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Unacceptable sagittal alignment and cement leakage are major concerns of percutaneous vertebroplasty when treating patients with painful vertebral osteoporotic compression fractures. To maintain the restored vertebral height and reduce the reliance on cement as the major stabilizer, an expandable vertebral augment system (EVA®) made of titanium alloy consisting of a rigid tube encased by a barrel with an anterior expansion mechanism was developed. The aim of the current study was to determine whether this novel design is as effective as existing procedures in terms of height restoration and biomechanical performance. Eight osteoporotic vertebrae (T12-L3) confirmed by dual-energy X-ray absorptiometry from two fresh-frozen human cadavers (70- and 72-year-old females) were used. Twenty-five percent reduced anterior wedge vertebral compression fractures were created using a material testing machine. Four randomized specimens were augmented with EVA® (Chang Gu Biotechnology Co. Ltd., Taipei city, Taiwan), and another four randomized specimens were augmented with OsseoFix® (AlphaTec Spine Inc., Carlsbad, CA, USA). The implant size and cement volume were controlled. The anterior vertebral body height (VBH) ratio and pre/postaugmented ultimate strength and stiffness were measured and compared. The mean anterior VBH restoration ratio was 8.54% in the EVA® group and 8.26% in the OsseoFix® groups. A significant difference from augmentation was measured in both groups (p < 0.05), but there was no significant difference between the EVA® and OsseoFix® groups in anterior VBH restoration. The ultimate strengths of the EVA® and OsseoFix® groups were 6071.4 ± 352.6 N and 6262.9 ± 529.2 N, respectively, both of which were statistically significantly higher than that of the intact group (4589.9 ± 474.6 N) (p < 0.05). The stiffnesses of the EVA®, OsseoFix®, and intact groups were 1087.2 ± 176.9, 1154.9 ± 168.9, and 1637.3 ± 340.8 N/mm, respectively, indicating that the stiffness was significantly higher in the intact group than in both the EVA® and OsseoFix® groups (p < 0.05). No significant differences were observed between the two augmentation procedures in height restoration or ultimate strength and stiffness. This novel EVA® system showed comparable height restoration and biomechanical performance to those of existing implants for human cadaveric osteoporotic compression fractures. Potential advantages of preventing cement posterior leakage and promoting cement interdigitation are expected with this ameliorated design. [ABSTRACT FROM AUTHOR]

Four gobiid specimens collected from the western coast of Taiwan were identified as Taenioides snyderi Jordan et Hubbs, 1925, being characterized by 51-55 (total) dorsal-fin rays, 44-46 (total) anal-fin rays, 17-19 pectoral-fin rays, 10 + 21 = 31 vertebrae, 3 paired barbels on the chin surface, the pelvic-fin base fused by membrane to the abdomen, and the pattern of the dermal folds with sensory papillae on the head and body. Taenioides snyderi has been recorded to date only from Japanese waters, although the likelihood of a wider distribution has been suggested by molecular analysis. This study represents the first specimen-based records of the species outside Japan, with data adding to our knowledge of a poorly known fish group. [ABSTRACT FROM AUTHOR]

A new species of sawtail catshark, Galeus friedrichi n. sp., is described from the Philippines. The new species is separable from other western Pacific Galeus species by the absence of saddle or blotch markings, a large size >50 cm TL, 40 monospondylous vertebrae, and 83 precaudal vertebrae. All regional Galeus, other than Galeus sauteri, can be distinguished by having a marking pattern made up of a series of dark to light saddle or blotch patterns beneath the dorsal fins and on the caudal fin. Galeus sauteri can be separated from G. friedrichi n. sp. by its relatively small adult size, <50 cm TL, and fewer precaudal vertebrae (73-76 vs. 83). The two other large regional species, G. longirostris and G. nipponensis are presently known only from Japan and Taiwan. The new species is the third Galeus species, after G. sauteri and G. schultzi, documented from the Philippines. [ABSTRACT FROM AUTHOR]

