Sample records for visible internal stone

  1. Occurrence of internal parasites in stone martens (Martes foina) from Cracow and suburbs. (United States)

    Kornaś, Sławomir; Wierzbowska, Izabela A; Górski, Paweł; Okarma, Henryk


    The pine marten Martes martes and the stone marten Martes foina are the only representatives of the genus Martes in Poland. During the last few decades, an intensive synurbisation of stone martens has been recorded. The aim of the study was to assess the level of infection by internal parasites of Martes foina in the Cracow urban area. Eleven necropsies were performed of stone martens killed during animal-vehicle collisions. Additionally, coprological examination of 129 stone marten scats was included. For further analysis, two standard methods, i.e. flotation and decantation, were used. The intensity of infection by parasites was low. Taenia martis was found to be present in one marten individual by necropsy, while Taeniidae helminths and two genera of nematodes, Capillaria and Toxocara, were identified during coprodiagnosis. The diet analysis of stone marten scats revealed a high proportion of two food categories. Percentage frequency of occurrence for plant material and anthropogenic was calculated as 42.3% and 15.4%, respectively. This type of food composition might suggest lower infection by internal parasites in particular species, especially with an indirect life cycle.

  2. After urgent drainage of an obstructed kidney by internal ureteric stenting; is ureteroscopic stone extraction always needed? (United States)

    Taha, Diaa-Eldin; Elshal, Ahmed M.; Zahran, Mohamed H.; Harraz, Ahmed M.; El-Nahas, Ahmed R.; Shokeir, Ahmed A.


    Objectives To assess the probability of spontaneous stone passage and its predictors after drainage of obstructed kidney by JJ stent, as insertion of an internal ureteric stent is often used for renal drainage in cases of calcular ureteric obstruction. Patients and methods Between January 2011 and June 2013, patients for whom emergent drainage by ureteric stents were identified. The patients’ demographics, presentation, and stone characteristics were reviewed. The primary endpoint for this study was stone-free status at the time of stent removal, where all patients underwent non-contrast spiral computed tomography (NCCT) before stent removal. Ureteroscopic stone extraction was performed for CT detectable ureteric stones at the time of stent removal. Potential factors affecting the need for ureteroscopic stone extraction at the time of stent removal were assessed using univariate and multivariate statistical analyses. Results Emergent ureteric stents were undertaken in 196 patients (112 males, 84 females) with a mean (SD) age of 53.7 (16.2) years, for renal obstruction drainage. At the time of stent removal, 83 patients (42.3%) were stone free; with the remaining 113 patients (57.7%) undergoing ureteroscopic stone extraction. On multivariate analysis, stone width [odds ratio (OR) 15.849, 95% confidence interval (CI) 2.83; P = 0.002) and radio-opaque stones (OR 12.035, 95% CI 4.65; P < 0.001) were independent predictors of the need for ureteroscopic stone extraction at the time of stent removal. Conclusion Spontaneous ureteric stone passage is possible after emergent drainage of an obstructed kidney by ureteric stenting. Stone opacity, larger stone width, and positive preoperative urine culture are associated with a greater probability of requiring ureteroscopic stone extraction after emergent drainage by ureteric stenting. PMID:26609444

  3. Do we really need kidneys-ureters-bladder radiography to predict stone radiopacity before treatment with shockwave lithotripsy? Development and internal validation of a novel predictive model based on computed tomography parameters. (United States)

    Sfoungaristos, Stavros; Hidas, Guy; Gofrit, Ofer N; Yutkin, Vladimir; Latke, Arie; Landau, Ezekiel H; Pode, Dov; Duvdevani, Mordechai


    To produce and validate a predictive model based on CT parameters for calculating the probability of a stone to be visible on fluoroscopy of shockwave lithotripsy (SWL) and to compare its accuracy to that of kidneys-ureters-bladder (KUB) radiography. We retrospectively analyzed 306 patients (sample group) who underwent an SWL between March 2011 and August 2012. A multivariate analysis of several parameters extracted from the preoperative CT scan was conducted to identify independent predictors for radiopacity on SWL fluoroscopy. The results were used for the creation of a predictive model. Internal validation was made on a group of 75 patients (validation group) treated from September 2012 until December 2012. Predictive accuracy of the model was evaluated by receiver operating characteristic (ROC) curve and calibration plot. The ROC curve was also used for comparing the predictive accuracy of the model to that of KUB radiography. From 306 evaluated stones, 238 (77.8%) were visible on fluoroscopy. Results of the multivariate analysis revealed that stone size (Ppredictive model was produced based on the above parameters. The model demonstrated high calibration and areas under the curve of 0.923 and 0.965 in the sample and validation group, respectively, while its predictive performance was significantly higher (Pmodel can estimate with high accuracy stone radiopacity on SWL fluoroscopy using parameters of CT scan and thus it can be used as an alternative to KUB radiography for treatment planning.

  4. Characterization of internal geometry / covered surface defects with a visible light sensing system (United States)

    Straub, Jeremy


    Previous work has used visible light scanning to detect and characterize defects in 3D printed objects. This paper focuses on assessing the internal structures and external surfaces (that will be later hidden) of complex objects. These features make in-process defect detection far more important than it would be with an object that can be fully assessed with a post-completion scan, as it is required both for in-process correction and end-product quality assurance. This paper presents work on the use of a multi-camera visible light 3D scanning system to identify defects with printed objects' interior and covered / obscured exterior surfaces.

  5. Dimension stone (United States)

    Dolley, T.P.


    Dimension stone can be defined as natural rock material quarried to obtain blocks or slabs that meet specifications as to size (width, length and thickness) and shape for architectural or engineering purposes. Color, grain texture and pattern, and surface finish of the stone are also normal requirements. Other important selection criteria are durability (based on mineral composition, hardness and past performance), strength and the ability of the stone to take a polish.

  6. Internal triaxial strain imaging of visibly opaque black rubbers with terahertz polarization spectroscopy

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    Atsuto Moriwaki


    Full Text Available We demonstrate the nondestructive imaging of internal triaxial strain in visibly opaque black rubbers by employing the polarization-sensitive terahertz time-domain spectroscopy (PS THz-TDS technique. From the sample thickness and the differences in amplitude and phase between orthogonal components of the terahertz wave that passed through the sample, the degree of birefringence and the angle of the slow optic axis were determined. We were able to convert the birefringence data into the amount and orientation of the internal strain through a Monte Carlo simulation that correlates the birefringent properties of the rubber with deformation. By comparing the strain map obtained from the PS THz-TDS measurements with that obtained by conventional digital image correlation, we found that both experimental and spatial distributions of the strain are in overall good agreement, except around the clamped sample regions. The deviations result from the intrinsic difference in the obtained strain information between two experiments and it is confirmed that our method based on PS THz-TDS is suited for evaluating the spatial distribution of the internal strain in black rubbers.

  7. Qualitative and Quantitative Status and International Visibility of Iranian Journals Indexed in Journal Citation Reports

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    Mohammadamin Erfanmanesh


    Full Text Available Objectives: The present study aims to investigate the international status and visibility of Iranian journals which have been indexed in Journal Citation Reports (JCR. Accordingly, the number of international papers, citations and editorial board members of each journal was studied. Moreover, various measures were utilized to compare the quality of Iranian journals with their international counterparts. Method: Current paper applied scientometric research method. A total of 16471 papers which published in 38 Iranian journals and indexed by the JCR 2013 were selected as the population of the study. Web of Science (WoS, JCR and journals’ website were used for data gathering. Results: Results of the study revealed that foreign researchers have published 34.8% of papers published in Iranian ISI journals. Moreover, only 30.6% of citations to Iranian ISI journals have been received from foreign papers or Iranian internationally collaborative papers. The results showed that Iranian researchers accounted for 66.4% of editorial board member of all studied journals, while foreign researchers only occupied 33.6% of the editorial board positions. Based on the findings, only two Iranian journals have impact factors above the median of the journals in the disciplinary category areas in which they are classified in JCR. Furthermore, only 8 Iranian journals have ever been placed in the 1st and 2nd quartile of journals of the same field in the JCR. Findings also showed that 36 out of the 38 Iranian journals have mostly cited by journals with higher median impact factors than cited journals. Conclusion: The findings indicate that the share of international papers, citations and editorial board memberships is low in Iranian ISI journals. Moreover, Iranian journals’ impact factor was below of those of the leading journals.

  8. Nowcasting of Low-Visibility Procedure States with Ordered Logistic Regression at Vienna International Airport (United States)

    Kneringer, Philipp; Dietz, Sebastian; Mayr, Georg J.; Zeileis, Achim


    Low-visibility conditions have a large impact on aviation safety and economic efficiency of airports and airlines. To support decision makers, we develop a statistical probabilistic nowcasting tool for the occurrence of capacity-reducing operations related to low visibility. The probabilities of four different low visibility classes are predicted with an ordered logistic regression model based on time series of meteorological point measurements. Potential predictor variables for the statistical models are visibility, humidity, temperature and wind measurements at several measurement sites. A stepwise variable selection method indicates that visibility and humidity measurements are the most important model inputs. The forecasts are tested with a 30 minute forecast interval up to two hours, which is a sufficient time span for tactical planning at Vienna Airport. The ordered logistic regression models outperform persistence and are competitive with human forecasters.

  9. Villamayor stone (Golden Stone) as a Global Heritage Stone Resource from Salamanca (NW of Spain) (United States)

    Garcia-Talegon, Jacinta; Iñigo, Adolfo; Vicente-Tavera, Santiago


    Villamayor stone is an arkosic stone of Middle Eocene age and belongs to the Cabrerizos Sandstone Formation that comprising braided fluvial systems and paleosoils at the top of each stratigraphic sequence. The sandstone is known by several names: i) the Villamayor Stone because the quarries are located in Villamayor de Armuña village that are situated at 7 km to the North from Salamanca city; ii) the Golden Stone due to its patina that produced a ochreous/golden color on the façades of monuments of Salamanca (World Heritage City,1988) built in this Natural stone (one of the silicated rocks utilised). We present in this work, the Villamayor Stone to be candidate as Global Heritage Stone Resource. The Villamayor Stone were quarrying for the construction and ornamentation of Romanesque religious monuments as the Old Cathedral and San Julian church; Gothic (Spanish plateresc style) as the New Cathedral, San Esteban church and the sculpted façade of the Salamanca University, one of the oldest University in Europe (it had established in 1250); and this stone was one of the type of one of the most sumptuous Baroque monuments is the Main Square of the its galleries and arcades (1729). Also, this stone was used in building palaces, walls and reconstruction of Roman bridge. Currently, Villamayor Stone is being quarried by small and family companies, without a modernized processing, for cladding of the façades of the new buildings until that the construction sector was burst (in 2008 the international economic crisis). However, Villamayor Stone is the main stone material used in the city of Salamanca for the restoration of monuments and, even in small quantities when compared with just before the economic crisis, it would be of great importance for future generations protect their quarries and the craft of masonry. Villamayor Stone has several varieties from channels facies to floodplains facies, in this work the selected varieties are: i) the fine-grained stone

  10. The exposome for kidney stones. (United States)

    Goldfarb, David S


    The exposome is the assembly and measure of all the exposures of an individual in a lifetime. An individual's exposures begin before birth and include insults from environmental and occupational sources. The associated field is called exposomics, which relies on the application of internal and external exposure assessment methods. Exposomics has not yet been thoroughly applied to the study of kidney stones although much is known about how diet and fluid intake affect nephrolithiasis. Some other novel exposures that may contribute to kidney stones are discussed including use of antibiotics, urbanization and migration to urban heat islands, and occupation. People whose school and jobs limit their access to fluids and adequate bathroom facilities may have higher prevalence of stones. Examples include athletes, teachers, heathcare workers, and cab drivers. Occupational kidney stones have received scant attention and may represent a neglected, and preventable, type of stone. An exposomic-oriented history would include a careful delineation of occupation and activities.

  11. Mold attack on frescoes and stone walls of Gradac monastery


    Stupar Miloš Č.; Ljaljević-Grbić Milica V.; Vukojević Jelena B.; Jelikić Aleksa A.


    Microfungi can colonize stone surfaces and form sub-aerial biofilms which can lead to biodeterioration of historic monuments. In this investigation samples for mycological analyses were collected from stone material with visible alteration on stone walls of Gradac monastery exterior. The prevailing fungi found on stone walls were dematiaceous hyphomycetes with melanized hyphae and reproductive structures (Alternaria, Aureobasidium, Cladosporium and Epicoccum species). The frescoes insid...

  12. Kidney stones (United States)

    ... to your provider about what treatment options may work for you. You will need to take self-care steps. Which steps you take depend on the type of stone you have, but they may include: Drinking extra water and other liquids Eating more of some foods ...

  13. Calcium Oxalate Stone Agglomeration Inhibition [tm] Reflects Renal Stone-Forming Activity (United States)

    Lindberg, Jill S.; Cole, Francis E.; Romani, William; Husserl, Fred E.; Fuselier, Harold A.; Kok, Dirk J.; Erwin, Donald T.


    Louisiana and other Gulf South states comprise a “Stone Belt” where calcium oxalate stone formers (CaOx SFs) are found at a high rate of approximately 5%. In these patients, the agglomeration of small stone crystals, which are visible in nearly all morning urine collections, forms stones that can become trapped in the renal parenchyma and the renal pelvis. Without therapy, about half of CaOx SFs repeatedly form kidney stones, which can cause excruciating pain that can be relieved by passage, fragmentation (lithotripsy), or surgical removal. The absence of stones in “normal” patients suggests that there are stone inhibitors in “normal” urines. At the Ochsner Renal Stone Clinic, 24-hour urine samples are collected by the patient and sent to the Ochsner Renal Stone Research Program where calcium oxalate stone agglomeration inhibition [tm] measurements are performed. Urine from healthy subjects and inactive stone formers has demonstrated strongly inhibited stone growth [tm] in contrast to urine from recurrent CaOx SFs. [tm] data from 1500 visits of 700 kidney stone patients have been used to evaluate the risk of recurrence in Ochsner's CaOx SF patients. These data have also been used to demonstrate the interactive roles of certain identified urinary stone-growth inhibitors, citrate and Tamm-Horsfall protein (THP), which can be manipulated with medication to diminish recurrent stone formation. Our goal is to offer patients both financial and pain relief by reducing their stones with optimized medication, using medical management to avoid costly treatments. PMID:21811395

  14. Acute management of stones

    DEFF Research Database (Denmark)

    Jung, Helene; Osther, Palle J S


    INTRODUCTION: Stone management is often conservative due to a high spontaneous stone passage rate or non-symptomatic calyceal stones that do not necessarily require active treatment. However, stone disease may cause symptoms and complications requiring urgent intervention. MATERIAL AND METHODS......: In this review, we update latest research and current recommendations regarding acute management of stones, with particular focus on imaging, pain management, active stone interventions, medical expulsive therapy, and urolithiasis in pregnancy and childhood. RESULTS: Acute stone management should be planned...

  15. Bath Stone - a Possible Global Heritage Stone from England (United States)

    Marker, Brian


    the late 20th century but several quarries and underground mines remain operational providing stone for the local market, repair and maintenance of historic buildings and for special international projects. Reserves permitted for extraction are substantial and resources are fairly extensive so the stone will be accessible in the long term. Taking such points into account, it is suggested that Bath Stone should be recognised as a Global Heritage Stone Resource.

  16. Counting Family: Making the Family of International Students Visible in Higher Education Policy and Practice (United States)

    Doyle, Stephanie; Loveridge, Judith; Faamanatu-Eteuati, Niusila


    This article focuses on a significant group of postgraduate international students overlooked by institutions and policymakers, namely those with accompanying partners and children. The economic importance of international students to Australia, Canada, New Zealand, the United Kingdom, and the United States of America is highlighted. It is argued…

  17. Stone structures in the Syrian Desert

    CERN Document Server

    Sparavigna, Amelia Carolina


    An arid land, known as the Syrian Desert, is covering a large part of the Middle East. In the past, this harsh environment, characterized by huge lava fields, the "harraat", was considered as a barrier between Levant and Mesopotamia. When we observe this desert from space, we discover that it is crossed by some stone structures, the "desert kites", which were the Neolithic traps for the game. Several stone circles are visible too, as many Stonehenge sites dispersed in the desert landscape.

  18. Building stones can be of geoheritage significance (United States)

    Brocx, Margaret; Semeniuk, Vic


    Building stones have generally been assigned values according to their cultural, aesthetic, and rarity significance, amongst other criteria, but they also may have geoheritage significance. This is akin to the geoheritage significance ascribed to minerals and fossils housed as ex situ specimens in museums. We proffer the notion that building stones can be of geoheritage value particularly where they comprise permanent buildings, they illustrate significant windows into the history of the Earth, and they can be visited as an ex situ museum locality (e.g., the "Blue Granite" of Iceland) for education as part of building-stone tours. For some rocks the quarries that supplied the building stone are no longer in existence and hence the building stones provide the only record of that type of material; for other rocks, the building stone may illustrate features in the lithology no longer present in the quarry itself (e.g., rare and large xenoliths). Building stones are particularly significant as they are often polished and manifest structures, fabrics, and textures not evident in outcrop. We illustrate here examples of building stone of geoheritage significance using Australian and International examples. Australian designated stones could include the "Sydney Sandstone" or "Victorian Bluestone". For international examples, there is the famous "Carrara Marble" in Italy and the widely known "Portland Limestone" from southern England, the latter having been utilized for St Pauls Cathedral in London and the UN building in New York City.

  19. Quantitative Prediction of Stone Fragility From Routine Dual Energy CT

    DEFF Research Database (Denmark)

    Ferrero, Andrea; Montoya, Juan C; Vaughan, Lisa E


    RATIONALE AND OBJECTIVES: Previous studies have demonstrated a qualitative relationship between stone fragility and internal stone morphology. The goal of this study was to quantify morphologic features from dual-energy computed tomography (CT) images and assess their relationship to stone fragil...

  20. IGCP 637 Heritage Stone Designation: A UNESCO and IUGS project on natural stones (United States)

    Pereira, Dolores; Cooper, Barry; Schouenborg, Björn; Marker, Brian; Kramar, Sabina


    IGCP 637 was approved in 2015 to facilitate establishment of a new international geological standard for building and ornamental stones. Formal international recognition of those natural stone types that have achieved widespread utilization in human culture is now underway and the term "Global Heritage Stone Resource" (GHSR) has been proposed for this designation. Stones that have been used in heritage construction, sculptural masterpieces, as well as in utilitarian (yet culturally important) applications are obvious GHSR candidates. In co-ordination with these aims the project has an associated role to promote the adoption and use of the GHSR designation. Consequently an interim list of potential GHSRs is maintained and a register of GHSR approved stones is being created. IGCP 637 also enhances the capacity of the International Union of Geological Sciences (IUGS) in the realm of dimension stone and geological standards as it is the first IUGS involvement in this subject. As a consequence, the largest known international grouping of dimension stone professionals has been established. Within IGCP 637 a web page has been created at, including information on the Working Group and also specific information on the evolution of the project. Several researchers were funded to attend the Heritage Stone working group activities, including researchers from Algeria, Malawi, India, Italy and Russia. We also have produced many publications, both as individual papers and special issues in journals included in the Journal Citation Reports. Monographs are being prepared at present. Hopefully, IGCP 637 will help to widen the circle of researchers interested in natural stones as part of our geoheritage. Heritage Stone references: articles and special issues - Pereira, D. and Marker, B. (2016) The value of original natural stone in the context of architectural heritage. Geosciences, 6, 13. - Heritage Stone 1. Ed. Pereira and Pratt. (2016). Geoscience

  1. Purbeck Stone - A possible Global Heritage Stone from England (United States)

    Marker, Brian


    By definition, a Global Heritage Stone Resource (GHSR) should have international significance. The Purbeck Group of uppermost Jurassic to lowermost Cretaceous age (Tithonian- Berriasian) outcrops mainly in the Purbeck area of Dorset, England. It was deposited in shallow freshwater to brackish lagoons with occasional marine incursions. Limestones, mainly biosparites, occur at 6 main levels. Differences in bed thickness, jointing and hardness make it suitable for a variety of purposes including dimension stone, monumental and ornamental stone, roofing tiles, paving, flooring and rockery stone. Near the top of the sequence is a dark gastropod biosparite, traditionally called Purbeck Marble, easily carved, which has been extensively used for decorative interior work in churches and cathedrals particularly for fonts, tombs, flooring and facings on columns for example in the medieval cathedrals of Salisbury, Exeter, Durham, York and Wells and Worcester and Westminster Abbey. The stone was extracted at least from Roman times (1st century AD) through the medieval period. Quarrying expanded from about 1700 reaching a peak in the late 18th and 19th centuries. Stone was transported first by sea but later by rail for wider use. Used in many local buildings, it gives an important element of local character. Many of the villages are designated conservation areas with a requirement for repair, maintenance and new building using local stone. Initially the stone was taken from quarries but was later mined. The number of operating companies declined from 15 to 5 over the past 40 years, with 10 active small quarries. Outputs are from few hundred tonnes to a few thousand tonnes per annum or about 9 to 12 years of permitted reserves but the Planning Authority intends to make sufficient provision for production at recent levels for their development plan period. The extraction sites are in an Area of Outstanding Natural Beauty and close to Jurassic Coast World Heritage Site. This might

  2. Mold attack on frescoes and stone walls of Gradac monastery

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    Stupar Miloš Č.


    Full Text Available Microfungi can colonize stone surfaces and form sub-aerial biofilms which can lead to biodeterioration of historic monuments. In this investigation samples for mycological analyses were collected from stone material with visible alteration on stone walls of Gradac monastery exterior. The prevailing fungi found on stone walls were dematiaceous hyphomycetes with melanized hyphae and reproductive structures (Alternaria, Aureobasidium, Cladosporium and Epicoccum species. The frescoes inside the monastery building were also analyzed for the presence of mycobiota. The predominant fungi found on frescoes were osmophilic species from genera Aspergillus and Penicillium. The significant result is identification of human pathogen species Aspergillus fumigatus on frescoes.


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    Korobiіchuk V. V.


    Full Text Available Ukraine Stone industry is undergoing dramatic changes. Today is a restructuring of the industry. In a market economy, modernization of existing stone processing enterprises, the use of new technologies in the production of stone products is actually. Analysis of stone processing enterprise activity shows a large variation in quantitative and qualitative indicators, low competitiveness. However, the demand for stone products with traditional characteristics is stored. Waste stone processing enterprises often exported to landfills that are not suited to the storage of waste or unauthorized, and remain there, taking up more and more land area. During the Earth Summit in Rio de Janeiro independent Ukraine declared its intention to be actively involved in global environmental policy and development strategy of sustainable development, implementing guidelines defining international instruments at the national level. Consequently, there is an urgent need for real action on comprehensive recycling stone processing enterprises to obtain a secondary product. It should be noted that the use of modern methods of stone processing enterprises will waste the protection of nature and natural resources, improve the quality of life, restore lost harmony between man and nature. This publication analyzes the level of recycling waste stone processing enterprises. These volumes of industrial waste stone processing enterprises and highlights stone processing companies hand waste I-IV classes of danger Zhitomir region (Ukraine. These waste composition and properties of stone processing enterprises. Principles of artificial and natural lighting water are noted. Mathematical and economical model of the stone processing enterprises are constructed.

  4. Rejoinder to Lynda Stone. (United States)

    Blum, Mark E.


    Responds to Lynda Stone's comments on the author's essay on the interpretation of history. Demonstrates the linkages between his argument and those of Stone. Concludes by contesting some of her interpretations of his philosophical forebear, Edmund Husserl, and by pointing to the common objectives of both his and Stone's research. (DSK)

  5. Do a Field List of Internationally Visible Journals and their Journal Impact Factors Depend on the Initial Set of Journals? A Research Proposal. (United States)

    Rousseau, Ronald; Spinak, Ernesto


    Proposes a research model to test the dependence of a field list of internationally visible journals on the initial set. Outlines applications of the experiment and hypothesizes on the validity of the Institute of Scientific Information's (ISI) impact factors. Suggests that in some cases lists of journals selected by linguistic or geographic…

  6. Measuring stone volume - three-dimensional software reconstruction or an ellipsoid algebra formula? (United States)

    Finch, William; Johnston, Richard; Shaida, Nadeem; Winterbottom, Andrew; Wiseman, Oliver


    To determine the optimal method for assessing stone volume, and thus stone burden, by comparing the accuracy of scalene, oblate, and prolate ellipsoid volume equations with three-dimensional (3D)-reconstructed stone volume. Kidney stone volume may be helpful in predicting treatment outcome for renal stones. While the precise measurement of stone volume by 3D reconstruction can be accomplished using modern computer tomography (CT) scanning software, this technique is not available in all hospitals or with routine acute colic scanning protocols. Therefore, maximum diameters as measured by either X-ray or CT are used in the calculation of stone volume based on a scalene ellipsoid formula, as recommended by the European Association of Urology. In all, 100 stones with both X-ray and CT (1-2-mm slices) were reviewed. Complete and partial staghorn stones were excluded. Stone volume was calculated using software designed to measure tissue density of a certain range within a specified region of interest. Correlation coefficients among all measured outcomes were compared. Stone volumes were analysed to determine the average 'shape' of the stones. The maximum stone diameter on X-ray was 3-25 mm and on CT was 3-36 mm, with a reasonable correlation (r = 0.77). Smaller stones (15 mm towards scalene ellipsoids. There was no difference in stone shape by location within the kidney. As the average shape of renal stones changes with diameter, no single equation for estimating stone volume can be recommended. As the maximum diameter increases, calculated stone volume becomes less accurate, suggesting that larger stones have more asymmetric shapes. We recommend that research looking at stone clearance rates should use 3D-reconstructed stone volumes when available, followed by prolate, oblate, or scalene ellipsoid formulas depending on the maximum stone diameter. © 2013 The Authors. BJU International © 2013 BJU International.

  7. Guideline of guidelines: kidney stones. (United States)

    Ziemba, Justin B; Matlaga, Brian R


    Several professional organizations have developed evidence-based guidelines for the initial evaluation, diagnostic imaging selection, symptomatic management, surgical treatment, medical therapy, and prevention of recurrence for both ureteric and renal stones. The purpose of this article is to summarize these guidelines with reference to the strength of evidence. All guidelines endorse an initial evaluation to exclude concomitant infection, imaging with a non-contrast computed tomography scan, and consideration of medical expulsive therapy or surgical intervention depending on stone size and location. Recommends for metabolic evaluation vary by guideline, but all endorse increasing fluid intake to reduce the risk of recurrence. © 2015 The Authors BJU International © 2015 BJU International Published by John Wiley & Sons Ltd.

  8. Modeling Stone Columns


    Castro Gonzalez, Jorge


    This paper reviews the main modeling techniques for stone columns, both ordinary stone columns and geosynthetic-encased stone columns. The paper tries to encompass the more recent advances and recommendations in the topic. Regarding the geometrical model, the main options are the "unit cell", longitudinal gravel trenches in plane strain conditions, cylindrical rings of gravel in axial symmetry conditions, equivalent homogeneous soil with improved properties and three-dimensional models, eith...

  9. Managing caliceal stones

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    Andreas J Gross


    Full Text Available The natural course of untreated asymptomatic caliceal calculi has not been clearly defined, especially in terms of disease progression, and the indications for and outcomes of surgical intervention are not precise. Caliceal stones may remain asymptomatic but, in case of migration, ureteral calculi can cause acute ureteric colic with severe complications. The decision for an active treatment of caliceal calculi is based on stone composition, stone size and symptoms. Extracorporal shock-wave lithotripsy (ESWL has a low complication rate and is recommended by the current guidelines of the European Association of Urology as a first-line therapy for the treatment of caliceal stones <2 cm in diameter. However, immediate stone removal is not achieved with ESWL. The primary stone-free rates (SFR after ESWL depend on stone site and composition and, especially for lower pole calculi, the SFR differ widely from other caliceal stones. Minimally-invasive procedures including percutaneous nephrolithotomy and ureteroscopy are alternatives for the treatment of caliceal stones, associated with low morbidity and high primary SFR when performed in centers of excellence.

  10. Epidemiology of stone disease across the world. (United States)

    Sorokin, Igor; Mamoulakis, Charalampos; Miyazawa, Katsuhito; Rodgers, Allen; Talati, Jamsheer; Lotan, Yair


    Nephrolithiasis is a highly prevalent disease worldwide with rates ranging from 7 to 13% in North America, 5-9% in Europe, and 1-5% in Asia. Due to high rates of new and recurrent stones, management of stones is expensive and the disease has a high level of acute and chronic morbidity. The goal of this study is to review the epidemiology of stone disease in order to improve patient care. A review of the literature was conducted through a search on Pubmed ® , Medline ® , and Google Scholar ® . This review was presented and peer-reviewed at the 3rd International Consultation on Stone Disease during the 2014 Société Internationale d'Urologie Congress in Glasgow. It represents an update of the 2008 consensus document based on expert opinion of the most relevant studies. There has been a rising incidence in stone disease throughout the world with a narrowing of the gender gap. Increased stone prevalence has been attributed to population growth and increases in obesity and diabetes. General dietary recommendations of increased fluid, decreased salt, and moderate intake of protein have not changed. However, specific recommended values have either changed or are more frequently reported. Geography and environment influenced the likelihood of stone disease and more information is needed regarding stone disease in a large portion of the world including Asia and Africa. Randomized controlled studies are lacking but are necessary to improve recommendations regarding diet and fluid intake. Understanding the impact of associated conditions that are rapidly increasing will improve the prevention of stone disease.

  11. Kidney stones - self-care (United States)

    ... this page: // Kidney stones - self-care To use the sharing features on ... you how to do this. What is a Kidney Stone? A kidney stone is a solid piece of ...

  12. Lower pole stones

    DEFF Research Database (Denmark)

    Sanguedolce, Francesco; Breda, Alberto; Millan, Felix


    PURPOSE: To assess efficacy and safety of prone- and supine percutaneous nephrolithotomy (PCNL) for the treatment of lower pole kidney stones. METHODS: Data from patients affected by lower pole kidney stones and treated with PCNL between December 2005 and August 2010 were collected retrospectively...

  13. Stone fragmentation by ultrasound

    Indian Academy of Sciences (India)

    Some delicate nerves and fibres in the surrounding areas of the stones present in the kidney are also damaged by high ultrasonic intensity used in such systems. In the present work, enhancement of the kidney stone fragmentation by using ultrasound is studied. The cavitation bubbles are found to implode faster, with more ...

  14. Everybody Must Get Stones

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    Timothy Darvill


    Full Text Available It is now widely recognised that monument building in the fourth and third millennia cal BC often involved transporting selected blocks of preferred stone many kilometres over difficult terrain. Some structures incorporated blocks from several different sources, brought together as an ensemble in much the same way perhaps that assemblages of flint and stone axes reflect both local and distant sources. This article explores alternative models accounting for the selection of stones, contrasting those that foreground symbolic attachments and imposed meanings with those that focus on the intrinsic qualities of particular types of stone and their source. The assemblage of different stone types that accumulated at Stonehenge, Wiltshire, over a period of more than a thousand years is used as a case study.

  15. Renoscintigram in urinary stones

    Energy Technology Data Exchange (ETDEWEB)

    Egawa, Shin; Lee, Kanei; Ikeda, Shigeru; Ishibashi, Akira (Kitasato Univ., Sagamihara, Kanagawa (Japan). School of Medicine)


    Seventy six patients who suffered from urinary stones on either side of the upper urinary tract were reviewed. The 99m-Tc DTPA renoscintigram was analyzed to examine whether stasis presented on the contralateral side of the urinary stone retrospectively. Though excretory urogram showed neither apparant stasis nor other abnormalities on the contralateral sides, 55 of these 76 cases showed stasis to some degree in the renoscintigram. Thirty five of these 55 cases also showed elongation of T1/2 in the ROI curve. Since 72.4% showed urinary stasis on the contralateral side of the urinary stone, we suggest the possibility that stasis can well be a cause of stone formation. In addition we warn of the possibility of future stone formation on the now healthy contralateral side.

  16. Imaging-based logics for ornamental stone quality chart definition (United States)

    Bonifazi, Giuseppe; Gargiulo, Aldo; Serranti, Silvia; Raspi, Costantino


    Ornamental stone products are commercially classified on the market according to several factors related both to intrinsic lythologic characteristics and to their visible pictorial attributes. Sometimes these latter aspects prevail in quality criteria definition and assessment. Pictorial attributes are in any case also influenced by the performed working actions and the utilized tools selected to realize the final stone manufactured product. Stone surface finishing is a critical task because it can contribute to enhance certain aesthetic features of the stone itself. The study was addressed to develop an innovative set of methodologies and techniques able to quantify the aesthetic quality level of stone products taking into account both the physical and the aesthetical characteristics of the stones. In particular, the degree of polishing of the stone surfaces and the presence of defects have been evaluated, applying digital image processing strategies. Morphological and color parameters have been extracted developing specific software architectures. Results showed as the proposed approaches allow to quantify the degree of polishing and to identify surface defects related to the intrinsic characteristics of the stone and/or the performed working actions.

  17. Kidney Stones (For Parents) (United States)

    ... and lifestyle. Drinking lots of sugary, caffeinated , or sports drinks and eating a diet high in sodium (salt) ... in their diet limit consumption of soda/soft/sports drinks If dietary changes fail to prevent kidney stones, ...

  18. Crushed Stone Operations (United States)

    Department of Homeland Security — This map layer includes crushed stone operations in the United States. These data were obtained from information reported voluntarily to the USGS by the aggregate...

  19. "Sydney sandstone": Heritage Stone from Australia (United States)

    Cooper, Barry; Kramar, Sabina


    Sydney is Australia's oldest city being founded in 1788. The city was fortunate to be established on an extensive and a relatively undeformed layer of lithified quartz sandstone of Triassic age that has proved to be an ideal building stone. The stone has been long identified by geologists as the Hawkesbury Sandstone. On the other hand the term "Sydney sandstone" has also been widely used over a long period, even to the extent of being utilised as the title of published books, so its formal designation as a heritage stone will immediately formalise this term. The oldest international usage is believed to be its use in the construction of the Stone Store at Kerikeri, New Zealand (1832-1836). In the late 19th century, public buildings such as hospitals, court houses as well as the prominent Sydney Town Hall, Sydney General Post Office, Art Gallery of New South Wales, State Library of New South Wales as well as numerous schools, churches, office building buildings, University, hotels, houses, retaining walls were all constructed using Sydney sandstone. Innumerable sculptures utilising the gold-coloured stone also embellished the city ranging from decorative friezes and capitals on building to significant monuments. Also in the late 19th and early 20th century, Sydney sandstone was used for major construction in most other major Australian cities especially Melbourne, Adelaide and Brisbane to the extent that complaints were expressed that suitable local stone materials were being neglected. Quarrying of Sydney sandstone continues today. In 2000 it was recorded noted that there were 33 significant operating Sydney sandstone quarries including aggregate and dimension stone operations. In addition sandstone continues to be sourced today from construction sites across the city area. Today major dimension stone producers (eg Gosford Quarries) sell Sydney sandstone not only into the Sydney market but also on national and international markets as cladding and paving products

  20. Fire effects on flaked stone, ground stone, and other stone artifacts [Chapter 4 (United States)

    Krista Deal


    Lithic artifacts can be divided into two broad classes, flaked stone and ground stone, that overlap depending on the defining criteria. For this discussion, flaked stone is used to describe objects that cut, scrape, pierce, saw, hack, etch, drill, or perforate, and the debris (debitage) created when these items are manufactured. Objects made of flaked stone include...

  1. Fasting and Urinary Stones

    Directory of Open Access Journals (Sweden)

    Ali Shamsa


    Full Text Available Introduction: Fasting is considered as one of the most important practices of Islam, and according to Prophet Mohammad, fasting is obligatory upon Muslims. The aim of this study is to evaluate the effects of fasting on urinary stones. Materials and Methods: Very few studies have been carried out on urinary stones and the effect of Ramadan fasting. The sources of the present study are Medline and articles presented by local and Muslim researchers. Meanwhile, since we are acquainted with three well-known researchers in the field of urology, we contacted them via email and asked for their professional opinions. Results: The results of studies about the relationship of urinary stones and their incidence in Ramadan are not alike, and are even sometimes contradictory. Some believe that increased incidence of urinary stones in Ramadan is related not to fasting, but to the rise of weather temperature in hot months, and an increase in humidity. Conclusion: Numerous biological and behavioral changes occur in people who fast in Ramadan and some researchers believe that urinary stone increases during this month.

  2. Fasting and urinary stones

    Directory of Open Access Journals (Sweden)

    Ali Shamsa


    Full Text Available Introduction: Fasting is considered as one of the most important practices of Islam, and according to Prophet Mohammad, fasting is obligatory upon Muslims. The aim of this study is to evaluate the effects of fasting on urinary stones. Materials and Methods:Very few studies have been carried out on urinary stones and the effect of Ramadan fasting. The sources of the present study are Medline and articles presented by local and Muslim researchers. Meanwhile, since we are acquainted with three well-known researchers in the field  of urology, we contacted them via email and asked for their professional opinions. Results:The results of studies about the relationship of urinary stones and their incidence in Ramadan are not alike, and are even sometimes contradictory. Some believe that increased incidence of urinary stones in Ramadan is related not to fasting, but to the rise of weather temperature in hot months, and an increase in humidity. Conclusion: Numerous biological and behavioral changes occur in people who fast in Ramadan and some researchers believe that urinary stone increases during this month.

  3. Artificial stone silicosis [corrected]: disease resurgence among artificial stone workers. (United States)

    Kramer, Mordechai R; Blanc, Paul D; Fireman, Elizabeth; Amital, Anat; Guber, Alexander; Rhahman, Nader Abdul; Shitrit, David


    Silicosis is a progressive, fibrotic, occupational lung disease resulting from inhalation of respirable crystalline silica. This disease is preventable through appropriate workplace practices. We systematically assessed an outbreak of silicosis among patients referred to our center for lung transplant. This retrospective cohort analysis included all patients with a diagnosis of silicosis who were referred for evaluation to the National Lung Transplantation Program in Israel from January 1997 through December 2010. We also compared the incidence of lung transplantation (LTX) due to silicosis in Israel with that of the International Society for Heart and Lung Transplantation (ISHLT) registry. During the 14-year study period, 25 patients with silicosis were referred for evaluation, including 10 patients who went on to undergo LTX. All patients were exposed by dry cutting a relatively new, artificial, decorative stone product with high crystalline silica content used primarily for kitchen countertops and bathroom fixtures. The patients had moderate-to-severe restrictive lung disease. Two patients developed progressive massive fibrosis; none manifested acute silicosis (silicoproteinosis). Three patients died during follow-up, without LTX. Based on the ISHLT registry incidence, 0.68 silicosis cases would have been expected instead of the 10 observed (incidence ratio, 14.6; 95% CI, 7.02-26.8). This silicosis outbreak is important because of the worldwide use of this and similar high-silica-content, artificial stone products. Further cases are likely to occur unless effective preventive measures are undertaken and existing safety practices are enforced.

  4. Las revistas argentinas de filosofía: visibilidad en bases de datos internacionales Argentine journals of philosophy: visibility in international databases

    Directory of Open Access Journals (Sweden)

    Susana Romanos De Tiratel


    Full Text Available El artículo proporciona una breve introducción al escenario actual donde se desenvuelve la publicación periódica y su compleja problemática enfatizando en América Latina y enfocando el estudio en las revistas argentinas de Filosofía. Dentro del marco teórico provisto por Keresztesi respecto de las interrelaciones entre investigación y bibliografía, se aplican métodos cuantitativos para determinar los indicadores de representatividad, de visibilidad y de vacancia de las revistas argentinas de Filosofía. Las fórmulas resultantes se utilizan en bases de datos internacionales pluridisciplinarias, unidisciplinarias y de área. Finalmente, se discuten ciertos aspectos que se derivan del estudio realizado; se concluye que a menor cantidad de títulos publicados, mayor índice de visibilidad en bases de datos internacionales y, finalmente, se aportan datos comprobados para la toma de decisiones en unidades de información dedicadas a la Filosofía.The article introduces periodical publication and addresses the questions raised in connection with this format, focusing on Philosophy's journals in Argentina. Within Keresztesi's framework of reference as regards the research/ bibliography relationship, some quantitative methods to determine indicators of representativity, visibility and vacancy of Argentinean journals in Philosophy are applied. The research examines data available in both single-discipline and multidisciplinary international and Latin-American bases. Matters arising as a result of our study are discussed and our conclusion is that the fewer the titles, the greater the visibility in international databases. Finally, we provide checked data for decision making in Philosophy information units.

  5. Medical comorbidities associated with pediatric kidney stone disease. (United States)

    Schaeffer, Anthony J; Feng, Zhaoyong; Trock, Bruce J; Mathews, Ranjiv I; Neu, Alicia M; Gearhart, John P; Matlaga, Brian R


    To characterize the relationship between pediatric kidney stone disease and the presence of hypertension (HTN), diabetes mellitus (DM), and obesity. In adults, kidney stone disease has been associated with medical comorbidities such as HTN, DM, and obesity. Similar analyses have never been performed for the pediatric population. The 2003 and 2006 Kids' Inpatient Databases were queried to identify subjects treated for kidney stone disease ("International Classification of Diseases" codes 9592.0 and 592.1). The comorbidities of HTN, DM, and obesity were identified using the provided comorbidity software. The risk of kidney stone disease associated with age, sex, and comorbidity status was evaluated using multivariate logistic regression. A total of 6,115,443 subjects were evaluated. Of these, 14,245 (0.2%) had a diagnosis of upper tract calculus (4092 boys and 10,045 girls, sex unavailable for 108). Age was the strongest independent predictor of stone risk (P children ≤10 years old and DM for children ≤5 years old. Stone risk was not affected by obesity in any age group. The results of our study have shown that kidney stone disease is significantly associated with age among all children and both HTN and DM for young children. Although exploratory, these findings are novel and suggest that kidney stone disease among young children might be associated with nonrenal, systemic disease states. Copyright © 2011 Elsevier Inc. All rights reserved.


    African Journals Online (AJOL)


    procedures such as ureteroscopic, cystoscopic and nephroroscopic lithitomy are commonly used to treat stones in children especially in the developed countries. These techniques may be used alone or together with ESWL. Percutaneous nephrolithotomy is also a popular treatment option; recently laser has also been used ...

  7. Challenging Case: Stones. (United States)

    Soloway, Mark S; Ziemba, Justin B; Matlaga, Brian R; Monga, Manoj


    A 40-year-old woman presents to the emergency department after a motor vehicle accident, and a CT scan revealed no injuries but incidentally notes three non-obstructing stones in the left kidney of 3, 4, and 5 mm in size. She is completely asymptomatic and has no history of urolithiasis.

  8. When Stones Teach. (United States)

    Lucier, Todd


    Creating towers of balanced stones is a versatile outdoor learning activity that can be experienced in the classroom, school yard, forest, or parking lot. Students discover hidden talents, learn to work and communicate clearly with others, and reconnect with the natural world. Several variations on the exercise are given, along with principles of…

  9. Kidney stones - lithotripsy - discharge (United States)

    ... made up of tiny crystals. You had a medical procedure called lithotripsy to break up the kidney stones. This article gives you advice on what to expect and how to take care of yourself after the procedure. When You're ...

