6±6.2)°, the anteversion angle was (37.2±4.4)°, and the mean screw length was (90.2±4.7)mm. In the dysmorphic group, the placement rate of S(3) transverse sacroiliac screw was 48.0%, and that of the normal sacral group was 9.1%. Conclusions: There is often dysmorphic in the sacrum in patients with large S(1) anterior vertebral height and S(1)S(2) angle. Sacral dysmorphic patients with posterior pelvic ring injury may be treated with S(1) pedicle oblique sacroiliac screws. S(3) transverse sacroiliac screws should be carefully placed, especially for the absence of sacral dysmorphic in patients.

Ultrafast temporal pulse shaping via phase-sensitive three-wave mixing.

It is well-known that the process of optical parametric amplification (OPA) can be sensitive to the phases of the incident waves. In OPA realized by three-wave mixing, injection of all three waves into the same mode with appropriate phase relationship results in amplification of the signal phase, with an associated deamplification of the signal energy. Prospects for the use of this technique in the temporal domain for shaping ultrashort laser pulses are analyzed using a numerical model. Several representative pulse shaping capabilities of this technique are identified, which can significantly augment the performance of common passive pulse shaping methods operating in the Fourier domain. It is found that the use of phase-sensitive OPA shows a potential for significant compression of approximately 100 fs pulses, steepening of the rise time of ultrashort pulses, and production of pulse doublets and pulse trains. It is also shown that the group velocity mismatch can assist the shaping process. Such pulse shaping capabilities are found to be within reach of this technique in common nonlinear optical crystals pumped by pulses available from compact femtosecond chirped-pulse amplification laser systems.

Thermal symmetry of skin temperature: normative data of normal subjects in Taiwan.

BACKGROUND: The aims of this study were (a) to establish normative data of thermal symmetry (left vs. right) in normal subjects; (b) to compare the skin temperature in various regions between young and old people in Taiwan and between male and female. METHODS: The skin surface of 57 healthy volunteers (aged 24 to 80 yr) was divided into 25 areas and measured by an infrared thermography (Avionics TVS-2000, Japan). The average temperatures of these 25 regions were compared: (a) left vs. right side, (b) young (< or = 60 yr, n = 37) vs. old (> 60 yr, n = 20), and (c) male vs. female. Student's t-test was used to assess means between both groups. RESULTS: The neck carried the highest skin temperature (31.9 degrees C +/- 0.6; mean +/- SD) of the body in comparison with the toes that had the lowest one (27.5 degrees C +/- 2.0). The side-to-side temperature differences were subtle, which did not exceed 0.5 degrees C. The average skin temperature of elderly was slightly lower than that of young subjects in 11 out of 25 areas (p < 0.05), especially the distal parts of extremities. Elderly female had lower skin temperature in various truncal areas as compared with their counterpart. However, the skin temperature was higher in the distal extremity (p < 0.05). CONCLUSIONS: The thermoregulatory system is substantially symmetrical. The result of this study offered valuable normative database on skin thermal symmetry in normal population of Taiwan, and may be useful as a diagnostic aid in patients with various states of disorders associated with autonomic dysfunctions.

[Preliminary investigation of liver alveolar echinococcosis and liver cystic, echinococcosis in Xiji County, Ningxia].

This article reports on the result of an investigation on the prevalence of liver alveolar echinococcosis (LAE) and liver cystic echinococcosis (LCE) in the peasants and the residents of Xiji County, Ningxia Hui Autonomous Region. Among 2,389 selected persons examined with B-ultrasound, 197 cases were diagnosed to have LAE or LCE; the prevalence being 8.2%. Of the 197 cases, 141 (5.9%) had LAE; 56 (2.3%) had LCE. Among 1,413 peasants, 9.7% had LAE; 3.8% had LCE. Among 976 residents, 0.4% had LAE, 0.2% had LCE. Obviously, the peasants were more prone to be infected with the disease, suggesting LAE had much to do with the job of hunting the fox and capturing the Citellus dauricus, while the infectious source of LCE was mainly the domestic dog.