In situ ESWL Treatment of Lower Ureteral Stones Aided by Low-Flow Saline Irrigation

Author(s):  
Domenico J. Manzone ◽  
Benjamin Chiang
2004 ◽  
Vol 1 (1) ◽  
pp. 497-531 ◽  
Author(s):  
T. J. Battin ◽  
A. Wille ◽  
R. Psenner ◽  
A. Richter

Abstract. Glaciers are highly responsive to global warming and important agents of landscape heterogeneity. While it is well established that glacial ablation and snowmelt regulate stream discharge, linkage among streams and streamwater hydrogeochemistry, the controls of these factors on stream microbial biofilms remain insufficiently understood. We investigated glacial (metakryal, hypokryal), groundwater-fed (krenal) and snow-fed (rhithral) streams – all of them representative for alpine stream networks – and present evidence that these hydrologic and hydrogeochemical factors differentially affect sediment microbial biofilms. Average microbial biomass and bacterial carbon production were low in the glacial streams, whereas bacterial cell size, biomass, and carbon production were higher in the tributaries, most notably in the krenal stream. Whole-cell in situ fluorescence hybridization revealed reduced detection rates of the Eubacteria and higher abundance of α-Proteobacteria in the glacial stream, a pattern that most probably reflects the trophic status of this ecosystem. Our data suggest low flow during the onset of snowmelt and autumn as a short period (hot moment) of favorable environmental conditions with pulsed inputs of allochthonous nitrate and dissolved organic carbon, and with disproportional high microbial growth. Krenal and rhithral streams with more constant and favorable environments serve as possible sources of microbes and organic matter to the main glacial channel during periods (e.g. snowmelt) of elevated hydrologic linkage among streams. Ice and snow dynamics have a crucial impact on microbial biofilms, and we thus need better understanding of the microbial ecology and enhanced consideration of critical hydrological episodes in future models predicting alpine stream communities.


1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 100-102 ◽  
Author(s):  
E. Frego ◽  
M. Scanzi ◽  
B. Taher ◽  
M. Tosana ◽  
S. Cosciani Cunico

— 185 patients with ureteral stones were treated with ESWL (118 with lumbar ureteral stones, 63 pelvic, 4 sacroiliac). 182 patients (98.3%) were treated with ESWL in-situ by means of a Dornier MFL-5000 lithotriptor. Stone size varied from 0.6 to 1.4 cm (mean 0.9 cm); 145 patients (86.9%) were stone-free after one treatment. The re-treatment rate was 13% for lumbar ureteral stones, 25% for sacroiliac and 12.5% for pelvic stones. We report no complications. 11 patients (6.04%) had to be treated subsequently with ureteroscopic fragmentation and 4 (2.19%) with open surgery. We conclude that in-situ ESWL is also a safe and effective treatment for distal ureteral stones, for which ureteroscopy is also a successful technique but with higher morbidity, and should therefore be performed in case of failure of ESWL. We have more chance of success if the in-situ treatment is performed as soon as possible.


2013 ◽  
Vol 7 (1-2) ◽  
pp. 65 ◽  
Author(s):  
Lu Sun ◽  
Fang-li Peng

Objective: To analyze the clinical efficacy of Simultaneous saline irrigation method in treating upper-mid ureteral stone migration and overall efficiency during ureteroscopic lasertripsy. Methods: We prospectively evaluated 78 patients with a total of 95 upper-mid ureteral stones, which were treated with holmium: YAG lasertripsy. These patients were randomized into two groups. In group I (39 cases with 44 ureteral stones), conventional ureteroscopic lasertripsy was performed in like manner. While in group II (39 cases with 51 ureteral stones), the Simultaneous saline irrigation method was used during lasertripsy. There was no significant difference between the groups with regards to stone site, size or state of the upper urinary tract by spiral computed tomography or excretory urography. Data were analyzed regarding stone migration, lengths of time, and ureteral clearing for various stages of each procedure. Results: One patients (2%) occurred upward stone migration in group II, while in group I it occurred in eight patients (20%).The operative time in group I ranged between 35 to 55 minutes (mean, 44.8±5.3), while in group II it ranged between 40 to 69 minutes (mean, 50.4±3), The operative time was no significant difference between the groups  (p<0.05). Ureteral perforation, urinoma, and urosepsis were not seen in both groups. Conclusion:Simultaneous saline irrigation method demonstrated a statistically significant advantage over the conventional methods. Operation can be performed persistently under clear vision, and the calculus can not be moved upwards, the fragmentation easily to be flushed out. Our data suggest that this method is simple,safe and effective in preventing proximal stone migration during ureteroscopic lasertripsy.