  10. UVISS preliminary visibility analysis

    DEFF Research Database (Denmark)

    Betto, Maurizio


    The goal of this work is to obtain a preliminary assessment of the sky visibility for anastronomical telescope located on the express pallet of the International SpaceStation (ISS)} taking into account the major constraints imposed on the instrument by the ISSattitude and structure. Part of the w......The goal of this work is to obtain a preliminary assessment of the sky visibility for anastronomical telescope located on the express pallet of the International SpaceStation (ISS)} taking into account the major constraints imposed on the instrument by the ISSattitude and structure. Part...... of the work is also to setup the kernel of a software tool for the visibility analysis thatshould be easily expandable to consider more complex strucures for future activities.This analysis is part of the UVISS assessment study and it is meant to provide elementsfor the definition and the selection...

  11. Wanted: suitable replacement stones for the Lede stone (Belgium) (United States)

    De Kock, T.; Dewanckele, J.; Boone, M. A.; De Boever, W.; De Schutter, G.; Jacobs, P.; Cnudde, V.


    The Lede stone is an arenaceous limestone with a Lutetian age, occurring as discrete (most of the times three) stone banks in the marine sandy sediments of the Lede Formation (Belgium). It has a quartz content of approximate 40%. This increases abrasion strength and together with the cementation results in an average compressive strength of about 80-85 MPa. The cement is a microsparitic calcite cement. Other carbonate particles are both microfossils (mainly foraminifers) and macrofossils (bivalves, serpulids, echinoderms, …). This great diversity gives the stone a heterogeneous, animated appearance. The intra- and interparticle porosity is in total 5-10 % in average and the apparent density is 2400-2550 kg/m3. Another important constituent is glauconite, present in a few percent. In fresh state, the stone has a greenish-grey colour, but when it is exposed to atmospheric conditions for a couple of years, the stone acquires a yellowish to rust-coloured patina due to the weathering of glauconite. Sulphatation causes severe damage to the stone, and black gypsum crusts are common in urban environments on stones protected from runoff. This stone was excavated in both open air and underground quarries in the areas of Brussels and Ghent. The proximity of main rivers such as the Scheldt and Zenne provided transport routes for export towards the north (e.g. Antwerp and The Netherlands). Its first known use dates back to Roman times but the stone flourished in Gothic architecture due to its easy workability and its 'divine' light coloured patina. This results nowadays in a dominant occurrence in the cultural heritage of northwestern Belgium and the south of The Netherlands. Socio-economical reasons caused several declines and revivals of Lede stone in use. In the beginning of the 20th century, only a few excavation sites remained, with as main quarry the one located at Bambrugge (Belgium). By the end of the first half of the 20th century, however, no quarry sites remained

  12. Detecting strategic moves in HearthStone matches


    Doux, Boris; Gautrais, Clément; Negrevergne, Benjamin


    International audience; In this paper, we demonstrate how to extract strategic knowledge from gaming data collected among players of the popular video game HearthStone. Our methodology is as follows. First we train a series of classifiers to predict the outcome of the game during a match, then we demonstrate how to spot key strategic events by tracking sudden changes in the classifier prediction. This methodology is applied to a large collection of HeathStone matches that we have collected fr...

  13. Visibility Matters

    DEFF Research Database (Denmark)

    Wildgaard, Lorna Elizabeth


    Research production, which earns universities money, is accredited publications in peer-reviewed journals and books. Increasing research productivity is one policy amongst many used by management to boost growth and income. It is time for a pat on the back, the growth of knowledge and visibility...

  14. Anholt Rosetta Stones

    DEFF Research Database (Denmark)

    Trempe Jr., Robert B.; Buthke, Jan


    This book records and celebrates the research finding of Anholt Island by students from Studio 2B, Arkitektskolen Aarhus, These mahogany constructions are our architectural versions of a Rosetta Stone. These are constructs that record layers of information about Anholt island through virtual...... on Anholt Island through qualitative means. They are tools for uncovering realities previously unseen or unimagined through the manipulation of data via personal experience....

  15. Mineralogical and morphological investigation of kidney stones of a Mediterranean region (Basilicata, Italy). (United States)

    Giannossi, Maria Luigia; Mongelli, Giovanni; Tateo, Fabio; Summa, Vito


    Kidney stones are a very frequent finding in southern Italy, but stone analysis is not routinely performed. However, it is an important requirement not only for a successful treatment of this disease, but also for the prophylaxis to prevent any recurrence. We therefore set out to analyze 80 kidney stones collected from Basilicata Region (Southern, Italy). X-ray powder diffraction as well as optical and scanning electron microscopy and petrographic thin section analysis have been applied in order to determine the mineralogical and morphological compositions. The internal structure and the relation between major and minor components have facilitated the classification of the kidney stones according to a detailed scheme. As it is known from other country, calcium oxalate stones were the most frequent (59%) [39% mainly composed of whewellite, CaC₂O₄*H₂O and 29% is mainly made of weddellite, CaC₂O₄*2H₂O]. Uric acid stones were abundant too (18%). Calcium phosphate and cystine stone were less. The results of the observations of kidney stones in thin petrographic sections led to the identification of more cores in the same whewellite kidney stones. In some kidney stones the core is not situated in the central zone, which represents the point of attachment on kidney wall. Basilicata kidney stone prevalence is different from the average prevalence determined in other Mediterranean areas. The comparison showed that calcium oxalate stones seem to be more frequent, and there is a high prevalence of uric acid kidney stones and a lower prevalence of phosphate kidney stones, especially hydroxyapatite. The relative increase frequency of uric acid stones in the northern part of the Region may be due to high-purine diets and softness water consumption.

  16. Stones used in Milan architecture


    Folli, Luisa; Bugini, Roberto


    The city of Milan lies in a plain with clayey soil well suited to brick-making, but no stone deposits. An ample supply of stone is available, however, in the surrounding hills and mountains, which are connected to the city via both natural and artificial waterways. The types of stone used since Roman times include: granite, marble and gneiss from Ossola Valley; dolomite from Lake Maggiore; detrital limestone from Ceresio Valley; sandstone from the Brianza Hills; black limestone and marble fro...

  17. Technical Note: Aeolian dust proxies produce visible luminescence upon intense laser-illumination that results from incandescence of internally mixed carbon (United States)

    Ma, L.; Cao, T.; Thompson, J. E.


    Mineral dust mimics dispersed in air produced visible luminescence between 550-800 nm when illuminated with a high peak power (MW range) Nd:YAG laser beam at 532 or 1064 nm. The luminescence persists for a few microseconds after the laser pulse and the measured emission spectrum is roughly consistent with a blackbody emitter at ≈4300 K. Both observations are consistent with assigning laser-induced incandescence (LII) as the source of the luminescence. However, light emission intensity from the mineral dust proxies is 240-4600 less intense than incandescence from fresh kerosene soot on a per-mass basis at laser pulse energies 90% on average. Heating to 350 °C reduced emission by 45-72%. Since black carbon soot and char (BC) oxidizes at elevated temperatures and BC is known to be present in soils, we conclude emission of light from the mineral dust aerosol proxies is likely a result of black carbon or char internally mixed within the soil dust sample. The reduction in LII response for samples heated to temperatures of 250-350 °C may result from partial oxidation of BC, but alternatively, could implicate a role for carbon present within organic molecules. The study suggests laser-induced incandescence measurements may allow quantitation of black carbon in soils and that soil dust is not truly an interferent in BC analysis by LII, but rather, a BC containing material.


    Directory of Open Access Journals (Sweden)

    Branko Crnković


    Full Text Available The geology, petrographycal composition and properties of dimension stone deposits in Croatia are described. Dimension stone deposits in the conception of mobilistic view of the genesis and structure of Dinarides, as well as after stratigraphic units, are considered. Valuation of the dimension stones of the active quarries is exposed. The marketable categories of dimension stone in Croatia are different varietes of limestones and calcareous clastites, primarly of Cretaceous age, and to lesser degree of Jurassic and Paleogene. The greatest part of deposits is concentrated in the Adriatic carbonate platform or Adriaticum.

  19. The role of trapped bubbles in kidney stone detection with the color Doppler ultrasound twinkling artifact (United States)

    Simon, Julianna C.; Sapozhnikov, Oleg A.; Kreider, Wayne; Breshock, Michael; Williams, James C., Jr.; Bailey, Michael R.


    The color Doppler ultrasound twinkling artifact, which highlights kidney stones with rapidly changing color, has the potential to improve stone detection; however, its inconsistent appearance has limited its clinical utility. Recently, it was proposed stable crevice bubbles on the kidney stone surface cause twinkling; however, the hypothesis is not fully accepted because the bubbles have not been directly observed. In this paper, the micron or submicron-sized bubbles predicted by the crevice bubble hypothesis are enlarged in kidney stones of five primary compositions by exposure to acoustic rarefaction pulses or hypobaric static pressures in order to simultaneously capture their appearance by high-speed photography and ultrasound imaging. On filming stones that twinkle, consecutive rarefaction pulses from a lithotripter caused some bubbles to reproducibly grow from specific locations on the stone surface, suggesting the presence of pre-existing crevice bubbles. Hyperbaric and hypobaric static pressures were found to modify the twinkling artifact; however, the simple expectation that hyperbaric exposures reduce and hypobaric pressures increase twinkling by shrinking and enlarging bubbles, respectively, largely held for rough-surfaced stones but was inadequate for smoother stones. Twinkling was found to increase or decrease in response to elevated static pressure on smooth stones, perhaps because of the compression of internal voids. These results support the crevice bubble hypothesis of twinkling and suggest the kidney stone crevices that give rise to the twinkling phenomenon may be internal as well as external.

  20. The role of trapped bubbles in kidney stone detection with the color doppler ultrasound twinkling artifact. (United States)

    Simon, Julianna C; Sapozhnikov, Oleg A; Kreider, Wayne; Breshock, Michael; Williams, James C; Bailey, Michael R


    The color Doppler ultrasound twinkling artifact, which highlights kidney stones with rapidly changing color, has the potential to improve stone detection; however, its inconsistent appearance has limited its clinical utility. Recently, it was proposed stable crevice bubbles on the kidney stone surface cause twinkling; however, the hypothesis is not fully accepted because the bubbles have not been directly observed. In this paper, the micron or submicron-sized bubbles predicted by the crevice bubble hypothesis are enlarged in kidney stones of five primary compositions by exposure to acoustic rarefaction pulses or hypobaric static pressures in order to simultaneously capture their appearance by high-speed photography and ultrasound imaging. On filming stones that twinkle, consecutive rarefaction pulses from a lithotripter caused some bubbles to reproducibly grow from specific locations on the stone surface, suggesting the presence of pre-existing crevice bubbles. Hyperbaric and hypobaric static pressures were found to modify the twinkling artifact; however, the simple expectation that hyperbaric exposures reduce and hypobaric pressures increase twinkling by shrinking and enlarging bubbles, respectively, largely held for rough-surfaced stones but was inadequate for smoother stones. Twinkling was found to increase or decrease in response to elevated static pressure on smooth stones, perhaps because of the compression of internal voids. These results support the crevice bubble hypothesis of twinkling and suggest the kidney stone crevices that give rise to the twinkling phenomenon may be internal as well as external. © 2017 Institute of Physics and Engineering in Medicine.

  1. The systematic classification of gallbladder stones.

    Directory of Open Access Journals (Sweden)

    Tie Qiao

    Full Text Available BACKGROUND: To develop a method for systematic classification of gallbladder stones, analyze the clinical characteristics of each type of stone and provide a theoretical basis for the study of the formation mechanism of different types of gallbladder stones. METHODOLOGY: A total of 807 consecutive patients with gallbladder stones were enrolled and their gallstones were studied. The material composition of gallbladder stones was analyzed using Fourier Transform Infrared spectroscopy and the distribution and microstructure of material components was observed with Scanning Electron Microscopy. The composition and distribution of elements were analyzed by an X-ray energy spectrometer. Gallbladder stones were classified accordingly, and then, gender, age, medical history and BMI of patients with each type of stone were analyzed. PRINCIPAL FINDINGS: Gallbladder stones were classified into 8 types and more than ten subtypes, including cholesterol stones (297, pigment stones (217, calcium carbonate stones (139, phosphate stones (12, calcium stearate stones (9, protein stones (3, cystine stones (1 and mixed stones (129. Mixed stones were those stones with two or more than two kinds of material components and the content of each component was similar. A total of 11 subtypes of mixed stones were found in this study. Patients with cholesterol stones were mainly female between the ages of 30 and 50, with higher BMI and shorter medical history than patients with pigment stones (P<0.05, however, patients with pigment, calcium carbonate, phosphate stones were mainly male between the ages of 40 and 60. CONCLUSION: The systematic classification of gallbladder stones indicates that different types of stones have different characteristics in terms of the microstructure, elemental composition and distribution, providing an important basis for the mechanistic study of gallbladder stones.

  2. Novel ultrasound method to reposition kidney stones


    Shah, Anup; Owen, Neil R.; Lu, Wei; Cunitz, Bryan W.; Kaczkowski, Peter J.; Harper, Jonathan D.; Bailey, Michael R.; Crum, Lawrence A.


    The success of surgical management of lower pole stones is principally dependent on stone fragmentation and residual stone clearance. Choice of surgical method depends on stone size, yet all methods are subject to post-surgical complications resulting from residual stone fragments. Here we present a novel method and device to reposition kidney stones using ultrasound radiation force delivered by focused ultrasound and guided by ultrasound imaging. The device couples a commercial imaging array...

  3. A study on the industrialization of building stones and industrial stone crafts - Study on the causes of stone contaminations

    Energy Technology Data Exchange (ETDEWEB)

    Hyun, Jeon Ki; Lee, Han Yeang [Korea Institute of Geology Mining and Materials, Taejon (Korea, Republic of)


    Causes of building stone contamination are acid rains in polluted areas, iron bearing minerals in stone itself, salts, sealants, cutting and grinding processes in stone factory and steel compounds structures such as stone anchors, bolts, rain culvert and guide frames. Contaminations on the building stone surface of Sejong culture center can be found around floor stones, stair stones, parterre stones, pillar stones and other outdoor stone panels. The parterre stones are contaminated by white tarnishes and rust flows are occurred on the surface of pillar stones and outdoor stone panels around entrance. Black tarnishes are cumulated on the pillar stones and other outdoor decorated stone panels and change the original granite color. Causes of building stone contaminations from Sejong culture center are wet method to attach stone panels, rust from steel compounds structures and air pollutants. Cement and mortar used from wet method react with sulfur dioxides in polluted air and from fine calcite crystals (white tarnish). Rusts from steel compounds structures such as rainwater culvert and steel guide frames can move to the stone surface by rain and leave rust flows on it. Pollutants (tar compounds, carbons, dusts, etc.) in air are cumulated with humidity on the stone surface and change color from white granite color to dusty dark color. Historical stone sculptures such as man and animal shaped stone crafts, tombstones, square stone tables in front of a tomb and guide and circumference stones around tomb in Royal Tombs (Donggu rung, Yung rung, Seoou rung and Hunin rung) distributed in Kyunggi province are contaminated by various moss and air pollutants and its original colors are deeply changed. (author). 21 refs., 11 tabs., 22 figs.

  4. Hyaluronan and Stone Disease (United States)

    Asselman, Marino


    Kidney stones cannot be formed as long as crystals are passed in the urine. However, when crystals are retained it becomes possible for them to aggregate and form a stone. Crystals are expected to be formed not earlier than the distal tubules and collecting ducts. Studies both in vitro and in vivo demonstrate that calcium oxalate monohydrate crystals do not adhere to intact distal epithelium, but only when the epithelium is proliferating or regenerating, so that it possesses dedifferentiated cells expressing hyaluronan, osteopontin (OPN) and their mutual receptor CD44 at the apical cell membrane. The polysaccharide hyaluronan is an excellent crystal binding molecule because of its negative ionic charge. We hypothesized that the risk for crystal retention in the human kidney would be increased when tubular cells express hyaluronan at their apical cell membrane. Two different patient categories in which nephrocalcinosis frequently occurs were studied to test this hypothesis (preterm neonates and kidney transplant patients). Hyaluronan (and OPN) expression at the luminal membrane of tubular cells indeed was observed, which preceded subsequent retention of crystals in the distal tubules. Tubular nephrocalcinosis has been reported to be associated with decline of renal function and thus further studies to extend our knowledge of the mechanisms of retention and accumulation of crystals in the kidney are warranted. Ultimately, this may allow the design of new strategies for the prevention and treatment of both nephrocalcinosis and nephrolithiasis in patients.

  5. Recumbent Stone Circles (United States)

    Ruggles, Clive L. N.

    During the 1970s and early 1980s, British archaeoastronomers were striving to bridge the interpretative gulf between the "megalithic observatories" of Alexander Thom and an archaeological mainstream that, generally speaking, was hostile to any mention of astronomy in relation to the megalithic monuments of Neolithic and Early Bronze Age Britain. The Scottish recumbent stone circles (RSCs) came to represent an example where sounder methodology could overcome many of the data selection issues that had beset earlier studies and, with due restraint, produce credible interpretations. Systematic studies of their orientations consistently concluded that the RSCs had a strong lunar connection, and it was widely envisaged that they were the setting for ceremonies associated with the appearance of the moon over the recumbent stone. Other evidence such as the presence of white quartz and the spatial distribution of cupmarks appeared to back up this conclusion. New archaeological investigations since 1999 have challenged and modified these conclusions, confirming in particular that the circles were built to enclose cairns rather than to demarcate open spaces. Yet the restricted pattern of orientations of these structures could only have been achieved by reference to the basic diurnal motions of the skies, and orientation in relation to simple observations of the midsummer moon remains the most likely reading of the alignment evidence taken as a whole. On the other hand, a consideration of the broader context, which includes the nearby Clava cairns, highlights instead the symbolic importance of the sun.

  6. Scottish Short Stone Rows (United States)

    Ruggles, Clive L. N.

    Short stone rows received a good deal of attention during the 1980s and 1990s, at a time when archaeoastronomy in prehistoric Britain and Ireland was moving beyond reassessments of Alexander Thom's "megalithic observatories" by identifying coherent groups of similar monuments with clear orientation trends. Many such rows are found in western Scotland, with the main concentration in Argyll and the island of Mull. Systematic analyses of their orientations produced credible evidence of an awareness of the 18.6-year lunar node cycle, within a "primary-secondary" pattern whereby isolated rows were oriented close to moonrise or moonset at the southern major standstill limit, while others oriented in this way were accompanied by a second row oriented in a declination range that could be interpreted either as lunar or solar. A detailed investigation of the landscape situation of the sites in northern Mull, accompanied by excavations at two of the sites, suggested that they were deliberately placed in locations where critical moonsets would be seen against prominent distant landscape features, but where the distant horizon in most or all other directions was hidden from view. A lack of independent archaeological evidence may help to explain why archaeoastronomical investigations at short stone rows have never progressed beyond "data-driven" studies of orientations and landscape situation. Nonetheless, the work that was done at these sites raised important general methodological issues, and pioneered techniques, that remain relevant across archaeoastronomy today.

  7. [Solitary stones of the lower renal calyx: how to treat? (United States)

    Martov, A G; Ergakov, D V; Andronov, A S; Dutov, S V; Takhaev, R A; Kil'chukov, Z I; Moskalenko, S A


    prevalent among patients who underwent TNL (26.8%). Bleeding requiring hemotransfusion was observed only after PNL (14.3%). Obstructive complications were observed in all study groups. For them, internal stenting was most often performed after ESWL (10.9%), puncture nephrostomy - after TNL (7.3%). Statistically significantly higher VAS measured quality of life was found after ESWL (7.9) and PNL (7.0) compared with THL (4.8). All three methods (PNL, TNL and ESWL) for treating lower calyceal stones sized from 10 to 15 mm are quite effective. Using them separately or in combination allows most patients to safely achieve a stone-free state.

  8. "Piedra Franca": the same name for many different natural stones. (United States)

    Pereira, Dolores; Navarro, Rafael; Baltuille, Jose Manuel


    The Spanish name "Piedra Franca" refers to all the stones of sedimentary origin that have uniform coloration and easeof cutting/carving in order to obtain dimensional blocks for construction. The first references to this denomination occurred during medieval times, when builders had to choose the best materials to construct magnificent cathedrals. The largest volume of such natural stones were extracted from Caen, northern France, and historic records use the English term, "freestone", ie stone easy to cut, and to work by the masons dedicated to build cathedrals ("freemasons") in contrast to the "roughstone", hard stones worked by the hard hewers or "rough masons". The original French name referred to the limestones extracted at Caen, but over time, the original meaning expanded to include other natural stones with similar coloration and ease to carve. Notably this included many sandstones that were used in adjacent countries such as Spain. In the latter, although the most popular for its importance in architectural heritage is the Villamayor sandstone from Salamanca, other historically important natural stones are also known as "Piedra Franca" including the calcarenite from Santa Pudia (Granada), the limestone from Alava, the sandstone from Jaen and the sandstone from Cádiz. All of them were used in the construction of Spanish architectonic heritage and share similar exterior characteristics. In fact, several are known as golden stones. However when conservation and restoration of architectonic heritage is involved, the correct and original material should be used. The existence of national networks (e.g. CONSTRUROCK) and international task groups (e.g. IUGS Heritage Stone Task Group) can help to properly characterize, document, and differentiate between the varieties of "Piedra Franca" and they should be consulted by builders, architects and any other stone professsionals involved in such activities. An error in choosing the natural stone can result in

  9. Date stones in broiler's feeding

    Directory of Open Access Journals (Sweden)

    Gualtieri, M.


    Full Text Available To evaluate date stones as dietary component for broilers, two trials were carried out. In the first trial, Tunisian Deglet date stones were used and in the second one, stones were the waste product of an Italian distillery. One-day-old Arbor Acres chickens were cage reared and fed for 6 weeks on 4 experimental diets, which were formulated to be isonitrogenous and isocaloric and differed in cereal component (maize or low tannin sorghum and in inclusion level (0 or 10 % of ground date stones. Birds ' performances were slightly different in the two trials, but overall results indicate that date stones are suitable for use in broiler's feeding under such conditions.

  10. [Contribution of Anales de Pediatría to the international visibility of Spanish paediatric research in the Web of Science (2010-2014)]. (United States)

    Abad-García, María Francisca; González-Teruel, Aurora; Solís Sánchez, Gonzalo


    To describe the role of Anales de Pediatría in highlighting Spanish paediatric research, and to identify the journals with which it competes internationally. Spanish paediatric articles, including those from Anales de Pediatría were identified using the Paediatrics category of the Science Citation Index (2010-2014), and their volume and document type was analysed. For original articles and review articles, the year, the citation and journal of publication was studied. The journals were classified as general and specialised. The productivity of general journals was analysed according to their language, JCR quartile, and article access. A total of 2,701 Spanish paediatric papers were identified, accounting for 2.8% of the paediatrics world output. More than two-thirds (68%) of papers were articles that received an average number of 4.97 citations per article. The 965 papers published in Anales de Pediatría accounted for 38.7% of the Spanish paediatric output, and for 1% of the paediatric world publications. A mean of 1.03 citations per article were received for 439 (45.4%) articles and reviews. Of the 106 journals identified, 82 were classified as specialised (1,196 articles) and 24 as general (741 articles). Anales de Pediatría published 60% of the articles in general journals. The rest of articles (309) were published in general journals published in English (82.8%), with a best position in the JCR ranking (83.4%) and mainly by subscription (73.8%). Anales de Pediatría plays an important role in providing international visibility to a large volume of Spanish scientific production in paediatrics. The results presented are a still only a snapshot of this role that could be used in the near future for assessing its evolution and the changes that could be made in order to improve its quality, positioning and competitiveness. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. Ornamental Stones and Gemstones: The limits of heritage stone designation: The case for and against Australian Precious Opal (United States)

    Cooper, Barry


    When the international designation of natural stone types was first mooted in 2007, stones that were utilised in building and construction were the primary focus of attention. However following public discussion it soon became apparent that sculptural stones, stone used for utilitarian purposes such as millstones, as well as archaeological materials including stones used by early man could all be positively assessed as a potential Global Heritage Stone Resource (GHSR). Over the past 2 years it has been realised there is also a range of ornamental and semi-precious stones that may also be considered in the same international context. Examples in this respect include Imperial Porphyry sourced from Egypt that was much prized in the ancient world and "Derbyshire Blue John" a variety of fluorspar from central England that was used for vases, chalices, urns, candle sticks, jars, bowls door, jewellery and fire-place surrounds, especially in the 18th and 19th centuries. It is at this point that rock materials, sometimes used as gemstones, impinge on the domain of typical heritage stones. In Australia, the gemstone most identifiable with the country is precious opal formed by sedimentary processes in the Great Artesian Basin. In this paper the question is asked whether "Australian Precious Opal" could be or should be considered as a heritage stone of international significance. Immediately Australian Precious Opal satisfies several GHSR criteria including historic use for more than 50 years and wide-ranging utilisation for prestige jewellery around the world. It is also recognised as a cultural icon including association with national identity in Australia as it is legally defined as Australia's "National Gemstone" as well as being the "Gemstone Emblem" for the State of South Australia. Opal continues to be mined. Designation of Australian Precious Opal as a Global Heritage Stone Resource would likely involve formal international recognition of Australian opal in the

  12. Stone cladding engineering

    CERN Document Server

    Sousa Camposinhos, Rui de


    This volume presents new methodologies for the design of dimension stone based on the concepts of structural design while preserving the excellence of stonemasonry practice in façade engineering. Straightforward formulae are provided for computing action on cladding, with special emphasis on the effect of seismic forces, including an extensive general methodology applied to non-structural elements. Based on the Load and Resistance Factor Design Format (LRDF), minimum slab thickness formulae are presented that take into consideration stress concentrations analysis based on the Finite Element Method (FEM) for the most commonly used modern anchorage systems. Calculation examples allow designers to solve several anchorage engineering problems in a detailed and objective manner, underlining the key parameters. The design of the anchorage metal parts, either in stainless steel or aluminum, is also presented.

  13. The Cost-Effectiveness of Treatment Modalities for Ureteral Stones

    Directory of Open Access Journals (Sweden)

    Justin Ji-Yuen Siu MD


    Full Text Available Additional intervention and medical treatment of complications may follow the primary treatment of a ureteral stone. We investigated the cost of the treatment of ureteral stone(s within 45 days after initial intervention by means of retrospective analysis of the National Health Insurance Research Database of Taiwan. All patients of ages ≥20 years diagnosed with ureteral stone(s( International Classification of Diseases, Ninth Revision, Clinical Modification/ICD-9-CM: 592.1 from January 2001 to December 2011 were enrolled. We included a comorbidity code only if the diagnosis appeared in at least 2 separate claims in a patient’s record. Treatment modalities (code included extracorporeal shock-wave lithotripsy (SWL; 98.51, ureteroscopic lithotripsy (URSL; 56.31, percutaneous nephrolithotripsy (PNL; 55.04, (open ureterolithotomy (56.20, and laparoscopy (ie, laparoscopic ureterolithotomy; 54.21. There were 28 513 patients with ureteral stones (13 848 men and 14 665 women in the randomized sample of 1 million patients. The mean cost was 526.4 ± 724.1 United States Dollar (USD. The costs of treatment were significantly increased in patients with comorbidities. The costs of treatment among each primary treatment modalities were 1212.2 ± 627.3, 1146.7 ± 816.8, 2507.4 ± 1333.5, 1533.3 ± 1137.1, 2566.4 ± 2594.3, and 209.8 ± 473.2 USD in the SWL, URSL, PNL, (open ureterolithotomy, laparoscopy (laparoscopic ureterolithotomy, and conservative treatment group, respectively. In conclusion, URSL was more cost-effective than SWL and PNL as a primary treatment modality for ureteral stone(s when the possible additional costs within 45 days after the initial operation were included in the calculation.

  14. The bioreceptivity of building stone (United States)

    Mauko Pranjić, Alenka; Mulec, Janez; Muck, Tadeja; Hladnik, Aleš; Mladenovič, Ana


    Bioreceptivity is an intrinsic property of stone, and is defined as the ability of a material to be colonized by living organisms. The fouling and staining of building stone material due to the activity of microorganisms presents a serious problem in modern as well as historical buildings, not only due to the aesthetic impact but also due to the deterioration of the material. Biological colonisation on stone materials is influenced by a number of factors, e.g. the intrinsic properties of the stone (porosity, roughness, permeability, mineral composition), environmental parameters (e.g. solar radiation, temperature, water regime, climate, etc.), and specific microclimatic parameters (e.g. orientation, exposure to shadow, permanent capillary humidity, etc.). In order to assess the bioreceptivity of building stones, use is often made of artificial colonisation experiments compromising the inoculation of stones with a single species or a few isolated strains under laboratory conditions. In the present work the authors present the development of a method for the determination of bioreceptivity, as well as a study of the bioreceptivity of selected natural stone versus the latter's intrinsic properties. Field examples of biodeterioration are also presented. The study was supported by the Slovenian Research Agency (L1-5453).

  15. Evaluation of stone-free rate using Guy's Stone Score and assessment of complications using modified Clavien grading system for percutaneous nephro-lithotomy. (United States)

    Sinha, Rajan Kumar; Mukherjee, Subhabrata; Jindal, Tarun; Sharma, Pramod Kumar; Saha, Barun; Mitra, Nilanjan; Kumar, Jay; Mukhopadhyay, Chandranath; Ghosh, Nabankur; Kamal, Mir Reza; Mandal, Soumendra Nath; Karmakar, Dilip


    To prospectively evaluate the ability of Guy's Stone Score (GSS) in predicting stone clearance rate and complication rate (by modified Clavien grade) for renal stones treated by percutaneous nephrolithotomy (PNL). From January 2013 to June 2014, a total of 142 patients undergoing PNL were evaluated prospectively. Patients with co-morbidities like hypertension, diabetes, renal failure were excluded from the study. All patients were classified according to GSS based on the findings of pre-operative intravenous urography (IVU) and per-operative retrograde pyelography (RGP). All PNL procedures were done by standard technique in prone position and success was defined as no residual stone visible on X-ray KUB done on the third postoperative day. Complications were classified according to modified Clavien grading system. The initial stone clearance rate was 71.1% and overall final stone clearance rate was 90.14%. The complication rate according to Clavien grading system was 40.1%. The final stone clearance rates were 93.9, 85.71, 90.47, and 77.77% in GSS I, II, III, and IV, respectively (p0.05, respectively). The Clavien complication rates were 23, 61, 52, and 77.7% in GSS I, II, III, and IV, respectively (pcomplication rate. It helps in better patient counseling preoperatively.

  16. Classification of dimension stone wastes. (United States)

    Karaca, Zeki; Pekin, Abdülkerim; Deliormanlı, Ahmet Hamdi


    For countries in which the stone industry is well developed, opposition to quarry and plant waste is gradually increasing. The primary step for waste control and environmental management is to define the problem of concern. In this study, natural building stone wastes were classified for the first time in the literature. Following on-site physical observations and research at more than 50 quarries and 20 plants, stone wastes were classified as (1) solid, (2) dust and (3) semi-slurry, slurry and cake. As a result of this study, the characteristics of wastes, their main environmental threats and the industries in which wastes could be used were defined for each group.

  17. Targeted microbubbles: a novel application for the treatment of kidney stones. (United States)

    Ramaswamy, Krishna; Marx, Vanessa; Laser, Daniel; Kenny, Thomas; Chi, Thomas; Bailey, Michael; Sorensen, Mathew D; Grubbs, Robert H; Stoller, Marshall L


    Kidney stone disease is endemic. Extracorporeal shockwave lithotripsy was the first major technological breakthrough where focused shockwaves were used to fragment stones in the kidney or ureter. The shockwaves induced the formation of cavitation bubbles, whose collapse released energy at the stone, and the energy fragmented the kidney stones into pieces small enough to be passed spontaneously. Can the concept of microbubbles be used without the bulky machine? The logical progression was to manufacture these powerful microbubbles ex vivo and inject these bubbles directly into the collecting system. An external source can be used to induce cavitation once the microbubbles are at their target; the key is targeting these microbubbles to specifically bind to kidney stones. Two important observations have been established: (i) bisphosphonates attach to hydroxyapatite crystals with high affinity; and (ii) there is substantial hydroxyapatite in most kidney stones. The microbubbles can be equipped with bisphosphonate tags to specifically target kidney stones. These bubbles will preferentially bind to the stone and not surrounding tissue, reducing collateral damage. Ultrasound or another suitable form of energy is then applied causing the microbubbles to induce cavitation and fragment the stones. This can be used as an adjunct to ureteroscopy or percutaneous lithotripsy to aid in fragmentation. Randall's plaques, which also contain hydroxyapatite crystals, can also be targeted to pre-emptively destroy these stone precursors. Additionally, targeted microbubbles can aid in kidney stone diagnostics by virtue of being used as an adjunct to traditional imaging methods, especially useful in high-risk patient populations. This novel application of targeted microbubble technology not only represents the next frontier in minimally invasive stone surgery, but a platform technology for other areas of medicine. © 2014 The Authors BJU International © 2014 BJU International Published

  18. Nutritional Management of Kidney Stones (Nephrolithiasis). (United States)

    Han, Haewook; Segal, Adam M; Seifter, Julian L; Dwyer, Johanna T


    The incidence of kidney stones is common in the United States and treatments for them are very costly. This review article provides information about epidemiology, mechanism, diagnosis, and pathophysiology of kidney stone formation, and methods for the evaluation of stone risks for new and follow-up patients. Adequate evaluation and management can prevent recurrence of stones. Kidney stone prevention should be individualized in both its medical and dietary management, keeping in mind the specific risks involved for each type of stones. Recognition of these risk factors and development of long-term management strategies for dealing with them are the most effective ways to prevent recurrence of kidney stones.

  19. Diet for Kidney Stone Prevention (United States)

    ... stones by making changes in how much sodium , animal protein , calcium , or oxalate is in the food you ... See tips to reduce your sodium intake . Limit animal protein Eating animal protein may increase your chances of ...

  20. Physicochemical mechanisms of stone formation. (United States)

    Rodgers, Allen L


    In this article, the term "physicochemical mechanism" is defined as a sequential series of steps culminating in the formation of a renal stone. Distinctions are drawn between physicochemical prerequisites for urinary supersaturation, crystallization, and stone formation. In particular, attention is focussed on the transition from crystal to stone. Emphasis is laid on crystal retention being the fundamental mechanism by which stones are formed, and mention is made of the different ways in which it can be achieved. The processes which dictate crystal-size enlargement, either during free particle flow or during fixed particle entrapment, are described. Modulators of these processes are classified in terms of their mode of action on particular steps in the mechanism rather than on their molecular weight or size. Three different approaches for describing stone formation mechanisms are summarized. These involve mathematical models, qualitative step-by-step pathways, and qualitative non-schematic descriptions. It is suggested that although physicochemical mechanisms are crucially involved in stone formation, they do so in concert with numerous other mechanistic processes, all of which are dictated by their own specific conditions.

  1. Lunar stone saw (United States)

    Clark, Tom; Croker, Todd; Hines, Ken; Knight, Mike; Walton, Todd


    This project addresses the problem of cutting lunar stones into blocks to be used to construct shelters to protect personnel and equipment from harmful solar radiation. This plant will manufacture 6 in x 1 ft x 2 ft blocks and will be located near the south pole to allow it to be in the shade at all times. This design uses a computer controlled robot, a boulder handler that uses hydraulics for movement, a computer system that used 3-D vision to determine the size of boulders, a polycrystalline diamond tipped saw blade that utilizes radiation for cooling, and a solar tower to collect solar energy. Only two electric motors are used in this plant because of the heavy weight of electric motors and the problem of cooling them. These two motors will be cooled by thermoelectric cooling. All other motors and actuators are to be hydraulic. The architectural design for the building as well as the conceptual design of the machines for cutting the blocks are described.

  2. Stone technology: intracorporeal lithotripters. (United States)

    Scotland, Kymora B; Kroczak, Tadeusz; Pace, Kenneth T; Chew, Ben H


    Intracorporeal lithotripsy is becoming the most commonly used surgical method of stone treatment in Urology. The five major types of intracorporeal lithotripters are ultrasonic, ballistic, and combination lithotripters as well as laser and electrohydraulic lithotripters. The advantages and disadvantages of choosing each of these treatment modalities are reviewed. Extensive review of literature was performed to identify the types of intracorporeal lithotripters. An investigation was undertaken of the early development of each modality of intracorporeal lithotripsy and/or the mechanism of action. Challenges of each technique were identified and presented. Finally, a determination was made of how these lithotripters compare on the basis of effectiveness of action and cost based on information provided in primary literature as well as previous reviews of these modalities. Contemporary lithotripters have found widespread use in the management of urinary lithiasis. Holmium laser lithotripsy has become one of the most commonly used tools for intracorporeal lithotripsy. There is a wide variety of intracorporeal lithotripters which can be chosen based on the characteristics of each modality and the requirements of the urologist.

  3. The present state and future of the development of dimension stone mining in Slovak conditions

    Directory of Open Access Journals (Sweden)

    Viliam Žiaran


    Full Text Available In comparing to both ores and energetical minerals there are occurences of extremly rich non-methallics minerals on the Slovak territory. These minerals represent very large-scale sortiment with a considerable amount of verified reserves. Reserves of magnesite, salt rock, dolomite, limestone, talc, bentonite, clays and another construction minerals present many possibilities of their industrial utilization. A specific case is the mining of dimension stones such as stable ingeneous,sedimentary and metamorphic rocks that are mined in the open-pit blocks. Applicable to the production of both ingeneous stone and gross stone [3].The open-pit mining and dimension stone processing by the both above mentioned stone productions forms are focused mainly to the external and internal building industry. Despite of the fact that the natural reserves of dimension stone are limited at the Slovak territory, being distributed at large numbers of open-pits mines, from the point of view of the next development of the dimension stone industry its technical and economic vitalitycan be expected. The paper deals with both the technological and ecological mining problems of dimension stone and shows the possibilities how to improve both the works productivity and quality of products including the ecological impacts by the dimension stone mining.

  4. Incidence and characteristics of kidney stones in patients with horseshoe kidney: A systematic review and meta-analysis. (United States)

    Pawar, Aditya S; Thongprayoon, Charat; Cheungpasitporn, Wisit; Sakhuja, Ankit; Mao, Michael A; Erickson, Stephen B


    The horseshoe kidney (HSK) is the most common type of renal fusion anomaly. The incidence and characteristics of kidney stones in patients with HSK are not well studied. The aim of this meta-analysis was to evaluate the incidence and types of kidney stones in patients with HSK. A systematic literature search was performed using MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews from the databases' inception through November 2016. Studies assessing the incidence and types of kidney stones in patients with HSK were included. We applied a random-effects model to estimate the incidence of kidney stones. The study protocol was registered with PROSPERO (International Prospective Register of Systematic Reviews; no. CRD42016052037). A total of 14 observational studies with 943 patients (522 adults and 421 pediatric) with HSK were enrolled. The estimated pooled incidence of kidney stones was 36% (95% confidence interval [CI], 15%-59%) in adults with the HSK. Kidney stones were less common in pediatric patients with HSK with an estimated pooled incidence of 3% (95% CI, 2%-5%). The mean age of adult stone formers with HSK was 44.9 ± 6.2 years, and 75% were males. Within reported studies, 89.2% of kidney stones were calcium-based stones (64.2% calcium oxalate [CaOx], 18.8% calcium phosphate [CaP], and 6.2% mixed CaOx/CaP), followed by struvite stones (4.2%), uric acid stones (3.8%), and others (2.8%). Kidney stones are very common in adult patients with HSK with an estimated incidence of 36%. Calcium-based stones are the most prevalent kidney stones in adults with HSKs. These findings may impact the prevention and clinical management of kidney stones in patients with HSK.

  5. Stepping stones toward global space exploration (United States)

    Ansdell, M.; Ehrenfreund, P.; McKay, C.


    Several nations are currently engaging in or planning for robotic and human space exploration programs that target the Moon, Mars and near-Earth asteroids. These ambitious plans to build new space infrastructures, transport systems and space probes will require international cooperation if they are to be sustainable and affordable. Partnerships must involve not only established space powers, but also emerging space nations and developing countries; the participation of these new space actors will provide a bottom-up support structure that will aid program continuity, generate more active members in the space community, and increase public awareness of space activities in both developed and developing countries. The integration of many stakeholders into a global space exploration program represents a crucial element securing political and programmatic stability. How can the evolving space community learn to cooperate on a truly international level while engaging emerging space nations and developing countries in a meaningful way? We propose a stepping stone approach toward a global space exploration program, featuring three major elements: (1) an international Earth-based field research program preparing for planetary exploration, (2) enhanced exploitation of the International Space Station (ISS) enabling exploration and (3) a worldwide CubeSat program supporting exploration. An international Earth-based field research program can serve as a truly global exploration testbed that allows both established and new space actors to gain valuable experience by working together to prepare for future planetary exploration missions. Securing greater exploitation of the ISS is a logical step during its prolonged lifetime; ISS experiments, partnerships and legal frameworks are valuable foundations for exploration beyond low Earth orbit. Cooperation involving small, low-cost missions could be a major stride toward exciting and meaningful participation from emerging space nations

  6. Flexible ureteroscopy for renal stones. (United States)

    Cepeda, M; Amón, J H; Mainez, J A; Rodríguez, V; Alonso, D; Martínez-Sagarra, J M


    The objectives of this prospective study are to present our experience with retrograde intrarenal surgery (RIRS), and to analyze its results and complications. 150 patients with renal stones were treated with RIRS. 111 cases showed single stones whilst multiple stones were observed in 39 cases. The mean size was 19.12mm (r: 5-74). Success rate was defined as the absence of residual stones or the presence of fragments ≤2mm. in 21 (14%) patients RIRS could not be performed on first attempt because it was impossible to place the ureteral access sheath. The immediate success rate was 85.7%, and 91.6% at three months later. The average operating time was 85min (r: 25-220). Postoperative complications were observed in 22 cases (14.6%), although most of them were classified as Clavien 1 and 2 (19 cases), and only 2% (3 cases) showed Clavien 4 complications (sepsis requiring admission in the intensive care unit). 10 patients underwent a second procedure in order to complete the treatment. Thus, the number of procedures per patient was 1.06. There were no late complications. the treatment of renal stones with flexible ureteroscopy using the ureteral access sheath shows a high successful rate with a low complication rate. In order to define its indication more precisely, randomized studies comparing RIRS with minimally invasive percutaneous nephrolithotomy procedures (miniperc and microperc) would be necessary. Copyright © 2014 AEU. Published by Elsevier Espana. All rights reserved.

  7. Canada's National Building Stone: Tyndall Stone from Manitoba (United States)

    Pratt, Brian R.; Young, Graham A.; Dobrzanski, Edward P.