Background: Situational factors during a fall among three common types of fractures of the distal forearm, hip, and vertebrae among older women in Taiwan were investigated.Methods: In 2016 ~ 2017, study participants were identified from those aged ≥65 years who visited emergency departments due to a fall in two university-affiliated hospitals in Taipei. In addition to individual characteristics, situational factors during the fall (location, activity, change of center of mass, fall mode, fall direction, initiating a protective response, and being hit) were collected. A sample of 203 distal-forearm fractures, 189 vertebral fractures, and 375 hip fractures was recruited, while 717 women with a soft-tissue injury were used as a control group. The identification of situational risk factors for each type of fracture was validated by using those who sustained one of the other two types of fracture as a control group.Results: After adjusting for age and other individual characteristics, compared to soft-tissue injuries, distal-forearm fractures were significantly more likely to occur with slips (odds ratio [OR] = 11.0; 95% confidence interval [CI] = 4.76 ~ 25.4), trips (OR = 3.40; 95% CI = 1.42 ~ 8.17), step-downs (OR = 4.95; 95% CI = 2.15 ~ 11.4), and from sideways falls (OR = 1.73; 95% CI = 1.12 ~ 2.67) and significantly less likely to occur indoors (OR = 0.62; 95% CI = 0.42 ~ 0.90) or from backwards falls (OR = 0.62; 95% CI = 0.41 ~ 0.95). Hip fractures were significantly more likely to occur with step-downs (OR = 1.76; 95% CI = 1.13 ~ 2.75) and from backwards (OR = 3.16; 95% CI = 2.15 ~ 4.64) or sideways falls (OR = 5.56; 95% CI = 3.67 ~ 8.41) and significantly less likely when hitting an object (OR = 0.26; 95% CI = 0.13 ~ 0.52) or initiating a protective response (OR = 0.58; 95% CI = 0.36 ~ 0.93). Vertebral fractures were significantly more likely to occur with slips (OR = 2.42; 95% CI = 1.30 ~ 4.50), step-downs (OR = 2.53; 95% CI = 1.43 ~ 4.48), and backwards falls (OR = 2.15; 95% CI = 1.39 ~ 3.32). Similar results were found in the validation analyses.Conclusions: Large variations in situational risk factors for the three types of fracture in older women existed. A combination of individual and situational risk factors may display a more-comprehensive risk profile for the three types of fracture, and an intervention that adds training programs on safe landing strategies and effective compensatory reactions may be valuable in preventing serious injuries due to a fall. [ABSTRACT FROM AUTHOR]

In Taiwan (my country), the proportion of people 65 years or older was over 14% in 2018, which is known as entering "aged society." More and more thoracolumbar burst fractures in the setting of osteoporosis happen nowadays. In this study, a finite element model on thoracolumbar burst fracture was established and 4 types of posterior short-segment fixations were tested under normal bone quality and osteoporotic conditions. The intact T11-L1 spine finite element model was created, and one-half of the spongy bone of the T12 vertebra was removed to simulate burst fracture. Four fixation models with posterior fusion devices were established: 1) a link (S-L); 2) intermediate bilateral screws (S-I); 3) a link and calcium sulfate cement (S-L-C); and 4) intermediate bilateral screws and calcium sulfate cement (S-I-C). The Young modulus of the osteoporotic cancellous bone was set at 70 MPa. Range of motion, as well as the maximum value and distribution of the implant stress on T11 and L1, were compared between normal bone and osteoporotic status. The strongest construct was the S-I-C group of both normal bone and osteoporosis condition. In osteoporotic status, the range of motion of construct in 4 types would be increased when comparing with normal bone. The stress on pedicle screws at the T11 and L1 level would also be increased in osteoporosis. The value of the maximal von Mises stress on the superior vertebral body (T11) for all loading conditions was larger than that on the inferior vertebral body (L1) in both normal bone and osteoporosis. The S-I-C provided the strongest construct even in osteoporosis status. But osteoporosis would result in weakness for spinal construct, which might lead to implant failure. [ABSTRACT FROM AUTHOR]

A new species of deep-water dogfish shark, Squalus shiraii sp. nov., is described herein as endemic to the tropical waters off Southern Japan. This species has been largely misidentified with S. mitsukurii. However, morphological, meristic and morphometric evidence support it to be a separate and undescribed species. Squalus shiraii sp. nov. differs from this species by having body brown in colour dorsally, caudal fin with ventral and dorsal tips markedly tapered and broadly white, dermal denticles uniscuspidate and lanceolate and larger number of precaudal (91-94) and total vertebrae (120-123) (vs. body dark grey to black; caudal fin with ventral and dorsal tips rounded and not white in colour; denticles tricuspidate and rhomboid; 86-90 precaudal and 116-117 total vertebrae). Squalus shiraii sp. nov. is also clearly separated from other Japanese congeners which are herein revisited to include six species, based on the examination of over 150 specimens caught from Japanese waters that were available in ichthyological collections: S. mitsukurii, S. japonicus, S. acutirostris, S. brevirostris and S. suckleyi. Squalus mitsukurii, S. japonicus and S. brevirostris are re-described in detail and the neotype of S. japonicus is herein designated. Squalus acutirostris is treated as a valid species with occurrences in Japan, China and Taiwan and, thus, a provisional diagnosis is given, as well as an updated diagnosis of S. suckleyi. A key to Squalus species from the North-western Pacific Ocean is given and main morphological differences between S. shiraii sp. nov. and the closest related species are discussed. [ABSTRACT FROM AUTHOR]