2013 ◽  
Vol 49 (2) ◽  
pp. 95-103 ◽  
Author(s):  
B. Chalmers ◽  
J. Elphick ◽  
G. Gilron ◽  
H. Bailey

This study evaluated an in situ early life stage test using cutthroat trout for potential use in Canada's Metal Mines Effluent Regulations' Environmental Effects Monitoring (EEM) program. Current field monitoring approaches focus on either adult fish surveys or mesocosm studies, but both of these have inherent limitations that may affect their suitability on a site-specific basis. This study evaluated an alternative approach, namely an in situ toxicity test, as part of an EEM program for a zinc, copper and gold mine. Hatchboxes containing cutthroat trout embryos were placed in a creek that receives treated effluent from the mine, and monitored through the swim-up stage to evaluate hatching success, survival, normal development and growth. Advantages of the method include: no feeding requirement during exposure, fixed exposure locations, relevant endpoints and high statistical sensitivity. In addition, the extended exposure period integrated long-term exposure variables, including low-flow and freshet events. This approach also has application to other salmonid species and types of discharges.


2019 ◽  
Vol 21 (5) ◽  
pp. 875-892
Author(s):  
Kaushik Bora ◽  
Hriday Mani Kalita

Abstract This paper presents a novel approach for determining the best combination of groynes in terms of their number, lengths and positions for controlling bank erosion. The vulnerable bank is considered to be protected if a very small value of water flow speed is achieved on the near bank area. A linked simulation–optimization model is developed in this regard which minimizes the total construction cost of the groyne project. At the same time, a constraint in terms of low flow speed in a predefined zone is incorporated, which helps in bank erosion prevention. In the simulation model, the depth-averaged shallow water equations are solved using a finite difference scheme. The optimization problem is formulated in three different approaches to tackle different types of in situ field problems. Genetic algorithm (GA) is used to solve the optimization problem. The proposed optimization model is used in two hypothetical test cases including one straight channel and one meandering channel. The results obtained with all the three formulations are found to be logical and establish the potential of the present model for application in real cases.


2021 ◽  
Author(s):  
Guang-Zhi Liao ◽  
Wei-Liang Chen ◽  
Fang-Rong Zong ◽  
Feng Deng ◽  
Hua-Bing Liu ◽  
...  

AbstractTremendous progress of developing nuclear magnetic resonance (NMR) fluid analyzer has been witnessed in the oil industry for last two decades. This device allows extensive and accurate exploration of fluid properties, such as its hydrogen content, composition, viscosity, hydrogen index (HI), mud filtrate invasion, gas to oil ratio, average velocity, velocity distribution etc., in the situations of in situ downhole or surface Petro-pipelines. In this review article, we focus on the design principle, manufacturing, implementation, methodology and applications of NMR fluid analyzer to oil and gas industry. A detailed description of the state-of-art NMR fluid analyzers was firstly given to exhibit their respective characteristics. With these experiences on hand, we introduced a series of NMR fluid analyzers designed by us at China University of Petroleum-Beijing with continuous optimizations, in terms of magnet construction, antenna layout, circuit design and operating surroundings. These systems discussed in this article have been demonstrated to achieve multiple NMR parameter acquisition when the fluid is in stationary or flowing state. In the end, a prototype was fabricated and validated considering a vast of engineering influences, such as variable temperatures in a large range, high pressure, limited volume, detection efficiency, etc. A particular emphasis of this paper is to expedite the measurement efficiency of the NMR fluid analyzer to reduce the operation costs. This dilemma can be Figured out by upgrading both pulse sequence and observational mode. For different fluid states, two rapid pulse sequences were proposed to sufficiently obtain the multi-dimensional NMR correlation map. Meanwhile, two observational modes were developed to take full advantage of the polarization time, during which the individual antenna was systematically switched. Another domain of interest in this review concerns the applications of this new tool. For stationary fluids case, accurate identification of fluid properties is of great value for scheme building in oil and gas exploration process. Particularly, it can acquire the fluid content by different NMR responses of different components. In addition, with Bloembergen theory and Stokes–Einstein equation, not only molecular dynamics and composition, but also oil viscosity can be readily evaluated. Moreover, HI information of crude oils will be speculated through partial least square regression. As for flowing fluids case, velocity is a significant parameter to understand the in situ fluid exploitation and therefore evaluate the productivity of certain oil wells or pipelines. Regarding to the unique magnet and antenna designs in our NMR fluid analyzer; this review adopts two distinct methods to obtain flow velocity at a wide rating scale. The first one is a time-of-flight method adaptive in a homogeneous magnetic field, which is suitable in the case of fluid at high flow velocity. The other one relies on the adjacent echo phase difference at a magnetic field with constant gradient, which is preferred for relatively low flow velocity. In the near future, this tool will be tested underground to offer individual fluid velocities by combining both the stationary and flowing analysis methods.


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