    Tyndall Stone is a distinctively mottled and highly fossiliferous dolomitic limestone that belongs to the Selkirk Member of the Red River Formation, of Late Ordovician (Katian) age. It has been quarried at Garson, Manitoba, 37 km northeast of Winnipeg, since 1895, although other quarries in the area go back to 1832. Tyndall Stone, so named because it was shipped by rail from nearby Tyndall, is currently produced by Gillis Quarries Limited. It has various uses as a dimension stone. Large slabs, most often cut parallel to bedding, face the exterior or interior of many important buildings such as the Parliament Buildings and the Canadian Museum of Civilization in the Ottawa area, the Empress Hotel in Victoria, and the provincial legislatures in Winnipeg and Regina, as well as many commercial buildings especially in the Canadian prairies. At the quarries, the stone is cut vertically, using eight foot (2.44 m) diameter saws mounted on one hundred foot (30.5 m) tracks, then split into 6-8 tonne blocks that are moved using front-end loaders. Gillis Quarries operates a large finishing plant with an area of about 4000 m2. Stone is processed along advanced cutting lines that feature eight primary saws and six gantry saw stations, allowing it to be made into a variety of sizes, shapes, and finishes. The Selkirk Member is 43 m thick and the stone is extracted from a 6-8 m thick interval within the lower part. The upper beds tend to be more buff-coloured than the grey lower beds due to weathering by groundwater. The stone is massive, but extracted blocks are less than ~1m thick due to splitting along stylolites. Consisting of bioturbated wackestone to packstone, the Tyndall Stone was deposited in a shallow-marine environment within the photic zone, in the central part of the vast equatorial epicontinental sea that covered much of Laurentia. Scattered thin, bioclastic grainstone lenses record brief, low-energy storm events. The distinctive mottles are formed by dolomitized

  8. Grasping the Formless in Stones

    DEFF Research Database (Denmark)

    Aktor, Mikael


    Investigating the ritual and social aesthetics of "petromorphic gods" in a Hindu context, this chapter demonstrates that it is not a single theoretical key but rather the interpretive combination of theories which allows one to understand how stones connect religious knowledge, performative action...... objects in cognitive technologies, and the structure of the human mind, the chapter unravels how the sensory and synaesthetic qualities have made these stones ritually important. In this weaving together of different aspects, the chapter illustrates the way in which an aesthetic approach forms...... a connective pathway within religious studies scholarship....

  9. Kidney Stones in Children and Teens (United States)

    ... Issues Listen Español Text Size Email Print Share Kidney Stones in Children and Teens Page Content Article ... teen girls having the highest incidence. Types of Kidney Stones There are many different types of kidney ...

  10. Luserna Stone: A nomination for "Global Heritage Stone Resource" (United States)

    Primavori, Piero


    Luserna Stone (Pietra di Luserna) is the commercial name of a grey-greenish leucogranitic orthogneiss, probably from the Lower Permian Age, that outcrops in the Luserna-Infernotto basin (Cottian Alps, Piedmont, NW Italy) on the border between the Turin and Cuneo provinces. Geologically speaking, it pertains to the Dora-Maira Massif that represents a part of the ancient European margin annexed to the Cottian Alps during the Alpine orogenesis; from a petrographic point of view, it is the metamorphic result of a late-Ercinian leucogranitic rock transformation. Lithological features and building applications allow the recognition of two main varieties: 1) a micro-augen gneiss with very regular schistosity planes with centimetric spacing and easy split workability, known as Splittable facies; 2) a micro-Augen gneiss characterized by lower schistosity and poor split, suitable for blocks cutting machines (diamond wires, gang-saws, traditional saws), known as Massive facies. A third, rare, white variety also exists, called "Bianchetta". Luserna stone extends over an area of approximately 50 km2, where more than fifty quarries are in operation, together with a relevant number of processing plants and artisanal laboratories. The stone is quarried and processed since almost the Middle Age, and currently represents one of the three most important siliceous production cluster in Italy (together with the Ossola and Sardegna Island granites). Some characteristics of this stone - such as the relevant physical-mechanical properties, an intrinsic versatility and its peculiar splittability - have made it one of the most widely used stone materials in Italy and in the countries surrounding the North Western border of Italy. Apart from its intrinsic geological, petrographic, commercial and technical properties, several issues related to the Luserna Stone are considered to be of relevant importance for its designation as a Global Heritage Stone Resource, such as the distinctive mark on

  11. Blood on the Stone

    International Development Research Centre (IDRC) Digital Library (Canada)

    The historic motivation was predominantly tax evasion and money laundering. Where money laundering is concerned, diamonds offered an attractive alternative to hard currency, often in short supply in Africa. More recently, however, there have also been links to drug money, organized crime and international terrorism, ...

  12. Intraperitoneal stone migration during percutaneos nephrolithotomy

    Directory of Open Access Journals (Sweden)

    Akif Diri


    Full Text Available Percutaneos nephrolithotomy (PNL is the standard care for renal stones larger than 2 cm. The procedure has some major and minor complications. Renal pelvis laceration and stone migration to the retroperitoneum is one of the rare condition. We report the first case of intraperitoneal stone migration during PNL.

  13. "Stone Cold": Worthy of Study? (United States)

    Douthwaite, Alison


    This article draws on my experiences of teaching "Stone Cold" to respond to a blog post suggesting that the novel holds little educational value. I argue that the novel's narrative style helps to foster criticality while its subject matter can help students see the relevance of literature to the world around them. Relating this to…

  14. The ground stones from Sphinx

    Czech Academy of Sciences Publication Activity Database

    Řídký, Jaroslav


    Roč. 2017, č. 21 (2017), s. 39-42 ISSN 1369-5770 Grant - others:GA ČR(CZ) GA17-03207S Institutional support: RVO:67985912 Keywords : Sudan * Mesolithic * ground stones Subject RIV: AC - Archeology, Anthropology, Ethnology

  15. Screening and Management of Asymptomatic Renal Stones in Astronauts (United States)

    Reyes, David; Locke, James; Sargsyan, Ashot; Garcia, Kathleen


    Management guidelines were created to screen and manage asymptomatic renal stones in U.S. astronauts. The true risk for renal stone formation in astronauts due to the space flight environment is unknown. Proper management of this condition is crucial to mitigate health and mission risks. The NASA Flight Medicine Clinic electronic medical record and the Lifetime Surveillance of Astronaut Health databases were reviewed. An extensive review of the literature and current aeromedical standards for the monitoring and management of renal stones was also done. This work was used to develop a screening and management protocol for renal stones in astronauts that is relevant to the spaceflight operational environment. In the proposed guidelines all astronauts receive a yearly screening and post-flight renal ultrasound using a novel ultrasound protocol. The ultrasound protocol uses a combination of factors, including: size, position, shadow, twinkle and dispersion properties to confirm the presence of a renal calcification. For mission-assigned astronauts, any positive ultrasound study is followed by a low-dose renal computed tomography scan and urologic consult. Other specific guidelines were also created. A small asymptomatic renal stone within the renal collecting system may become symptomatic at any time, and therefore affect launch and flight schedules, or cause incapacitation during a mission. Astronauts in need of definitive care can be evacuated from the International Space Station, but for deep space missions evacuation is impossible. The new screening and management algorithm has been implemented and the initial round of screening ultrasounds is under way. Data from these exams will better define the incidence of renal stones in U.S. astronauts, and will be used to inform risk mitigation for both short and long duration spaceflights.

  16. Stones used in Milan architecture

    Directory of Open Access Journals (Sweden)

    Folli, Luisa


    Full Text Available The city of Milan lies in a plain with clayey soil well suited to brick-making, but no stone deposits. An ample supply of stone is available, however, in the surrounding hills and mountains, which are connected to the city via both natural and artificial waterways. The types of stone used since Roman times include: granite, marble and gneiss from Ossola Valley; dolomite from Lake Maggiore; detrital limestone from Ceresio Valley; sandstone from the Brianza Hills; black limestone and marble from Lake Como; and conglomerate and sandstone from the Adda River basin. Traditionally, the chief uses have been dimension stone (all stones, column shafts (granite, slabs (marble, moulding (dolomite, limestone and ornamental (marble, dolomite, limestone.La ciudad de Milán se encuentra en una llanura de suelo arcilloso adecuado para la fabricación de ladrillos pero en la cual no hay yacimientos de rocas. No obstante, en las colinas y montañas circundantes, que están comunicadas con la ciudad mediante vías navegables naturales y artificiales, sí existe una abundante cantidad de piedra. Entre los tipos de piedra utilizados desde la época de los romanos se encuentran granitos, mármoles y gneises del valle de Ossola, dolomías del lago Mayor, calizas detríticas del valle de Ceresio (Lugano, areniscas de las colinas de la Brianza, calizas negras y mármoles del lago Como y conglomerados y areniscas de la cuenca del río Adda. Tradicionalmente, los principales usos han sido la piedra de fábrica (todas ellas, fustes de columnas (granito, losas (mármol, molduras (dolomía, caliza y ornamental (mármol, dolomía, caliza.

  17. Kidney stones: pathophysiology, diagnosis and management. (United States)

    Cunningham, Priscilla; Noble, Helen; Al-Modhefer, Abdul-Kadhum; Walsh, Ian


    The prevalence of kidney stones is increasing, and approximately 12 000 hospital admissions every year are due to this condition. This article will use a case study to focus on a patient diagnosed with a calcium oxalate kidney stone. It will discuss the affected structures in relation to kidney stones and describe the pathology of the condition. Investigations for kidney stones, differential diagnosis and diagnosis, possible complications and prognosis, will be discussed. Finally, a detailed account of management strategies for the patient with kidney stones will be given, looking at pain management, medical procedures and dietary interventions.

  18. Management of ureteric stone in pediatric patients

    Directory of Open Access Journals (Sweden)

    Eugene Minevich


    Full Text Available The management of ureteral stones in children is becoming more similar to that in adults. A number of factors must be taken into account when selecting one′s choice of therapy for ureteral stone in children such as the size of the stone, its location, its composition, and urinary tract anatomy. Endoscopic lithotripsy in children has gradually become a major technique for the treatment of ureteral stones. The stone-free rate following urteroscopic lithotripsy for ureteral stones has been reported in as high as 98.5-100%. The safety and efficacy of Holmium:YAG laser lithotripsy make it the intracorporeal lithotriptor of choice. Given its minimally invasive features, extracorporeal shock wave lithotripsy (ESWL has become a primary mode of treatment for the pediatric patients with reno-ureteral stones. Stone-free rates have been reported from 59% to 91% although some patients will require more than one treatment session for stone clearance. It appears that the first-line of therapy in the child with distal and mid-ureteral stones should be ureteroscopic lithotripsy. While ESWL is still widely considered the first-line therapy for proximal ureteral calculi, there is an increasing body of evidence that shows that endoscopic or ESWL are equally safe and efficacious in those clinical scenarios. Familiarity with the full spectrum of endourological techniques facilitates a minimally invasive approach to pediatric ureteral stones.

  19. Open stone surgery: a still-in-use approach for complex stone burden. (United States)

    Çakici, Özer Ural; Ener, Kemal; Keske, Murat; Altinova, Serkan; Canda, Abdullah Erdem; Aldemir, Mustafa; Ardicoglu, Arslan


    Urinary stone disease is a major urological condition. Endourologic techniques have influenced the clinical approach and outcomes. Open surgery holds a historic importance in the management of most conditions. However, complex kidney stone burden may be amenable to successful results with open stone surgery. In this article, we report our eighteen cases of complex urinary stone disease who underwent open stone removal. A total of 1701 patients have undergone surgical treatment for urinary stone disease in our clinic between July 2012 and July 2016, comprising eighteen patients who underwent open stone surgery. Patients' demographic data, stone analysis results, postoperative clinical data, and stone status were evaluated retrospectively. The choice of surgical approach is mostly dependent on the surgeon's preference. In two patients, open surgery was undertaken because of perioperative complications. We did not observe any Clavien-Dindo grade 4 or 5 complications. Three patients were managed with a course of antibiotics due to postoperative fever. One patient had postoperative pleurisy, one patient had urinoma, and two patients had postoperative ileus. Mean operation time was 84 (57-124) minutes and mean hospitalization time was 5.5 (3-8) days. Stone-free status was achieved in 15 patients (83.3%). Endourologic approaches are the first options for treatment of urinary stone disease. However, open stone surgery holds its indispensable position in complicated cases and in complex stone burden. Open stone surgery is also a valid alternative to endourologic techniques in all situations.

  20. Kidney stone composition in overweight and obese patients: a preliminary report

    Directory of Open Access Journals (Sweden)

    Mosli HA


    Full Text Available Hisham A Mosli,1 Hala H Mosli,2 Wissam K Kamal11Department of Urology, 2Department of Internal Medicine (Endocrinology, King Abdulaziz University Hospital, Jeddah, Saudi ArabiaObjective: To report preliminary information on urinary stone composition in patients who are either overweight or obese with kidney stone disease.Methods: A cohort of patients (n = 138 with nephrolithiasis were prospectively followed from January 2011 for 18 months. Of those, 64 (46% were found to be overweight with body mass index ≥ 25 kg/m2 and 74 (54% were obese with body mass index ≥ 30 kg/m2. Stone characteristics including size, location, and composition were studied in detail, and patients' age, weight, height, and gender were all documented. The stone size and location were studied radiologically while semiquantitative stone analysis was carried out using the DiaSys method, which involves titrimetric determination of calcium, colorimetric determination/visual assessment of oxalate, phosphate, magnesium, ammonium, uric acid, and cystine, and qualitative determination of carbonate.Results: Eighteen stones were collected from overweight and obese patients. Those obtained were either spontaneously passed (n = 2, fragments passed following shockwave lithotripsy (n = 11, extracted ureteroscopically (n = 2, or extracted by percutaneous nephrolithotomy (n = 3. About 95% of the stones contained calcium oxalate and more than half contained uric acid.Conclusion: This report confirms that kidney stones are mainly composed of calcium oxalate and uric acid in overweight and obese patients with nephrolithiasis.Keywords: urolithiasis, nephrolithiasis, obesity, renal stone, body mass index (BMI, calculus, stone composition, analysis

  1. Colorado Yule Marble; building stone of the Lincoln Memorial (United States)

    McGee, Elaine S.


    The Colorado Yule marble, quarried in Marble, Colo., is a very pure white marble, and it has been widely acclaimed for its quality and purity. This marble has been used for many prominent buildings; one of the most notable is the Lincoln Memorial in Washington, D.C., built nearly 80 years ago. Although most of the marble in the memorial appears to be in very good condition, some of the stones have developed pronounced surficial roughness and show a significant loss of carved details and rounded edges compared with adjacent stones. Because adjacent blocks of marble receive nearly identical exposure to weathering agents that cause deterioration of the marble, it seems very likely that this pronounced difference in durability of adjacent stones arises from some inherent characteristic of the marble. The Colorado Yule marble is a nearly pure calcite marble with minor inclusions of mica, quartz, and feldspar. Compositions of the calcite and the inclusion phases in the marble are typical for those phases. The calcite grains that compose the marble are irregularly shaped and range from 100 to 600 micrometers in diameter. The texture of the marble is even, with a slight preferred directional elongation that is visible when the marble is cut in certain directions. Physical tests of the marble show that its strength is comparable to that of other marbles typically used in buildings. Variations in the durability of the marble, like those seen at the Lincoln Memorial, are not related to variations in calcite composition or to the presence of inclusions in the marble. Most likely, the variations arise from differences in the calcite grain boundaries and the degree to which the grains interlock with one another. Weak grain boundaries that permit water or solutions to penetrate into the marble and dissolve the calcite grains at their edges cause the marble to disaggregate or ?sugar.? Subtle differences in texture that occur in the marble from various parts of the quarry probably

  2. Prevalence of kidney stones in China: an ultrasonography based cross-sectional study. (United States)

    Zeng, Guohua; Mai, Zanlin; Xia, Shujie; Wang, Zhiping; Zhang, Keqin; Wang, Li; Long, Yongfu; Ma, Jinxiang; Li, Yi; Wan, Show P; Wu, Wenqi; Liu, Yongda; Cui, Zelin; Zhao, Zhijian; Qin, Jing; Zeng, Tao; Liu, Yang; Duan, Xiaolu; Mai, Xin; Yang, Zhou; Kong, Zhenzhen; Zhang, Tao; Cai, Chao; Shao, Yi; Yue, Zhongjin; Li, Shujing; Ding, Jiandong; Tang, Shan; Ye, Zhangqun


    To investigate the prevalence and associated factors of kidney stones among adults in China. A nationwide cross-sectional survey was conducted among individuals aged ≥18 years across China, from May 2013 to July 2014. Participants underwent urinary tract ultrasonographic examinations, completed pre-designed and standardised questionnaires, and provided blood and urine samples for analysis. Kidney stones were defined as particles of ≥4 mm. Prevalence was defined as the proportion of participants with kidney stones and binary logistic regression was used to estimate the associated factors. A total of 12 570 individuals (45.2% men) with a mean (sd, range) age of 48.8 (15.3, 18-96) years were selected and invited to participate in the study. In all, 9310 (40.7% men) participants completed the investigation, with a response rate of 74.1%. The prevalence of kidney stones was 6.4% [95% confidence interval (CI) 5.9, 6.9], and the age- and sex-adjusted prevalence was 5.8% (95% CI 5.3, 6.3; 6.5% in men and 5.1% in women). Binary logistic regression analysis showed that male gender, rural residency, age, family history of urinary stones, concurrent diabetes mellitus and hyperuricaemia, increased consumption of meat, and excessive sweating were all statistically significantly associated with a greater risk of kidney stones. By contrast, consumption of more tea, legumes, and fermented vinegar was statistically significantly associated with a lesser risk of kidney stone formation. Kidney stones are common among Chinese adults, with about one in 17 adults affected currently. Some Chinese dietary habits may lower the risk of kidney stone formation. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  3. Bariatric Surgery and Stone Disease (United States)

    Lieske, John C.; Kumar, Rajiv


    Bariatric surgery is an effective treatment strategy for patients with morbid obesity that can result in effective weight loss, resolution of diabetes mellitus and other weight related complications, and even improved mortality. However, it also appears that hyperoxaluria is common after modern bariatric surgery, perhaps occurring in up to 50% of patients after Rouxen-Y gastric bypass. Although increasing numbers of patients are being seen with calcium oxalate kidney stones after bariatric surgery, and even a few with oxalosis and renal failure, the true risk of these outcomes remains unknown. The mechanisms that contribute to this enteric hyperoxaluria are also incompletely defined, although fat malabsorption may be an important component. Since increasing numbers of these procedures are likely to be performed in the coming years, further study regarding the prevalence and mechanisms of hyperoxaluria and kidney stones after bariatric surgery is needed to devise effective methods of treatment in order to prevent such complications.

  4. Visibly Pushdown Automata

    DEFF Research Database (Denmark)

    Srba, Jiri


    We investigate the possibility of (bi)simulation-like preorder/equivalence checking on the class of visibly pushdown automata and its natural subclasses visibly BPA (Basic Process Algebra) and visibly one-counter automata. We describe generic methods for proving complexity upper and lower bounds...... for a number of studied preorders and equivalences like simulation, completed simulation, ready simulation, 2-nested simulation preorders/equivalences and bisimulation equivalence. Our main results are that all the mentioned equivalences and preorders are EXPTIME-complete on visibly pushdown automata, PSPACE......-complete on visibly one-counter automata and P-complete on visibly BPA. Our PSPACE lower bound for visibly one-counter automata improves also the previously known DP-hardness results for ordinary one-counter automata and one-counter nets. Finally, we study regularity checking problems for visibly pushdown automata...

  5. Greco-Roman Stone Disease (United States)

    Moran, Michael E.; Ruzhansky, Katherine


    Greek and Roman thought had a profound influence upon Western medical practice. From the fall of the Greek civilization to the fall of the Roman, remarkable progress of our understanding of human anatomy and physiology occurred. Here we review the attempts of Greek and Roman thinkers to develop the first understanding of the pathophysiology of urolithiasis, its epidemiology, differential diagnosis of renal versus bladder stones, medications for both colic and prevention, the role of familial syndromes, and dietary management.

  6. Focused ultrasound guided relocation of kidney stones. (United States)

    Abrol, Nitin; Kekre, Nitin S


    Complete removal of all fragments is the goal of any intervention for urinary stones. This is more important in lower pole stones where gravity and spatial orientation of lower pole infundibulum may hinder spontaneous passage of fragments. Various adjuvant therapies (inversion, diuresis, percussion, oral citrate, etc.) are described to enhance stone-free rate but are not widely accepted. Focused ultrasound-guided relocation of fragments is a recently described technique aimed at improving results of intervention for stone disease. Purpose of this review is to discuss development of this technology and its potential clinical applications. Pubmed search was made using key words "Focused ultrasound" and "kidney stone". All English language articles were reviewed by title. Relevant studies describing development and application of focused ultrasound in renal stones were selected for review. Focused ultrasound has proven its efficacy in successfully relocating up to 8 mm stone fragments in vitro and in pigs. Relocation is independent of stone composition. The latest model allows imaging and therapy with a single handheld probe facilitating its use by single operator. The acoustic energy delivered by the new prototype is even less than that used for extracorporeal shock wave lithotripsy. Therapeutic exposure has not caused thermal injury in pig kidneys. Focused ultrasound-guided relocation of stones is feasible. Though it is safe in application in pigs, technology is awaiting approval for clinical testing in human beings. This technology has many potential clinical applications in the management of stone disease.

  7. Focused ultrasound guided relocation of kidney stones

    Directory of Open Access Journals (Sweden)

    Nitin Abrol


    Full Text Available Purpose: Complete removal of all fragments is the goal of any intervention for urinary stones. This is more important in lower pole stones where gravity and spatial orientation of lower pole infundibulum may hinder spontaneous passage of fragments. Various adjuvant therapies (inversion, diuresis, percussion, oral citrate, etc. are described to enhance stone-free rate but are not widely accepted. Focused ultrasound-guided relocation of fragments is a recently described technique aimed at improving results of intervention for stone disease. Purpose of this review is to discuss development of this technology and its potential clinical applications. Materials and Methods: Pubmed search was made using key words "Focused ultrasound" and "kidney stone." All English language articles were reviewed by title. Relevant studies describing development and application of focused ultrasound in renal stones were selected for review. Results: Focused ultrasound has proven its efficacy in successfully relocating up to 8 mm stone fragments in vitro and in pigs. Relocation is independent of stone composition. The latest model allows imaging and therapy with a single handheld probe facilitating its use by single operator. The acoustic energy delivered by the new prototype is even less than that used for extracorporeal shock wave lithotripsy. Therapeutic exposure has not caused thermal injury in pig kidneys. Conclusion: Focused ultrasound-guided relocation of stones is feasible. Though it is safe in application in pigs, technology is awaiting approval for clinical testing in human beings. This technology has many potential clinical applications in the management of stone disease.

  8. The Visibility Complex

    NARCIS (Netherlands)

    Pocchiola, Michel; Vegter, Gert


    We introduce the visibility complex of a collection O of n pairwise disjoint convex objects in the plane. This 2–dimensional cell complex may be considered as a generalization of the tangent visibility graph of O. Its space complexity k is proportional to the size of the tangent visibility graph. We

  9. Guaifenesin stone matrix proteomics: a protocol for identifying proteins critical to stone formation. (United States)

    Kolbach-Mandel, A M; Mandel, N S; Cohen, S R; Kleinman, J G; Ahmed, F; Mandel, I C; Wesson, J A


    Drug-related kidney stones are a diagnostic problem, since they contain a large matrix (protein) fraction and are frequently incorrectly identified as matrix stones. A urine proteomics study patient produced a guaifenesin stone during her participation, allowing us to both correctly diagnose her disease and identify proteins critical to this drug stone-forming process. The patient provided three random midday urine samples for proteomics studies; one of which contained stone-like sediment with two distinct fractions. These solids were characterized with optical microscopy and Fourier transform infrared spectroscopy. Immunoblotting and quantitative mass spectrometry were used to quantitatively identify the proteins in urine and stone matrix. Infrared spectroscopy showed that the sediment was 60 % protein and 40 % guaifenesin and its metabolite guaiacol. Of the 156 distinct proteins identified in the proteomic studies, 49 were identified in the two stone-components with approximately 50 % of those proteins also found in this patient's urine. Many proteins observed in this drug-related stone have also been reported in proteomic matrix studies of uric acid and calcium containing stones. More importantly, nine proteins were highly enriched and highly abundant in the stone matrix and 8 were reciprocally depleted in urine, suggesting a critical role for these proteins in guaifenesin stone formation. Accurate stone analysis is critical to proper diagnosis and treatment of kidney stones. Many matrix proteins were common to all stone types, but likely not related to disease mechanism. This protocol defined a small set of proteins that were likely critical to guaifenesin stone formation based on their high enrichment and high abundance in stone matrix, and it should be applied to all stone types.

  10. Stone composition among first-time symptomatic kidney stone formers in the community (United States)

    Singh, Prince; Enders, Felicity T.; Vaughan, Lisa E.; Bergstralh, Eric J; Knoedler, John J.; Krambeck, Amy E; Lieske, John C; Rule, Andrew D


    Objective To determine the variation in kidney stone composition and its relationship to risk factors and recurrence among first-time stone formers in the general population. Patients and Methods Medical records were manually reviewed and validated for symptomatic kidney stone episodes among Olmsted County, Minnesota residents from January 1, 1984 to December 31, 2012. Clinical and laboratory characteristics and the risk of symptomatic recurrence were compared between stone compositions. Results There were 2961 validated first-time symptomatic kidney stone formers. Stone composition analysis was obtained in 1508 (51%) at the first episode. Stone formers were divided into the following mutually exclusive groups: any brushite (0.9%), any struvite (0.9%), any uric acid (4.8%), majority calcium oxalate (76%) or majority hydroxyapatite (18%). Stone composition varied with clinical characteristics. A multivariable model had a 69% probability of correctly estimating stone composition, but assuming calcium oxalate monohydrate stone was correct 65% of the time. Symptomatic recurrence at 10 years was approximately 50% for brushite, struvite, and uric acid, but approximately 30% for calcium oxalate and hydroxyapatite stones (Pcomposition, they are of limited utility for estimating stone composition. Rarer stone compositions are more likely to recur. PMID:26349951

  11. Dilation-assisted stone extraction: an alternative method for removal of common bile duct stones. (United States)

    Li, Guodong; Pang, Qiuping; Zhang, Xiujuan; Dong, Haiyan; Guo, Rong; Zhai, Hailan; Dong, Yanchun; Jia, Xinyong


    Dilation-assisted stone extraction, also termed small endoscopic sphincterotomy (EST) plus endoscopic papillary balloon dilatation, is more efficient than EST alone for removal of large common bile duct (CBD) stones. However, whether this technique can be used for all stones is unclear. This study was designed to evaluate the efficacy and complications of dilation-assisted stone extraction for CBD stones. A total of 462 patients with CBD stones were randomized to undergo either dilation-assisted stone extraction (group A) or EST (group B). The efficacy and complications of the two techniques were compared. Groups A and B showed similar outcomes in terms of stone removal. The short-term and 1-year complication rates were also similar between the two groups. However, the first-session stone removal rate in group A was significantly higher than that in group B. Mechanical lithotripsy was required significantly more often in group B than in group A. The total procedure time and total fluoroscopy time in group A were significantly shorter than those in group B. Dilation-assisted stone extraction and EST are safe and effective techniques for the treatment of CBD stones. Dilation-assisted stone extraction has high efficiency. This technique is an alternative method for removal of CBD stones.

  12. Investigations of stone consolidants by neutron imaging

    Energy Technology Data Exchange (ETDEWEB)

    Hameed, F. [Atomic Institute of the Austrian Universities, Vienna University of Technology, Vienna (Austria)], E-mail:; Schillinger, B. [Technische Universitaet Muenchen, FRM II and Physics Department E21, Garching (Germany); Rohatsch, A. [Institute for Engineering Geology, Vienna University of Technology, Vienna (Austria); Zawisky, M.; Rauch, H. [Atomic Institute of the Austrian Universities, Vienna University of Technology, Vienna (Austria)


    The chemical preservation and structural reintegration of natural stones applied in historical buildings is carried out by the use of different stone strengtheners. As these agents contain hydrogen, they offer good properties for neutron imaging. The main interest in the restoration process is the development of a suitable stone consolidant. In cooperation with the St. Stephans Cathedral and the geologists at Vienna University of Technology, we are investigating the penetration depth and distribution of different stone consolidants. These studies are being carried out with different stone samples, mostly porous natural building stones, limestones and sandstones. The two strengtheners used in this study are ethyl silicate ester (Wacker OH100) and dissolved polymethylmetacrylate (PMMA, Paraloid B72). Neutron radiography and neutron tomography can be used successfully to visualize the distribution of consolidants both in two and three dimensions.

  13. Definition and Facts for Kidney Stones in Adults (United States)

    ... Eating, Diet, & Nutrition Clinical Trials Definition & Facts for Kidney Stones What are kidney stones? Kidney stones are hard, pebble-like pieces of ... stone may get stuck along the way. Do kidney stones have another name? The scientific name for a ...

  14. Clonorcis sinensis eggs are associated with calcium carbonate gallbladder stones. (United States)

    Qiao, Tie; Ma, Rui-hong; Luo, Zhen-liang; Yang, Liu-qing; Luo, Xiao-bing; Zheng, Pei-ming


    Calcium carbonate gallbladder stones were easily neglected because they were previously reported as a rare stone type in adults. The aim of this study was to investigate the relationship between calcium carbonate stones and Clonorchis sinensis infection. A total of 598 gallbladder stones were studied. The stone types were identified by FTIR spectroscopy. The C. sinensis eggs and DNA were detected by microscopic examination and real-time fluorescent PCR respectively. And then, some egg-positive stones were randomly selected for further SEM examination. Corresponding clinical characteristics of patients with different types of stones were also statistically analyzed. The detection rate of C. sinensis eggs in calcium carbonate stone, pigment stone, mixed stone and cholesterol stone types, as well as other stone types was 60%, 44%, 36%, 6% and 30%, respectively, which was highest in calcium carbonate stone yet lowest in cholesterol stone. A total of 182 stones were egg-positive, 67 (37%) of which were calcium carbonate stones. The C. sinensis eggs were found adherent to calcium carbonate crystals by both light microscopy and scanning electron microscopy. Patients with calcium carbonate stones were mainly male between the ages of 30 and 60, the CO2 combining power of patients with calcium carbonate stones were higher than those with cholesterol stones. Calcium carbonate gallbladder stones are not rare, the formation of which may be associated with C. sinensis infection. Copyright © 2014 Elsevier B.V. All rights reserved.

  15. Focused ultrasound guided relocation of kidney stones


    Nitin Abrol; Kekre, Nitin S.


    Purpose: Complete removal of all fragments is the goal of any intervention for urinary stones. This is more important in lower pole stones where gravity and spatial orientation of lower pole infundibulum may hinder spontaneous passage of fragments. Various adjuvant therapies (inversion, diuresis, percussion, oral citrate, etc.) are described to enhance stone-free rate but are not widely accepted. Focused ultrasound-guided relocation of fragments is a recently described technique aimed at impr...

  16. Preventive Kidney Stones: Continue Medical Education. (United States)

    Assadi, Farahnak; Moghtaderi, Mastaneh


    Nephrolithiasis is a common health problem across the globe with a prevalence of 15%-20%. Idiopathic hypercalciuria is the most common cause of nephrolithiasis, and calcium oxalate stones are the most common type of stones in idiopathic hypercalciuric patients. Calcium phosphate stones are frequently associated with other diseases such as renal tubular acidosis type 1, urinary tract infections, and hyperparathyroidism. Compared with flat abdominal film and renal sonography, a noncontrast helical computed tomography scan of the abdomen is the diagnostic procedure of choice for detection of small and radiolucent kidney stones with sensitivity and specificity of nearly 100%. Stones smaller than 5 mm in diameter often pass the urinary tract system and rarely require surgical interventions. The main risk factors for stone formation are low urine output, high urinary concentrations of calcium, oxalate, phosphate, and uric acid compounded by a lower excretion of magnesium and citrate. A complete metabolic workup to identify the risk factors is highly recommended in patients who have passed multiple kidney stones or those with recurrent disease. Calcium oxalate and calcium phosphate stones are treated by the use of thiazide diuretics, allopurinol, and potassium citrate. Strategies to prevent kidney stone recurrence should include the elimination of the identified risk factors and a dietary regimen low in salt and protein, rich in calcium and magnesium which is coupled with adequate fluid intake.

  17. Do stones still kill? An analysis of death from stone disease 1999-2013 in England and Wales. (United States)

    Kum, Francesca; Mahmalji, Wasim; Hale, Jemma; Thomas, Kay; Bultitude, Matthew; Glass, Jonathan


    To analyse the trends in the number of deaths attributable to urolithiasis in England and Wales over the past 15 years (1999-2013). Urolithiasis has an estimated lifetime risk of 12% in males and 6% in females and is not perceived as a life-threatening pathology. Admissions with urinary calculi contribute to 0.5% of all inpatient hospital stays, and the number of deaths attributable to stone disease has yet to be identified and presented. Office of National Statistics data relating to causes of death from urolithiasis, coded as International Classification of Diseases (ICD)-10 N20-N23, was collated and analysed for the 15-year period from 1999 to 2013 in England and Wales. These data were sub-categorised into anatomical location of calculi, age, and gender. In all, 1954 deaths were attributed to urolithiasis from 1999 to 2013 (mean 130.3 deaths/year). Of which, 141 were attributed to ureteric stones (mean 9.4 deaths/year). Calculi of the kidney and ureter accounted for 91% of all deaths secondary to urolithiasis; lower urinary tract (bladder or urethra) calculi contributed to only 7.9% of deaths. The data revealed an overall increasing trend in mortality from urolithiasis over this 15-year period, with an increase of 3.8 deaths/year based on a linear trend (R(2) = 0.65). Overall, the number of deaths in females was significantly higher than in males (ratio 1.5:1, P Wales. This trend of increasing deaths must be placed in the context of the concurrent rising incidence of urolithiasis in the UK and the number of stone-related hospital episodes. The primary cause of death relating to complications of stone disease for each individual case should be further investigated to facilitate prevention of complications of urolithiasis. © 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.

  18. Prevalence and risk factors for kidney stones in fibrodysplasia ossificans progressiva. (United States)

    Gupta, Rishi R; Delai, Patricia L R; Glaser, David L; Rocke, David M; Al Mukaddam, Mona; Pignolo, Robert J; Kaplan, Frederick S


    The worldwide prevalence and risk factors for kidney stones in patients with fibrodysplasia ossificans progressiva (FOP) are unknown. We conducted a survey of 383 patient-members of the International Fibrodysplasia Ossificans Progressiva Association, comprising the entire global membership of the international FOP community. Two hundred seven patients from 31 nations and 6 continents (54%) responded. Nineteen of 207 respondents had kidney stones, revealing a worldwide prevalence of 9.2%. In a confirmatory follow-up study of subjects participating in a longitudinal FOP natural history study, 9 of 114 individuals reported a history of kidney stones (7.9%). In both study populations patients with kidney stones were found to be more functionally impaired compared to those without nephrolithiasis. The prevalence of kidney stones in the adult FOP population of the Unites States was 15.8% (9/57 individuals) compared to a sex- and age-weighted prevalence of 4.5% (p=4×10 -5 ) in the general population. Although geographical variation exists, patients with FOP have an approximately three-fold greater prevalence of kidney stones than the general population. This unusually high prevalence may be due to high bone turnover from chronic immobilization, or to unknown mechanistic effects of the activating FOP mutation in activin A receptor, type I/activin-like kinase-2 (ACVR1/ALK2), increasing the disease burden and morbidity in this already disabling condition. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Clinical characteristics of potential kidney donors with asymptomatic kidney stones. (United States)

    Lorenz, Elizabeth C; Lieske, John C; Vrtiska, Terri J; Krambeck, Amy E; Li, Xujian; Bergstralh, Eric J; Melton, L Joseph; Rule, Andrew D


    Patients with symptomatic kidney stones are characterized by older age, male gender, white race, hypertension, obesity, metabolic syndrome and chronic kidney disease. Whether these characteristics differ in patients with asymptomatic kidney stones is unknown. All potential kidney donors who underwent protocol computed tomography angiograms/urograms (2000-08) at the Mayo Clinic were identified. Renal abnormalities, including kidney stones, were assessed radiographically. Comorbidities, including past symptomatic kidney stones, were abstracted from the medical record. Characteristics of persons with and without radiographic stones were compared. Stone burden among persons with and without past symptomatic stones was compared. Among 1957 potential kidney donors, 3% had past symptomatic stones and 11% had radiographic stones (10% had only asymptomatic radiographic stones). Asymptomatic stone formers were more likely to be of white race, have low urine volumes and have radiographic findings of renal parenchymal thinning, focal renal scarring, medullary sponge kidney and polycystic kidney disease. Asymptomatic stone formers were not characterized by older age, male gender, hypertension, obesity, metabolic syndrome, abnormal kidney function, hyperuricemia, hypercalcemia or hypophosphatemia. Among persons with radiographic stones, those with past symptomatic stones had a slightly higher number of stones (mean 2.7 versus 2.4; P = 0.04), but a much greater diameter for the largest stone (mean 4.8 versus 1.6 mm; P kidney stones. These findings suggest that different pathophysiologic mechanisms could be involved in asymptomatic stone formation versus symptomatic stone passage.

  20. Topiramate induced metabolic acidosis and kidney stones - a case study. (United States)

    Salek, Tomas; Andel, Ivan; Kurfurstova, Irena


    The aim of this study is to present a case of 44 years old woman with topiramate induced metabolic acidosis and kidney stones. The laboratory features of topiramate caused renal tubular acidosis in blood and urine during topiramate treatment, with correction of metabolic acidosis by potassium citrate, and after topiramate withdrawal are presented. Differential diagnosis of all possible causes of metabolic acidosis is discussed. The results revealed negative base excess in extracellular fluid of - 9.2 mmol/L, low serum HCO3- concentration (18.6 mmol/L), trend to alkaline urine (pH 6.39) and low urine citrate concentration (0.3 mmol/24h). After topiramate withdrawal, all parameters of the internal environment normalized. This study has shown that long-term topiramate administration could induce metabolic acidosis and consequently urholithiasis. Thus, we could recommend testing blood acid base balance, urinary pH and citrates in patients taking topiramate and suffering from kidney stones.

  1. Retrograde intrarenal stone surgery for extracorporeal shock-wave lithotripsy-resistant kidney stones

    DEFF Research Database (Denmark)

    Jung, Helene; Nørby, Bettina; Osther, Palle Jörn


    in an overall success rate of 76%. There were no major complications. CONCLUSIONS: RIRS is a safe procedure with a high success rate and a low complication rate for ESWL-resistant renal stones. Patients with larger stones (> 10 mm), those with stones in the lower pole and those with an abnormal renal anatomy...... ranged in size from 3 to 20 mm (mean 9 mm). In 32 cases the stones were fragmented using a holmium YAG laser and in six the stones could be extracted using zero-tip Dormia baskets without fragmentation. Sixteen patients had lower calyceal calculi and eight had an abnormal anatomy of the upper urinary...

  2. A Case of Recurrent Renal Aluminum Hydroxide Stone


    Basri Cakıroglu; Akif Nuri Dogan; Tuncay Tas; Ramazan Gozukucuk; Bekir Sami Uyanik


    Renal stone disease is characterized by the differences depending on the age, gender, and the geographic location of the patients. Seventy-five percent of the renal stone components is the calcium (Ca). The most common type of the stones is the Ca oxalate stones, while Ca phosphate, uric acid, struvite, and sistine stones are more rarely reported. Other than these types, triamterene, adenosine, silica, indinavir, and ephedrine stones are also reported in the literature as case reports. Howeve...

  3. Elemental Content of Calcium Oxalate Stones from a Canine Model of Urinary Stone Disease.

    Directory of Open Access Journals (Sweden)

    David W Killilea

    Full Text Available One of the most common types of urinary stones formed in humans and some other mammals is composed of calcium oxalate in ordered hydrated crystals. Many studies have reported a range of metals other than calcium in human stones, but few have looked at stones from animal models such as the dog. Therefore, we determined the elemental profile of canine calcium oxalate urinary stones and compared it to reported values from human stones. The content of 19 elements spanning 7-orders of magnitude was quantified in calcium oxalate stones from 53 dogs. The elemental profile of the canine stones was highly overlapping with human stones, indicating similar inorganic composition. Correlation and cluster analysis was then performed on the elemental profile from canine stones to evaluate associations between the elements and test for potential subgrouping based on elemental content. No correlations were observed with the most abundant metal calcium. However, magnesium and sulfur content correlated with the mineral hydration form, while phosphorous and zinc content correlated with the neuter status of the dog. Inter-elemental correlation analysis indicated strong associations between barium, phosphorous, and zinc content. Additionally, cluster analysis revealed subgroups within the stones that were also based primarily on barium, phosphorous, and zinc. These data support the use of the dog as a model to study the effects of trace metal homeostasis in urinary stone disease.

  4. Contribution of stone size to chronic kidney disease in kidney stone formers. (United States)

    Ahmadi, Farrokhlagha; Etemadi, Samira Motedayen; Lessan-Pezeshki, Mahbob; Mahdavi-Mazdeh, Mitra; Ayati, Mohsen; Mir, Alireza; Yazdi, Hadi Rokni


    To determine whether stone burden correlates with the degree of chronic kidney disease in kidney stone formers. A total of 97 extracorporeal shockwave lithotripsy candidates aged 18 years and older were included. Size, number and location of the kidney stones, along with cumulative stone size, defined as the sum of diameters of all stones) were determined. Estimated glomerular filtration rate was determined using the Chronic Kidney Disease Epidemiology Collaboration cystatin C/creatinine equation, and chronic kidney disease was defined as estimated glomerular filtration rate chronic kidney disease. The relationship persisted even after adjustment for age, sex, body mass index, C-reactive protein, fasting plasma glucose, thyroid stimulating hormone, presence of microalbuminuria, history of renal calculi, history of extracorporeal shockwave lithotripsy, number and location of the stones (odds ratio 1.24, 95% confidence interval 1.02-1.52). The same was not observed for individuals with a cumulative stone size ≥ 20 mm. In kidney stone formers with a cumulative stone size up to 20 mm, estimated glomerular filtration rate linearly declines with increasing cumulative stone size. Additionally, cumulative stone size is an independent predictor of chronic kidney disease in this group of patients. © 2014 The Japanese Urological Association.

  5. Nutrition and renal stone disease in space (United States)

    Zerwekh, Joseph E.


    There is a growing body of evidence from the National Aeronautics and Space Administration and the Russian space program showing that humans exposed to the microgravity environment of space have a greater risk for developing renal stones. Increased bone resorption and the attendant hypercalciuria and hyperphosphaturia contribute significantly to raising the urinary state of saturation with respect to the calcium salts, namely calcium oxalate and calcium phosphate. In addition, other environmental and dietary factors may adversely affect urine composition and increase stone formation risk during space flight. For example, reductions in urinary volume, pH, and citrate contribute to raising stone formation risk. In addition to raising the risk for calcium stone formation, this metabolic profile is conducive to the formation of uric acid stones. Although observations to date have suggested that there may actually be a reduced food intake during the early phase of flight, crew members on longer-duration flights may increase food intake and be at increased risk for stone formation. Taken together, these findings support the use of nutritional recommendations for crew members that would serve to reduce the stone-forming propensity of the urinary environment. Pharmacologic intervention should be directed at raising urinary volumes, diminishing bone losses, and preventing reductions in urinary pH and citrate. Success in reducing the risk for stone formation in astronauts would also be of potential major benefit to the estimated 20 million Americans with nephrolithiasis.

  6. Stone Formation in the Infected Pediatric Enterocystoplasty

    NARCIS (Netherlands)

    R.B. Mathoera (Rejiv)


    markdownabstract__Abstract__ Proteus mirabilis is one of the most frequent bacterial agents that can induce infection stone formation by urease production. In recent years the influence of Proteus mirabilis on stone formation in enterocystoplasties has been primarily related to the presence of

  7. Frequency of stone clearance after extracorporeal shockwave ...

    African Journals Online (AJOL)

    A. Khalique


    Feb 24, 2017 ... Abstract. Objective: To determine the rate of stone clearance after extracorporeal shockwave lithotripsy (ESWL) for renal stones in adult patients with renal insufficiency. Subjects and methods: This is a cross-sectional descriptive study of 117 adult patients who underwent. ESWL. The indications for ESWL ...