Abstract: Objective: To evaluate the outcome of vertebroplasty or kyphoplasty (VK), in comparison with non-VK treatment, among patients hospitalized for first-ever vertebral compression fractures (VCFs). Design: A population-based retrospective cohort study. Setting: Taiwan’ s National Health Insurance claims data. Participants: All individuals aged ≥60 years who were newly discharged after hospitalization for a primary VCF diagnosis. Intervention: Percutaneous vertebroplasty or kyphoplasty. Measurements: Study outcomes were discharge outcome (re-hospitalization within 1 week, 1 month or 6 months, categorized by diagnosis) and the prescription of anti-osteoporosis medication for secondary fracture prevention. Potential selection bias was adjusted by using propensity score matching to select one conservatively treated patient (e.g. lumbar brace, analgesics, or physical therapy) matched to one patient receiving VK. Results: The study cohort consisted of 9238 patients who had been discharged after hospitalization for a first-ever VCF between 2004 and 2007. During the index hospitalization, 1018 patients received VK, compared with 8,220 patients who did not receive VK. Patients receiving percutaneous procedure group had a consistently lower incidence of 7-day re-hospitalization for any of the three outcomes (OR = 0.48; 95% CI: 0.32–0.72). Considering the cause of re-hospitalization separately, the vertebroplasty/kyphoplasty group had a significantly lower risk of 7-day re-hospitalization for fracture-related diagnosis (OR = 0.28, 95% CI: 0.12–0.68) and musculoskeletal diagnosis (OR = 0.08, 95% CI: 0.01–0.88) as well as a significantly lower risk of 1-month re-hospitalization (OR = 0.74; 95% CI: 0.59–0.93). Conclusions: VK may protect patients with VCFs from short-term re-hospitalization and a greater need exists for anti-osteoporosis medication as secondary prevention for this at-risk patient group. [Copyright &y& Elsevier]

The article presents a study to estimate the age and growth of blacktip sawtail catshark, Galeus sauteri, that inhabits in the northeastern waters of Taiwan. The study collected 739 specimens of Galeus sauteri from November 2007 to October 2008, in which the age was known through band-pair reading of vertebrae while growth was determined through von Bertalanffy function. Findings showed that Galeus sauteri's ages at maturity were approximately 9.14 years for females and 7.57 years for males.

Abstract: The sharptail mola, Masturus lanceolatus, is one of the largest teleost fishes in the world, and can be found in warm temperate and tropical regions worldwide. The increase of sharptail mola catch in the eastern Taiwan in recent years stimulated a concern that increasing exploitation of this species might lead to a decline of the stock. However, biological information of this species is very limited. Hence, this study provides the first information on age and growth of this species in the waters off eastern Taiwan based on 265 specimens (105 females and 160 males) collected from January 2003 to November 2006 at the Nanfanao and Hualien fish markets, eastern Taiwan. The relationships between whole weight (W) and standard length were expressed as: W =9.98×10−4 SL2.45 (n =105, p <0.01) for females, and W =3.33×10−4 SL2.68 (n =160, p <0.01) for males. Based on the MIR analysis, growth band pairs (including translucent and opaque bands) in vertebrae formed once a year and were counted up to 23 and 16 for females and males, respectively. Three growth functions, the von Bertalanffy (VBGF), Robertson, and Gompertz, were used to model the observed length at age data. The VBGF had the best fit and predicted an asymptotic length (L ∞)=262.5cm SL, growth coefficient (k)=0.046yr−1, age at zero length (t 0)=−3.350 yr (n =80, p <0.01) for females, and L ∞ =231.0cm SL, k =0.059yr−1, t 0 =−1.852 yr (n =135, p <0.01) for males. The longevities were estimated to be 105 and 82 yr based on the VBGF for females and males, respectively. [Copyright &y& Elsevier]

Objective: To determine if there is an indicator on the lateral cephalometric radiograph that can be used for the differential diagnosis of severe obstruct sleep apnea syndrome and simple snoring in nonobese young male adults. Materials and Methods: The subjects were Taiwanese male patients with a complaint of snoring and/or sleep apnea, whose body mass index was less than 25 kg/m² and who were younger than 40 years old. Forty-six patients with severe obstructive sleep apnea and 36 patients with simple snoring were selected and underwent lateral cephalometric radiography, from which 24 linear and 34 angular measurements were calculated. Differences between the two groups were studied, and a discriminatory analysis was performed. Results: Soft palate length, mandibular body length, tongue size, and distance from the hyoid bone to the mandibular plane were significantly larger in patients with severe obstructive sleep apnea syndrome. Of the original grouped cases, 76.5% were correctly classified using these five variables. The position of the hyoid bone in simple snorers was near the straight line from the third vertebra to the menton, whereas the position of the hyoid bone in severe obstruct sleep apnea syndrome patients was far below the line from the third vertebra to the menton. Conclusion: The position of the hyoid bone relative to the line from the third vertebra to the menton can be used as an indicator for a diagnosis of severe obstruct sleep apnea syndrome in nonobese young male Taiwanese adults. [ABSTRACT FROM AUTHOR]