  8. [Asymptomatic kidney stones: active surveillance vs. treatment]. (United States)

    Neisius, A; Thomas, C; Roos, F C; Hampel, C; Fritsche, H-M; Bach, T; Thüroff, J W; Knoll, T


    The prevalence of kidney stones is increasing worldwide. Asymptomatic non-obstructing kidney stones are increasingly detected as an incidental finding on radiologic imaging, which has been performed more frequently over the last decades. Beside the current interventional treatment modalities such as extracorporeal shockwave lithotripsy (ESWL), ureterorenoscopy (URS) and percutaneous nephrolithotomy (PNL), active surveillance of asymptomatic kidney stones has been a focus of discussion lately, not only for attending physicians, but even more so for patients. The current German and European guidelines recommend active surveillance for patients with asymptomatic kidney stones if no interventional therapy is mandatory because of pain or medical factors. Herein we review the current literature on risks and benefits of active surveillance of asymptomatic non-obstructing kidney stones. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Gneisses (Serizzi and Beole) of the Verbano-Cusio-Ossola district (Piedmont, Northern Italy): possible candidates for the designation of "Global Heritage Stone province" (United States)

    Antonella Dino, Giovanna; Borghi, Alessandro; Cavallo, Alessandro; Primavori, Piero


    opening of the Naviglio Grande channel (a Leonardo da Vinci's project) connecting the Ticino river to Milano. However, during the Roman Empire, these stones were already exploited and exported, as testified by the ancient Roman road, visible near the village of Beura. In general, Beola and Serizzo gneisses have also been used for ornamental purposes and for the construction of churches, palaces and monuments, widely documented in many towns and villages of the Ossola Valley (San Gaudenzio church, Montecrestese bell-tower, rural villages, Domodossola city center, etc…) and in the north of Italy (Milano and Torino). The trade of these stones, which characterized (and still characterize) the VCO territory, was affected by the recent economic crisis in the national and international market, so that in the recent years lot of quarries, even if active, are not productive. Due to the global economy situation and the strong competition with other countries (China, India,…), the risk of a collapse in the serizzi and beole production is tangible. The present contribution aim at evidencing the history and peculiarity of these materials, their importance in local culture, and the necessity not to obliterate less famous, but culturally important, stone materials.

  10. Protecting Space Travelers from Kidney Stones: Renal Stone Risk During Space Flight (United States)

    Whitson, Peggy; Bloomberg, Jacob; Lee, Angie (Technical Monitor)


    Renal stones, popularly known as kidney or bladder stones, are small rock-like objects formed in the kidneys or urinary tract by deposits of calcium and other minerals. The problem arises when the stones block the drainage of the kidney, resulting in urinary obstruction and pain. Passing these stones can be one of the most painful experiences a person will endure so doctors often prescribe pain relievers to ease the experience. Drinking plenty of fluids, which help flush waste out of the body, and eating a well-balanced diet are the first steps to preventing stones. For individuals at risk, this may not be enough, and a doctor may recommend a special diet and medications. Unfortunately, approximately 60 percent of people who have had a renal stone will experience a recurrence. This is particularly true of men, who are four to five times more likely to develop stones than women. Renal stones do not discriminate based on age; even children are at risk. Astronauts are particularly at risk of developing renal stones because they lose bone and muscle mass; calcium, other minerals, and protein normally used for bone and muscle end up in the bloodstream and then in the kidneys. Without plenty of fluid to wash them away, crystals can form and then grow into stones. This factor compounds the risk for astronauts, since they also perceive that they are less thirsty in space and will drink less than normal during the mission. To minimize all of these factors, doctors must instead treat the stone-forming compounds with medication. This study will use potassium citrate to reduce the risk of stone formation. Renal stones are never convenient, but they are a particular concern for astronauts who have limited access to treatment during flight. Researchers are examining how earthbound preventions for renal stone formation work in flight, ensuring missions are not ended prematurely due to this medical condition. During STS-107, earthbound preventions and treatments become astronauts

  11. Factors affecting stone-free rate and complications of percutaneous nephrolithotomy for treatment of staghorn stone. (United States)

    el-Nahas, Ahmed R; Eraky, Ibrahim; Shokeir, Ahmed A; Shoma, Ahmed M; el-Assmy, Ahmed M; el-Tabey, Nasr A; Soliman, Shady; Elshal, Ahmed M; el-Kappany, Hamdy A; el-Kenawy, Mahmoud R


    To determine factors affecting the stone-free rate and complications of percutaneous nephrolithotomy (PNL) for treatment of staghorn stones. The computerized database of patients who underwent PNL for treatment of staghorn stones between January 2003 and January 2011 was reviewed. All perioperative complications were recorded and classified according to modified Clavien classification system. The stone-free rate was evaluated with low-dose noncontrast computed tomography (CT). Univariate and multivariate statistical analyses were performed to determine factors affecting stone-free and complication rates. The study included 241 patients (125 male and 116 female) with a mean age of 48.7 ±14.3 years. All patients underwent 251 PNL (10 patients had bilateral stones). The stone-free rate of PNL monotherapy was 56% (142 procedures). At 3 months, the stone-free rate increased to 73% (183 kidneys) after shock wave lithotripsy. Independent risk factors for residual stones were complete staghorn stone and presence of secondary calyceal stones (relative risks were 2.2 and 3.1, respectively). The complication rate was 27% (68 PNL). Independent risk factors for development of complications were performance of the procedure by urologists other than experienced endourologist and positive preoperative urine culture (relative risks were 2.2 and 2.1, respectively). Factors affecting the incidence of residual stones after PNL are complete staghorn stones and the presence of secondary calyceal stones. Complications are significantly high if PNL is not performed by an experienced endourologist or if preoperative urine culture is positive. Copyright © 2012 Elsevier Inc. All rights reserved.

  12. Viewer Makes Radioactivity "Visible" (United States)

    Yin, L. I.


    Battery operated viewer demonstrates feasibility of generating threedimensional visible light simulations of objects that emit X-ray or gamma rays. Ray paths are traced for two pinhold positions to show location of reconstructed image. Images formed by pinholes are converted to intensified visible-light images. Applications range from radioactivity contamination surveys to monitoring radioisotope absorption in tumors.

  13. Visibility and Citation Impact (United States)

    Ebrahim, Nader Ale; Salehi, Hadi; Embi, Mohamed Amin; Tanha, Farid Habibi; Gholizadeh, Hossein; Motahar, Seyed Mohammad


    The number of publications is the first criteria for assessing a researcher output. However, the main measurement for author productivity is the number of citations, and citations are typically related to the paper's visibility. In this paper, the relationship between article visibility and the number of citations is investigated. A case study of…

  14. Visible Human Project (United States)

    ... NLM Mobile Gallery Site Navigation Home The Visible Human Project ® Overview The Visible Human Project ® is an outgrowth of the NLM's 1986 ... dimensional representations of the normal male and female human bodies. Acquisition of transverse CT, MR and cryosection ...

  15. The Value of Original Natural Stone in the Context of Architectural Heritage

    Directory of Open Access Journals (Sweden)

    Dolores Pereira


    Full Text Available Natural stone is required for maintenance and repair of historically, archaeologically and culturally important structures to prevent deterioration due to weathering and use. Those that have national or World Heritage significance are historically and culturally important. Sometimes, severely damaged buildings may require extensive or complete restoration. The choice of stone should be appropriate in physical and aesthetic terms, ideally from the original source. Researchers, architects, those who specify contracts and other stakeholders need reliable information, but access to, and awareness of, important sources such as manuscripts, publications and collections of samples is often limited. Easier access to information is needed when planning and commissioning works that require the replacement of stone. Making important information more widely available and promoting awareness of the need to maintain adequate supplies of natural stone of suitable quality is a task for both national and international organizations including the Heritage Stone Task Group of IUGS and IAEG. This paper provides some illustrative examples and pointers towards some recent major publications, as well as describing current Heritage Stone Resource and European Union initiatives, all the while requesting further participation from colleagues in this field.

  16. Apparatus for disintegrating kidney stones (United States)

    Angulo, E. D. (Inventor)


    The useful life of the wire probe in an ultrasonic kidney stone disintegration instrument is enhanced and prolonged by attaching the wire of the wire probe to the tip of an ultrasonic transducer by means of a clamping arrangement. Additionally, damping material is applied to the wire probe in the form of a damper tube through which the wire probe passes in the region adjacent the transducer tip. The damper tube extends outwardly from the transducer tip a predetermined distance, terminating in a resilient soft rubber joint. Also, the damper tube is supported intermediate its length by a support member. The damper system thus acts to inhibit lateral vibrations of the wire in the region of the transducer tip while providing little or no damping to the linear vibrations imparted to the wire by the transducer.

  17. Shock Wave Lithotripsy in Ureteral Stones: Evaluation of Patient and Stone Related Predictive Factors

    Directory of Open Access Journals (Sweden)

    Ozgur Yazici


    Full Text Available ABSTRACTPurpose:To evaluate the patient and stone related factors which may influence the final outcome of SWL in the management of ureteral stones.Materials and Methods:Between October 2011 and October 2013, a total of 204 adult patients undergoing SWL for single ureteral stone sizing 5 to 15 mm were included into the study program. The impact of both patient (age, sex, BMI, and stone related factors (laterality, location, longest diameter and density as CT HU along with BUN and lastly SSD (skin to stone distance on fragmentation were analysed by univariate and multivariate analyses. Results: Stone free rates for proximal and distal ureteral stones were 68.8% and 72.7%, respectively with no statistically significant difference between two groups (p=0.7. According to univariate and multivariate analyses, while higher BMI (mean: 26.8 and 28.1, p=0.048 and stone density values (mean: 702 HU and 930 HU, p<0.0001 were detected as statistically significant independent predictors of treatment failure for proximal ureteral stones, the only statistically significant predicting parameter for the success rates of SWL in distal ureteral stones was the higher SSD value (median: 114 and 90, p=0.012.Conclusions:Our findings have clearly shown that while higher BMI and increased stone attenuation values detected by NCCT were significant factors influencing the final outcome of SWL treatment in proximal ureteral stones; opposite to the literature, high SSD was the only independent predictor of success for the SWL treatment of distal ureteral stones.

  18. Characterization of Technetium Speciation in Cast Stone

    Energy Technology Data Exchange (ETDEWEB)

    Um, Wooyong; Jung, Hun Bok; Wang, Guohui; Westsik, Joseph H.; Peterson, Reid A.


    This report describes the results from laboratory tests performed at Pacific Northwest National Laboratory (PNNL) for the U.S. Department of Energy (DOE) EM-31 Support Program (EMSP) subtask, “Production and Long-Term Performance of Low Temperature Waste Forms” to provide additional information on technetium (Tc) speciation characterization in the Cast Stone waste form. To support the use of Cast Stone as an alternative to vitrification for solidifying low-activity waste (LAW) and as the current baseline waste form for secondary waste streams at the Hanford Site, additional understanding of Tc speciation in Cast Stone is needed to predict the long-term Tc leachability from Cast Stone and to meet the regulatory disposal-facility performance requirements for the Integrated Disposal Facility (IDF). Characterizations of the Tc speciation within the Cast Stone after leaching under various conditions provide insights into how the Tc is retained and released. The data generated by the laboratory tests described in this report provide both empirical and more scientific information to increase our understanding of Tc speciation in Cast Stone and its release mechanism under relevant leaching processes for the purpose of filling data gaps and to support the long-term risk and performance assessments of Cast Stone in the IDF at the Hanford Site.

  19. The Effect of Stone Composition on the Efficacy of Retrograde Intrarenal Surgery: Kidney Stones 1 - 3 cm in Diameter. (United States)

    Xue, Yuquan; Zhang, Peng; Yang, Xiaojie; Chong, Tie


    The goal of this study was to analyze the effect of stone composition on the efficacy of retrograde intrarenal surgery (RIRS) with kidney stones of 1-3 cm, 1-2 cm, and 2-3 cm in diameter. We undertook a retrospective analysis of 74 patients with kidney stones who underwent RIRS. The patients were divided into two groups based on stone composition: Group I (n=47) (calcium oxalate monohydrate and calcium phosphate) was the hard to fragment stone group and group II (n=27) (calcium oxalate dihydrate, magnesium ammonium phosphate, and uric acid) was the easy to fragment stone group. Forty-six patients with kidney stones 1 to 2 cm in diameter were divided into group A (n=30) (smaller than 20 mm, hard to fragment stones) and group B (n=16) (smaller than 20 mm, easy to fragment stones). Twenty-eight patients with stones 2 to 3 cm in diameter were divided into group C (n=17) (larger than 20 mm, hard to fragment stones) and group D (n=11) (larger than 20 mm, easy-to-crush stones). The stone clearance rates of group I and group II were 66.0% and 88.9%, respectively (Pkidney stones. For 2-3 cm calcium oxalate dihydrate stones, uric acid stones, and magnesium ammonium phosphate stones, the outcome of RIRS treatment was relatively good, and RIRS is recommended.

  20. Piedra Pajarilla: A candidate for nomination as Global Heritage Stone Resource from Spain (United States)

    Pereira, Dolores; Gimeno, Ana; del Barrio, Santiago


    Piedra Pajarilla is a tourmaline bearing leucogranite outcropping at Martinamor, near Salamanca, Spain. It is part of the Hercynian granitic chain in the Spanish Central System. The stone received the local name "Piedra Pajarilla", meaning "Little Bird Stone" due to the shape of the many tourmaline aggregates that are the main visual feature of the rock. This local name has been extrapolated to every granitic stone used in the area, even if they differ significantly in mineralogy, and as recently tested in physical and mechanical properties as well. Here we present the nomination of Piedra Pajarilla as a suitable "Global Heritage Stone Resource". This stone ideally fits the newly proposed designation as it has been used since Roman times in Salamanca (Spain) and since the Middle Ages in the construction of major historic buildings, including both the Old and New Cathedrals, and many additional churches, castles and walls in the Salamanca area. Salamancás historic city core has been granted UNESCO World Heritage status in 1988, and all associated buildings, monuments and pedestrian streets are constructed from original materials. One of utilised materials, Piedra Pajarilla, was quarried for centuries from the immediate area. It was also the preferred building stone of many internationally renowned architects of Spanish origin during the 18th and 19th centuries especially involved in reconstruction following the Lisbon earthquake. Although the associated quarries are no longer active, the Piedra Pajarilla quarry sites remain relatively undisturbed and accessible. A renewal of quarrying is consequently feasible if additional stone supplies are required for heritage restoration. Thus there is also a need to preserve these historic quarries in anticipation of such work. The importance of Salamanca as emblematic heritage makes the historic stone quarries worthwhile to preserve as well. At the same time, Piedra Pajarilla can be considered as the first of several natural

  1. Multiple Urethral Stones Causing Penile Gangrene

    Directory of Open Access Journals (Sweden)

    Michael J. Ramdass


    Full Text Available Penile urethral stones are a rare occurrence resulting from a number of causes including migration of stones within the urinary tract, urethral strictures, meatal stenosis, and obstructing tumours such as adenomatous metaplasia of the uroepithelium, hypospadias, urethral diverticulum, and very rarely primary fossa navicularis calculi. We report the case of a 54-year-old male presenting with penile gangrene and sepsis resulting from impaction of multiple stones within the penile urethra. This paper summarises the topic and discusses the pathophysiology of this unusual condition.

  2. Famous building stones of our Nation's capital (United States)



    The buildings of our Nation's Capital are constructed with rocks from quarries located throughout the United States and many distant lands. The earliest Government buildings, however, were constructed with stones from nearby sources because it was too difficult and expensive to move heavy materials such as stone any great distance without the aid of modern transportation methods, including large cargo ships, trains, and trucks. This fact sheet describes the source and appearance of three frequently used local stones employed in building Washington, D.C., and the geologic environment in which they were formed.

  3. Anatomical factors predicting lower calyceal stone clearance after ...

    African Journals Online (AJOL)

    Subjects and methods: Between March 2001 and February 2004, 243 renal units in 239 patients with isolated lower calyceal stones were treated by ESWL. ... The effect of stone size on stone-free rate in two groups revealed better overall results in favorable anatomy group than in unfavorable group in stone sizes, 0.5–1.0 ...

  4. Stability of Reshaping Breakwaters with Special Reference to Stone Durability

    DEFF Research Database (Denmark)

    Frigaard, Peter; Hald, Tue; Burcharth, H. F.


    movements. Also tensile stresses occur, as a result of stone against stone impact are discussed in order to make a more close connection between wave climate, stone movements and abrasion/breakage. Finally, a comparison to selected prototype structures is made to compare the armour stone movement model...

  5. A Case of Recurrent Renal Aluminum Hydroxide Stone (United States)

    Cakıroglu, Basri; Dogan, Akif Nuri; Tas, Tuncay; Gozukucuk, Ramazan; Uyanik, Bekir Sami


    Renal stone disease is characterized by the differences depending on the age, gender, and the geographic location of the patients. Seventy-five percent of the renal stone components is the calcium (Ca). The most common type of the stones is the Ca oxalate stones, while Ca phosphate, uric acid, struvite, and sistine stones are more rarely reported. Other than these types, triamterene, adenosine, silica, indinavir, and ephedrine stones are also reported in the literature as case reports. However, to the best of our knowledge, aluminum hydroxide stones was not reported reported before. Herein we will report a 38-years-old woman with the history of recurrent renal colic disease whose renal stone was determined as aluminum hydroxide stone in type. Aluminum mineral may be considered in the formation of kidney stones as it is widely used in the field of healthcare and cosmetics. PMID:25013740

  6. A Case of Recurrent Renal Aluminum Hydroxide Stone

    Directory of Open Access Journals (Sweden)

    Basri Cakıroglu


    Full Text Available Renal stone disease is characterized by the differences depending on the age, gender, and the geographic location of the patients. Seventy-five percent of the renal stone components is the calcium (Ca. The most common type of the stones is the Ca oxalate stones, while Ca phosphate, uric acid, struvite, and sistine stones are more rarely reported. Other than these types, triamterene, adenosine, silica, indinavir, and ephedrine stones are also reported in the literature as case reports. However, to the best of our knowledge, aluminum hydroxide stones was not reported reported before. Herein we will report a 38-years-old woman with the history of recurrent renal colic disease whose renal stone was determined as aluminum hydroxide stone in type. Aluminum mineral may be considered in the formation of kidney stones as it is widely used in the field of healthcare and cosmetics.

  7. Kidney stones and subclinical atherosclerosis in young adults: the CARDIA study. (United States)

    Reiner, Alexander P; Kahn, Arnold; Eisner, Brian H; Pletcher, Mark J; Sadetsky, Natalia; Williams, O Dale; Polak, Joseph F; Jacobs, David R; Stoller, Marshall L


    Recent reports suggest that nephrolithiasis and atherosclerosis share a number of risk factors. To our knowledge there has been no previous examination of the relationship between kidney stones and subclinical atherosclerotic disease. We studied the relationship between nephrolithiasis, and carotid wall thickness and carotid stenosis assessed by B-mode ultrasound in the general community using data from the CARDIA study. The CARDIA study is a United States, population based, observational study of 5,115 white and African-American men and women between the ages of 18 and 30 years at recruitment in 1985 to 1986. By the year 20 examination 200 (3.9%) CARDIA participants had reported ever having kidney stones. Symptomatic kidney stones were associated with greater carotid wall thickness measured at the year 20 examination, particularly of the internal carotid/bulb region. Using a composite dichotomous end point of carotid stenosis and/or the upper quartile of internal carotid/bulb wall thickness, the association of kidney stones with carotid atherosclerosis was significant (OR 1.6, 95% CI 1.1-2.3, p=0.01), even after adjusting for major atherosclerotic risk factors. The association between a history of kidney stones and subclinical carotid atherosclerosis in young adults adds further support to the notion that nephrolithiasis and atherosclerosis share common systemic risk factors and/or pathophysiology. Copyright © 2011 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  8. Portugues Marbles as Stone Heritage (United States)

    Lopes, Luis; Martins, Ruben


    The main objective of this paper is to present and justify the reasons for the worldwide recognition of Portuguese Marbles as Stone Heritage. These marbles are also known as "Estremoz Marble" since was the first county were exploited. In the Estremoz Anticline marbles occupy an intermediate stratigraphic position being part of a volcano-sedimentary sequence of Cambrian age. The anticlinal structure has a Precambrian core and the younger rocks aged Devonian Period. This sequence has deformed by the Variscan Orogeny, which performed twice with different intensities both in ductile and brittle tension fields. The early Alpine Cycle also acts in the region and cause more fracturing of the marble. Practically in all the quarries is possible to perceive the spatial-temporal continuity of the deformation where one can describe a complete Wilson Cycle. Together all these geological features imprint the marbles beautiful aesthetic patterns that can be highlighted when used as dimension stone. Nowadays most of the quarries are placed in the counties of Borba and mainly in Vila Viçosa. This last city claims for itself the "Capital of the Marble" title and named the marble as "White Gold". In fact, according to the historical record, the marbles were quarried in Portuguese Alentejo's Province since the fourth century BC. Locally these geological materials are available easily accessible. Exhibit physical properties that allow the fabrication of structural and decorative elements and so were used since humans settled in the region and developed a structured Society. In the Roman period, the pieces of art made with Estremoz Marbles were exported abroad and today are represented in Museums and Archaeological Sites throughout Europe and North Africa countries. The Portuguese Marbles and Limestones, transformed into altars, stairways, columns, statues and pieces of wall cladding, were carried as ballast in the holds of ships. At the destination the Portuguese People had built

  9. Primary liquid intake and urinary stone disease. (United States)

    Shuster, J; Finlayson, B; Scheaffer, R L; Sierakowski, R; Zoltek, J; Dzegede, S


    This investigation indicates that there are important associations between urinary stone disease and a person's primary liquid intake. Based on data collected from 2295 caucasian male patients from two geographical regions, the Carolinas (both North and South) and the Rockies (including Colorado, Idaho, Nevada, Montana, Utah and Wyoming) an important (p less than 0.01) positive association was found between urinary stone disease and soda (carbonated beverage) consumption within both geographical regions. It was also found that negative associations exist between urinary stone disease and both beer consumption and coffee consumption in the Rockies and that no important associations exist between urinary stone disease and any of milk, water, or tea, when these beverages represent a person's primary liquid intake. Moreover, soda can be viewed almost synonymously as sugared cola, since few subjects had diet sodas or sugared non-cola soda as primary fluid. No cause/effect relationships are implied in this paper.

  10. Hunting Plan : Big Stone National Wildlife Refuge (United States)

    US Fish and Wildlife Service, Department of the Interior — The Big Stone National Wildlife Refuge Hunting Plan provides guidance for the management of hunting on the refuge. Hunting program objectives include providing a...

  11. Fiber optic muzzle brake tip for reducing fiber burnback and stone retropulsion during thulium fiber laser lithotripsy (United States)

    Hutchens, Thomas C.; Gonzalez, David A.; Irby, Pierce B.; Fried, Nathaniel M.


    The experimental thulium fiber laser (TFL) is being explored as an alternative to the current clinical gold standard Holmium:YAG laser for lithotripsy. The near single-mode TFL beam allows coupling of higher power into smaller optical fibers than the multimode Holmium laser beam profile, without proximal fiber tip degradation. A smaller fiber is desirable because it provides more space in the ureteroscope working channel for increased saline irrigation rates and allows maximum ureteroscope deflection. However, distal fiber tip burnback increases as fiber diameter decreases. Previous studies utilizing hollow steel sheaths around recessed distal fiber tips reduced fiber burnback but increased stone retropulsion. A "fiber muzzle brake" was tested for reducing both fiber burnback and stone retropulsion by manipulating vapor bubble expansion. TFL lithotripsy studies were performed at 1908 nm, 35 mJ, 500 μs, and 300 Hz using a 100-μm-core fiber. The optimal stainless steel muzzle brake tip tested consisted of a 1-cm-long, 560-μm-outer-diameter, 360-μm-inner-diameter tube with a 275-μm-diameter through hole located 250 μm from the distal end. The fiber tip was recessed a distance of 500 μm. Stone phantom retropulsion, fiber tip burnback, and calcium oxalate stone ablation studies were performed ex vivo. Small stones with a mass of 40±4 mg and 4-mm-diameter were ablated over a 1.5-mm sieve in 25±4 s (n=10) without visible distal fiber tip burnback. Reduction in stone phantom retropulsion distance by 50% and 85% was observed when using muzzle brake tips versus 100-μm-core bare fibers and hollow steel tip fibers, respectively. The muzzle brake fiber tip simultaneously provided efficient stone ablation, reduced stone retropulsion, and minimal fiber degradation during TFL lithotripsy.

  12. Synthesis of visibility detection systems. (United States)


    Visibility is a critical component to the task of driving on all types of roads. The visibility detection and warning systems provide real-time, automated detection as well as appropriate responses to counteract reduced visibility conditions due to f...

  13. Evidence Report: Risk of Renal Stone Formation (United States)

    Sibonga, Jean D.; Pietrzyk, Robert


    The formation of renal stones poses an in-flight health risk of high severity, not only because of the impact of renal colic on human performance but also because of complications that could potentially lead to crew evacuation, such as hematuria, infection, hydronephrosis, and sepsis. Evidence for risk factors comes from urine analyses of crewmembers, documenting changes to the urinary environment that are conducive to increased saturation of stone-forming salts, which are the driving force for nucleation and growth of a stone nidus. Further, renal stones have been documented in astronauts after return to Earth and in one cosmonaut during flight. Biochemical analysis of urine specimens has provided indication of hypercalciuria and hyperuricemia, reduced urine volumes, and increased urine saturation of calcium oxalate and calcium phosphate. A major contributor to the risk for renal stone formation is bone atrophy with increased turnover of the bone minerals. Dietary and fluid intakes also play major roles in the risk because of the influence on urine pH (more acidic) and on volume (decreased). Historically, specific assessments on urine samples from some Skylab crewmembers indicated that calcium excretion increased early in flight, notable by day 10 of flight, and almost exceeded the upper threshold for normal excretion (300mg/day in males). Other crewmember data documented reduced intake of fluid and reduced intake of potassium, phosphorus, magnesium, and citrate (an inhibitor of calcium stone formation) in the diet. Hence, data from both short-duration and long-duration missions indicate that space travel induces risk factors for renal stone formation that continue to persist after flight; this risk has been documented by reported kidney stones in crewmembers.

  14. Bariatric Surgery and Urinary Stone Disease

    Directory of Open Access Journals (Sweden)

    Cevahir Ozer


    Full Text Available Obesity is a major public health problem and has been suggested to play a role in the etiology of urinary tract stone disease. Furthermore, the increasingly widespread use of surgery in the treatment of obesity also is related with urinary stone disease. In daily practice, patients to whom obesity surgery has been planned or who have undergone obesity surgery are seen more frequently. This review aims to highlight the urological evaluation and management of this patient group.

  15. Is there a difference between presence of single stone and multiple stones in flexible ureterorenoscopy and laser lithotripsy for renal stone burden <300mm2?

    Directory of Open Access Journals (Sweden)

    Faruk Ozgor

    Full Text Available ABSTRACT In this study, we aim to evaluate and compare the effectiveness of flexible ureterorenoscopy (f-URS for solitary and multiple renal stones with <300 mm2 stone burden. Patients' charts who treated with f-URS for kidney stone between January 2010 and June 2015 were reviewed, retrospectively. Patients with solitary kidney stones (n:111 were enrolled in group 1. We selected 111 patients with multiple kidney stones to serve as the control group and the patients were matched at a 1:1 ratio with respect to the patient's age, gender, body mass index and stone burden. Additionally, patients with multiple stones were divided into two groups according to the presence or abscence of lower pole stones. Stone free status was accepted as complete stone clearence and presence of residual fragments < 2 mm. According to the study design; age, stone burden, body mass index were comparable between groups. The mean operation time was longer in group 2 (p= 0.229. However, the mean fluoroscopy screening time in group 1 and in group 2 was 2.1±1.7 and 2.6±1.5 min, respectively and significantly longer in patients with multiple renal stones (P=0.043. The stone-free status was significantly higher in patients with solitary renal stones after a single session procedure (p=0.02. After third month follow up, overall success rate was 92.7% in Group 1 and 86.4% in Group 2. Our study revealed that F-URS achieved better stone free status in solitary renal stones <300 mm2. However, outcomes of F-URS were acceptable in patients with multiple stones.

  16. Predicting Visibility of Aircraft (United States)

    Watson, Andrew; Ramirez, Cesar V.; Salud, Ellen


    Visual detection of aircraft by human observers is an important element of aviation safety. To assess and ensure safety, it would be useful to be able to be able to predict the visibility, to a human observer, of an aircraft of specified size, shape, distance, and coloration. Examples include assuring safe separation among aircraft and between aircraft and unmanned vehicles, design of airport control towers, and efforts to enhance or suppress the visibility of military and rescue vehicles. We have recently developed a simple metric of pattern visibility, the Spatial Standard Observer (SSO). In this report we examine whether the SSO can predict visibility of simulated aircraft images. We constructed a set of aircraft images from three-dimensional computer graphic models, and measured the luminance contrast threshold for each image from three human observers. The data were well predicted by the SSO. Finally, we show how to use the SSO to predict visibility range for aircraft of arbitrary size, shape, distance, and coloration. PMID:19462007

  17. Measuring visibility using smartphones (United States)

    Friesen, Jan; Bialon, Raphael; Claßen, Christoph; Graffi, Kalman


    Spatial information on fog density is an important parameter for ecohydrological studies in cloud forests. The Dhofar cloud forest in Southern Oman exhibits a close interaction between the fog, trees, and rainfall. During the three month monsoon season the trees capture substantial amounts of horizontal precipitation from fog which increases net precipitation below the tree canopy. As fog density measurements are scarce, a smartphone app was designed to measure visibility. Different smartphone units use a variety of different parts. It is therefore important to assess the developed visibility measurement across a suite of different smartphones. In this study we tested five smartphones/ tablets (Google/ LG Nexus 5X, Huawei P8 lite, Huawei Y3, HTC Nexus 9, and Samsung Galaxy S4 mini) against digital camera (Sony DLSR-A900) and visual visibility observations. Visibility was assessed from photos using image entropy, from the number of visible targets, and from WiFi signal strength using RSSI. Results show clear relationships between object distance and fog density, yet a considerable spread across the different smartphone/ tablet units is evident.

  18. Introductory Overview of Stone Heritages in Japan (United States)

    Kato, Hirokazu; Oikawa, Teruki; Fujita, Masayo; Yokoyama, Shunji


    As one contribution to 'Global Heritage Stone Resources' (GHSR), some stone heritages in Japan, which are nominated in the interim list, are briefly introduced. The geology of Japanese Islands where are the one of the most active areas in the history of the Earth, is very complicated. Therefore Japanese Islands consist of various kinds of minerals and rocks. Some of them were used to make stone implements and accessories. Japanese people also used to the best possible advantage to built tombstone, gate, pavement ,and the basement and wall of the large building such as temples, shrines, castles and modern buildings. 1. Stone Heritages of Pre-historical age: In the late Pleistocene and the early Holocene, ancient Japanese used obsidian cooled rapidly from rhyolitic make small implements and accessories. For example, Shirataki, Hokkaido (north island) is the largest place producing obsidian in Japan where Paleolithic people made arrowhead, knives and so on. Another example, Jade yielded in Itoigawa City, Japan Sea coast of central Japan, was made in the metamorphic rock about five hundred million years ago. Itoigawa area is only one place where jade is abundantly produced in Japan. Ancient people had been already collected and processed to ornaments although it is very hard and traded in wide area more than several thousand years ago. 2. Stone Heritages of Historical age: 2.1 Archaeological remains: In the Kofun (old mound) period (250 to 538 AD), stone burial chambers were used for old mounds to preserve against the putrefaction and to protect from the theft. For example, Ishibutai Kofun ("ishi" means "stone" and "butai" means "stage") in Nara old capital city, southwest Japan, is the largest known megalithic structure made of granite in Japan. 2.2 Stone walls of some typical castles Stones used is because of not only the rich reserves of rocks but also restriction of transportation. Osaka (second biggest city) castle, are composed of Cretaceous granite

  19. Boosting the Visible-Light Photoactivity of BiOCl/BiVO4/N-GQD Ternary Heterojunctions Based on Internal Z-Scheme Charge Transfer of N-GQDs: Simultaneous Band Gap Narrowing and Carrier Lifetime Prolonging. (United States)

    Zhu, Mingyue; Liu, Qian; Chen, Wei; Yin, Yuanyuan; Ge, Lan; Li, Henan; Wang, Kun


    The efficient separation of photogenerated electron-hole pairs in photoactive materials is highly desired, allowing their transfer to specific sites for undergoing redox reaction in various applications. The construction of ternary heterojunctions is a practical strategy to enhance the migration of photogenerated electron that realizes the synergistic effect of multicomponents rather than the simple overlay of single component. Here, we demonstrate an available way to fabricate new BiOCl/BiVO 4 /nitrogen-doped graphene quantum dot (N-GQD) ternary heterojunctions that exhibit higher efficiency in charge separation than any binary heterojunction or pure material under visible-light irradiation. UV-vis diffuse reflectance spectroscopy demonstrated that the proposed BiOCl/BiVO 4 /N-GQD ternary heterojunctions possess the narrower band gap energy. More importantly, the ternary heterojunctions reveal the prolonged lifetime of photogenerated charges and enhanced the separation efficiency of photogenerated electron-hole pairs, which may be ascribed to sensitization based on an internal Z-scheme charge transfer at the interface of N-GQDs with oxygen functional groups. Furthermore, we examine the photoactive performance of proposed ternary heterojunctions in aqueous solution by using the photodegradation of bisphenol A as a model system and BiOCl/BiVO 4 /N-GQD ternary heterojunctions also display a dramatically enhanced photodegradation rate. The proposed charge separation and transfer process of BiOCl/BiVO 4 /N-GQD ternary heterojunctions for the enhanced photoactivity were deduced by electrochemical measurements, photoluminescence, and electron spin resonance. The results demonstrate that a Z-scheme charge process was formed between BiOCl/BiVO 4 binary heterojunctions and N-GQDs, leading to an efficient charge carrier separation and strong photocatalytic ability. Notably, this work may assist in a better understanding of the role of N-GQDs in kinds of heterojunctions

  20. 77 FR 27245 - Big Stone National Wildlife Refuge, Big Stone and Lac Qui Parle Counties, MN (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Fish and Wildlife Service Big Stone National Wildlife Refuge, Big Stone and Lac Qui Parle Counties, MN AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of availability; request for comments...

  1. Stones on a forgotten double-j stent: a case report of multiple stones ...

    African Journals Online (AJOL)

    Stones on a forgotten double-j stent: a case report of multiple stones casting a multi-fractured ureteral stent. Khaled Mursi, A Fayad, I Ghoneim, H El-Ghamrawy. Abstract. No Abstract. African Journal of Urology Vol. 11(3) 2005: 247-249. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT ...

  2. Renal Stone Risk During Space Flight (United States)

    Whitson, Peggy A.; Pietrzyk, Robert A.; Sams, Clarence F.; Pak, Charles Y. C.; Jones, Jeffrey A.


    Space flight produces a number of metabolic and physiological changes in the crewmembers exposed to microgravity. Following launch, body fluid volumes, electrolyte levels, and bone and muscle undergo changes as the human body adapts to the weightless environment. Changes in the urinary chemical composition may lead to the potentially serious consequences of renal stone formation. Previous data collected immediately after space flight indicate changes in the urine chemistry favoring an increased risk of calcium oxalate and uric acid stone formation (n = 323). During short term Shuttle space flights, the changes observed include increased urinary calcium and decreased urine volume, pH and citrate resulting in a greater risk for calcium oxalate and brushite stone formation (n = 6). Results from long duration Shuttle/Mir missions (n = 9) followed a similar trend and demonstrated decreased fluid intake and urine volume and increased urinary calcium resulting in a urinary environment saturated with the calcium stone-forming salts. The increased risk occurs rapidly upon exposure to microgravity, continues throughout the space flight and following landing. Dietary factors, especially fluid intake, or pharmacologic intervention can significantly influence the urinary chemical composition. Increasing fluid intake to produce a daily urine output of 2 liters/day may allow the excess salts in the urine to remain in solution, crystals formation will not occur and a renal stone will not develop. Results from long duration crewmembers (n = 2) who had urine volumes greater than 2.5 L/day minimized their risk of renal stone formation. Also, comparisons of stone-forming risk in short duration crewmembers clearly identified greater risk in those who produced less than 2 liters of urine/day. However, hydration and increased urine output does not correct the underlying calcium excretion due to bone loss and only treats the symptoms and not the cause of the increased urinary salts

  3. Urinary stone composition in Oman: with high incidence of cystinuria. (United States)

    Al-Marhoon, Mohammed S; Bayoumi, Riad; Al-Farsi, Yahya; Al-Hinai, Abdullhakeem; Al-Maskary, Sultan; Venkiteswaran, Krishna; Al-Busaidi, Qassim; Mathew, Josephkunju; Rhman, Khalid; Sharif, Omar; Aquil, Shahid; Al-Hashmi, Intisar


    Urinary stones are a common problem in Oman and their composition is unknown. The aim of this study is to analyze the components of urinary stones of Omani patients and use the obtained data for future studies of etiology, treatment, and prevention. Urinary stones of 255 consecutive patients were collected at the Sultan Qaboos University Hospital. Stones were analyzed by Fourier transform infrared spectrophotometer. The biochemical, metabolic, and radiological data relating to the patients and stones were collected. The mean age was 41 years, with M:F ratio of 3.7:1. The common comorbidities associated with stone formation were hypertension; diabetes, benign prostate hyperplasia; urinary tract infection; obesity; and atrophic kidney. The common presentation was renal colic and flank pain (96%). Stones were surgically retrieved in 70% of patients. Mean stone size was 9 ± 0.5 mm (range 1.3-80). Stone formers had a BMI ≥ 25 in 56% (P = 0.006) and positive family history of stones in 3.8%. The most common stones in Oman were as follows: Calcium Oxalates 45% (114/255); Mixed calcium phosphates & calcium oxalates 22% (55/255); Uric Acid 16% (40/255); and Cystine 4% (10/255). The most common urinary stones in Oman are Calcium Oxalates. Overweight is an important risk factor associated with stone formation. The hereditary Cystine stones are three times more common in Oman than what is reported in the literature that needs further genetic studies.

  4. Between visibility and surveillance

    DEFF Research Database (Denmark)

    Uldam, Julie

    As activists move from alternative media platforms to commercial social media platforms they face increasing challenges in protecting their online security and privacy. While government surveillance of activists is well-documented in both scholarly research and the media, corporate surveillance...... of activists remains under-researched. This presentation explores visibility as a prerequisite and an obstacle to political participation. The dual capacity of visibility in social media enables both surveillance and counter-surveillance by making not only the surveilled actor, but also the surveilling actor......’ surveillance of anti-capitalist activists in social media....

  5. Making Invisible Forces Visible

    DEFF Research Database (Denmark)

    Ratner, Helene; Pors, Justine Grønbæk


    This paper investigates managerial tactics of visualisation when a need to know and manage employees' values and attitudes is expressed. Using the Danish public school as a case study, we explore how school managers use teachers' emotions to render visible presumably invisible information about...... their 'true' attitudes and values. The paper draws on theories of affect as well as actor-network theory to analyse three incidents where managers turn their interpretations of teachers' emotions into such information. These incidents suggest that the efforts to render employees' attitudes and values visible...

  6. Slates from Uruguay: a traditional natural stone (United States)

    Morales Demarco, M.; Oyhantçabal, P.; Stein, K.-J.; Siegesmund, S.


    Slates were traditionally used as roofing material or for cladding worldwide and also in Uruguay. In regions where this resource was easily mined, the widespread application of slates in constructions resulted in the development of characteristic cultural landscapes. The application of slates in a wider sense is nowadays open for all uses of dimensional stone, compared to the restricted use as roofing or cladding material in the past. This has been achieved by the discovery and mining of new deposits within the last 25 years worldwide. Furthermore, the optimization of mining techniques that allows the excavation of larger blocks and the technical development for further handling of the blocks has contributed to an open spectrum of applications. The slate deposits from Uruguay are associated with the Neoproterozoic thrust and fold belt of the Dom Feliciano Belt. The slates are linked to calc-silicate strata in a greenschist facies volcano-sedimentary sequence and the deposits are located in the limb of a regional fold, where bedding and cleavage are parallel. The main lithotype is a layered and fine-grained calcareous phyllite with a quite diverse palette of colors: light green, grey, dark grey, reddish and black. The mined slate is split into slabs 0.5 - 2cm thick. The technical properties were investigated in a very systematic way with respect to the new European standards, showing values comparable to those registered for internationally known slates. In the past, the average production in Uruguay was around 4000 tons/year and a historical maximum of 13,000 tons was reached in 1993. The oscillations in the regional demand were the cause of several flourishing and decay cycles in the activity, but our investigation shows a considerable volume of indicated resources and therefore a very good potential. Exploration for colors and qualities and quantification of reserves is a prerequisite for the development of the sector.

  7. Evaluation of physical and mechanical properties of quarry stones in the southern Republic of Benin

    Directory of Open Access Journals (Sweden)

    Bouraima Mouhamed Bayane


    Full Text Available Engineering properties of stones have a crucial importance when they are used for civil engineering works. In this study, the suitability of rocks blocks or stones as a construction material is established. Cove and Dan cities surroundings in the southern part of Zou Province have large blocks and aggregates quarries operated recently. In this study, laboratory tests were carried out to investigate the performance of rocks blocks and aggregates quarried in the region. For this purpose of the study, three wooden containers with rocks blocks and aggregates samples were collected from three different quarries, and so, laboratory tests including particle density and water absorption test, resistance to wear, magnesium sulfate test, compressive strength and methylene blue absorption test were performed in accordance with the international standards to explore the quality of stones to be used for modern construction. Concluding that rocks blocks and aggregates satisfy the relevant regulation (that is, a norm, European standard.


    Directory of Open Access Journals (Sweden)

    I. Titomanlio


    Full Text Available The beauty of cultural heritage and monumental architecture, is often linked to their non-structural elements and decorative stones façades cladding. The collapse of these elements causes significant consequences that interest the social, the economic, the historical and the technical fields. Several regulatory documents and literature studies contain methods to address the question of relief and of the risk analysis and due to the non – structural stones security. Among the references are widespread international regulatory documents prepared by the Federal Emergency Management Agency of the United States by Applied Technology Council and California. In Italy there are some indications contained in the Norme Tecniche per le Costruzioni and the Direttiva del Presidente del Consiglio dei Ministri in 2007, finalize to the reduction of seismic risk assessment of cultural heritage. The paper, using normative references and scientific researches, allows to analyze on Royal Palace of Caserta the safety and the preservation of cultural heritage and the vulnerability of non-structural stones façade cladding. Using sophisticated equipments of Laboratory ARS of the Second University of Naples, it was possible to analyze the collapse of stone elements due to degradation caused by natural phenomena of deterioration (age of the building, type of materials, geometries , mode of fixing of the elements themselves. The paper explains the collapse mechanisms of stones façade cladding of Luigi Vanvitelli Palace.

  9. Black dimensional stones: Geology, technical properties and deposit characterization of the dolerites from Uruguay (United States)

    Morales Demarco, M.; Oyhantçabal, P.; Stein, K.-J.; Siegesmund, S.


    Dimensional stones with a black color occupy a prominent place on the international market. Uruguayan dolerite dikes of andesitic and andesitic-basaltic composition are mined for commercial blocks of black dimensional stones. A total of 16 dikes of both compositions were studied and samples collected for geochemical and petrographical analysis. Color measurements were performed on different black dimensional stones in order to compare them with the Uruguayan dolerites. Samples of the two commercial varieties (Absolute Black and Moderate Black) were obtained for petrophysical analysis (e.g. density, porosity, uniaxial compressive strength, tensile strength, etc.). Detailed structural analyses were performed in several quarries. Geochemistry and petrography determines the intensity of the black color. When compared with commercial samples from China, Brazil, India and South Africa, among others, the Uruguayan dolerite Absolute Black is the darkest black dimensional stone analyzed. In addition, the petrophysical properties of the Uruguayan dolerites make them one of the highest quality black dimensional stones. Structural analyses show that five joint sets have been recognized: two sub-vertical joints, one horizontal and two diagonal. These joint sets are one of the most important factors that control the deposits, since they control the block size distribution and the amount of waste material.

  10. Damage of natural stone tablets exposed to exhaust gas under laboratory conditions (United States)

    Farkas, Orsolya; Szabados, György; Török, Ákos


    Natural stone tablets were exposed to exhaust gas under laboratory conditions to assess urban stone damage. Cylindrical test specimens (3 cm in diameter) were made from travertine, non-porous limestone, porous limestone, rhyolite tuff, sandstone, andesite, granite and marble. The samples were exposed to exhaust gas that was generated from diesel engine combustion (engine type: RÁBA D10 UTSLL 160, EURO II). The operating condition of the internal combustion engine was: 1300 r/m (app 50%). The exhaust gas was diverted into a pipe system where the samples were placed perpendicular to main flow for 1, 2, 4, 8 and 10 hours, respectively. The exhaust emission was measured by using AVL particulate measurement technology; filter paper method (AVL 415). The stone samples were documented and selective parameters were measured prior to and after exhaust gas exposure. Density, volume, ultrasonic pulse velocity, mineral composition and penetration depth of emission related particulate matter were recorded. The first results indicate that after 10 hours of exposure significant amount of particulate matter deposited on the stone surface independently from the surface properties and porosity. The black soot particles uniformly covered all types of stones, making hard to differentiate the specimens.

  11. Conservation of Stone Cladding on the FAÇADE of Royal Palace in Caserta (United States)

    Titomanlio, I.


    The beauty of cultural heritage and monumental architecture, is often linked to their non-structural elements and decorative stones façades cladding. The collapse of these elements causes significant consequences that interest the social, the economic, the historical and the technical fields. Several regulatory documents and literature studies contain methods to address the question of relief and of the risk analysis and due to the non - structural stones security. Among the references are widespread international regulatory documents prepared by the Federal Emergency Management Agency of the United States by Applied Technology Council and California. In Italy there are some indications contained in the Norme Tecniche per le Costruzioni and the Direttiva del Presidente del Consiglio dei Ministri in 2007, finalize to the reduction of seismic risk assessment of cultural heritage. The paper, using normative references and scientific researches, allows to analyze on Royal Palace of Caserta the safety and the preservation of cultural heritage and the vulnerability of non-structural stones façade cladding. Using sophisticated equipments of Laboratory ARS of the Second University of Naples, it was possible to analyze the collapse of stone elements due to degradation caused by natural phenomena of deterioration (age of the building, type of materials, geometries , mode of fixing of the elements themselves). The paper explains the collapse mechanisms of stones façade cladding of Luigi Vanvitelli Palace.

  12. Impact of stone density on outcomes in percutaneous nephrolithotomy (PCNL)

    DEFF Research Database (Denmark)

    Anastasiadis, Anastasios; Onal, Bulent; Modi, Pranjal


    were assigned to a low stone density [LSD, ≤ 1000 Hounsfield units (HU)] or high stone density (HSD, > 1000 HU) group based on the radiological density of the primary renal stone. Preoperative characteristics and outcomes were compared in the two groups. Results. Retreatment for residual stones...... was more frequent in the LSD group. The overall stone-free rate achieved was higher in the HSD group (79.3% vs 74.8%, p = 0.113). By univariate regression analysis, the probability of achieving a stone-free outcome peaked at approximately 1250 HU. Below or above this density resulted in lower treatment...

  13. Significance of lower-pole pelvicaliceal anatomy on stone clearance after shockwave lithotripsy in nonobstructive isolated renal pelvic stones. (United States)

    Sozen, Sinan; Kupeli, Bora; Acar, Cenk; Gurocak, Serhat; Karaoglan, Ustunol; Bozkirli, Ibrahim


    To investigate the probable effect of lower-pole pelvicaliceal anatomy on stone clearance after shockwave lithotripsy (SWL) in patients with nonobstructive renal pelvic stones. The clinical records of patients with isolated renal pelvic stones who underwent SWL between 1996 and 2005 were reviewed. After excluding patients with obstruction leading to dilatation, major anatomic abnormalities, noncalcium stones, metabolic abnormalities, history of recurrent stone disease, multiple stones, and previous renal surgery, 153 patients were enrolled in the study. Lower pole infundibulopelvic angle (IPA) and infundibular length and width were measured from intravenous urography. Patients were classified into three groups according to stone burden (group 1, renal pelvis, and both in 50 (32.6%), 29 (18.9%), and 8 (5.2%) patients, respectively. There was no statistically significant difference in pelvicaliceal anatomic features except narrower IPA (P=0.02) in group 1 patients with residual stones. The falling of stone fragments to the lower calix in spite of the ureter whether clinically significant or not after SWL of pelvic stones initially seems to be related to stone burden rather than lower caliceal anatomy. However, existence of a more narrow IPA in group 1 patients with residual fragments led us to believe that lower-pole IPA can play a role in stone clearance, especially for smaller stones, probably because of smaller residual fragment size or the more mobile nature of the primary stone.

  14. Flexible Ureterorenoscopy for Treatment of Kidney Stones: Establishment as Primary Standard Therapy in a Tertiary Stone Center. (United States)

    Ising, Stephan; Labenski, Heike; Baltes, Stefan; Khaffaf, Aso; Thomas, Christian; Wiesner, Christoph


    To analyze the primary stone free rate (pSFR) of flexible ureterorenoscopy (fURS) in the treatment of renal stones and to identify clinical predictors for the primary freedom from renal stones. Two hundred and seventy five patients, who underwent fURS for kidney stones were analyzed. Index stone size was 6 mm. The stone was located in the lower calyx in 48%. Ureteral access sheath was used in 97%. Operation time was 35 min and primary stone clearance was 83%. pSFR increased from 74% in 2012 to 83% in 2013 and 90% in 2014 (p = 0.001). Preoperative stenting, index stone size, cumulative stone size, lithotripsy, ureteral access sheath and operation time were significantly correlated with the pSFR by univariate analysis. Multivariate regression analysis showed index stone size, cumulative stone size, ureteral access sheath and operation time as independent parameters for pSFR. fURS for kidney stones is safe with a high pSFR. Clinical parameters for pSFR are stone size, use of ureteral access sheath and operation time. In future, the effective use of fURS for the removal of kidney stones needs to be checked by prospective randomized trials. © 2015 S. Karger AG, Basel.

  15. Percutaneous Nephrolithotomy for Paediatric Stone Disease

    Directory of Open Access Journals (Sweden)

    Hüseyin Çelik


    Full Text Available We evaluated the outcomes and complications occurring following percutaneous nephrolithotomy (PCNL procedures performed in paediatric patients. There were 291 paediatric patients (293 renal units included in the current study and who underwent PCNL in our clinic between March 1999 and December 2014. We evaluated stone burden, duration of surgery and complications, success (stone-free rate, residual fragments and auxilliary procedures, and follow-up details. The stone-free rate following PCNL was 88.3%. Early postoperative complications included excessive bleeding and transfusion in nine patients, and prolonged urinary extravasation following removal of the nephrostomy tube and requiring JJ stent placement in eight patients. The mean time to catheter removal was 2.8 days and the mean hospitalisation time was 3.5 days. The aim of kidney stone treatment is to achieve minimal kidney damage with the highest success rate. Therefore, minimally invasive procedures are important in the paediatric age group where life expectancy is high. PCNL is a safe and effective procedure for the treatment of kidney stones in children.

  16. The visibility complex

    NARCIS (Netherlands)

    Pocchiola, M; Vegter, G

    We introduce the visibility complex (rr 2-dimensional regular cell complex) of a collection of n pairwise disjoint convex obstacles in the plane. It can be considered as a subdivision of the set of free rays (i.e., rays whose origins lie in free space, the complement of the obstacles). Its cells

  17. Visible Solid State Lasers

    NARCIS (Netherlands)

    Hikmet, R.A.M.


    Diode lasers can be found in various applications most notably in optical communication and optical storage. Visible lasers were until recently were all based on IR diode lasers. Using GaN, directly blue and violet emitting lasers have also been introduced to the market mainly in the area of optical

  18. Visible but Unseen?

    DEFF Research Database (Denmark)

    Torkilsheyggi, Arnvør Martinsdóttir á; Hertzum, Morten


    to support awareness in a setting where the users are (locally) mobile, specifically in regard to information that requires continuous monitoring. We do however also find that the whiteboard safeguarded the work with blood tests against some risks by making blood-test information socially visible....

  19. Evaluation of Visible Plumes. (United States)

    Brennan, Thomas

    Developed for presentation at the 12th Conference on Methods in Air Pollution and Industrial Hygiene Studies, University of Southern California, April, 1971, this outline discusses plumes with contaminants that are visible to the naked eye. Information covers: (1) history of air pollution control regulations, (2) need for methods of evaluating…

  20. The challenge of improving visibility in Beijing

    Directory of Open Access Journals (Sweden)

    Q. H. Zhang


    Full Text Available The "Blue Sky Project" was proposed in 1998 to investigate by how much emissions should be reduced to increase blue sky frequency in Beijing, which hosted the Summer Olympics in 2008. This paper focuses on the temporal variation of visibility and its dependence on meteorological conditions and suspended particles at Beijing using the hourly observed visibility data at Beijing Capital International Airport (BCIA from 1999 to 2007. It has been found that about 47.8% (24.2% of the hours in Beijing are "bad" ("good" hours with visibility below 10 km (equal or higher than 20 km between 1999 and 2007. Due to the high Relative Humidity (RH, summer is the season with the lowest mean visibility in a year. Although PM10 index was reported in a decreasing trend (Chan and Yao, 2008, the increase of RH has resulted in a decreasing trend of visibility over BCIA in the summer from 1999 to 2007. To ensure blue sky ("good" visibility for Olympics 2008, daily mean PM10 index should have been reduced from 81 to 44. This requires that not only vehicle emissions, but also other emissions should be limited. Observations verify that blue-sky-hour rate increased significantly after mean PM10 index was reduced to 53 during Olympics 2008, however, the visibility of 2009 returned to the mean level from 1999 to 2007 during the period 8−24 August. RH (aerosol contribute 24% (76% of the improvement of visibility during August 2008.

  1. Is stone radiodensity a useful parameter for predicting outcome of extracorporeal shockwave lithotripsy for stones < 2 cm?

    Directory of Open Access Journals (Sweden)

    Mina S. Krishnamurthy


    Full Text Available PURPOSE: Several factors determine the success of extracorporeal shockwave lithotripsy (SWL for kidney stones: stone size, stone location within the collecting system, stone type, and the SWL machine used. It has been suggested that stone radiodensity, as determined either by plain radiography or computed tomography attenuation values, may be an independent predictor of SWL success. We examined the outcome of SWL for solitary stones less than or equal to 2 cm located within the renal pelvis, based on their radiodensity. MATERIALS AND METHODS: 211 patients with solitary renal pelvic stones measuring less than or equal to 2 cm were treated on a Dornier Doli 50 lithotriptor under general anesthesia. The radiodensity of the stone was determined to be either less than, equal to, or greater than the radiodensity of the ipsilateral 12th rib. Stone-free rates (SFR were determined at 3 months by kidney, ureters and bladder (KUB plain X-rays. Patients requiring re-treatment or auxiliary procedures were considered failures of SWL. RESULTS: Follow-up SFR information was available in all 211 patients. Stone composition was available in 158 (75% treated patients, but no correlation was found between stone radiodensity and stone composition. For stones 12th rib compared to a SFR of 71% if the stone radiodensity was < 12th rib. However, these differences in SFRs were not statistically significant. CONCLUSIONS: On the Doli machine, stone radiodensity alone does not predict lithotripsy treatment outcome for stones < 1 cm within the renal pelvis. This parameter is probably only useful as the stone size becomes larger than 1 cm, and should be used in conjunction with other stone parameters to select appropriate therapy.

  2. Treatment and prevention of kidney stones: an update. (United States)

    Frassetto, Lynda; Kohlstadt, Ingrid


    The incidence of nephrolithiasis (kidney stones) is rising worldwide, especially in women and with increasing age. Kidney stones are associated with chronic kidney disease. Preventing recurrence is largely specific to the type of stone (e.g., calcium oxalate, calcium phosphate, cystine, struvite [magnesium ammonium phosphate]), and uric acid stones); however, even when the stone cannot be retrieved, urine pH and 24-hour urine assessment provide information about stone-forming factors that can guide prevention. Medications, such as protease inhibitors, antibiotics, and some diuretics, increase the risk of some types of kidney stones, and patients should be counseled about the risks of using these medications. Managing diet, medication use, and nutrient intake can help prevent the formation of kidney stones. Obesity increases the risk of kidney stones. However, weight loss could undermine prevention of kidney stones if associated with a high animal protein intake, laxative abuse, rapid loss of lean tissue, or poor hydration. For prevention of calcium oxalate, cystine, and uric acid stones, urine should be alkalinized by eating a diet high in fruits and vegetables, taking supplemental or prescription citrate, or drinking alkaline mineral waters. For prevention of calcium phosphate and struvite stones, urine should be acidified; cranberry juice or betaine can lower urine pH. Antispasmodic medications, ureteroscopy, and metabolic testing are increasingly being used to augment fluid and pain medications in the acute management of kidney stones.

  3. Large orthotopic reservoir stone burden: Role of open surgery

    Directory of Open Access Journals (Sweden)

    Madbouly Khaled


    Full Text Available Purpose: To present our experience in open poucholithotomy as a primary management of large orthotopic reservoir stone burden and discuss different management options. Materials and Methods: Records of men underwent radical cystectomy and orthotopic urinary diversion were retrospectively reviewed as regards pouch stone formation. Patients with large reservoir stone burden managed by open poucholithotomy were further selected. Results: Large reservoir stone burden was encountered in 12 post radical cystectomy men. All underwent open poucholithotomy as a primary management of their reservoir stones. Median age at cystectomy was 46 (range: 32-55 years with a median total follow up period of 214.15 (range: 147-257 months and a median interval to stone detection of 99 (range: 63-132 months. The median stone burden was 5260 (range: 3179-20410 mm 2 . All patients were continent during the day while 5 showed nocturnal enuresis; 2 of them became continent after removal of the stones. Post poucholithotomy, all patients had sterile urine cultures except one who showed occasional colonization. None of the 12 patients showed stone recurrence after poucholithotomy. Two patients underwent revision of a dessuscepted nipple valve in association with stone removal. Conclusions: Open poucholithotomy for large reservoir stone burden is a feasible and safe option. It saves the reservoir mesentery and adjacent bowel. It allows complete removal of the stone(s leaving no residual fragments. Furthermore, it permits correction of concomitant reservoir abnormalities.

  4. Prediction of Fog/Visibility over India using NWP Model

    Indian Academy of Sciences (India)


    visibility range 200-500 m) at Amritsar (Fig. 1b). The criteria for classification of fog in different categories based on observed visibility is given in Table 1. The categories are based on International Civil Aviation Organization (ICAO) definition. Day-1.

  5. Visibility of University of Zululand and Moi University Researchers in ...

    African Journals Online (AJOL)

    This paper reflects on the representation of the University of Zululand (UNIZULU) and Moi University (MU)'s research publications in WoS (Web of Science) and Scopus between 2003 and 2013 as an indicator of active research engagement, quality, and international visibility. Research quality, visibility and collaboration ...

  6. [12 years of endoscopic stone removal]. (United States)

    Gysi, B; Schmassmann, A; Scheurer, U; Halter, F


    All 583 attempts at endoscopic clearance of biliary calculi, performed in the Gastrointestinal Unit, Inselspital Bern, were retrospectively analyzed from 1980 until 1991. The average age of the patients was 70; 56% were female and 44% male. In 1980, 26 ERCPs for bile duct stone removal were performed, whereas in 1991 the number had increased to 90. The substantial increase in 1991 occurred after introduction of laparoscopic cholecystectomy. Over the total period of 12 years all stones were removed endoscopically after papillotomy in 82%, while the success rate in 1991 was 90%. Morbidity was 5.4% and lethality 0.2%. Total morbidity did not change markedly. However, the number of severe complications requiring surgical repair was reduced from 1.7% between 1980 and 1986 to 0% between 1987 and 1991. These results suggest that endoscopic removal of bile duct stones is increasingly performed with high success and low complication rates.

  7. Quality Assessment of Urinary Stone Analysis

    DEFF Research Database (Denmark)

    Siener, Roswitha; Buchholz, Noor; Daudon, Michel


    , between 2010 and 2014. Each participant received the same blinded test samples for stone analysis. A total of 24 samples, comprising pure substances and mixtures of two or three components, were analysed. The evaluation of the quality of the laboratory in the present study was based on the attainment...... and chemical analysis. The aim of the present study was to assess the quality of urinary stone analysis of laboratories in Europe. Nine laboratories from eight European countries participated in six quality control surveys for urinary calculi analyses of the Reference Institute for Bioanalytics, Bonn, Germany...... of 75% of the maximum total points, i.e. 99 points. The methods of stone analysis used were infrared spectroscopy (n = 7), chemical analysis (n = 1) and X-ray diffraction (n = 1). In the present study only 56% of the laboratories, four using infrared spectroscopy and one using X-ray diffraction...

  8. Pyramidal anchor stone from Baga waters of Goa, west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.

    Underwater exploration in the coastal region off Baga (Goa, India) led to the recovery of an isolated stone artefact, which resembles a pyramidal type of anchor stone. This anchor stone is unlike to other pyramidal anchor stones found elsewhere...

  9. Technetium Getters to Improve Cast Stone Performance

    Energy Technology Data Exchange (ETDEWEB)

    Neeway, James J.; Lawter, Amanda R.; Serne, R. Jeffrey; Asmussen, Robert M.; Qafoku, Nikolla


    The cementitious material known as Cast Stone has been selected as the preferred waste form for solidification of aqueous secondary liquid effluents from the Hanford Tank Waste Treatment and Immobilization Plant (WTP) process condensates and low-activity waste (LAW) melter off-gas caustic scrubber effluents. Cast Stone is also being evaluated as a supplemental immobilization technology to provide the necessary LAW treatment capacity to complete the Hanford tank waste cleanup mission in a timely and cost effective manner. Two radionuclides of particular concern in these waste streams are technetium-99 (99Tc) and iodine-129 (129I). These radioactive tank waste components contribute the most to the environmental impacts associated with the cleanup of the Hanford site. A recent environmental assessment of Cast Stone performance, which assumes a diffusion controlled release of contaminants from the waste form, calculates groundwater in excess of the allowable maximum permissible concentrations for both contaminants. There is, therefore, a need and an opportunity to improve the retention of both 99Tc and 129I in Cast Stone. One method to improve the performance of Cast Stone is through the addition of “getters” that selectively sequester Tc and I, therefore reducing their diffusion out of Cast Stone. In this paper, we present results of Tc and I removal from solution with various getters with batch sorption experiments conducted in deionized water (DIW) and a highly caustic 7.8 M Na Ave LAW simulant. In general, the data show that the selected getters are effective in DIW but their performance is comprised when experiments are performed with the 7.8 M Na Ave LAW simulant. Reasons for the mitigated performance in the LAW simulant may be due to competition with Cr present in the 7.8 M Na Ave LAW simulant and to a pH effect.

  10. A case report of ureteral cast stone and giant urethral stone, respectively

    Energy Technology Data Exchange (ETDEWEB)

    Song, Ho Yung; Rhee, Song Joo; Choi, Ki Chul [School of Medicine, Jeongbug National University, Jeonju (Korea, Republic of)


    Urinary lithiasis is one of the most common disease of the urinary tract. It occurs more frequently in men than in women but rare in children and in blacks; a familial predisposition is often encountered. Ureteral stones originate in the kidney. Gravity and peristalis contribute to spontaneous passage into and down the ureter. Ureterovesical junction is the most frequent lodging site of stone. In our hospital one case of ureteral cast stone and giant urethral stone were found respectively and they were confirmed by radiological examination and surgery on Aug. 1978 and Jan. 1979. Ureteral cast stone which had been introduced and named first by Kiyonobu Tari and Kikjiro So in 1972 was very giant unusually. It may be the only one till now. Our patient was 36 years old female who has been suffered from intermittent right flank pain for 10 years. On KUB giant cylindrical radiopaque shadow was shown on RLQ extended to right minor pelvis and this was confirmed as a stone by retrograde ureteral catheterization. A stone measured 13cm x 1.5cm was found above the ureterovesical junction during operation. Follow up excretory urogram one year after operation showed no functional improvement of right kidney. Urethral stone is also unusual urinary lithiasis. This 60 years old male patient was been suffered from non-tender palpable hard mass on scrotal area and intermittent urinary retention. When urinary retention was occurred it was relieved by manipulation of the mass by himself. On plain film oval shaped giant radiopaque shadow was shown on cavernous urethral region. On urethrocystogram anterior urethra was opacified, but posterior urethra and bladder were not opacified and multiple fistulous leakage was identified. A stone measured 6.5cm x 3.5cm was found in cavernous urethra during operation.

  11. Stone anchors from Minicoy Island, Lakshadweep, India

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.

    mariners. The logo of the Nautical Archaeology Society, seen on the cover of IJNA, has been taken from a bichrome Cypriot jug of the 7th century BC. It depicts a vessel with two oars, with a helmsman at the stern, and another crewman raising or lowering... a ring-stone anchor at the bow (Fig. 9) (Fenwick, 2000). This anchor is tied with a rope, without a wooden stock, and the size of the hole appears to be wide. In the Maldives, such anchors are made of round coral stones with a forked timber...

  12. Strides in Preservation of Malawi's Natural Stone (United States)

    Kamanga, Tamara; Chisenga, Chikondi; Katonda, Vincent


    The geology of Malawi is broadly grouped into four main lithological units that is the Basement Complex, the Karoo Super group, Tertiary to Quaternary sedimentary deposits and the Chilwa Alkaline province. The basement complex rocks cover much of the country and range in age from late Precambrian to early Paleozoic. They have been affected by three major phases of deformation and metamorphism that is the Irumide, Ubendian and The Pan-African. These rocks comprise gneisses, granulites and schists with associated mafic, ultramafic, syenites and granite rocks. The Karoo System sedimentary rocks range in age from Permian to lower Jurassic and are mainly restricted to two areas in the extreme North and extreme Alkaline Province - late Jurassic to Cretaceous in age, preceded by upper Karoo Dolerite dyke swarms and basaltic lavas, have been intruded into the Basement Complex gneisses of southern Malawi. Malawi is endowed with different types of natural stone deposits most of which remain unexploited and explored. Over twenty quarry operators supply quarry stone for road and building construction in Malawi. Hundreds of artisanal workers continue to supply aggregate stones within and on the outskirts of urban areas. Ornamental stones and granitic dimension stones are also quarried, but in insignificant volumes. In Northern Malawi, there are several granite deposits including the Nyika, which is the largest single outcrop occupying approximately 260.5 km2 , Mtwalo Amazonite an opaque to translucent bluish -green variety of microcline feldspar that occurs in alkali granites and pegmatite, the Ilomba granite (sodalite) occurring in small areas within biotite; apatite, plagioclase and calcite. In the Center, there are the Dzalanyama granites, and the Sani granites. In the South, there are the Mangochi granites. Dolerite and gabbroic rocks spread across the country, treading as black granites. Malawi is also endowed with many deposits of marble. A variety of other igneous

  13. Building stones of our Nation's Capital (United States)

    Withington, Charles F.


    The buildings of our Nation's Capital serve as an unusual geologic display, for the city has been constructed with rocks from quarries throughout the United States and many distant lands. Each building is a unique museum that not only displays the important features of various stones and the geologic environment in which they were formed, but also serves as an historic witness to the city's growth and to the development of its architecture. This booklet describes the source and appearance of the stones used in Washington, D.C.; it includes a map and a walking guide to assist the visitor in examining them.

  14. Management of Asymptomatic Renal Stones in Astronauts (United States)

    Reyes, David; Locke, James


    Introduction: Management guidelines were created to screen and manage asymptomatic renal stones in U.S. astronauts. The risks for renal stone formation in astronauts due to bone loss and hypercalcuria are unknown. Astronauts have a stone risk which is about the same as commercial aviation pilots, which is about half that of the general population. However, proper management of this condition is still crucial to mitigate health and mission risks in the spaceflight environment. Methods: An extensive review of the literature and current aeromedical standards for the monitoring and management of renal stones was done. The NASA Flight Medicine Clinic's electronic medical record and Longitudinal Survey of Astronaut Health were also reviewed. Using this work, a screening and management algorithm was created that takes into consideration the unique operational environment of spaceflight. Results: Renal stone screening and management guidelines for astronauts were created based on accepted standards of care, with consideration to the environment of spaceflight. In the proposed algorithm, all astronauts will receive a yearly screening ultrasound for renal calcifications, or mineralized renal material (MRM). Any areas of MRM, 3 millimeters or larger, are considered a positive finding. Three millimeters approaches the detection limit of standard ultrasound, and several studies have shown that any stone that is 3 millimeters or less has an approximately 95 percent chance of spontaneous passage. For mission-assigned astronauts, any positive ultrasound study is followed by low-dose renal computed tomography (CT) scan, and flexible ureteroscopy if CT is positive. Other specific guidelines were also created. Discussion: The term "MRM" is used to account for small areas of calcification that may be outside the renal collecting system, and allows objectivity without otherwise constraining the diagnostic and treatment process for potentially very small calcifications of uncertain

  15. Do You Have Symptoms of a Kidney Stone? (United States)

    ... Donation & Transplantation Professionals Events Advocacy Donate Do You Have Symptoms of a Kidney Stone? Tweet Share Email ... the stone, the more symptoms the person will have. The symptoms could be one or more of ...

  16. Prevention of Renal Stone Complications in Space Exploration Project (United States)

    National Aeronautics and Space Administration — AIM 1. Refine ultrasound probes to detect, reposition, and fragment kidney stones. Task 1.1. Select imaging probe for stone repositioning. Clinical trials are...

  17. Clinical characteristics of potential kidney donors with asymptomatic kidney stones


    Lorenz, Elizabeth C.; Lieske, John C.; Vrtiska, Terri J.; Krambeck, Amy E.; Li, Xujian; Bergstralh, Eric J.; Melton, L. Joseph; Rule, Andrew D.


    Background. Patients with symptomatic kidney stones are characterized by older age, male gender, white race, hypertension, obesity, metabolic syndrome and chronic kidney disease. Whether these characteristics differ in patients with asymptomatic kidney stones is unknown.

  18. Postural therapy for renal stones in children: A Rolling Stones procedure. (United States)

    Faure, A; Dicrocco, E; Hery, G; Boissier, R; Bienvenu, L; Thirakul, S; Maffei, P; Panait, N; Karsenty, G; Merrot, T; Alessandrini, P; Guys, J-M; Lechevallier, E


    Despite many advances, the management of renal stones - especially lower caliceal stones (LCS) - remains a challenge. The gravity-dependent location of the lower calices hinders the spontaneous clearance of fragments, which can be a nidus for future growth and symptomatic recurrence. Currently, there is no standard adjunctive therapy to facilitate fragment passage. To report the safety and effectiveness of mechanical percussion diuresis and inversion (PDI) therapy for eliminating renal stones in children. Since November 2013, children with residual fragments (after shock wave lithotripsy or flexible ureteroscopy) or native symptomatic renal stones were prospectively included in a protocol of four PDI sessions. After giving written consent, the children drank 10 ml/kg of water 30 min before therapy. They then laid in a prone Trendelenburg position on a couch angled at 45° and received continuous 10-min mechanical percussion applied over the affected flank by a physiotherapist (Figure summary). Tolerance stone burden reduction and stone clearance were documented with ultrasound 4 weeks after the last session. Seventeen participants, with a median age of 10.8 years (range 18 months to 18 years), received 82 PDI sessions performed over 22 months. The median stone diameter was 5 mm (range 3-9). All children tolerated the PDI therapy well. Over a median follow-up of 11 months (range 3-18), no significant adverse effects were noted. The overall stone-free rate was 65%. Four of the six patients with residual fragment passed their fragments. The patients who did not become stone free by PDI experienced a decrease in fragment size of 57% (range 34-71). The observance rate was 100%. Many studies have demonstrated that the gravity-dependent position of the lower calyces appears to be an important factor limiting the clearance of LCS. Positioning patients with a degree of inversion in order to put the collecting system beyond the horizontal plane affected the LCS

  19. Making Heat Visible (United States)

    Goodhew, Julie; Pahl, Sabine; Auburn, Tim; Goodhew, Steve


    Householders play a role in energy conservation through the decisions they make about purchases and installations such as insulation, and through their habitual behavior. The present U.K. study investigated the effect of thermal imaging technology on energy conservation, by measuring the behavioral effect after householders viewed images of heat escaping from or cold air entering their homes. In Study 1 (n = 43), householders who received a thermal image reduced their energy use at a 1-year follow-up, whereas householders who received a carbon footprint audit and a non-intervention control demonstrated no change. In Study 2 (n = 87), householders were nearly 5 times more likely to install draught proofing measures after seeing a thermal image. The effect was especially pronounced for actions that addressed an issue visible in the images. Findings indicate that using thermal imaging to make heat loss visible can promote energy conservation. PMID:26635418

  20. Social media visibility

    DEFF Research Database (Denmark)

    Uldam, Julie


    As activists move from alternative media platforms to commercial social media platforms, they face increasing challenges in protecting their online security and privacy. While government surveillance of activists is well-documented in scholarly research and the media, corporate surveillance...... for responding to the activities of individual activists in social media. It shows that while social media afford an unprecedented level of visibility for activists, it comes with the risk of being monitored by corporations. Theoretically, it draws on conceptions of visibility in social sciences and media...... studies as well as literature on activism and political participation in media studies. Empirically, it draws on files from BP on specific civil society individuals obtained through Subject Access Requests under the UK Data Protection Act 1998 as well as press responses from BP....

  1. On court interpreters' visibility

    DEFF Research Database (Denmark)

    Dubslaff, Friedel; Martinsen, Bodil

    of the service they receive. Ultimately, the findings will be used for training purposes. Future - and, for that matter, already practising - interpreters as well as the professional users of interpreters ought to take the reality of the interpreters' work in practice into account when assessing the quality...... in by the participants almost immediately after the interrogations and supplemented by interviews. The main objective of the project is to explore the interpreters' own perception of the quality of the service they render as well as the professional users´ and the other language users' perception of the quality...... of the interpreter as an invisible language switcher. However, a closer look at the data shows that, even in a less complex constellation like the one analysed here, there is clear evidence of the interpreter's visibility. We shall identify various forms of visibility based on the discourse data...

  2. Visibility graph motifs

    CERN Document Server

    Iacovacci, Jacopo


    Visibility algorithms transform time series into graphs and encode dynamical information in their topology, paving the way for graph-theoretical time series analysis as well as building a bridge between nonlinear dynamics and network science. In this work we introduce and study the concept of visibility graph motifs, smaller substructures that appear with characteristic frequencies. We develop a theory to compute in an exact way the motif profiles associated to general classes of deterministic and stochastic dynamics. We find that this simple property is indeed a highly informative and computationally efficient feature capable to distinguish among different dynamics and robust against noise contamination. We finally confirm that it can be used in practice to perform unsupervised learning, by extracting motif profiles from experimental heart-rate series and being able, accordingly, to disentangle meditative from other relaxation states. Applications of this general theory include the automatic classification a...

  3. Surgical versus endoscopic treatment of bile duct stones

    DEFF Research Database (Denmark)

    Martin, D J; Vernon, D R; Toouli, J


    10% to 18% of patients undergoing cholecystectomy for gallstones have common bile duct (CBD) stones. Treatment options for these stones include pre- or post-operative endoscopic retrograde cholangiopancreatography (ERCP) or open or laparoscopic surgery.......10% to 18% of patients undergoing cholecystectomy for gallstones have common bile duct (CBD) stones. Treatment options for these stones include pre- or post-operative endoscopic retrograde cholangiopancreatography (ERCP) or open or laparoscopic surgery....

  4. Estimation of bearing capacity of floating group of stone columns


    Fattah, Mohammed Y.; Mohammed A. Al-Neami; Shamel Al-Suhaily, Ahmed


    Stone column is one of the ground improvement techniques. This technique has a proven performance, short time schedule, durability, constructability and low costs. The stone column technique has been used as a method of reinforcement of soft ground over the past 30 years. The bearing capacity of the stone column still has high level of uncertainties because the existing formulas for the estimation of the bearing capacity are general and do not take into consideration the type of the stone col...

  5. The ROKS nomogram for predicting a second symptomatic stone episode. (United States)

    Rule, Andrew D; Lieske, John C; Li, Xujian; Melton, L Joseph; Krambeck, Amy E; Bergstralh, Eric J


    Most patients with first-time kidney stones undergo limited evaluations, and few receive preventive therapy. A prediction tool for the risk of a second kidney stone episode is needed to optimize treatment strategies. We identified adult first-time symptomatic stone formers residing in Olmsted County, Minnesota, from 1984 to 2003 and manually reviewed their linked comprehensive medical records through the Rochester Epidemiology Project. Clinical characteristics in the medical record before or up to 90 days after the first stone episode were evaluated as predictors for symptomatic recurrence. A nomogram was developed from a multivariable model based on these characteristics. There were 2239 first-time adult kidney stone formers with evidence of a passed, obstructing, or infected stone causing pain or gross hematuria. Symptomatic recurrence occurred in 707 of these stone formers through 2012 (recurrence rates at 2, 5, 10, and 15 years were 11%, 20%, 31%, and 39%, respectively). A parsimonious model had the following risk factors for recurrence: younger age, male sex, white race, family history of stones, prior asymptomatic stone on imaging, prior suspected stone episode, gross hematuria, nonobstructing (asymptomatic) stone on imaging, symptomatic renal pelvic or lower-pole stone on imaging, no ureterovesicular junction stone on imaging, and uric acid stone composition. Ten-year recurrence rates varied from 12% to 56% between the first and fifth quintiles of nomogram score. The Recurrence of Kidney Stone nomogram identifies kidney stone formers at greatest risk for a second symptomatic episode. Such individuals may benefit from medical intervention and be good candidates for prevention trials. Copyright © 2014 by the American Society of Nephrology.

  6. Interferometric visibility and coherence (United States)

    Biswas, Tanmoy; García Díaz, María; Winter, Andreas


    Recently, the basic concept of quantum coherence (or superposition) has gained a lot of renewed attention, after Baumgratz et al. (Phys. Rev. Lett. 113, 140401. (doi:10.1103/PhysRevLett.113.140401)), following Åberg (, have proposed a resource theoretic approach to quantify it. This has resulted in a large number of papers and preprints exploring various coherence monotones, and debating possible forms for the resource theory. Here, we take the view that the operational foundation of coherence in a state, be it quantum or otherwise wave mechanical, lies in the observation of interference effects. Our approach here is to consider an idealized multi-path interferometer, with a suitable detector, in such a way that the visibility of the interference pattern provides a quantitative expression of the amount of coherence in a given probe state. We present a general framework of deriving coherence measures from visibility, and demonstrate it by analysing several concrete visibility parameters, recovering some known coherence measures and obtaining some new ones.

  7. Evacuation under limited visibility (United States)

    Frank, Guillermo A.; Dorso, Claudio O.


    A multiplicity of situations can trigger off an evacuation of a room under panic conditions. For "normal" (with "normal" meaning absence of obstacles, perfect visibility, etc.) environmental conditions, the "faster is slower" effect dominates the dynamics of this process. It states that as the pedestrians desire to reach the exit increases, the clogging phenomena delays the time to get out of the room. But, environmental conditions are usually far from "normal." In this work, we consider that pedestrians have to find their way out under low visibility conditions. Some of them might switch to a herding-like behavior if they do not remember where the exit was. Others will just trust on their memory. Our investigation handles the herding and memory effects on the evacuation of a single exit room with no obstacles. We also include a section on how signaling devices affect the evacuation process. Unexpectedly, some low visibility situations may enhance the evacuation performance. This can be resumed as a second paradoxical result, since we demonstrated in an earlier investigation that "clever is not always better" G. A. Frank and C. O. Dorso, Physica A 390, 2135 (2011).

  8. Paradoxes of Visibility

    Directory of Open Access Journals (Sweden)

    Tarnay László


    Full Text Available The paper investigates two possible critical arguments following the pictorial turn. The first is formulated within ocularcentrism, the dominance of sight, and starts with the right to visibility as a general principle that governs today’s digital culture but gets twisted in special cases like the Auschwitz photos of the Shoa, the Abu Ghraib prison videos, or recently the website called Yolocaust. The second is conceived outside the visual culture and is meant to vindicate the other senses vis-à-vis the eyes. However, the argument is truncated here only to highlight the boomerang effect of the other senses: haptic vision. It is the case of visual perception when (a there is a lack of things to see and (b indeterminate synaesthesia: when vision intensifies the other senses in the embodied viewer. The two arguments converge upon a dialectic of the visible and the imaginable, which is formulated here as two paradoxes that the discussed examples transcend. By enforcing visibility at all costs where there is hardly anything recognizable to see, they lead to two diverging results. On the one hand, the meaning of “image” is extended toward the unimaginable, the traumatic experience, on the other hand, it is extended toward the invisible, the encounter with the radical Other.

  9. Cover stones on liquefiable soil bed under waves

    DEFF Research Database (Denmark)

    Sumer, B. Mutlu; Hatipoglu, Figen; Fredsøe, Jørgen


    The paper describes the results of an experimental study on the behavior of cover stones on a liquefiable soil bed exposed to a progressive wave. The soil was silt with d50=0.098mm. Stones, the size of 4cm, were used as cover material. The effect of packing density of stones, and that of number...

  10. Incidence and Distribution of Pulp Stones Found in Radiographic ...

    African Journals Online (AJOL)

    Pulp stones (PS) are discrete calcified masses found in the dental pulp, in the pulp tissue or become attached to or embedded into the dentine.[1] Structurally, pulp stones can be classified as true or false, the former being made of dentine and lined by odontoblasts, whereas false pulp stones are formed from degenerating ...

  11. Durability and Testing of Stone for use in Rubblemound structures

    DEFF Research Database (Denmark)

    Magoon, O.T.; Baird, W.F.; Ahrends, J.P.


    Rubblemound structures protected from wave action by a layer of quarried rock (stones) are the most common form of breakwaters. While extensive guidelines and procedures exist to select the size of stone there is very little information available on procedures to be followed to assure the quality...... of the in-place stone....

  12. Summary of: Salivary stones: symptoms, aetiology, biochemical composition and treatment

    NARCIS (Netherlands)

    Kraaij, S.; Karagozoglu, K.H.; Forouzanfar, T.; Veerman, E.C.I.; Brand, H.S.


    Salivary stones, also known as sialoliths, are calcified concrements in the salivary glands. Sialoliths are more frequently located in the submandibular gland (84%), than in the parotid gland (13%). The majority of the submandibular stones are located in Wharton's duct (90%), whereas parotid stones

  13. Salivary stones: symptoms, aetiology, biochemical composition and treatment

    NARCIS (Netherlands)

    Kraaij, S.; Karagozoglu, K.H.; Forouzanfar, T.; Veerman, E.C.I.; Brand, H.S.


    Salivary stones, also known as sialoliths, are calcified concrements in the salivary glands. Sialoliths are more frequently located in the submandibular gland (84%), than in the parotid gland (13%). The majority of the submandibular stones are located in Wharton's duct (90%), whereas parotid stones

  14. 21 CFR 862.1780 - Urinary calculi (stones) test system. (United States)


    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Urinary calculi (stones) test system. 862.1780... Systems § 862.1780 Urinary calculi (stones) test system. (a) Identification. A urinary calculi (stones) test system is a device intended for the analysis of urinary calculi. Analysis of urinary calculi is...

  15. An Unusually Large Submandibular Gland Stone. A Case Report ...

    African Journals Online (AJOL)

    The latter was incised and drained, while excision of the right submandibular gland and calculus was carried out three weeks later. 5.0cm - sized stone was excised. This turned out to be the second largest salivary gland stone recorded in literature. Conclusion Giant salivary gland stone which ( greater than 1.5cm) is rare.

  16. Microstructural characterization of stone wool fibre network

    DEFF Research Database (Denmark)

    Chapelle, Lucie; Brøndsted, Povl; Kusano, Yukihiro


    Understanding the mechanical properties of fibrous network as complex as stone wool materials requires a relevant description of their microstructure and architecture. In this study, different methods have been proposed to characterize the fibre orientation, diameter and length of fibres as well ...

  17. Childhood cancer: Early warning signs | Stones | Continuing ...

    African Journals Online (AJOL)

    Continuing Medical Education. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 28, No 7 (2010) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. Childhood cancer: Early warning signs. DK Stones. Abstract.

  18. ORIGINAL PAPER ORIG ORIG Percutaneous stone removal

    African Journals Online (AJOL)

    The percutaneous tract was made by the interven- tional radiologist under ultrasound combined with. Percutaneous stone removal. M N van der Ness, MB ChB, DA (SA),. DRCOG (UK). C S de Vries, MB ChB, MMed (Rad). Department of Diagnostic Radiology, Universitas Hospital, University of the Free State, Bloemfontein.


    African Journals Online (AJOL)

    this series proved to be fragile, and a power stage from 500 ml to 1J was sufficient for complete fragmentation. It is noteworthy that electrohydraulic lithotripsy has been used since 1978 to fragment ureteral calculi with proved efficacy'? The single-shot mode was actually used to test the initial response of the stone to EHL.

  20. Endolithic phototrophs in built and natural stone. (United States)

    Gaylarde, Christine C; Gaylarde, Peter M; Neilan, Brett A


    Lichens, algae and cyanobacteria have been detected growing endolithically in natural rock and in stone buildings in various countries of Australasia, Europe and Latin America. Previously these organisms had mainly been described in natural carbonaceous rocks in aquatic environments, with some reports in siliceous rocks, principally from extremophilic regions. Using various culture and microscopy methods, we have detected endoliths in siliceous stone, both natural and cut, in humid temperate and subtropical climates. Such endolithic growth leads to degradation of the stone structure, not only by mechanical means, but also by metabolites liberated by the cells. Using in vitro culture, transmission, optical and fluorescence microscopy, and confocal laser scanning microscopy, both coccoid and filamentous cyanobacteria and algae, including Cyanidiales, have been identified growing endolithically in the facades of historic buildings built from limestone, sandstone, granite, basalt and soapstone, as well as in some natural rocks. Numerically, the most abundant are small, single-celled, colonial cyanobacteria. These small phototrophs are difficult to detect by standard microscope techniques and some of these species have not been previously reported within stone.

  1. Systemic sclerosis in a stone cutter

    Directory of Open Access Journals (Sweden)

    Khanna N


    Full Text Available Several occupational hazards especially exposure to silica have been implicated as eliciting factors for the development of scleroderma-like disorders. We here report a case of manual stone-cutter who developed progressive scleroderma, interstitial lung disease and decreased oesophageal motility after several years of exposure to silica dust.

  2. Metabolic evaluation and medical management of upper urinary tract stone disease. Guidelines from the Scandinavian Cooperative Group for Urinary Stones

    DEFF Research Database (Denmark)

    Osther, P J; Grenabo, L; Haraldsson, G


    of the stone disease in the individual stone patient. The initial evaluation in all patients aims at diagnosing conditions with a definitive metabolic, infectious or anatomical/functional cause of stone formation (MIAF urolithiasis). Patients with MIAF urolithiasis are treated according to the nature...

  3. Sarsen Stones of Stonehenge: How and by what route were the stones transported? What is the significance of their markings? (United States)

    Hill, P A


    A route via Lockeridge and the Avon Valley, involving a slide down the chalk escarpment, is postulated for the sarsen stones of Stonehenge. The transportation problem would have been greatly simplified if the stones had been relayed from point to point over snow or slush during successive winters. Markings on the stones hitherto undescribed are interpreted.

  4. International ring test to check the quality of urolith analyses. (United States)

    Rebentisch, G; Berg, W


    In an international ring test, five mixtures of stone substances were analyzed with different methods in 29 selected stone analysis laboratories in 13 countries. Evaluation revealed very good analysis qualities especially for X-ray diffractometric and infrared techniques. The analytical skills of the investigators are confirmed by a mean standard of quality of 1.69 for all qualitative results determined. It would be possible to improve the diagnosis of urolithiasis by standardizing and centralizing stone analysis.

  5. Ureteroscopy and stones: Current status and future expectations. (United States)

    Wright, Anna E; Rukin, Nicholas J; Somani, Bhaskar K


    Urolithaisis is becoming an ever increasing urological, nephrological and primary care problem. With a lifetime prevalence approaching 10% and increasing morbidity due to stone disease, the role of ureteroscopy and stone removal is becoming more important. We discuss the current status of stone disease and review the ever increasing role that ureteroscopy has to play in its management. We discuss technological advances that have been made in stone management and give you an overview of when, how and why ureteroscopy is the most common treatment option for stone management. We touch on the role of robotic ureteroscopy and the future of ureteroscopy in the next 10 years.

  6. Fourier transform infrared spectroscopy for analysis of kidney stones. (United States)

    Khan, Aysha Habib; Imran, Sheharbano; Talati, Jamsheer; Jafri, Lena


    To compare the results of a chemical method of kidney stone analysis with the results of Fourier transform infrared (FT-IR) spectroscopy. Kidney stones collected between June and October 2015 were simultaneously analyzed by chemical and FT-IR methods. Kidney stones (n=449) were collected from patients from 1 to 81 years old. Most stones were from adults, with only 11.5% from children (aged 3-16 years) and 1.5% from children aged kidney stones can overcome many limitations associated with chemical analysis.

  7. The visible ear simulator

    DEFF Research Database (Denmark)

    Sorensen, Mads Solvsten; Mosegaard, Jesper; Mikkelsen, Peter Trier


    material.Virtual training often requires the purchase of a program, a customized computer, and expensive peripherals dedicated exclusively to this purpose. MATERIALS AND METHODS: The Visible Ear freeware library of digital images from a fresh-frozen human temporal bone was segmented, and real-time volume......, 2D, or optional anaglyph stereoscopic 3D was achieved on a standard Core 2 Duo personal computer with a GeForce 8,800 GTX graphics card, and surgical interaction was provided through a relatively inexpensive (approximately $2,500) Phantom Omni haptic 3D pointing device. CONCLUSION: This prototype...

  8. WWW visibility in marketing


    Ollila, T.


    Social media is a vital channel for marketers nowadays. Customers are more empowered today than ever before and the Internet is accelerating the trend toward greater customer empowerment. In few years Web 2.0 has become a highly important media and it has changed the Web into platform where individuals can communicate, assemble and organize data. Web 2.0 also offers a variety of different “tools” for companies to be used in marketing. Because companies and products are visible and discussed i...

  9. Diversity in protein profiles of individual calcium oxalate kidney stones. (United States)

    Okumura, Nobuaki; Tsujihata, Masao; Momohara, Chikahiro; Yoshioka, Iwao; Suto, Kouzou; Nonomura, Norio; Okuyama, Akihiko; Takao, Toshifumi


    Calcium oxalate kidney stones contain low amounts of proteins, some of which have been implicated in progression or prevention of kidney stone formation. To gain insights into the pathophysiology of urolithiasis, we have characterized protein components of calcium oxalate kidney stones by proteomic approaches. Proteins extracted from kidney stones showed highly heterogeneous migration patterns in gel electrophoresis as reported. This was likely to be mainly due to proteolytic degradation and protein-protein crosslinking of Tamm-Horsfall protein and prothrombin. Protein profiles of calcium oxalate kidney stones were obtained by in-solution protease digestion followed by nanoLC-MALDI-tandem mass spectrometry, which resulted in identification of a total of 92 proteins in stones from 9 urolithiasis patients. Further analysis showed that protein species and their relative amounts were highly variable among individual stones. Although proteins such as prothrombin, osteopontin, calgranulin A and calgranulin B were found in most stones tested, some samples had high contents of prothrombin and osteopontin, while others had high contents of calgranulins. In addition, calgranulin-rich stones had various neutrophil-enriched proteins such as myeloperoxidase and lactotransferrin. These proteomic profiles of individual kidney stones suggest that multiple systems composed of different groups of proteins including leucocyte-derived ones are differently involved in pathogenesis of individual kidney stones depending on situations.

  10. Approach to Residual Kidney Stone Fragments After Shock Wave Therapy

    Directory of Open Access Journals (Sweden)

    Tumay Ižpekci


    Full Text Available For kidney stones up to 2 cm in diameter shock wave therapy (SDT is safely applied and kidney stones smaller than 5mm remaining in the kidney after treatment are regarded as clinically insignificant. Management of this condition is still controversial among clinicians. These stones in the kidney may continue to persist without any clinical symptoms or begin to cause clinical signs. In the event that the clinical symptoms are present, it requires detailed urological examination and treatment. The aim in the surgical treatment of urinary tract stones is completely stone clearance but in stones that are not infected, not causing urinary tract obstruction and without clinical symptoms medical treatment is also beneficial fort he prevention of growth and recurrence. In addition, surgical intervention is also possible for the residual stone fragments which become symptomatic during follow-up.

  11. Efficacy and safety of endoscopic papillary balloon dilation for the removal of bile duct stones: Data from a “real-life” multicenter study on Dilation-Assisted Stone Extraction (United States)

    Di Mitri, Roberto; Mocciaro, Filippo; Pallio, Socrate; Pecoraro, Giulia Maria; Tortora, Andrea; Zulli, Claudio; Attardo, Simona; Maurano, Attilio


    AIM To report data on Dilation-Assisted Stone Extraction (DASE) use in clinical practice and its efficacy and safety trough three Italian referral centers for biliopancreatic diseases treatment. METHODS From January 2011 to December 2015 we collected data on 120 patients treated with DASE. Technical success was obtained when the endoscopist was able to place the balloon trough the papilla inflating the balloon until the final diameter for an adequate time (at least 30 s). Clinical success was obtained after complete stone removal (no remaining stones were visible at the cholangiogram). RESULTS Forty-nine male (40.8%) and 71 female (59%) were enrolled. The mean age was 67.8 years ± 15.7. The mean common bile duct (CBD) dilation was 19.2 mm ± 3.9 and the mean size of stones 15.8 ± 2.9. DASE was applied as first approach in 38% (62% after initial failure of stones extraction). Technical and clinical success was of 91% and 87% respectively. In those in which DASE failed alternative treatment were adopted. After DASE 18% of patients experienced a complication (bleeding 9%, pancreatitis 8%, perforation 0.8%). At univariable analysis, elective endoscopic retrograde cholangiopancreatography (P = 0.031), DASE as first approach (P = 0.032), and cannulation of major papilla followed by guidewire insertion (P = 0.004) were related to low risk of complications. Pre-cut was related to an increased risk of complications (P = 0.01). CONCLUSION DASE allowed a higher first-session success rate and can be consider a valid alternative to endoscopic sphincterotomy not only for bigger CBD stones. PMID:27803771

  12. Computed Tomography and Nuclear Magnetic Resonance to study the internal structure and measure weathering (United States)

    Zornoza-Indart, A.; Lopez-Arce, P.; Alvarez de Buergo, M.; Fort, R.


    Outdoor stone heritage is prone to decay due to its direct exposure to weathering agents such us thermal shock caused by isolation processes, salt crystallization phenomena, atmospheric pollutants effects on stone surfaces, freezing and thawing cycles or biodeterioration o decay provoked by biogenic activity. These damages use to affect the surface of the objects or elements causing de-cohesions (flaking, spallings, grain disintegration), material loss or color changes, but also use to affect the internal structure of the objects, although they are not visible, causing internal pressures, fissures and fractures, mineral transformations or inner biodeterioration compromising objects conservation. For this reason, the study of the internal structure of the objects is necessary to establish its weathering and conservation state, to determine its restoration needs and achieve its conservation. Moreover, in cultural heritage where the originality of the objects and their historical or artistic values are so important the use of non-destructive techniques result necessary for their study without causing any damage by sampling. In this work X ray Computed Tomography (CT) and Nuclear Magnetic Resonance (NMR) are used to analyze rock samples (dolostones used in historical buildings from Central Spain and Madrid both in the city and in the province) subjected to different artificial accelerated ageing tests (thermal shock, salt crystallization, freezing and thawing cycles and marine aerosol) to simulate the most common outdoor heritage deterioration scenarios. The changes in the internal structure and pore system modifications are studied with these non-destructive techniques. Nuclear Magnetic Resonance (both imaging and relaxometry) experiments were performed in stone specimens to observe and to quantify the location and distribution of water inside the objects, been able to analyze pore size and location. X ray Computed Tomography was used for visualizing and locating

  13. Prevalence of kidney stones in the United States. (United States)

    Scales, Charles D; Smith, Alexandria C; Hanley, Janet M; Saigal, Christopher S


    The last nationally representative assessment of kidney stone prevalence in the United States occurred in 1994. After a 13-yr hiatus, the National Health and Nutrition Examination Survey (NHANES) reinitiated data collection regarding kidney stone history. Describe the current prevalence of stone disease in the United States, and identify factors associated with a history of kidney stones. A cross-sectional analysis of responses to the 2007-2010 NHANES (n=12 110). Self-reported history of kidney stones. Percent prevalence was calculated and multivariable models were used to identify factors associated with a history of kidney stones. The prevalence of kidney stones was 8.8% (95% confidence interval [CI], 8.1-9.5). Among men, the prevalence of stones was 10.6% (95% CI, 9.4-11.9), compared with 7.1% (95% CI, 6.4-7.8) among women. Kidney stones were more common among obese than normal-weight individuals (11.2% [95% CI, 10.0-12.3] compared with 6.1% [95% CI, 4.8-7.4], respectively; pkidney stones in multivariable models. The cross-sectional survey design limits causal inference regarding potential risk factors for kidney stones. Kidney stones affect approximately 1 in 11 people in the United States. These data represent a marked increase in stone disease compared with the NHANES III cohort, particularly in black, non-Hispanic and Hispanic individuals. Diet and lifestyle factors likely play an important role in the changing epidemiology of kidney stones. Published by Elsevier B.V.

  14. Scientific aspects of urolithiasis: quantitative stone analysis and crystallization experiments

    Energy Technology Data Exchange (ETDEWEB)

    Wandt, M.A.E.


    The theory, development and results of three quantitative analytical procedures are described and the crystallization experiments in a rotary evaporator are presented. Of the different methods of quantitative X-ray powder diffraction analyses, the internal standard method and a microanalytical technique were identified as the two most useful procedures for the quantitative analysis of urinary calculi. Reference intensity ratios for 6 major stone phases were determined and were used in the analysis of 20 calculi by the internal standard method. Inductively coupled plasma atomic emission spectroscopic (ICP-AES) methods were also investigated, developed and used in this study. Various procedures for the digestion of calculi were tested and a mixture of HNO3 and HC1O4 was eventually found to be the most successful. The major elements Ca, Mg, and P in 41 calculi were determined. For the determination of trace elements, a new microwave-assisted digestion procedure was developed and used for the digestion of 100 calculi. Fluoride concentrations in two stone collections were determined using a fluoride-ion sensitive electrode and the HNO3/HC1O4 digestion prodecure used for the ICP study. A series of crystallization experiments involving a standard reference artificial urine was carried out in a rotary evaporator. The effect of pH and urine composition was studied by varying the former and by including uric acid, urea, creatinine, MgO, methylene blue, chondroitin sulphate A, and fluoride in the reference solution. Crystals formed in these experiments were subjected to qualitative and semi-quantitative X-ray powder diffraction analyses. Scanning electron microscopy of several deposits was also carried out. Similar deposits to those observed in calculi were obtained with the fast evaporator. The results presented suggest that this system provides a simple, yet very useful means for studying the crystallization characteristics of urine solutions.

  15. Kidney stones and subclinical atherosclerosis in young adults: Coronary Artery Risk Development in Young Adults (CARDIA) study (United States)

    Reiner, Alexander P.; Kahn, Arnold; Eisner, Brian H.; Pletcher, Mark J.; Sadetsky, Natalia; Williams, O. Dale; Polak, Joseph F.; Jacobs, David R.; Stoller, Marshall L.


    Purpose Recent reports suggest that nephrolithiasis and atherosclerosis share a number of risk factors. There has been no previous examination of the relationship between kidney stones and subclinical atherosclerotic disease Here we assessed the relationship between nephrolithiasis and carotid wall thickness and carotid stenosis assessed by B-mode ultrasound in the general community using data from The Coronary Artery Risk Development in Young Adults (CARDIA) study. Methods CARDIA is a U.S. population-based, observational study of 5,115 white and African-American men and women between the ages of 18 and 30 years at recruitment in 1985-1986. Results By the year 20 exam, 200 (3.9%) of CARDIA participants had reported ever having kidney stones. Symptomatic kidney stones were associated with greater carotid wall thickness measured at the year 20 exam, particularly of the internal carotid/bulb region. Using a composite dichotomous endpoint of carotid stenosis and/or upper quartile of internal carotid/bulb wall thickness, the association of kidney stones with carotid atherosclerosis was significant (odds ratio=1.6; 95% confidence interval 1.1-2.3; p=0.01) even after adjusting for major atherosclerotic risk factors. Conclusions The association between a history of kidney stones and subclinical carotid atherosclerosis in young adults adds further support to the notion that nephrolithiasis and atherosclerosis share common systemic risk factors and/or pathophysiology. PMID:21251678

  16. Contribution of goethite to laser-induced stone yellowing (United States)

    de Oliveira, Cécile; Vergès-Belmin, Véronique; Lafait, Jacques; Swider, Miko; Andraud, Christine; Tournié, Aurélie; Galoisy, Laurence


    The development of the laser technology for stone cleaning purposes has been undermined in the recent years because the technique occasionally conveys a yellow hue to the cleaned surfaces. Several components of black gypsum crusts have been suggested to be potentially responsible for the phenomenon, more specifically some granular fractions of their components. The contribution of these particles to laser yellowing is studied here on powdery deposits collected at Saint-Denis Basilica (France). The powder is characterized by optical and scanning electron microscopy, X-ray diffraction, and Raman spectroscopy before and after the laser irradiation. Irradiation of the samples results in a significant yellowing, along with particle fragmentation, while no mineralogical change is evidenced by powder diffractometry. Haematite and goethite micro-Raman signatures obtained before laser irradiation are replaced after irradiation by a strong fluorescence in addition to weak goethite signatures in Raman spectra. The powdery deposit is further analyzed by diffuse reflectance spectrometry after a specific preparation, which increases both its cohesion and its content in new phases potentially formed. The powdery material shows a phase with a spectral signature similar to goethite, which subsides after laser irradiation. The yellow appearance caused by laser irradiation seems to be due, in part, to a selective elimination of the black components (soots) from the powdery deposit. This elimination reveals a color, which could be related to a preexisting phase containing iron, possibly goethite or another phase containing iron and having the same spectral signature in the visible range.

  17. Mourning in Bits and Stone

    DEFF Research Database (Denmark)

    Sabra, Jakob Borrits

    such as space, artifacts, situations or sensuous representations. In this paper we build upon present research on grief-work and propose a methodological contribution to the study of progressions of digital mourning and remembrance practices [6]–[8]. We present a generalized structure of online mourning......, memorials, monuments, websites and social networking services (SNS) all are alterable, controllable and adaptive. They represent a certain rationale contrary to the emotive state of mourning (e.g. gravesites function as both spaces of internment and places of spiritual and emotional recollection). Following...... and memorialization by discussing the publicly and privately digital and social death from a spatial, temporal, physical and digital angle. Further the paper will reflect on how to encompass shifting trends and technologies in ‘traditional’ spaces of mourning and remembrance....

  18. Use of traditional Chinese medicine in the management of urinary stone disease

    Directory of Open Access Journals (Sweden)

    Ricardo Miyaoka


    Full Text Available Objective: To assess the evidence-based literature supporting the use of traditional Chinese medicine Kampo herbal and Acupuncture in stone disease management. Materials and Methods: Four of the most commonly used herbal components of Kampo medicine in the treatment of stone disease are described according to their in vitro and in vivo effects. We also reviewed the role of Acupuncture in urologic clinical setting as well as its proposed mechanisms of action and results. Medline database was assessed using isolated and conjugated key words (Chinese Medicine, Kampo, Chinese Herbal, Calculi, Stone Disease, Kidney, Acupuncture, Herbal Medicine. Articles were reviewed and summarized. Results: Herbal medicine has been proven to be free from side-effects and therefore suitable for long term use therapy. Its antilithic beneficial effects include increased urinary volume, increased magnesium excretion (Takusya, inhibitory activity on calcium oxalate aggregation (Takusya, Wulingsan and Desmodyum styracyfolium, inhibition of calcium oxalate nucleation and hydroxyapatite internalization (Wulingsan. In contrast, acupuncture, has shown to be effective as a pre-treatment anxiolytic and analgesic during colic pain and extracorporeal shock wave lithotripsy treatment, reducing the need for complementary sedative drugs. Conclusion: Chinese traditional medicine is promising as regards its role in stone prevention. An effort must be made in order to standardize study protocols to better assess acupuncture results since each procedure differs in regards to selected acupoints, electrostimulation technique and adjunct anesthetics. Similarly, standardization of Kampo formulations and acceptable clinical endpoints (imaging vs. symptomatic events is needed.

  19. Withdraw of the Ureteroscope Causes Fragmented Ureter Stones to Disperse

    Directory of Open Access Journals (Sweden)

    Onder Canguven


    Full Text Available Introduction Ureteroscopy has improved from the first use of ureteroscope in the 1970's. Although the success rate increased in the last years, (1 new treatment techniques are being developed for impacted and large proximal ureter stones (2. Pneumatic lithotripsy has high efficiency with low complication rates (2. However, in case of steinstrasse and large (> 1 cm ureter stones, fragmented small stones may obstruct insertion of a ureteroscope after initial lithotripsy. In order to triumph over this issue, multiple ureteroscopic passages and manipulations needed for extraction of these small stones by forceps or basket catheters. The overall incidence of stricture was found upto 14.2% when the fragments were removed with a grasping forceps or a basket (3. We present our technique to disperse small fragmented stones in order to contact non-fragmented rest stone. Materials and Methods Ureteral lithotripsy was performed with an 8-9.8F semirigid ureteroscope using a pneumatic lithotripter (Swiss LithoClast, EMS, Nyon, Switzerland. The stone was fragmented into small pieces as small as 2-3 mm. by pneumatic lithotripter. Eventually, these fragmented stones interfered with vision and the lithotripter to get in touch with the rest stone. After fragmenting distal part of the large stone, the ureteroscope was pulled back out of ureter. While pulling back, the operating channel was closed and irrigation fluid was flowing in order not to decrease pressure behind the stones. Simultaneously, a person tilted the operating table to about 30° in reverse Trendelenburg position. When the ureteroscope was out of ureteral orifice, the operating channel was opened and irrigation fluid was stopped. This maneuver aided decreasing pressure in the bladder more rapidly in addition to feeding tube. Stone dust and antegrade fluid flow were easily seen out of the ureteral orifice. Ureteroscope was re-inserted after 30-60 seconds. While reaching the rest of the stone, small

  20. Operational properties of nanomodified stone mastic asphalt


    Inozemtsev Sergey Sergeevich; Korolev Evgeniy Valer’evich


    In order to prolong the lifetime and to improve the quality of pavements made of asphalt concrete it is necessary to apply innovative solutions in the process of design of such building materials. In order to solve the problem of low durability of asphalt concrete a modifier was proposed, which consists of diatomite, iron hydroxide sol (III) and silica sol. Application of the diatomite with nanoscale layer of nanomodifier allows getting a stone mastic asphalt, which has high values of physica...

  1. Stone tools from locality Crkvine in Stubline

    Directory of Open Access Journals (Sweden)

    Antonović Dragana


    Full Text Available Stone artifacts from excavations in Crkvine in 2008. originate from two stratigraphic units, both chronologically defined as the final stage of the Vinča culture: 1. distruction layer above and 2. from the floor of House 1/2008. None of the stone artifact types showed any specific regularity in vertical distribution. However, in the southern part of the Structure/House 1 there is higher abundance in horizontal distribution of both types of tools. Abundance of cores, blades for rejuvenation of the cores and unretouched blades among the chipped artifacts suggest that, most probably, this object was a working place where the artifacts were made (Fig. 9/1. Ground stone artifacts - all rought-out and final products, whole and fragmented pieces, ground-edge and abrasive tools, are equally distributed in the House 1/2008 as well as in the distruction layer above it. Only non-determined fragments and pieces of raw material, both defined as products of making stone tools, are far more numerous in the distruction layer above the House 1/2008. Higher concentrations of finds are situated in the House 1/2008, especially in its southern part, on the floor and above it, while the number of finds out of the House significantly decreases (Fig. 9/2. Such distribution of ground stone artifacts indicates that the production of stone artifacts was done within the household (large number of flakes of „light white stone“, presence of grindstone and whetstone, as well as that there occurred active preparation of food within the Vinča’s objects (querns and pounders within the houses. Findings of numerous quartzite, chert and jasper pebbles out of the House 1/2008, 2 metres away from the northeastern angle of the House (pottery group 1, could not be connected with production of chipped and ground stone artifacts. There are no any traces of treatment and utilization on the pebbles, and the pebbles themselves do not belong to raw material of good quality due to

  2. Sharka (Plum pox virus) of stone fruits


    JAKUBÍKOVÁ, Hedvika


    Plum pox virus causes one of the most devastating stone fruit diseases. The main target of this thesis is a detection of Plum pox virus in infected leaf tissue of Prunus domestica.. The presence of the virus in a plant material was confirmed by the RNA isolation and its use as a template for RT-PCR. Furthermore, the basic information about properties of the virus, common methods of the virus detection and protection possibilities against the virus is are included.

  3. Pneumatic v electrokinetic lithotripsy in treatment of ureteral stones. (United States)

    Vorreuther, R; Klotz, T; Heidenreich, A; Nayal, W; Engelmann, U


    Recently, a new device (Combilith) for electrokinetic lithotripsy (EKL) has become available which is very similar to the well-known device for pneumatic (ballistic) lithotripsy (Swiss Lithoclast). The Lithoclast uses air pressure to push a projectile within the handpiece against the end of a metal probe, which is thereby accelerated and thrown like a jackhammer against the stone. In principle, the same stroking movement of a small metal probe is provided by EKL; the difference is that instead of a projectile, a magnetic core within the handpiece is accelerated by the electromagnetic principle. This paper compares the clinical efficacy and the features of the two devices. Testing the devices on a stone model, taking into account stone propulsion, the systems turned out to equally effective regarding stone disintegration. However, stone displacement was more pronounced with the Lithoclast applied on easily breaking stones. In a second experiment, an optoelectronic movement-measuring apparatus (Zimmer camera) was employed to measure the range and velocity of the movement of the probe tip without any contact. The linear acceleration velocity ranged from 5 to a maximum of 12.5 m/sec with both systems, but the maximum height of the stroke was 2.5 mm with the Lithoclast and 1 mm with EKL. After the initial break-up of soft stones, further impact of the probe tip against the stone resulted merely in propulsion; thus, the greater probe stroke height is the cause of the stone displacement. In a clinical trial, 22 ureteral stones were treated with the Lithoclast and 35 with the EKL. The two devices were equally effective in terms of stone disintegration and safety margin. Fixation using a Dormia basket was necessary in 12 cases (8 Lithoclast, 4 EKL). Although a difference in probe stroke height was noted when comparing pneumatic and electrokinetic lithotripsy, there were no clinically significant differences in the efficacy of stone fragmentation or stone-free rates. At the

  4. Studying inhibition of calcium oxalate stone formation: an in vitro approach for screening hydrogen sulfide and its metabolites

    Directory of Open Access Journals (Sweden)

    S. Vaitheeswari


    Full Text Available ABSTRACTPurpose:Calcium oxalate urolithiasis is one of the most common urinary tract diseases and is of high prevalence. The present study proposes to evaluate the antilithiatic property of hydrogen sulfide and its metabolites like thiosulfate & sulfate in an in vitro model.Materials and Methods:The antilithiatic activity of sodium hydrogen sulfide (NaSH, sodium thiosulfate (Na2S2O3 and sodium sulfate (Na2SO4 on the kinetics of calcium oxalate crystal formation was investigated both in physiological buffer and in urine from normal and recurrent stone forming volunteers. The stones were characterized by optical and spectroscopic techniques.Results:The stones were characterized to be monoclinic, prismatic and bipyramidal habit which is of calcium monohydrate and dihydrate nature. The FTIR displayed fingerprint corresponding to calcium oxalate in the control while in NaSH treated, S=O vibrations were visible in the spectrum. The order of percentage inhibition was NaSH>Na2S2O3>Na2SO4.Conclusion:Our study indicates that sodium hydrogen sulfide and its metabolite thiosulfate are inhibitors of calcium oxalate stone agglomeration which makes them unstable both in physiological buffer and in urine. This effect is attributed to pH changes and complexing of calcium by S2O32-and SO42- moiety produced by the test compounds.

  5. Efficacy of surgical techniques and factors affecting residual stone rate in the treatment of kidney stones. (United States)

    Aydemir, Hüseyin; Budak, Salih; Kumsar, Şükrü; Köse, Osman; Sağlam, Hasan Salih; Adsan, Öztuğ


    In this study, we aimed to evaluate, the efficacy of surgical methods and the factors affecting the residual stone rate by scrutinizing retrospectively the patients who had undergone renal stone surgery. Records of 109 cases of kidney stones who had been surgically treated between January 2010, and July 2013 were reviewed. Patients were divided into three groups in terms of surgical treatment; open stone surgery, percutaneous nephrolithotomy (PNL) and retrograde intrarenal surgery (RIRS). Patients' history, physical examination, biochemical and radiological images and operative and postoperative data were recorded. The patients had undergone PNL (n=74; 67.9%), RIRS (n=22;20.2%), and open renal surgery (n=13; 11.9%). The mean and median ages of the patients were 46±9, 41 (21-75) and, 42 (23-67) years, respectively. The mean stone burden was 2.6±0.7 cm(2) in the PNL, 1.4±0.1 cm(2) in the RIRS, and 3.1±0.9 cm(2) in the open surgery groups. The mean operative times were 126±24 min in the PNL group, 72±12 min in the RIRS group and 82±22 min in the open surgery group. The duration of hospitalisation was 3.1±0.2 days, 1.2±0.3 days and 3.4±1.1 days respectively. While the RIRS group did not need blood transfusion, in the PNL group blood transfusions were given in the PNL (n=18), and open surgery (n=2) groups. Residual stones were detected in the PNL (n=22), open surgery (n=2), and RIRS (n=5) groups. PNL and RIRS have been seen as safe and effective methods in our self application too. However, it should not be forgotten that as a basical method, open surgery may be needed in cases of necessity.

  6. Screening renal stone formers for distal renal tubular acidosis

    DEFF Research Database (Denmark)

    Osther, P J; Hansen, A B; Røhl, H F


    A group of 110 consecutive renal stone formers were screened for distal renal tubular acidosis (RTA) using morning fasting urinary pH (mfUpH) levels followed by a short ammonium chloride loading test in patients with levels above 6.0. In 14 patients (12.7%) a renal acidification defect was noted......; 13 had incomplete and 1 had complete distal RTA. Distal RTA was found particularly in recurrent stone formers (17%), and especially in those with bilateral stone disease, where a distal renal tubular acidification defect was found in 50%. We have been unable to differentiate primary from secondary...... RTA in renal stone formers. Regardless of whether the acidification defect is primary or secondary to stone formation, however, all renal stone formers with distal RTA can expect to benefit from prophylactic alkaline therapy and it is recommended that the screening procedure, which is easy to use...

  7. Distal renal tubular acidosis in recurrent renal stone formers

    DEFF Research Database (Denmark)

    Osther, P J; Hansen, A B; Røhl, H F


    Renal acidification ability was examined in 90 recurrent renal stone formers, using fasting morning urinary pH levels followed by a short ammonium chloride loading test in subjects with pH levels above 6.0. Fifteen patients (16.6%) revealed a distal renal tubular acidification defect: one patient...... (1.1%) had complete distal renal tubular acidosis and 14 (15.5%) incomplete distal renal tubular acidosis. Our results confirm that distal renal tubular acidification defects are associated with a more severe form of stone disease and make distal renal tubular acidosis one of the most frequent...... metabolic disturbances in renal stone formers. Distal renal tubular acidosis (dRTA) was relatively more common in female stone formers and most often found in patients with bilateral stone disease (36%). Since prophylactic treatment in renal stone formers with renal acidification defects is available...

  8. Distal renal tubular acidosis in recurrent renal stone formers

    DEFF Research Database (Denmark)

    Osther, P J; Hansen, A B; Røhl, H F


    (1.1%) had complete distal renal tubular acidosis and 14 (15.5%) incomplete distal renal tubular acidosis. Our results confirm that distal renal tubular acidification defects are associated with a more severe form of stone disease and make distal renal tubular acidosis one of the most frequent...... metabolic disturbances in renal stone formers. Distal renal tubular acidosis (dRTA) was relatively more common in female stone formers and most often found in patients with bilateral stone disease (36%). Since prophylactic treatment in renal stone formers with renal acidification defects is available......Renal acidification ability was examined in 90 recurrent renal stone formers, using fasting morning urinary pH levels followed by a short ammonium chloride loading test in subjects with pH levels above 6.0. Fifteen patients (16.6%) revealed a distal renal tubular acidification defect: one patient...

  9. Factors affecting lower calyceal stone clearance after Extracorporeal shock wave lithotripsy

    Directory of Open Access Journals (Sweden)

    S. Azab


    Conclusions: There is no statistically significant effect of stone size, anatomy of the lower calyx and BMI on stone clearance after ESWL of lower calyceal stones. However, small stone size (≤2 cm, a shorter and wider infundibulum and a larger lower-pole infundibulopelvic angle seem to promote a more rapid and more complete stone clearance.

  10. ATST visible broadband imager (United States)

    McBride, William R.; Wöger, Friedrich; Hegwer, Steve L.; Ferayorni, Andrew; Gregory, B. Scott


    The Advanced Technology Solar Telescope (ATST) is a 4 meter class telescope for observation of the solar atmosphere currently in the construction phase. The Visible Broadband Imager (VBI) is a diffraction limited imaging instrument planned to be the first-light instrument in the ATST instrumentation suite. The VBI is composed of two branches, the "VBI blue" and the "VBI red", and uses state-of-the-art narrow bandwidth interference filters and two custom designed high speed filter wheels to take bursts of images that will be re-constructed using a Graphics Processing Unit (GPU) optimized near-real-time speckle image reconstruction engine. At first light, the VBI instrument will produce diffraction-limited movies of solar activity at eight discrete wavelengths with a field of view of 2 arc minutes square. In this contribution, the VBI design team will discuss the capabilities of the VBI and describe the design of the instrument, highlighting the unique challenges faced in the development of this unique instrument.

  11. Outbreak of autoimmune disease in silicosis linked to artificial stone. (United States)

    Shtraichman, O; Blanc, P D; Ollech, J E; Fridel, L; Fuks, L; Fireman, E; Kramer, M R


    There is a well-established association between inhalational exposure to silica and autoimmune disease. We recently observed an outbreak of silica-related autoimmune disease among synthetic stone construction workers with silicosis referred for lung transplantation assessment. To characterize the rheumatologic complications in silicosis within these highly exposed, clinically well-characterized patients. We systematically reviewed data from all cases of silicosis due to synthetic stone dust referred to our pulmonary institute for lung transplant assessment, which represents the national centre for all such referrals. In addition to silicosis-specific data, we extracted data relevant to the clinical and serological manifestations of autoimmune diseases present in these patients. Of 40 patients in our advanced silicosis national data, we identified nine (23%) with findings consistent with various autoimmune diseases. Among these nine, three also had findings consistent with pulmonary alveolar proteinosis. Based on an expected autoimmune disease prevalence of 3% (based on the upper-end estimate for this group of diseases in European international data), the proportion of disease in our group represents a >7-fold excess (prevalence ratio 7.5; 99% confidence interval 2.6-16.7). These cases underscore the strong link between silicosis and multiple distinct syndromes of autoimmune diseases. Vigilance is warranted for the recognition of autoimmune complications in persons with known silicosis; so too is consideration of the occupational exposure history in persons presenting with manifestations of autoimmune disease. © The Author 2015. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email:

  12. Internet program for facilitating dietary modifications limiting kidney stone risk. (United States)

    Lange, Jessica N; Easter, Linda; Amoroso, Robert; Benfield, Debra; Mufarri, Patrick W; Knight, John; Holmes, Ross P; Assimos, Dean G


    Certain dietary modifications limit the risk of stone recurrence. Compliance is an important component of dietary therapy for stone prevention, and self-efficacy is an important ingredient of compliance. We developed an internet program to facilitate dietary compliance for stone prevention and performed a pilot study to assess its effectiveness. The internet program provides information regarding dietary modifications including increased fluid consumption, limited animal protein, sodium, and oxalate intake, and adequate calcium consumption. Participants record their daily food and fluid intake and receive immediate feedback as to whether they were compliant or not. Five adult calcium stone formers collected three 24 hour urine specimens on self-selected diets, three 24 hour urine specimens while on a stone preventive metabolic diet, and three 24 hour urine specimens after utilizing the internet program for 1 month. Urinary stone risk parameters were measured, and data were analyzed using repeated measures ANOVA and Student's t test. All participants recorded their meals and snacks for each day and found the program easy to navigate. The mean time in hours from food consumption to log in was 35.25 +/- 70.8 hours. There were no statistically significant differences in stone risk factors between the controlled and internet dietary phases. Oxalate excretion was significantly higher during the self-selected dietary intake (p = 0.03). This pilot study demonstrates that subjects appear to be compliant with utilization of an interactive internet program for stone prevention with dietary modifications. In addition, improvement in certain stone risk parameters occurred.

  13. Can Hounsfield Unit Value Predict Type of Urinary Stones?

    Directory of Open Access Journals (Sweden)

    Alper Gok


    Full Text Available Aim: Aim of this study is to determine the role of Hounsfield unit (HU in predicting results of stone analysis. Material and Method: This study included 199 patients to whom percutaneous nephrolithotomy (PNL procedures were applied between January 2008 and May 2011 in our clinic. Before the procedure HU values of kidney stones were measured using non-contrast computed tomography. After the operation, obtained stone samples were analysed using X-ray diffraction technique. HU values were compared with stone analysis results. Results: Stone analysis revealed eight different stone types. Distribution of stone types and HU value ranges were as follows: 85% calcium oxalate monohydrate, 730-1130 HU; 38% calcium oxalate dihydrate, 510-810 HU; 21% uric acid, 320-550 HU; 23% struvite, 614-870 HU; 7% calcium hydrogene phosphate, 1100-1365 HU; 3% cystine, 630-674 HU; 15% mixed uric acid plus calcium oxalate, 499-840 HU; and 7% mixed cystine plus calcium phosphate, 430-520 HU. HU values of all stone types ranged between 320 and 1365. There was a statistically significant relation between HU values of uric acid and non uric acid stones (p


    NARCIS (Netherlands)



    An algorithm is presented to maintain the visibility graph of a set of N line segments in the plane in O(log2 N + K log N) time, where K is the total number of arcs of the visibility graph that are destroyed or created upon insertion or deletion of a line segment. The line segments should be

  15. Revisiting visibility in the plane

    DEFF Research Database (Denmark)

    Wilkinson, Bryan Thomas

    Abstract We consider two closely related problems: computing the region visible from a point amid simple polygonal obstacles and computing the lower envelope of a set of disjoint segments. Visibility problems such as these were proposed and promptly solved in the late'80s and early'90s before...

  16. Non-Euclidean visibility problems

    Indian Academy of Sciences (India)

    We prove a visibility criterion and study orchard problem and the cardinality of visible points in large circles. Author Affiliations. Fernando Chamizo1. Departamento de Matemáticas, Facultad de Ciencias, Universidad Autónoma de Madrid, 28049 Madrid, Spain. Dates. Manuscript received: 14 November 2005. Proceedings ...

  17. Visible Jovian Aurora (United States)


    Jupiter's aurora on the night side of the planet is seen here at five different wavelengths. Jupiter's bright crescent, which is about half illuminated, is out of view to the right. North is at the top. The images are centered at 57 degrees north and 184 degrees West and were taken on April 2, 1997 at a range of 1.7 million kilometers (1.05 million miles) by the Solid State Imaging (SSI) camera system aboard NASA's Galileo spacecraft.Although Jupiter's aurora had been imaged from Earth in the ultraviolet and infrared, these are the first images at visible wavelengths, where most of the emission takes place. CLR stands for clear (no filter) and shows the integrated brightness at all wavelengths. The other panels show the violet, green, red, and 889 nanometer-wavelength filtered images. The brightness of the aurora is roughly independent of wavelength, at least at the spectral resolution obtainable with these filters.As on Earth, the aurora is caused by electrically charged particles striking the upper atmosphere, causing the molecules of the atmosphere to glow. The brightness in the different filters contains information about the energy of the impinging particles and the composition of the upper atmosphere. If atomic hydrogen were the only emitter, the light would be much stronger in the red filter, which is not consistent with the observed distribution.The Jet Propulsion Laboratory, Pasadena, CA manages the mission for NASA's Office of Space Science, Washington, DC.This image and other images and data received from Galileo are posted on the World Wide Web, on the Galileo mission home page at: Background information and educational context for the images can be found at: http:/ /

  18. Control of pome and stone fruit virus diseases. (United States)

    Barba, Marina; Ilardi, Vincenza; Pasquini, Graziella


    Many different systemic pathogens, including viruses, affect pome and stone fruits causing diseases with adverse effects in orchards worldwide. The significance of diseases caused by these pathogens on tree health and fruit shape and quality has resulted in the imposition of control measures both nationally and internationally. Control measures depend on the identification of diseases and their etiological agents. Diagnosis is the most important aspect of controlling fruit plant viruses. Early detection of viruses in fruit trees or in the propagative material is a prerequisite for their control and to guarantee a sustainable agriculture. Many quarantine programs are in place to reduce spread of viruses among countries during international exchange of germplasm. All these phytosanitary measures are overseen by governments based on agreements produced by international organizations. Also certification schemes applied to fruit trees allow the production of planting material of known variety and plant health status for local growers by controlling the propagation of pathogen-tested mother plants. They ensure to obtain propagative material not only free of "quarantine" organisms under the national legislation but also of important "nonquarantine" pathogens. The control of insect vectors plays an important role in the systemic diseases management, but it must be used together with other control measures as eradication of infected plants and use of certified propagation material. Apart from the control of the virus vector and the use of virus-free material, the development of virus-resistant cultivars appears to be the most effective approach to achieve control of plant viruses, especially for perennial crops that are more exposed to infection during their long life span. The use of resistant or tolerant cultivars and/or rootstocks could be potentially the most important aspect of virus disease management, especially in areas in which virus infections are endemic. The

  19. Design in the natural stone transformation sector: evaluating a new concept

    Directory of Open Access Journals (Sweden)

    Susana Paixão-Barradas


    Full Text Available The European natural stone sector is declining; sales and imports are decreasing, owing to growing competition from Asiatic countries concerning the diversity of low-cost materials and European cultural and historical traditions demanding a commitment to invest in the best equipment and technology available. Design plays an important role in a company regarding the development, innovation and creation of competitive products. The present research involved a questionnaire being given to Portuguese and Spanish companies working in the natural stone sector to ascertain the companies’ characteristics, identifying those working with internal departments specialising in innovation for developing new products and studying the feasibility of working with a new concept by studying the relationship between these companies and the importance they attach to the sensation of well-being which a natural stone product offers. The results showed that companies recognised most feelings presented here as being ‘important’, mainly those referring to social factors. It could be concluded that a company working with an internal design department for product development appreciates such concepts and adds more value to them.

  20. Humidity sorption on natural building stone (United States)

    Franzen, C.; Mirwald, P.


    processes, physical, chemical or biological, depend on the presence of water. Like most porous materials building stone respond on humidity by water uptake. The sorption isotherm represents the equilibrium moisture, specific for each material. The determination of the isotherm for stone of low and small porosity like marble is difficult. With the help of a newly developed water sorption analysis chamber [2], which allows the simultaneous measurement of 11 samples, good results on stone/rock samples have been obtained. Even at marble species with pore volumes lower than 0.4 % isotherms are measured. This analytical method offers new insights in the pore behaviour of low porosity materials. The advantages of this technique which supplements other techniques (e.g. BET, Hg-porosimetry) are: i) the testing agent is identical to the weathering agent, water; ii) the atmospheric parameters at the measurement reflect the natural conditions - thus no changes to the material properties have to be considered; iii) due to the small diameter of the water molecule (~0.28 nm), smaller pores are reached than e.g. with N2 (~0.31 nm). Sorption isotherms of sandstone (Baumberg, Obernkirchen, Groeden), granite (Brixen), and marble (Sterzing, Laas) are presented. Particular as to marbles the resolution is considerably higher. A previously observed negative hysteresis [3] seems an effect due to limited data resolution. [1] Snethlage, R. (1984) Steinkonservierung, Bayer. LA Denkmalpflege, Ah. 22, 203 S. [2] Griesser, U.J., Dillenz, J. (2002) Neuartiges, vollautomatisches Feuchtesorptionsprüfgerät mit hohem Probendurchsatz, Feuchtetag 2002, Weimar, 85-93. [3] Fimmel, R. (1996) Verwitterungsverhalten der alpinen Marmore von Laas und Sterzing, Diss. Univ. Ibk, 116 S.

  1. 'Saurashtra stone anchors' (Ring-stones) from Dwarka and Somnath, west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Gaur, A.S.; Sundaresh; Tripati, S.; Gudigar, P.; Bandodkar, S.N.

    groups. Group I: Ring-stone numbered 25 (P1. 1), 26, 31-33, 35 and 42 are made of basalt. Most of them were lying exposed on the sea-bed, a few of them lay partially buried, viz., no. 1. This is upside down. The exposed por- tions of these ring...

  2. "Azul Platino": another Spanish natural stone to be considered as Global Heritage Stone Resource. (United States)

    José Tejado, Juan; Mota, M. Isabel; Pereira, Dolores


    Several granites are quarried in Extremadura, Spain, with very good aesthetic and physic and mechanical characteristics. "Azul Platino" has a striking bluish colour and its properties make this granite a perfect option for most applications as ornamental rocks. This granite has been used for centuries, first in the architectonic heritage of the extraction surrounding area, but afterwards in many important projects in Spain, Europe and all around the world: La Guardia Airport (NYC, USA), Yokohama Bridge (Tokyo, Japan), European Parliament (Brussels, Belgium), Planetarium (Valencia, Spain), Tenerife Auditorium (Tenerife, Spain), Suntec City (Singapore), MTR Kowlonn Station (Hong Kong), O'Connel Street (Dublin, Ireland), .... One important characteristic of this natural stone is the low radon exhalation that all the varieties, including the more weathered ones, show. For being a granite, this is an important characteristic for its use, both in interior and exterior use. But "Azul Platino" accomplishes all requirements to be considered as a nominee for Global Heritage Stone Resource consideration. Together with other local natural stones, it could be part as well of a Global Heritage Stone Province nomination.

  3. Comparison of Different Methods of Denim Stone Washing by Pumice Stone, Acid Cellulases and Neutral Cellulases

    Directory of Open Access Journals (Sweden)

    M. Montazer


    Full Text Available Denim is a casual garment normally used by young people and extremely influential in shaping the fashion industry. Among various garments, these garments are subjected to innovations. This work is an attempt to compare the different methods of stone washing using pumice stones, acid cellulases and neutral cellulases or in combination of these methods. The effects of different processing conditions on the garment are compared and reported. Color differences of samples are probed by reflective colorimeter on the front side as well as the backside and also the white pocket of the garment.The abrasion resistance, tensile strength and crease recovery angle of samples are also reported. The XRD spectra are used to calculate the crystalline degrees of the selected samples. Moreover, fiber surfaces of some treated samples have been observed by SEM. The results indicate that treatment of denim with pumice stone with equal weight of garment causes a small color differences. The addition of cellulases to the washing, however, accelerates the color fading. Also, lower staining observed on the white pocket when the garment was treated with cellulases. However, the neutralcellulases increase the garment fading and decrease the staining on the white pocket. It is also observed that pumice stone with cellulases damages the fabric surface, although it is of a minimal damage.

  4. The Invention of I.F. Stone: the early life and career of I.F. Stone 1907-1953.


    Guttenplan, D. D.


    When I.F. Stone died in June 1989 the Daily Telegraph described him as "the most notable radical publicist of his time" the Guardian called I.F. Stone's Weekly "essential reading for two generations of opinion makers" the Independent eulogized "the most famous crusading journalist in the United States." Stone's death made the front page of the New York Times and the Washington Post. It was also on all three U.S. network news broadcasts. Yet today I.F. Stone is practically a forgotten figure...

  5. Stars and Stones on Emperor Elagabalus' Coins (United States)

    Comeron, F.

    Several series of coins and medals issued under the reign of Roman Emperor Elagabalus (AD 218-222) refer to the ceremony of his entry in Rome, in which the baetyl of Emesa played a central role. This baetyl, a cone-shaped black stone of likely meteoritic origin, represents the solar divinity Baal, whose cult was introduced in Rome by Elagabalus. Worship of baetyls is common in ancient near-Eastern cultures, in which meteorites are believed to have a celestial origin, as opposed to the Aristotelian theory prevalent in the Roman culture at the epoch.

  6. Mineral resource of the month: dimension stone (United States)

    Dolley, Thomas P.


    The article offers information on dimension stone (DS) that are quarried as natural rock for a specific size and dimension chosen for its color, strength, durability. Varieties of metamorphic, igneous or sedimentary rocks are used but DS rocks are mainly marble, granite and slate that can be found from Maine to Alabama in the U.S., in the Carrara District of Italy as well as in Greece, China and Brazil. It also notes the advent of steel and concrete in construction that ceased the use of DS.

  7. Towards the Rosetta Stone of planet formation

    Directory of Open Access Journals (Sweden)

    Schmidt T.O.B.


    Full Text Available Transiting exoplanets (TEPs observed just ~10 Myrs after formation of their host systems may serve as the Rosetta Stone for planet formation theories. They would give strong constraints on several aspects of planet formation, e.g. time-scales (planet formation would then be possible within 10 Myrs, the radius of the planet could indicate whether planets form by gravitational collapse (being larger when young or accretion growth (being smaller when young. We present a survey, the main goal of which is to find and then characterise TEPs in very young open clusters.

  8. Anatomical factors predicting lower calyceal stone clearance after extracorporeal shockwave lithotripsy

    Directory of Open Access Journals (Sweden)

    M. Khan


    Conclusions: This study shows that lower infundibular length and width are significant anatomical factors in determining stone clearance following ESWL treatment of lower calyceal stones and these should be assessed before planning the treatment for lower calyceal stones.

  9. Prevalence of renal uric acid stones in the adult. (United States)

    Trinchieri, Alberto; Montanari, Emanuele


    The aim of this study was to estimate uric acid renal stone prevalence rates of adults in different countries of the world. PubMed was searched for papers dealing with "urinary calculi and prevalence or composition" for the period from January 1996 to June 2016. Alternative searches were made to collect further information on specific topics. The prevalence rate of uric acid stones was computed by the general renal stone prevalence rate and the frequency of uric acid stones in each country. After the initial search, 2180 papers were extracted. Out of them, 79 papers were selected after the reading of the titles and of the abstracts. For ten countries, papers relating to both the renal stone prevalence in the general population and the frequency of uric stones were available. Additional search produced 13 papers that completed information on 11 more countries in 5 continents. Estimated prevalence rate of uric acid stones was >0.75% in Thailand, Pakistan, Saudi Arabia, Iran, South Africa (white population), United States and Australia; ranged 0.50-0.75% in Turkey, Israel, Italy, India (Southern), Spain, Taiwan, Germany, Brazil; and uric acid stone formation. A hot and dry climate increases fluid losses reducing urinary volume and urinary pH. A diet rich in meat protein causes low urinary pH and increased uric acid excretion. On the other hand, uric acid stone formation is frequently associated with obesity, metabolic syndrome and diabetes type 2 that are linked to dietary energy excess mainly from carbohydrate and saturated fat and also present with low urine pH values. An epidemic of uric acid stone formation could be if current nutritional trends will be maintained both in developed countries and in developing countries and the areas of greater climatic risk for the formation of uric acid stones will enlarge as result of the "global warming".

  10. Extracorporeal shock wave lithotripsy for urinary stone disease: clinical experience with the electromagnetic lithotriptor 'Lithostar'. (United States)

    Simon, J; Corbusier, A; Mendes Leal, A; Van den Bossche, M; Wespes, E; Van Regemorter, G; Schulman, C C


    400 urinary stone patients were treated with the electromagnetic lithotriptor Siemens 'Lithostar': 66.3% had renal stones and 33.7% had ureteral stones. Ninety percent of the treatments were performed under intravenous sedation only: 14.5% of the patients had more than one session. After 3 months more than 80% of the patients with a single stone smaller than 1.5 cm and 46% of the patients with stones larger than 2.5 cm were 'stone-free'.

  11. On characterizing terrain visibility graphs

    Directory of Open Access Journals (Sweden)

    William Evans


    Full Text Available A terrain is an $x$-monotone polygonal line in the $xy$-plane. Two vertices of a terrain are mutually visible if and only if there is no terrain vertex on or above the open line segment connecting them. A graph whose vertices represent terrain vertices and whose edges represent mutually visible pairs of terrain vertices is called a terrain visibility graph. We would like to find properties that are both necessary and sufficient for a graph to be a terrain visibility graph; that is, we would like to characterize terrain visibility graphs.Abello et al. [Discrete and Computational Geometry, 14(3:331--358, 1995] showed that all terrain visibility graphs are “persistent”. They showed that the visibility information of a terrain point set implies some ordering requirements on the slopes of the lines connecting pairs of points in any realization, and as a step towards showing sufficiency, they proved that for any persistent graph $M$ there is a total order on the slopes of the (pseudo lines in a generalized configuration of points whose visibility graph is $M$.We give a much simpler proof of this result by establishing an orientation to every triple of vertices, reflecting some slope ordering requirements that are consistent with $M$ being the visibility graph, and prove that these requirements form a partial order. We give a faster algorithm to construct a total order on the slopes. Our approach attempts to clarify the implications of the graph theoretic properties on the ordering of the slopes, and may be interpreted as defining properties on an underlying oriented matroid that we show is a restricted type of $3$-signotope.

  12. River pollution caused by natural stone industry (United States)

    Oktriani, Ani; Darmajanti, Linda; Soesilo, Tri Edhi Budhi


    The natural stone industry is classified as small industry. Current wastewater treatment still causes pollution in the river. This thesis aims to analyze the performance of wastewater treatment in natural stones industry. The data was collected from water quality test (parameters: temperature, pH, DO, and TSS). The wastewater treatment performance was in a slightly higher position compared to the 2nd class quality standards of Government Regulation No. 82/2001. The parameter that exceeded quality standards was the concentration of TSS, which was up to 240.8 mg/l. The high concentration of TSS was affected by the absence of sludge management schedule, which resulted in non-optimal precipitation. Besides that, the design of sedimentation basin was still not adapted with wastewater debit. Referring to the results, this study suggests the government of Cirebon District to provide wastewater treatment development through the village staff. Furthermore, the government also needs to give strict punishment to business owner who does not treat waste correctly and does not have a business license. Moreover, the sale value of sludge as byproduct of wastewater treatment needs to be increased.

  13. Operational properties of nanomodified stone mastic asphalt

    Directory of Open Access Journals (Sweden)

    Inozemtsev Sergey Sergeevich


    Full Text Available In order to prolong the lifetime and to improve the quality of pavements made of asphalt concrete it is necessary to apply innovative solutions in the process of design of such building materials. In order to solve the problem of low durability of asphalt concrete a modifier was proposed, which consists of diatomite, iron hydroxide sol (III and silica sol. Application of the diatomite with nanoscale layer of nanomodifier allows getting a stone mastic asphalt, which has high values of physical and mechanical properties and allows refusing from expensive stabilizing additive. Mineral filler was replaced by diatomite, which has been modified by iron hydroxide sol (III and silica sol. Modified diatomite allows sorption of bitumen and increase the cohesive strength and resistance to shear at positive temperatures. The modified asphalt has higher resistance to rutting at high temperature, abrasion resistance at low temperature and impact of climatic factors: alternate freezing and thawing, wetting-drying, UV and IR radiations. It is achieved by formation of solid and dense bitumen film at the phase interface and controlling the content of light fractions of the bitumen. The modifier consists of sol of iron hydroxide, which blocks the oxidation and polymerization of bitumen during operation. The proposed material allows controlling the initial structure formation of stone mastic asphalt. It was shown that modern test methods allow assessing the durability of asphalt in the design phase compositions.

  14. An epidemiological study on the composition of urinary stones in ...

    African Journals Online (AJOL)

    M. Bouatia

    Shockwave lithotripsy (SWL), ureteroscopy (URS), percutaneous nephrolithotomy (PCNL) and open surgery are all effective methods to remove urinary calculi, and knowing the urinary stone composi- tion is frequently a key factor in determining the most appropriate management [5]. Urinary stone analysis is a tool for ...

  15. Stone anchors of India: Findings, classification and significance.

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.

    Various types of stone anchors have been observed during inshore and offshore explorations along the east and west coasts of India. The earliest stone anchors of India have been recorded from the Harappan sites (3rd millennium BC), but their shape...

  16. Incidence and Distribution of Pulp Stones Found in Radiographic ...

    African Journals Online (AJOL)

    Dr. Enes Tan,. Department of Orthodontics, Faculty of Dentistry, Kırıkkale University,. Kırıkkale, Turkey. E-mail: Introduction. Pulp stones (PS) are discrete calcified masses found in the dental pulp, in the pulp tissue or become attached to or embedded into the dentine.[1] Structurally, pulp stones can be.

  17. Production of concrete using laterite, periwinkle shell and river stone ...

    African Journals Online (AJOL)

    This paper presents the success recorded in producing concrete using laterite, periwinkle shell and river stone. Laterite was used to replace 100% of sand. Periwinkle shell replaces 50% by volume of the total coarse aggregate, while river stone made up the rest 50%. Sixteen mix ratios were used, and a total of 96 cubes ...

  18. Patient with Benign Prostatic Hypertrophy and Two Giant Stones in ...

    African Journals Online (AJOL)

    Giant urinary bladder stones are very rare; very few cases have been reported in English literature and only one case from Africa. Multiple giant bladder stones are extremely rare; no single case report has been found documenting this occasion. This report presents a patient of benign prostatic hypertrophy with two giant ...

  19. Dental pulp stone formation during orthodontic treatment: A ...

    African Journals Online (AJOL)

    Objective: The aim of this study was two‑fold: (1) To assess the incidence of dental pulp stone formation during orthodontic treatment, and (2) to determine the correlations between the presence of dental pulp stones and age, gender, and dental arches. Materials and Methods: A sample of 545 patients (334 girls and 211 ...

  20. Stone artefact production and exchange among the northern Lesser Antilles

    NARCIS (Netherlands)

    Knippenberg, Sebastiaan


    This work discusses the exchange of stone materials and artefacts among the northern Lesser Antilles during the Ceramic Age (500 BC - AD 1492). Through the systematic analysis of source materials and a comparison of these with lithic artefacts, the provenance of a significant portion of stone

  1. Endoscopic treatment of pancreatic stones in patients with chronic pancreatitis

    NARCIS (Netherlands)

    Smits, M. E.; Rauws, E. A.; Tytgat, G. N.; Huibregtse, K.


    The aim of our study was to evaluate the long-term results of endoscopic pancreatic stone removal in patients with chronic pancreatitis. We retrospectively included 53 patients with chronic pancreatitis, in whom an attempt was made at endoscopic stone removal between 1984 and 1993. Patients

  2. Kidney Stones and the Risk for Chronic Kidney Disease


    Rule, Andrew D.; Bergstralh, Eric J.; Melton, L. Joseph; Li, Xujian; Weaver, Amy L.; Lieske, John C.


    Background and objectives: Kidney stones lead to chronic kidney disease (CKD) in people with rare hereditary disorders (e.g., primary hyperoxaluria, cystinuria), but it is unknown whether kidney stones are an important risk factor for CKD in the general population.


    African Journals Online (AJOL)

    A vesical calculus weighing more than 100g is categorized as a giant urinary bladder stone. Male preponderance for urinary bladder calculi is well known. A rare case of a giant urinary bladder calculus weighing 1200g and occurring in a female patient is reported. The stone was removed by open vesicolithotomy.

  4. Urinary stones in children | Mshelbwala | Nigerian Journal of ...

    African Journals Online (AJOL)

    Urinary stones were previously thought to be uncommon in the paediatric age however this may be due to differences in presentation and evaluation of children with stones. There are variations in the incidence worldwide; affected by diet and climate. Common aetiological factors are metabolic changes, urinary tract ...

  5. Urinary Exertion Of Calcium By Urinary Stone Disease Patients And ...

    African Journals Online (AJOL)

    To compare the urinary excretion of calcium by subjects in a known area of high incidence of urinary stone disease, and a known area of low incidence, 12 adult male patients with idiopathic calcigerous urinary stone disease in south-East Nigeria and 55 similar patients from Scotland, United Kingdom were analyzed ...

  6. Effect of Ferrous Additives on Magnesia Stone Hydration (United States)

    Zimich, V.


    The article deals with the modification of the magnesia binder with additives containing two- and three-valent iron cations which could be embedded in the chloromagnesium stone structure and also increase the strength from 60 MPa in a non-additive stone to 80MPa, water resistance from 0.58 for clear stone to 0.8 and reduce the hygroscopicity from 8% in the non-additive stone to 2% in the modified chloromagnesium stone. It is proposed to use the iron hydroxide sol as an additive in the quantities of up to 1% of the weight of the binder. The studies were carried out using the modern analysis methods: the differentialthermal and X-ray phase analysis. The structure was studied with an electron microscope with an X-ray microanalyzer. A two-factor plan-experiment was designed which allowed constructing mathematical models characterizing the influence of variable factors, such as the density of the zatcher and the amount of sol in the binder, on the basic properties of the magnesian stone. The result of the research was the magnesia stone with the claimed properties and formed from minerals characteristic for magnesian materials as well as additionally formed from amachenite and goethite. It has been established that a highly active iron hydroxide sol the ion sizes of which are commensurate with magnesium ions is actively incorporated into the structure of pentahydroxychloride and magnesium hydroxide changing the habit of crystals compacting the structure of the stone and changing its hygroscopicity.

  7. Chronic dehydration and symptomatic upper urinary tract stones in ...

    African Journals Online (AJOL)

    Chronic dehydration and symptomatic upper urinary tract stones in young adults in Ibadan, Nigeria. ... West African Journal of Medicine. Journal Home ... Patients and Methods: We reviewed all cases of renal stones referred to a single Consultant in a Teaching Hospital in Southwestern Nigeria over a two year period.

  8. In vitro study of transmission of bacteria from contaminated metal models to stone models via impressions

    DEFF Research Database (Denmark)

    Sofou, A.; Larsen, T.; Öwall, B.


    Dental impression, stone model, bacterial contamination, cross-infection, dental clinic, dental laboratory......Dental impression, stone model, bacterial contamination, cross-infection, dental clinic, dental laboratory...

  9. Incidence of kidney stones in kidney transplant recipients: A systematic review and meta-analysis. (United States)

    Cheungpasitporn, Wisit; Thongprayoon, Charat; Mao, Michael A; Kittanamongkolchai, Wonngarm; Jaffer Sathick, Insara J; Dhondup, Tsering; Erickson, Stephen B


    To evaluate the incidence and characteristics of kidney stones in kidney transplant recipients. A literature search was performed using MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews from the inception of the databases through March 2016. Studies assessing the incidence of kidney stones in kidney transplant recipients were included. We applied a random-effects model to estimate the incidence of kidney stones. Twenty one studies with 64416 kidney transplant patients were included in the analyses to assess the incidence of kidney stones after kidney transplantation. The estimated incidence of kidney stones was 1.0% (95%CI: 0.6%-1.4%). The mean duration to diagnosis of kidney stones after kidney transplantation was 28 ± 22 mo. The mean age of patients with kidney stones was 42 ± 7 years. Within reported studies, approximately 50% of kidney transplant recipients with kidney stones were males. 67% of kidney stones were calcium-based stones (30% mixed CaOx/CaP, 27%CaOx and 10%CaP), followed by struvite stones (20%) and uric acid stones (13%). The estimated incidence of kidney stones in patients after kidney transplantation is 1.0%. Although calcium based stones are the most common kidney stones after transplantation, struvite stones (also known as "infection stones") are not uncommon in kidney transplant recipients. These findings may impact the prevention and clinical management of kidney stones after kidney transplantation.

  10. Lioz: The Stone that made Lisbon reborn - A Global Heritage Stone Resource Proposal (United States)

    Lopes, Luis


    Lioz: The Stone that made Lisbon reborn - A Global Heritage Stone Resource Proposal Explored since the Roman Period, the Lioz (Cenomanian age microcrystalline fossiliferous limestone) is the main stone used in the buildings and monuments of Lisbon. After the great cataclysm of 1755 (earthquake, tsunami and fire) of 1755, the already known great quality and the near occurrence of these limestones were wisely used in the great reconstruction of the "Capital do Império" (Capital of the Empire). At the time, Lisbon was one of the largest European cities and great business center of the World, so the necessary and urgent reconstruction was not so difficult to start. Sebastião José de Carvalho e Melo, better known as "Marquês de Pombal", Secretary of King José I, successfully took up the challenge of rebuilding Lisbon. Inside the actual Portuguese capital geographical limits, several quarries of the Cretaceous limestone were explored; some still exist and are classified as geomonuments (i.e., Rio Seco Geomonument, 38 ° 42'21 .67''N; 9 ° 11 '30.37''W). As the City boundaries expanded, the quarries stopped and now there is no one asset in Lisbon. The most important exploitation and processing Lioz stone center was situated in Pêro Pinheiro, 20 km NW of Lisbon. Most of the stones used in the National Palace-Convent of Mafra (1717) belongs to the four main types of Lioz (the cream/white "Abancado", the pink/dark pink "Encarnadão", the yellow "Amarelo de Negrais" and the blueish grey "Azulino"), either cut "against" (perpendicular to the bedding plane) or "along" (parallel to the bedding plane). The orientation stone cut deeply controls texture and mechanical properties of the rocks that behaves as different ones were considered. In the last two decades, the Lioz extraction was almost extinguished. However, some of the old quarries was reactivated and produces first quality blocks needed both for new works and restoration of historic buildings and monuments. The

  11. Visibly ethnically different families in Denmark & Sweden

    DEFF Research Database (Denmark)

    Singla, Rashmi

    This paper foregounds visibly ethnically different families (Phoenix, 2011) in Denmark. These comprise both.families with parents from two different countries (India and Denmark) and families with transnational adoptees (South Korea). The former are barely scientifically explored due to the domin......This paper foregounds visibly ethnically different families (Phoenix, 2011) in Denmark. These comprise both.families with parents from two different countries (India and Denmark) and families with transnational adoptees (South Korea). The former are barely scientifically explored due...... and poststructuralism in the latter. The results indicate both the possibilities and the limitations involved, highlighting the internal - intersubjective experiences, and the external aspects - the structural factors, other(s) gaze towards the visible differences. Furthermore some parental experiences in transmitting...... racial literacy- identifying racism as a serious problem and preparing children to cope are seen. For the transnational adoptees, inclusion as Danish implies exclusion from categories such as Korean. Also anxiety from the adoptive family regarding exclusion/alienation entails ambivalences and paradoxes...

  12. Method of proportioning stone to stowing installations underground

    Energy Technology Data Exchange (ETDEWEB)

    Szafarczyk, J.; Kubek, F.


    Reviews types of stowing intallations and the technology of supplying after-washing stone used. It is recommended to take advantage of downward inclined stowing pipeline sections for underground feeding of the stowing stone. Calculation of the mass of stone fed to a stowing pipeline is explained. First experience of using the method in the Jankowice black coal mine in 1991 is reported on. About 8,000 t of stone were stowed using the method during 7 months. The stowing installation consists of a tippler, a belt conveyor and a batcher of about 10 m[sup 3]. The capacity of the installation is 30 m[sup 3]/h. Suitable proportions of slag-crushed stone mixtures are recommended.

  13. Lacrimal gland duct stones: misdiagnosed as chalazion in 3 cases. (United States)

    Kim, Sung Chul; Lee, Kook; Lee, Sang Un


    To report 3 cases of lacrimal gland duct stones misdiagnosed as chalazion. Retrospective case series. Three patients with lacrimal gland duct stones misdiagnosed as chalazion at a local clinic between 2010 and 2012. A thorough review of clinical, imaging, and histopathologic manifestations. Clinical manifestations of lacrimal gland duct stones included conjunctival injection, lid swelling, tenderness, and ocular discharge, which are similar to chalazion symptoms. Computed tomography revealed a relatively well-defined, high-density mass near the lacrimal gland. Histopathologic examination of excised material revealed calcified amorphous stones. Intractable chalazion-like lesions at the lateral canthal area near the lacrimal gland should be carefully examined; imaging studies are required to confirm the presence of lacrimal gland duct stones, which require surgical removal. Crown Copyright © 2014. Published by Elsevier Inc. All rights reserved.

  14. A Stone Resource Assignment Model under the Fuzzy Environment

    Directory of Open Access Journals (Sweden)

    Liming Yao


    to tackle a stone resource assignment problem with the aim of decreasing dust and waste water emissions. On the upper level, the local government wants to assign a reasonable exploitation amount to each stone plant so as to minimize total emissions and maximize employment and economic profit. On the lower level, stone plants must reasonably assign stone resources to produce different stone products under the exploitation constraint. To deal with inherent uncertainties, the object functions and constraints are defuzzified using a possibility measure. A fuzzy simulation-based improved simulated annealing algorithm (FS-ISA is designed to search for the Pareto optimal solutions. Finally, a case study is presented to demonstrate the practicality and efficiency of the model. Results and a comparison analysis are presented to highlight the performance of the optimization method, which proves to be very efficient compared with other algorithms.

  15. Temporally variable macroinvertebrate-stone relationships in streams

    DEFF Research Database (Denmark)

    Jacobsen, D.


    negatively related to density and positively related to number of families. Patterns were less clear for richness residuals. Simple linear regressions of fauna vs. stone parameters generally confirmed the results reached by the PLS analysis, although few of the regressions were significant. For all fauna......) multiple regression analyses showed high temporal variability between sampling dates in factor loadings of specific stone micro habitat variables. In spite of this, there was a clear negative effect of depth and a positive effect of current on density and number of families. Stone size was consistently...... of fauna parameter and stone variable from different sampling dates (n=9-11) were rarely correlated to any of the measures of stream stability, this study has demonstrated high temporal variability in fauna-stone relationships (CV's of regression slopes). Consequently, temporally un-replicated studies...

  16. A small stone column of the altar screen from the treasures of St Archangel Michael's monastery in Prevlaka

    Directory of Open Access Journals (Sweden)

    Crnčević Dejan


    Full Text Available Amongst exhibited fragments of carved stone decorations in the monastery of St Archangel Michael in Prevlaka, Boka Kotorska, situated on the ground floor of the monastery's accommodation quarters, there is a segment of stone liturgical furnishings which is, among other things, distinguished by its monumental dimensions, the high level of its craftsmanship, and the important artistic value of its carved decorations. This small stone column was found by chance as a surface-level find on the neighbouring island of St Gavrilo. This stone column is made from a monolithic piece of high- quality, light-grey marble. It is 96 cm in height, 20 cm wide at the front, 18.5 cm wide at the side, and 13cm wide at the rear. These dimensions indicate that the fragment has the form of an elongated hexahedron, with sides of unequal width. Only the front of this stone fragment is marked with relief decorations, comprising a regularly shaped two-part curled sprouting vine. Moving with its undulating rhythm, its arc defines a space in which is located the central motif of the decoration. This comprises the motif of a bud in the form of stylised crinoline flower, composed of two lateral leaves with a pronounced bulge in the middle. These tightly bent lateral leaves with sharp ends, together with the root of the formed shoot, leave an empty space filled with an offshoot in the form of a regularly formed volute. The left lateral side of the stone column is marked by a long but relatively shallow channel, created around its axis, with a width of 7.5 cm. Its rear side is divided by its own height into two vertical fields, of almost the same width - 6 and 7 cm respectively - one slightly elevated compared to the other. The right lateral side of the column is slanted and only lightly sculptured. On the upper surface of the pillar, a relatively shallow circular hole with a small span is visible, intended as a connection point for other segments that would have been placed on

  17. Percutaneous nephrolithotomy for staghorn stones: a randomised trial comparing high-power holmium laser versus ultrasonic lithotripsy. (United States)

    El-Nahas, Ahmed R; Elshal, Ahmed M; El-Tabey, Nasr A; El-Assmy, Ahmed M; Shokeir, Ahmed A


    .621). Compared with US-L for intracorporeal lithotripsy of staghorn stones during PCNL, HP-HLL showed comparable safety and efficacy with a lower haemoglobin deficit but longer operative time. © 2016 The Authors BJU International © 2016 BJU International Published by John Wiley & Sons Ltd.

  18. Berroqueña stone of Madrid (Spain). A traditional and contemporary building stone (United States)

    Freire Lista, David Martin; Fort, Rafael; Varas Muriel, Ma José


    In the Alpedrete monzogranite to granodiorite pluton (350 km2) at 45 km north of the city of Madrid, there are several quarries of Berroqueña stone.This stone has been widely used as building stone in well-preserved and significant buildings of the central area of Spain, such as the Nuestra Señora de la Asunción in Alpedrete (16th century), Royal Palace and Alcalá Gate in Madrid (18th century). This building stone is used, both for new construction and restoration work, like headquarter of the Banco de España in Madrid (19th century) and its restoration (20th century). Alpedrete granite is compositionally classified as monzogranite. Petrographically, it is a medium (1-5 mm) grained subidiomorphic, and equigranular. This mineralogy consists chiefly of quartz (2-3 mm and 40-50% vol.), plagioclase (1-3 mm and 25-30% vol.), K-feldspar (microcline; 2-4 mm and 10-15% vol.) and biotite (1- 2 mm and 10-15% vol.). Its accessory minerals are cordierite, apatite, zircon and monazite. This grey granite has low amount of cracks, its open porosity (accessible to water) is 0,8 % and accessible to mercury is 0,50 %, with a diameter ranging mostly from 0.01 to 0.1 µm. Water absortion is 0,3%. Its bulk density is 2668 kg/m3 and its anisotropy grade (dM) is 6,5 %. its ultrasound propagation velocity (Vp) is 4626 m/s and microhardness of Knoop test 4544 Mpa. Pressure strenght ,and flexure strength 136.9 Mpa and 8.88 Mpa, respectiverly. Measurements obtained of petrophysical properties make this granite a high quality building material. Petrological and petrophysical characteristics of Berroqueña stone, with which have been used for many buildings from 16th century to present, provide a good answer to the decay agents, and therefore durability, possibility of differents finishes and good cleaning. Currently widely used in restoration and paving streets, outdoor tiling and funerary art. Acknowledgments: Special thanks are given to the Geomaterials (S2009/MAT 1629) and CONSOLIDER

  19. Incremental Visualizer for Visible Objects

    DEFF Research Database (Denmark)

    Bukauskas, Linas; Bøhlen, Michael Hanspeter

    path. IVVO is the novel solution which allows data to be visualized and loaded on the fly from the database and which regards visibilities of objects. We run a set of experiments to convince that IVVO is feasible in terms of I/O operations and CPU load. We consider the example of data which uses......This paper discusses the integration of database back-end and visualizer front-end into a one tightly coupled system. The main aim which we achieve is to reduce the data pipeline from database to visualization by using incremental data extraction of visible objects in a fly-through scenarios. We...... also argue that passing only relevant data from the database will substantially reduce the overall load of the visualization system. We propose the system Incremental Visualizer for Visible Objects (IVVO) which considers visible objects and enables incremental visualization along the observer movement...

  20. vysmaw: Fast visibility stream muncher (United States)

    Pokorny, Martin; Law, Casey J.


    The vysmaw client library facilitates the development of code for processes to tap into the fast visibility stream on the National Radio Astronomy Observatory's Very Large Array correlator back-end InfiniBand network.

  1. Algal 'greening' and the conservation of stone heritage structures. (United States)

    Cutler, Nick A; Viles, Heather A; Ahmad, Samin; McCabe, Stephen; Smith, Bernard J


    In humid, temperate climates, green algae can make a significant contribution to the deterioration of building stone, both through unsightly staining ('greening') and, possibly, physical and chemical transformations. However, very little is known about the factors that influence the deteriorative impact and spatial distribution of green algal biofilms, hindering attempts to model the influence of climate change on building conservation. To address this problem, we surveyed four sandstone heritage structures in Belfast, UK. Our research had two aims: 1) to investigate the relationships between greening and the deterioration of stone structures and 2) to assess the impacts of environmental factors on the distribution of green biofilms. We applied an array of analytical techniques to measure stone properties indicative of deterioration status (hardness, colour and permeability) and environmental conditions related to algal growth (surface and sub-surface moisture, temperature and surface texture). Our results indicated that stone hardness was highly variable but only weakly related to levels of greening. Stone that had been exposed for many years was, on average, darker and greener than new stone of the same type, but there was no correlation between greening and darkening. Stone permeability was higher on 'old', weathered stone but not consistently related to the incidence of greening. However, there was evidence to suggest that thick algal biofilms were capable of reducing the ingress of moisture. Greening was negatively correlated with point measurements of surface temperature, but not moisture or surface texture. Our findings suggested that greening had little impact on the physical integrity of stone; indeed the influence of algae on moisture regimes in stone may have a broadly bioprotective action. Furthermore, the relationship between moisture levels and greening is not straightforward and is likely to be heavily dependent upon temporal patterns in moisture

  2. Nanobacteria: An Infectious Cause for Salivary Stone Formation and Recurrence

    Directory of Open Access Journals (Sweden)

    Amr A El Badry


    Full Text Available Nanobacteria (NB contribute to pathological calcification in the human and animal body. It has been isolated from salivary stones and suggested that it may act as a nucleus for the initiation of these stones. In the present study, we examined its role in the recurrent salivary gland stones using immunodetection with NB-specific monoclonal antibodies and scanning electron microscopy (SEM hoping to provide a method for preventing the recurrence of these stones in the patient that has suffered from salivary stones. Our study comprised 30 patients with recurrent salivary gland stones (group I and 30 patients with salivary gland stones for the first time (group II, in addition to 30 normal controls (group III. We could detect 100–500 nm nanoparticles in 24/30 (80% cases in group I with significant difference <0.05 and <0.01 when compared with group II and group III in which they were detected in 19/30 (63.3% and 6/30 (20% respectively. Also there was a significant difference <0.05 between group II and group III. We proposed that salivary stone formation is a nanobacterial disease initiated by bacterial infection. This bacteria may play an important role in the recurrence of salivary stone. So the use of calcium chelator, ethylene diamine tetra acetic acid (EDTA, before or in combination with the suitable antibiotic that is given in an amount effective to inhibit or prevent the growth and development of nanobacteria may eradicate these stones and prevent their recurrence.

  3. Kidney stones and kidney function loss: a cohort study (United States)

    Alexander, R Todd; Hemmelgarn, Brenda R; Wiebe, Natasha; Bello, Aminu; Morgan, Catherine; Samuel, Susan; Klarenbach, Scott W; Curhan, Gary C


    Objective To investigate whether the presence of kidney stones increase the risk of end stage renal disease (ESRD) or other adverse renal outcomes. Design A registry cohort study using validated algorithms based on claims and facility utilisation data. Median follow-up of 11 years. Setting Alberta, Canada, between 1997 and 2009. Participants 3 089 194 adult patients without ESRD at baseline or a history of pyelonephritis. Of these, 1 954 836 had outpatient serum creatinine measurements and were included in analyses of chronic kidney disease and doubling of serum creatinine level. Exposure One or more kidney stones during follow-up. Main outcome measures Incident ESRD, development of stage 3b–5 chronic kidney disease (estimated glomerular filtration rate kidney stones during follow-up. The excess risk of adverse outcomes associated with at least one episode of stones seemed greater in women than in men, and in people aged <50 years than in those aged ≥50. However, the risks of all three adverse outcomes in those with at least one episode of stones were significantly higher than in those without stones in both sexes and age strata. The absolute increase in the rate of adverse renal outcomes associated with stones was small: the unadjusted rate of ESRD was 2.48 per million person days in people with one or more episodes of stones versus 0.52 per million person days in people without stones. Conclusion Even a single kidney stone episode during follow-up was associated with a significant increase in the likelihood of adverse renal outcomes including ESRD. However, the increases were small in absolute terms. PMID:22936784

  4. Tracking kidney stones with sound during shock wave lithotripsy (United States)

    Kracht, Jonathan M.

    The prevalence of kidney stones has increased significantly over the past decades. One of the primary treatments for kidney stones is shock wave lithotripsy which focuses acoustic shock waves onto the stone in order to fragment it into pieces that are small enough to pass naturally. This typically requires a few thousand shock waves delivered at a rate of about 2 Hz. Although lithotripsy is the only non-invasive treatment option for kidney stories, both acute and chronic complications have been identified which could be reduced if fewer shock waves were used. One factor that could be used to reduce the number of shock waves is accounting for the motion of the stone which causes a portion of the delivered shock waves to miss the stone, yielding no therapeutic benefit. Therefore identifying when the stone is not in focus would allow tissue to be spared without affecting fragmentation. The goal of this thesis is to investigate acoustic methods to track the stone in real-time during lithotripsy in order to minimize poorly-targeted shock waves. A relatively small number of low frequency ultrasound transducers were used in pulse-echo mode and a novel optimization routine based on time-of-flight triangulation is used to determine stone location. It was shown that the accuracy of the localization may be estimated without knowing the true stone location. This method performed well in preliminary experiments but the inclusion of tissue-like aberrating layers reduced the accuracy of the localization. Therefore a hybrid imaging technique employing DORT (Decomposition of the Time Reversal Operator) and the MUSIC (Multiple Signal Classification) algorithm was developed. This method was able to localize kidney stories to within a few millimeters even in the presence of an aberrating layer. This would be sufficient accuracy for targeting lithotripter shock waves. The conclusion of this work is that tracking kidney stones with low frequency ultrasound should be effective clinically.

  5. 78 FR 3911 - Big Stone National Wildlife Refuge, Big Stone and Lac Qui Parle Counties, MN; Final Comprehensive... (United States)


    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF THE INTERIOR Fish and Wildlife Service Big Stone National Wildlife Refuge, Big Stone and Lac Qui Parle Counties, MN; Final Comprehensive Conservation Plan and Finding of No Significant Impact for Environmental Assessment...

  6. The effect of inclined position on stone free rates in patients with lower caliceal stones during SWL session

    Directory of Open Access Journals (Sweden)

    Basri Cakiroglu


    Full Text Available Objective: To compare the outcomes of shock wave lithotripsy (SWL combined with inclined position and SWL alone in patients with lower pole calyx stones. Methods: Seven hundred forty patients who underwent SWL treatment for lower pole renal stones with a total diameter of 2 cm or less were prospectively randomized into two groups. They were comparable in terms of age, sex, and stone diameters. Patients with lower calyceal stones (4-20 mm were randomized to SWL (368 patients or SWL with simultaneous inclination (372 patients with 30o head down Trendelenburg position. Shock wave and session numbers were standardized according to stone size. Additional standardized shock waves were given to patients with stone fragments determined by kidney urinary bladder film and ultrasound at weeks 1, 4, 10. Results: The overall stone free rate (SFR was 73% (268/368 in patients with SWL alone and 81% (300/372 in SWL with inclination at the end of 12th week (p = 0.015. No significant adverse events were noted in both treatment groups. Conclusion: Simultaneous inclination of patients during SWL session increase SFR in lower caliceal stones significantly compared to SWL treatment alone.

  7. Using a three-dimensional computer assisted stone volume estimates to evaluate extracorporeal shockwave lithotripsy treatment of kidney stones

    DEFF Research Database (Denmark)

    Bigum, Lene Hyldgaard; Ulriksen, Peter Sommer; Omar, Omar Salah


    This study describes and evaluates the use of non-contrast enhanced computerized tomography (NCCT) before and after extracorporeal shockwave lithotripsy (SWL). Computer measured stone volume was used as an exact measurement for treatment response. 81 patients received SWL of kidney stones at Herlev...

  8. Visible neutrino decay at DUNE

    Energy Technology Data Exchange (ETDEWEB)

    Coloma, Pilar [Fermilab; Peres, Orlando G. [ICTP, Trieste


    If the heaviest neutrino mass eigenstate is unstable, its decay modes could include lighter neutrino eigenstates. In this case part of the decay products could be visible, as they would interact at neutrino detectors via mixing. At neutrino oscillation experiments, a characteristic signature of such \\emph{visible neutrino decay} would be an apparent excess of events at low energies. We focus on a simple phenomenological model in which the heaviest neutrino decays as $\

  9. Computing Visible-Surface Representations, (United States)


    of applications. @ Massachusetts Institute of Technology 1985 "’ki report dcs;crihrs rccarch done at the Arificial lInelligence lhaboratory of the...411FO111 OIMMI bm tpal) IS. SUPPLEMENTARY MOTES None A IS~~~1. KEY WORS (Co~me 01 reerseea ............ MIngUfy ySek It Vision Variational principles...perception of visible surfaces. The explicit representation of visible surfaces, an intermediate goal of computational vision , has since attracted

  10. Cast Stone Formulation At Higher Sodium Concentrations

    Energy Technology Data Exchange (ETDEWEB)

    Fox, K. M.; Roberts, K. A.; Edwards, T. B.


    A low temperature waste form known as Cast Stone is being considered to provide supplemental Low Activity Waste (LAW) immobilization capacity for the Hanford site. Formulation of Cast Stone at high sodium concentrations is of interest since a significant reduction in the necessary volume of Cast Stone and subsequent disposal costs could be achieved if an acceptable waste form can be produced with a high sodium molarity salt solution combined with a high water to premix (or dry blend) ratio. The objectives of this study were to evaluate the factors involved with increasing the sodium concentration in Cast Stone, including production and performance properties and the retention and release of specific components of interest. Three factors were identified for the experimental matrix: the concentration of sodium in the simulated salt solution, the water to premix ratio, and the blast furnace slag portion of the premix. The salt solution simulants used in this study were formulated to represent the overall average waste composition. The cement, blast furnace slag, and fly ash were sourced from a supplier in the Hanford area in order to be representative. The test mixes were prepared in the laboratory and fresh properties were measured. Fresh density increased with increasing sodium molarity and with decreasing water to premix ratio, as expected given the individual densities of these components. Rheology measurements showed that all of the test mixes produced very fluid slurries. The fresh density and rheology data are of potential value in designing a future Cast Stone production facility. Standing water and density gradient testing showed that settling is not of particular concern for the high sodium compositions studied. Heat of hydration measurements may provide some insight into the reactions that occur within the test mixes, which may in turn be related to the properties and performance of the waste form. These measurements showed that increased sodium

  11. Cast Stone Formulation At Higher Sodium Concentrations

    Energy Technology Data Exchange (ETDEWEB)

    Fox, K. M. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Roberts, K. A. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Edwards, T. B. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)


    A low temperature waste form known as Cast Stone is being considered to provide supplemental Low Activity Waste (LAW) immobilization capacity for the Hanford site. Formulation of Cast Stone at high sodium concentrations is of interest since a significant reduction in the necessary volume of Cast Stone and subsequent disposal costs could be achieved if an acceptable waste form can be produced with a high sodium molarity salt solution combined with a high water to premix (or dry blend) ratio. The objectives of this study were to evaluate the factors involved with increasing the sodium concentration in Cast Stone, including production and performance properties and the retention and release of specific components of interest. Three factors were identified for the experimental matrix: the concentration of sodium in the simulated salt solution, the water to premix ratio, and the blast furnace slag portion of the premix. The salt solution simulants used in this study were formulated to represent the overall average waste composition. The cement, blast furnace slag, and fly ash were sourced from a supplier in the Hanford area in order to be representative. The test mixes were prepared in the laboratory and fresh properties were measured. Fresh density increased with increasing sodium molarity and with decreasing water to premix ratio, as expected given the individual densities of these components. Rheology measurements showed that all of the test mixes produced very fluid slurries. The fresh density and rheology data are of potential value in designing a future Cast Stone production facility. Standing water and density gradient testing showed that settling is not of particular concern for the high sodium compositions studied. Heat of hydration measurements may provide some insight into the reactions that occur within the test mixes, which may in turn be related to the properties and performance of the waste form. These measurements showed that increased sodium

  12. Cast Stone Formulation At Higher Sodium Concentrations

    Energy Technology Data Exchange (ETDEWEB)

    Fox, K. M.; Edwards, T. A.; Roberts, K. B.


    A low temperature waste form known as Cast Stone is being considered to provide supplemental Low Activity Waste (LAW) immobilization capacity for the Hanford site. Formulation of Cast Stone at high sodium concentrations is of interest since a significant reduction in the necessary volume of Cast Stone and subsequent disposal costs could be achieved if an acceptable waste form can be produced with a high sodium molarity salt solution combined with a high water to premix (or dry blend) ratio. The objectives of this study were to evaluate the factors involved with increasing the sodium concentration in Cast Stone, including production and performance properties and the retention and release of specific components of interest. Three factors were identified for the experimental matrix: the concentration of sodium in the simulated salt solution, the water to premix ratio, and the blast furnace slag portion of the premix. The salt solution simulants used in this study were formulated to represent the overall average waste composition. The cement, blast furnace slag, and fly ash were sourced from a supplier in the Hanford area in order to be representative. The test mixes were prepared in the laboratory and fresh properties were measured. Fresh density increased with increasing sodium molarity and with decreasing water to premix ratio, as expected given the individual densities of these components. Rheology measurements showed that all of the test mixes produced very fluid slurries. The fresh density and rheology data are of potential value in designing a future Cast Stone production facility. Standing water and density gradient testing showed that settling is not of particular concern for the high sodium compositions studied. Heat of hydration measurements may provide some insight into the reactions that occur within the test mixes, which may in turn be related to the properties and performance of the waste form. These measurements showed that increased sodium

  13. Stone decay assessment of the Madrid's Royal Palace (Spain) by means of ultrasound and magnetometric prospection (United States)

    Fort, R.; Alvarez de Buergo, M.


    The architrave of the entablature of the 4 façades of the Palace was built in a limestone known as Colmenar stone (biomicrite), a traditional material used for construction in Madrid. This stone shows such petrophysical properties that make it resistant to decay processes. Despite its high quality, the ashlars of the architrave have undergone fissuring processes resulting on fragments fall, some of them being blocks weighing more than 300 Kg, with the consequent risk for visitors and passers-by. Fissures were caused by the presence of metallic elements (iron-based) used to tie ashlars. These elements, which could have performed properly in absence of water, underwent oxidation processes due to the water entrance, exerting significant pressures inside the stone that derive into fractures with their planes being almost parallel to the façade surface. Once verified that the presence of these metallic elements, and their oxidation, was the cause of the ashlars fissuring, an inspection of the building façades architrave was performed by using two portable and non destructive techniques: magnetometry for detecting iron elements, and ultrasound velocity prospection for detecting non visible stone fissures behind the surface. This survey will allow defining the guidelines for a restoration intervention. The inspection of the architrave consisted of analysing around 1100 ashlars (circa 600 meters long were surveyed), during a lapse of time of one year, in 4 survey campaigns, one for each façade, with the aid of a mobile and self-operating that allows to reach up to 40 m high. Results from the magnetometry prospection made possible to locate metallic elements (flat bars and cramps), and sometimes the flat bars overlapping. Such bars are usually located at 3-5 cm deep from the surface, just below the freeze and in a case cut in the architrave limestone. In the areas of flat bars overlapping, a depth from the surface into the façade of 8-10 cm was measured. Such bars were

  14. Association between chronic kidney disease and urinary calculus by stone location: a population-based study. (United States)

    Keller, Joseph J; Chen, Yi-Kuang; Lin, Herng-Ching


    .91 (95% CI 1.81-2.01, P calculus (OR 2.10, 95% CI 1.95-2.27), ureter calculus (OR 1.68, 95% CI 1.51-1.85), bladder calculus (OR 1.49, 95% CI 1.13-1.98), and unspecified UC (OR 1.89, 95% CI 1.74-2.06). • We concluded that there was an association between ckd and UC regardless of stone location. © 2012 BJU INTERNATIONAL.

  15. A comparative study of mud-like and coralliform calcium carbonate gallbladder stones. (United States)

    Ma, Rui-Hong; Luo, Xiao-Bing; Wang, Xiao-Feng; Qiao, Tie; Huang, Hai-Yi; Zhong, Hai-Qiang


    To gain insight to underlying mechanism of the formation of calcium carbonate (CaCO3 ) gallbladder stones, we did comparative study of stones with mud appearance and those with coralliform appearance. A total of 93 gallbladder stones with mud appearance and 50 stones with coralliform appearance were analyzed. The appearance, color, texture, and the detection of Clonorchis sinensis eggs by microscopic examination were compared between the two groups. Then, the material compositions of stones were analyzed using Fourier Transform Infrared spectroscopy and the spectrogram characteristics were compared. Moreover, microstructure characteristics of the two kinds of stones were observed and compared with Scanning Electron Microscopy. Mud-like gallbladder stones were mainly earthy yellow or brown with brittle or soft texture, while coralliform stones were mainly black with extremely hard texture, the differences between the two groups was significant (p mud-like gallbladder stones were CaCO3 stones, and mainly aragonite; while all of the coralliform stones were CaCO3 stones, and mainly calcite (p mud-like CaCO3 stones was lower than that in coralliform CaCO3 stones (p Mud-like CaCO3 stones mainly happened to patients with cystic duct obstruction. Clonorchis sinensis infection was mainly associated with coralliform (calcite) CaCO3 stones. Cystic duct obstruction was mainly associated with mud-like (aragonite) CaCO3 stones. © 2017 Wiley Periodicals, Inc.

  16. The value of cone beam computed tomography in the detection of salivary stones prior to sialendoscopy. (United States)

    van der Meij, E H; Karagozoglu, K H; de Visscher, J G A M


    This study aimed to assess the value of cone beam computed tomography (CBCT) in the detection of salivary stones in patients with signs and symptoms of salivary gland obstruction. A total of 142 major salivary glands were analysed in a cohort of 127 patients with signs and symptoms of salivary gland obstruction. CBCT scans were performed in order to determine the presence of one or more salivary stones. All glands were also investigated by sialendoscopy. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were calculated for the submandibular gland, the parotid gland, and the whole group, based on the observers' abilities to diagnose the presence or absence of calculi in the CBCT scan using the sialendoscopy data as the gold standard. Fifty salivary stones were detected in the CBCT scans of the 142 glands analysed: 34 in the submandibular gland and 16 in the parotid gland. The sensitivity (94%), specificity (90%), positive predictive value (84%), and negative predictive value (97%) for the whole group were good to excellent, with an overall accuracy of 92%. CBCT appears to be an ideal first-line imaging modality for patients with signs and symptoms of obstructed major salivary glands. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  17. Stone material of regional provenance from Sirmium

    Directory of Open Access Journals (Sweden)

    Rižnar Igor


    Full Text Available The stone artefacts from Sirmium, held at the Museum of Srem, were sampled and analyzed in order to establish an archaeological database connected with Roman quarries and possible transport routes along the Sava and Danube Rivers. Of the artefacts made of Neogene limestone three lithotypes were identified. Two of them were determined as originating from the known Roman quarry in the Drina Valley (NE Bosnia. For the third lithotype and its subtypes a model of the hypothetical quarry is proposed, the location of which is suggested to be outside the Drina river basin. Beside limestone, the sampled artefacts also revealed two types of porous volcanoclastic rocks of andesitic composition, which supposedly originate from two different microlocations in the Drina river basin.

  18. Laser cleaning of graffiti on stone (United States)

    Atanassova, Victoria; Kostadinov, Ivan; Zahariev, Peter; Grozeva, Margarita; Miloushev, Ilko


    In present days graffiti is a common problem that many restorers have to deal with due to both its unaesthetic appearance and damaging nature for the surface beneath. We report laser cleaning of graffiti paints (black, white, blue, green and red) on limestone and granite. The efficiency of two laser systems is compared: high repetition rate (20 kHz) Copper Bromide Vapor Laser (CuBrVL) generating wavelength 510.6 nm and low repetition rate (up to 10 Hz) Q-switched Nd:YAG laser generating fundamental wavelength 1064 nm and its second harmonic 532 nm. The surface condition of the stone samples before and after cleaning is evaluated by means of optical microscopy. On that base, suitable working parameters are chosen in order to avoid under- or over-cleaning.

  19. Stone mortars in Roman Cisalpine: new specimens

    Directory of Open Access Journals (Sweden)

    Andrea Caffini


    Full Text Available The mortar, made of stone or marble, represents artifact in Cisalpine widespread elsewhere in the Roman world. the morphologies are substantially grouped into two basic shapes: type 1 presents a hemispherical bowl more or less flattened, Type 2 is characterized by a conical reverse body, more or less flared. In the mortars were subjected to pounding and grinding, using a pestle driven by hand, raw materials of various origin. The fields of application were mainly three: alimentary, officinal and cosmetic. In some cases the generic definition of mortar is applied improperly to marble containers probably only be used for ornamental. It 'also demonstrated the use of artifacts attributable to type 2 as a function of urns. Therefore, in reference to decontextualized pieces, you should use a definition not unique, reflecting the different possible meanings of the artifact.

  20. Injury experience in stone mining, 1992

    Energy Technology Data Exchange (ETDEWEB)


    This Mine Safety and Health Administration (MSHA) informational report reviews in detail the occupational injury and illness experience of stone mining in the United States for 1992. Data reported by operators of mining establishments concerning work injuries are summarized by work location, accident classification, part of body injured, nature of injury, occupation, and principal type of mineral. Related information on employment, worktime, and operating activity also is presented. Data reported by independent contractors performing certain work at mining locations are depicted separately in this report. For ease of comparison with other metal and nonmetallic mineral mining industries and with coal mining, summary reference tabulations are included at the end of both the operator and the contractor sections of this report.

  1. Drropulli Stone and Gjirokastra World Heritage in Albania (United States)

    Serjani, Afat; Kramar, Sabina


    Ancient Gjirokastra City and Dervician stone deposit, there are located next to each other, in south of Albania, at foots of eastern slope of "Wide Mountain". Building stone it is represented by micritic limestone of white, red and blue colour, formed during Palaeocene-Eocene Period. It contains fossils of rounded forms and it is known and exploited since the ancient times. Argjirokastra, Argjiro's City, appeared since the IV-th Century BC (V.Tola, 2011). Stone City has in its centre Majestic Fortress of a big cruiser view, which is seen from long distance, from all sides of Drinos Valley. "This Majestic Monument of Albanian vigour has an astonishing elegance" has written E. Hoxha (1983). Watching Gjirokastra you will remind "Chronic in Stone", the book of Ismail Kadare, great writer, born in Gjirokastra. All buildings here are of stone. The Large Fortress and high houses as castles are built by stone, and covered by stone tiles. The walls and minarets of religious buildings are of stone. The gates of houses and yards are of engraved stone, protected by metallic nets of artistic forms. The house's walls are built by big stone, while the walls of yards are by small stone of white colour, some times intercalated with lines of red, blue stone. The combination of different colour stone is another one artistic beauty of walls. The roads are paved by black cobblestones of flysch sandstone for protection by slips, some times combined with white limestone mosaics. Steps of houses and roads are by white stone, often reworked masterfully. "Such stones, reworked by very fine skilfully, can not be found in any other place of the World, only in Anadoll" has written on 1 665 Evliya Celepi (2003). Buildings are of specific architecture and by good style. The accounts of the basis are done to keep "houses as castle". The walls have wood antiseismic layers. The architecture of houses, gates, angles, windows, with predomination of arc forms, with engraved stones and ornaments it is

  2. Simple and practical nomograms for predicting the stone-free rate after shock wave lithotripsy in patients with a solitary upper ureteral stone. (United States)

    Niwa, Naoya; Matsumoto, Kazuhiro; Miyahara, Makoto; Omura, Minami; Kobayashi, Hiroaki; Kikuchi, Eiji; Miyajima, Akira; Miyata, Kazutoyo; Oya, Mototsugu


    To develop practical nomograms for predicting the stone-free rate after shock wave lithotripsy (SWL) in patients with a solitary stone in the proximal ureter. Between July 2006 and June 2015, 319 patients with a proximal ureteral stone who underwent preoperative non-contrast enhanced computed tomography (NCCT) and subsequently received SWL were identified. Patients' age, gender, laterality, stone size, mean and maximum Hounsfield Unit (HU) of the stone, and skin-to-stone distance (SSD) were assessed. The stone-free status was defined as no radiopacity detected on the 3-month follow-up plain radiography or NCCT. Mean stone size was 10 mm (range 3-20 mm). Mean and maximum HU of the stone ranged from 115 to 1447 (mean 701) and from 265 to 1881 (mean 1062), respectively. The overall stone-free rate was 70%. Multivariate analyses identified stone size (p < 0.001), maximum HU (p < 0.001), and SSD at 90° (p = 0.038) as independent predictive factors for the stone-free status after SWL. Nomograms could be constructed for predicting the probability of stone-free status after SWL corresponding to SSD of 8, 10, and 12 cm using maximum HU and stone size. This study demonstrated that stone size, maximum HU of the stone, and SSD at 90° are significant predictors of successful SWL outcome in patients with a proximal ureteral stone. We have developed simple and practical nomograms corresponding to three different SSDs for predicting the stone-free rate after SWL.

  3. The "green stones" of Valtellina and Valchiavenna (central Alps, northern Italy) (United States)

    Cavallo, Alessandro


    folded, and are processed in two main commercial varieties: schistose ("serpentinoscisto") and massive ("serpentino da taglio"). In Valmalenco, the extraction and processing of schistose serpentinites for the production of slabs ("piode", splitted by hand with hammer and chisel), used in roofing and flooring, dates back at least to the XIV century. From the traditional underground extraction, the quarrying activities moved to the modern open-cast extraction in the seventies. The renowned quality of the secular serpentinite roof coverings is related to the excellent physical and mechanical properties, especially the flexural strength (average values around 90-100 MPa), very low porosity and the thaw/freezing resistance. The "massive" serpentinite achieved a special place in the national and international market of ornamental stones: the several extracted varieties (Serpentino Classico, Verde Vittoria, Verde Perlato, Verde Mare, Verde Principe, Verde Torre S. Maria), in addition to the excellent technical properties (flexural strength and thermal properties) that promote specific uses, make these stones much appreciated worldwide (e.g. Bundestag in Berlin, Germany). As part of the "green stones" of Valmalenco, two currently abandoned ophicalcite quarries have been active in the recent past. The extraction and processing of soapstone ("pietra ollare" or "pietra laugera", a talc and/or chlorite rich ultramafic/mafic rock) in Valmalenco and Valchiavenna probably dates back to the Iron Age; in Valchiavenna it is documented with certainty since Roman times and the Middle Ages. The extraction and processing of soapstone peaked around the middle of the XVIII century, with a dozen quarries and about 300 workers involved, between Chiavenna and Piuro. A limited production of soapstone is still active in the municipalities of Piuro (talc-olivine-tremolite fels) and Chiesa in Valmalenco (chlorite schist), where in addition to the traditional cooking pots ("Lavecc"), there is a growing

  4. Renal Stone Risk during Spaceflight: Assessment and Countermeasure Validation (United States)

    Whitson, Peggy A.; Pietrzyk, Robert A.; Jones, Jeffery A.; Sams, Clarence F.; Hudson, Ed K.; Nelman-Gonzalez, Mayra


    NASA's Vision for Space Exploration centers on exploration class missions including the goals of returning to the moon and landing on Mars. One of NASA's objectives is to focus research on astronaut health and the development of countermeasures that will protect crewmembers during long duration voyages. Exposure to microgravity affects human physiology and results in changes in the urinary chemical composition favoring urinary supersaturation and an increased risk of stone formation. Nephrolithiasis is a multifactorial disease and development of a renal stone is significantly influenced by both dietary and environmental factors. Previous results from long duration Mir and short duration Shuttle missions have shown decreased urine volume, pH, and citrate levels and increased calcium. Citrate, an important inhibitor of calcium-containing stones, binds with urinary calcium reducing the amount of calcium available to form stones. Citrate inhibits renal stone recurrence by preventing crystal growth, aggregation, and nucleation and is one of the most common therapeutic agents used to prevent stone formation. Methods: Thirty long duration crewmembers (29 male, 1 female) participated in this study. 24-hour urines were collected and dietary monitoring was performed pre-, in-, and postflight. Crewmembers in the treatment group received two potassium citrate (KCIT) pills, 10 mEq/pill, ingested daily beginning 3 days before launch, all in-flight days and through 14 days postflight. Urinary biochemical and dietary analyses were completed. Results: KCIT treated subjects exhibited decreased urinary calcium excretion and maintained the levels of calcium oxalate supersaturation risk at their preflight levels. The increased urinary pH levels in these subjects reduced the risk of uric acid stones. Discussion: The current study investigated the use of potassium citrate as a countermeasure to minimize the risk of stone formation during ISS missions. Results suggest that supplementation

  5. [Stone free rate assesment after percutaneous nephrolithotomy using nephrolitometric nomogram]. (United States)

    Landa-Salas, Jason Damián; Torres-Anguiano, Juan Ramón; Maldonado-Alcaraz, Efraín; Lopez-Samano, Virgilio Augusto; Serrano-Brambila, Eduardo Alonso; Moreno-Palacios, Jorge


    Percutaneous nephrolithotomy remains the standard of care for kidney stones larger than 2cm. Therefore, setting a prognosis for complete stone resolution through this method is essential. The prognostic tools available have limited prediction. To evaluate the stone-free rate in patients undergoing percutaneous nephrolithotomy with the Clinical Research Office of the Endourological Society nomogram and suggest modifications to improve the classification. We analyzed a retrospective cohort of patients undergoing percutaneous nephrolithotomy applying the nephrolithometric nomogram specified. We modified the scale dividing the patients into 3groups: i from 80 to 110 points, II from 111 to 170 points, and III more than 170 points, respectively assessing the stone-free rate (Kruskall-Wallis test was performed, p<0.05). A total of 126 patients were included. According to the nehrolithometric nomogram the stone-free rate was 12.5% for patients with fewer than 111 points and 70.9% for those with 111 points or more. In the modification proposed for groups I, IIand III the stone-free rate was 12.5%, 50% and 80% respectively (p=0.000). Evaluation using the nephrolithometric nomogram demonstrated accurate stone-free rate prediction for complex and simple stones, with a lack of discrimination for patients with intermediate scores. Our modification enabled better differentiation of the intermediate groups from the high and low stone-free rate groups. Copyright © 2017 Academia Mexicana de Cirugía A.C. Publicado por Masson Doyma México S.A. All rights reserved.

  6. Metabolic syndrome and the genesis of uric acid stones. (United States)

    Maalouf, Naim M


    Uric acid stones are significantly more common among nephrolithiasis patients with type 2 diabetes, obesity, and/or the metabolic syndrome. The principal metabolic feature responsible for this association is an overly acidic urine, which leads to the precipitation of sparingly soluble uric acid crystals in urine and subsequent development of stones. The unduly acidic urine in uric acid stone formers is caused by a combination of excessive dietary intake of animal proteins and a defect in renal ammoniagenesis and/or excretion that leads to impaired buffering and amplifies the acidic urine caused by an increased acid excretion. Copyright © 2011 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Biljana Kovačević-Zelić


    Full Text Available Underground exploitation of dimension stone is spreading lately for three main reasons; economy, organisation and environment. Moreover, underground openings can be used for many purposes. Underground exploitation is different from surface quarrying only in the first stage, the removal of top slice, descending slices are worked as in conventional quarries. In underground stone quarries, stability problems require adequate studies in order to avoid expensive artificial support measures, The article presents numerical analyses of an underground stone quarry made using of the finite difference code FLAC (the paper is published in Croatian.

  8. Rapa Nui (Easter Island’s Stone Worlds

    Directory of Open Access Journals (Sweden)

    Sue Hamilton


    Full Text Available This article explores the spatial, architectural and conceptual relationships between landscape places, stone quarrying, and stone moving and building during Rapa Nui’s statue-building period. These are central themes of the ‘Rapa Nui Landscapes of Construction Project’ and are discussed using aspects of the findings of our recent fieldwork. The different scales of expression, from the detail of the domestic sphere to the monumental working of quarries, are considered. It is suggested that the impressiveness of Rapa Nui’s stone architecture is its conceptual coherence at the small scale as much as at the large scale.

  9. Stone/ureter identification during alexandrite laser lithotripsy (United States)

    Scheu, M.; Flemming, Gabriela; Engelhardt, Ralf


    A spectroscopic stone/ureter identification system is already in clinical use for pulsed dye laser lithotripters (590 nm). Alexandrite lasers are believed to be a solid-state laser alternative to pulsed dye lasers in lithotripsy. We investigated different spectroscopic stone/ureter detection schemes for the q-switched alexandrite laser (750 nm and 375 nm), including plasma detection, spectral LIF analysis, and time resolved LIF intensity analysis. Additionally, we investigated the possibility to identify different stone types using laser induced fluorescence exited at UV wavelengths.

  10. Pumice stones as potential in-situ burning enhancer

    DEFF Research Database (Denmark)

    Rojas Alva, U.; Andersen, Bjørn Skjønning; Jomaas, Grunde


    Small-scale and mid-scale experiments were conducted in order to evaluate pumice stones as a potential enhancement for in-situ burning (ISB). Four oil types, several emulsification degrees of one crude oil were studied. In general, it was observed that the pumice stones did not improve the burning...... and after the burn, thus bringing the oil into the water column. Finally, the species production of CO and CO2 was not reduced. Based on the presented results, pumice stones have a negative impact on the efficiency of ISB, and they are ruled out as an ISB enhancer and should not be used in relation to ISB....

  11. Retrograde Intrarenal Surgery for Small Renal Calyx Stones

    Directory of Open Access Journals (Sweden)

    Nevzat Sener


    Full Text Available Lower pole kidney stones are one of the most common problems is urology practice. For this group of patients, shock wave lithotripsy (SWL and retrograde intrarenal surgery (RIRS are established treatments with low morbidity and high efficacy. SWL has relatively lower success rates for lower pole stones. On the other hand, RIRS has as high as 100% success rates for lower pole stones. With advances in technology and experience we believe RIRS may be the first treatment option over SWL in the following years.

  12. The growing prevalence of kidney stones and opportunities for prevention. (United States)

    Richman, Katherine; O'Bell, John; Pareek, Gyan


    The prevalence of kidney stones is climbing in the United States. Several investigators have demonstrated an association between metabolic syndrome and kidney stones and some have proposed a causal link. Risk factors for nephrolithiasis can be identified with a 24-hour urine collection and preventive measures can be customized to meet the needs of individual patients. Dietary and pharmacologic interventions are available to address urinary risk factors such as inadequate urine volume, hypercalcuria, hyperoxaluria, hyperuricosuria and hypocitraturia. Given that morbidity and healthcare costs associated with nephrolithiasis are on the rise, deterring stone formation is increasingly important. Multidisciplinary clinics that foster collaboration between urologists, nephrologists and dieticians offer patients effective prevention and treatment strategies.

  13. Multiple bilateral stones as a cause of acute renal failure: Three case reports

    Directory of Open Access Journals (Sweden)

    Hulya Ozturk


    Full Text Available Complex renal stones are staghorn calculi stones >2 cm and most calculus are calcium stones. In patients found with obstruction may need an emergency intervention. Three patients with multiple stones causing bilateral renal obstruction were operated.

  14. Evaluation and medical management of kidney stones in children. (United States)

    Tasian, Gregory E; Copelovitch, Lawrence


    We review the current literature on the diagnostic evaluation and dietary and pharmacological management of children with nephrolithiasis. We searched MEDLINE(®), Embase(®) and the Cochrane Library from their inceptions to March 2014 for published articles in English on kidney stones and therapy in children 0 to 18 years old. Based on review of the titles and abstracts, 110 of the 1,014 articles (11%) were potentially relevant to the diagnostic evaluation and medical management of nephrolithiasis in children. We summarized this literature and drew on studies performed in adult populations to augment areas in which no studies of sufficient quality have been performed in children, and to highlight areas in need of research. During the last 25 years the incidence of nephrolithiasis in children has increased by approximately 6% to 10% annually and is now 50 per 100,000 adolescents. Kidney stones that form during childhood have a similar composition to those that form in adulthood. Approximately 75% to 80% of stones are composed of predominantly calcium oxalate, 5% to 10% are predominantly calcium phosphate, 10% to 20% are struvite and 5% are pure uric acid. The recurrence rate of nephrolithiasis in patients with stones that form during childhood is poorly defined. Ultrasound should be used as the initial imaging study to evaluate children with suspected nephrolithiasis, with noncontrast computerized tomography reserved for those in whom ultrasound is nondiagnostic and the suspicion of nephrolithiasis remains high. Current treatment strategies for children with kidney stone disease are based largely on extrapolation of studies performed in adult stone formers and single institution cohort or case series studies of children. Tamsulosin likely increases the spontaneous passage of ureteral stones in children. Increased water intake and reduction of salt consumption should be recommended for all children with a history of kidney stones. Potassium citrate is a

  15. Influence of Pelvicaliceal Anatomy on Stone Clearance After Flexible Ureteroscopy and Holmium Laser Lithotripsy for Large Renal Stones. (United States)

    Inoue, Takaaki; Murota, Takashi; Okada, Shinsuke; Hamamoto, Shuzo; Muguruma, Kouei; Kinoshita, Hidefumi; Matsuda, Tadashi


    This study was performed to evaluate the impact of pelvicaliceal anatomy on stone clearance in patients with remnant fragments in the lower pole after flexible ureteroscopy and holmium laser lithotripsy (fURSL) for renal stones >15 mm. This retrospective study included 67 patients with radiopaque residual fragments (>2 mm) in the lower pole after fURSL for large renal stones (>15 mm). The preoperative infundibular length (IL), infundibular width (IW), infundibulopelvic angle (IPA), and caliceal pelvic height (CPH) were measured using intravenous urography. Multivariate analysis was performed to determine whether any of these measurements affected stone clearance. Of the 67 patients, 55 (82.1%) were stone free (SF) 3 months after fURSL. The anatomic factors significantly favorable for an SF status were a short IL, broad IW, wide IPA, and low CPH. On multivariate analysis, the IPA had a significant influence on an SF status after fURSL (p=0.010). An IPA renal stones according to our multivariate analysis. Additional studies are required to further evaluate the characteristics of the pelvicaliceal anatomy influencing stone clearance.

  16. Endoscopic sphincterotomy for common bile duct stones during laparoscopic cholecystectomy is safe and effective

    DEFF Research Database (Denmark)

    Jakobsen, Henrik Loft; Vilmann, Peter; Rosenberg, Jacob


    Management strategy for common bile duct (CBD) stones is controversial with several treatment options if stones in the CBD are recognized intraoperatively. The aim of this study was to report our experience with same-session combined endoscopic-laparoscopic treatment of gallbladder and CBD stones....... We retrospectively evaluated 31 patients with cholecystolithiasis and CBD stones undergoing same-session combined endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and endoscopic stone extraction and laparoscopic cholecystectomy. Same-session ERCP and sphincterotomy were...... pancreatitis postoperatively and no other morbidity or mortality. In conclusion, same-session ERCP with stone extraction and laparoscopic cholecystectomy seems to be a safe and effective treatment strategy for CBD stones....

  17. Visibility of natural tertiary rainbows. (United States)

    Lee, Raymond L; Laven, Philip


    Naturally occurring tertiary rainbows are extraordinarily rare and only a handful of reliable sightings and photographs have been published. Indeed, tertiaries are sometimes assumed to be inherently invisible because of sun glare and strong forward scattering by raindrops. To analyze the natural tertiary's visibility, we use Lorenz-Mie theory, the Debye series, and a modified geometrical optics model (including both interference and nonspherical drops) to calculate the tertiary's (1) chromaticity gamuts, (2) luminance contrasts, and (3) color contrasts as seen against dark cloud backgrounds. Results from each model show that natural tertiaries are just visible for some unusual combinations of lighting conditions and raindrop size distributions.

  18. Terahertz meets sculptural and architectural art: Evaluation and conservation of stone objects with T-ray technology (United States)

    Krügener, K.; Schwerdtfeger, M.; Busch, S. F.; Soltani, A.; Castro-Camus, E.; Koch, M.; Viöl, W.


    Conservation of cultural heritage is an area where novel scientific techniques are having enormous impact. Given the value and uniqueness of art pieces, non-invasive diagnostic methods are highly appreciated by conservators. Terahertz radiation has shown enormous potential as non-contact probe that can be used for the three-dimensional reconstruction of internal structure of stone-made objects. In this article we report the evaluation of the internal damage state of two art pieces, a medallion from the Castle of Celle and a window sill from the St. Peter of Trier Cathedral. We also used terahertz radiation to follow and assess the restoration process of the window sill. We found that terahertz spectroscopy is an excellent non-destructive evaluation method for stone artwork that shows enormous potential as a tool for conservation.

  19. Terahertz meets sculptural and architectural art: Evaluation and conservation of stone objects with T-ray technology. (United States)

    Krügener, K; Schwerdtfeger, M; Busch, S F; Soltani, A; Castro-Camus, E; Koch, M; Viöl, W


    Conservation of cultural heritage is an area where novel scientific techniques are having enormous impact. Given the value and uniqueness of art pieces, non-invasive diagnostic methods are highly appreciated by conservators. Terahertz radiation has shown enormous potential as non-contact probe that can be used for the three-dimensional reconstruction of internal structure of stone-made objects. In this article we report the evaluation of the internal damage state of two art pieces, a medallion from the Castle of Celle and a window sill from the St. Peter of Trier Cathedral. We also used terahertz radiation to follow and assess the restoration process of the window sill. We found that terahertz spectroscopy is an excellent non-destructive evaluation method for stone artwork that shows enormous potential as a tool for conservation.

  20. The System of the Calibration for Visibility Measurement Instrument Under the Atmospheric Aerosol Simulation Environment


    Shu Zhifeng; Yang ShaoChen; Xu Wenjing


    Visibility is one of the most important parameters for meteorological observation and numerical weather prediction (NWP).It is also an important factor in everyday life, mainly for surface and air traffic especially in the Aeronautical Meteorology. The visibility decides the taking off and landing of aircraft. If the airport visibility is lower than requirement for aircraft taking off stipulated by International Civil Aviation Administration, then the aircraft must be parked at the airport. S...

  1. State of Arts of Monumental Stones Diagnosis and Monitoring (United States)

    Tiano, P.; Riminesi, C.


    The conservation and maintenance of a monumental stone building is a complex aim where different disciplines are involved. First step is concerning the determination of the state of conservation of stone material present, than determine its modification on time, as such and after conservation treatments applied on: cleaning, protecting, strengthening. In order to fulfill such objectives suitable parameters must be selected and the most appropriate diagnostic techniques for their quantitative evaluation operated. In this context, the determination of the surface water absorption, moisture content, colour variation and mechanical properties are important parameters for the control, and the monitoring over time, of the state of conservation of the monumental stone surfaces. These parameters are strongly related not only to the stone characteristics but also to the evaluation of products's performance: efficiency and durability. Their rate of variation, determined in monitoring campaigns, is fundamental for elaborate by properly predictive model a schedule maintenance protocol.

  2. Stone ingestion causing obstructed inguinal hernia with perforation

    Directory of Open Access Journals (Sweden)

    Paiboon Sookpotarom


    Full Text Available We report a rare case of obstructed right inguinal hernia caused by ingested stones. A 2 year-old boy from Northern Thailand was transferred to our hospital with low-grade fever, vomiting, and acute painful swelling at his right hemiscrotum for one day. The physical examination revealed marked enlargement with inflammation in his right hemiscrotum. The radiological findings showed huge number of stones in the right hemiscrotum. At surgery, the content of hernia sac was ascending colon, which was full of hard masses. With the help of additional lower transverse abdominal incision, the obstructed segment was successfully reduced and revealed a perforation. Most of the stones were removed through the perforation. The colonic wound was primarily repaired and both incisions were primarily closed. Although he developed post-operative wound infection, the boy had uneventfully recovered. The psychological exploration in this "stone pica" revealed no other psychological disorders.

  3. Stone anchors from the Okhamandal region, Gujarat Coast, India

    Digital Repository Service at National Institute of Oceanography (India)

    Sundaresh; Gaur, A.S.; Gudigar, P.; Tripati, S.; Vora, K.H.; Bandodkar, S.N.

    During marine archaeological explorations since 1983, off Dwarka, a large number of stone anchors were discovered and dated to 1400 BC, comparing with anchors found in Mediterranean waters. In recent archaeological explorations off Dwarka, Bet...


    Directory of Open Access Journals (Sweden)

    K. S. NG


    Full Text Available Stone column is an effective ground improvement method to improve the weak ground. This paper describes the implementation of reliability based analysis on the consolidation behaviour of stone column reinforced ground. Hasofer-Lind reliability index is computed involving non-correlated normal random variables which include stone column diameter, coefficient of volume compressibility, coefficient of consolidation and stress concentration ratio. The sensitivity of these variables on the effect of consolidation settlement is investigated in this study. Results show the importance of considering spatial variability in design and analysis of stone column reinforced ground. The probabilities of failure inferred from reliability indices are compared with Monte Carlo simulation where good agreements are obtained.

  5. Olive stone an attractive source of bioactive and valuable compounds. (United States)

    Rodríguez, Guillermo; Lama, Antonio; Rodríguez, Rocío; Jiménez, Ana; Guillén, Rafael; Fernández-Bolaños, Juan


    The olive stone and seed are an important byproduct generated in the olive oil extraction and pitted table olive industries. As a lignocellulosic material, the hemicellulose, cellulose and lignin are the main components of olive stone as wells as protein, fat, phenols, free sugars and poliols composition. The main use of this biomass is as combustion to produce electric energy or heat. Other uses such as activated carbon, furfural production, plastic filled, abrasive and cosmetic or other potential uses such as biosorbent, animal feed or resin formation have been cited. In this article, an overview of the characterization and main uses of olive stone and seed are described for the first time. Also, this review discusses the potential use of this material based on each component. In this way, a new approach to the olive stone and seed by pretreating with a steam explosion followed by chemical fractionation is described.

  6. Cropland Management Plan : Big Stone National Wildlife Refuge (United States)

    US Fish and Wildlife Service, Department of the Interior — The cropland program on Big Stone NWR will be accomplished each year with a combination of: (1) force account farming of permanent farm units where there is no...

  7. Minimally invasive treatment of extrahepatic bile duct stones

    Directory of Open Access Journals (Sweden)

    HAN Wurijile


    Full Text Available With the continuous improvement of endoscopic technology and equipment, minimally invasive treatment of bile duct stones becomes increasingly diversified. In this paper, the concept of minimally invasive treatment of bile duct stones, surgical indications and contraindications, surgical methods, and the advantages and disadvantages of surgical methods are introduced. It is shown that the application of laparoscope has laid the foundation for the minimally invasive treatment of bile duct stones, and the combined application of choledochoscope and endoscope has brought new ideas for minimally invasive treatment of bile duct stones. The combination of three endoscopes avoids the disadvantages of traditional open surgery: large trauma and long operation time, and reduces the patient′s pain and complications. In the near future, the combination of three endoscopes still has much room for growth. As long as the indications for several surgeries are mastered and the safety and efficacy are evaluated objectively, the combination of three endoscopes will play the biggest role.

  8. EAARL Topography-Thomas Stone National Historic Site (United States)

    U.S. Geological Survey, Department of the Interior — A first surface elevation map (also known as a Digital Elevation Model or DEM) of Thomas Stone National Historic Site was produced from remotely-sensed,...

  9. Fisheries Management Recommendations : Big Stone National Wildlife Refuge (United States)

    US Fish and Wildlife Service, Department of the Interior — This report provides objectives and recommendations which are intended to improve the fishery resources and enhance quality fishing opportunities. Big Stone National...

  10. Edge scour in current adjacent to stone covers

    DEFF Research Database (Denmark)

    Petersen, Thor Ugelvig; Sumer, B. Mutlu; Meyer, Knud Erik

    The present paper reports some early results of an experimental investigation of edge scour in currents. Two kinds of measurements are made (1) Particle Image Velocimetry (PIV) measurements of secondary currents that take place near a junction between the stone cover and the sand bed in a clear...... the sediment and puts into suspension, and the secondary flow carries it away from the junction between the stone layer and the sand bed, resulting in a scour hole forming adjacent to the toe of the stone layer.......-water experiment; and (2) scour measurements in actual scour experiment in the live-bed regime. The early results indicate that edge scour in a steady current propagating in-line with a stone layer is caused by the combined action of two effects; (1) Primary flow and (2) Secondary flow. The primary flow stirs up...

  11. The Stone Tool Industry of Hac Sa, Macau, China

    Directory of Open Access Journals (Sweden)

    Vin Davis


    Full Text Available This article considers some archaeological, geological and petrographical aspects of stone implements from a sand dune site in south-eastern China. A sample of preform, ground and polished stone implements from Macau, Coloane and Taipa are considered in relation to the archaeological landscape of the Zhujiang (Pearl River estuary. Particular attention is focused on evidence for the manufacturing technology of ornamental stone, jade and quartz rings. The possibility of selective exploitation of jade (quartz, which occurs locally as veins within the granitic outcrops, for tool and ring manufacture, and its relationship to mineralogical and textural characteristics, is considered. It is planned that more stone tools from Macau will be examined during 2009-12.

  12. Endoscopic management of difficult common bile duct stones (United States)

    Trikudanathan, Guru; Navaneethan, Udayakumar; Parsi, Mansour A


    Endoscopy is widely accepted as the first treatment option in the management of bile duct stones. In this review we focus on the alternative endoscopic modalities for the management of difficult common bile duct stones. Most biliary stones can be removed with an extraction balloon, extraction basket or mechanical lithotripsy after endoscopic sphincterotomy. Endoscopic papillary balloon dilation with or without endoscopic sphincterotomy or mechanical lithotripsy has been shown to be effective for management of difficult to remove bile duct stones in selected patients. Ductal clearance can be safely achieved with peroral cholangioscopy guided laser or electrohydraulic lithotripsy in most cases where other endoscopic treatment modalities have failed. Biliary stenting may be an alternative treatment option for frail and elderly patients or those with serious co morbidities. PMID:23345939

  13. Visibility of medical informatics regarding bibliometric indices and databases. (United States)

    Spreckelsen, Cord; Deserno, Thomas M; Spitzer, Klaus


    The quantitative study of the publication output (bibliometrics) deeply influences how scientific work is perceived (bibliometric visibility). Recently, new bibliometric indices and databases have been established, which may change the visibility of disciplines, institutions and individuals. This study examines the effects of the new indices on the visibility of Medical Informatics. By objective criteria, three sets of journals are chosen, two representing Medical Informatics and a third addressing Internal Medicine as a benchmark. The availability of index data (index coverage) and the aggregate scores of these corpora are compared for journal-related (Journal impact factor, Eigenfactor metrics, SCImago journal rank) and author-related indices (Hirsch-index, Egghes G-index). Correlation analysis compares the dependence of author-related indices. The bibliometric visibility depended on the research focus and the citation database: Scopus covers more journals relevant for Medical Informatics than ISI/Thomson Reuters. Journals focused on Medical Informatics' methodology were negatively affected by the Eigenfactor metrics, while the visibility profited from an interdisciplinary research focus. The correlation between Hirsch-indices computed on citation databases and the Internet was strong. The visibility of smaller technology-oriented disciplines like Medical Informatics is changed by the new bibliometric indices and databases possibly leading to suitably changed publication strategies. Freely accessible author-related indices enable an easy and adequate individual assessment.

  14. Getter Incorporation into Cast Stone and Solid State Characterizations

    Energy Technology Data Exchange (ETDEWEB)

    Asmussen, Robert M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Lawter, Amanda R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Stephenson, John R. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Bowden, Mark E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Washton, Nancy M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Neeway, James J. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Du, Yingge [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Pearce, Carolyn I. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Clayton, Ray E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Saslow, Sarah A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Buck, Edgar C. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cordova, Elsa [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Qafoku, Nikolla [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    Washington River Protection Solutions (WRPS) is collecting relevant available data on waste forms for use as a supplemental immobilization technology, to provide the additional capacity needed to treat low-activity waste (LAW) in Hanford Site tanks and complete the tank waste cleanup mission in a timely and cost-effective manner. One candidate supplemental waste form, fabricated using a low-temperature process, is a cementitious grout called Cast Stone. Cast Stone has been under investigation for this application at Pacific Northwest National Laboratory (PNNL) since initial screening tests in FY13. This report is the culmination of work to lower the diffusivities of Tc and I from Cast Stone using getters. Getters are compounds added to a system designed to selectively sequester a species of interest to provide increased stability to the species. The work contained within this report is related to waste form development and testing, and does not directly support the 2017 integrated disposal facility (IDF) performance assessment. However, this work contains valuable information which may be used in performance assessment maintenance past FY17, and in future waste form development. This report on performance characterization of Tc and I getters in Cast Stone fabricated with simulated LAW covers several areas of interest and major findings to WRPS: investigating performance of potassium metal sulfide (KMS-2-SS) and tin (II) apatite (Sn-A) as Tc getters when incorporated into Cast Stone; investigating performance of silver exchanged zeolite (Ag-Z) and argentite (Arg) as I getters when incorporated into Cast Stone; utilizing sequential addition of Tc and I getters to overcome any deleterious interactions between the getters in solution; determining, for the first time, Tc distribution within the cured Cast Stone and its evolution during leaching; and performing solid state characterization of getters and Cast Stone samples to support leach test findings and develop a

  15. Mitigation of Liquefaction in Sandy Soils Using Stone Columns (United States)

    Selcuk, Levent; Kayabalı, Kamil


    Soil liquefaction is one of the leading causes of earthquake-induced damage to structures. Soil improvement methods provide effective solutions to reduce the risk of soil liquefaction. Thus, soil ground treatments are applied using various techniques. However, except for a few ground treatment methods, they generally require a high cost and a lot of time. Especially in order to prevent the risk of soil liquefaction, stone columns conctructed by vibro-systems (vibro-compaction, vibro-replacement) are one of the traditional geotechnical methods. The construction of stone columns not only enhances the ability of clean sand to drain excess pore water during an earthquake, but also increases the relative density of the soil. Thus, this application prevents the development of the excess pore water pressure in sand during earthquakes and keeps the pore pressure ratio below a certain value. This paper presents the stone column methods used against soil liquefaction in detail. At this stage, (a) the performances of the stone columns were investigated in different spacing and diameters of columns during past earthquakes, (b) recent studies about design and field applications of stone columns were presented, and (c) a new design method considering the relative density of soil and the capacity of drenage of columns were explained in sandy soil. Furthermore, with this new method, earthquake performances of the stone columns constructed at different areas were investigated before the 1989 Loma Prieta and the 1994 Northbridge earthquakes, as case histories of field applications, and design charts were compiled for suitable spacing and diameters of stone columns with consideration to the different sandy soil parameters and earhquake conditions. Key Words: Soil improvement, stone column, excess pore water pressure

  16. Extended Leach Testing of Simulated LAW Cast Stone Monoliths

    Energy Technology Data Exchange (ETDEWEB)

    Serne, R. Jeffrey [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Westsik, Joseph H. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Williams, Benjamin D. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Jung, H. B. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Wang, Guohui [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)


    This report describes the results from long-term laboratory leach tests performed at Pacific Northwest National Laboratory (PNNL) for Washington River Protection Solutions (WRPS) to evaluate the release of key constituents from monoliths of Cast Stone prepared with four simulated low-activity waste (LAW) liquid waste streams. Specific objectives of the Cast Stone long-term leach tests described in this report focused on four activities: 1. Extending the leaching times for selected ongoing EPA-1315 tests on monoliths made with LAW simulants beyond the conventional 63-day time period up to 609 days reported herein (with some tests continuing that will be documented later) in an effort to evaluate long-term leaching properties of Cast Stone to support future performance assessment activities. 2. Starting new EPA-1315 leach tests on archived Cast Stone monoliths made with four LAW simulants using two leachants (deionized water [DIW] and simulated Hanford Integrated Disposal Facility (IDF) Site vadose zone pore water [VZP]). 3. Evaluating the impacts of varying the iodide loading (starting iodide concentrations) in one LAW simulant (7.8 M Na Hanford Tank Waste Operations Simulator (HTWOS) Average) by manufacturing new Cast Stone monoliths and repeating the EPA-1315 leach tests using DIW and the VZP leachants. 4. Evaluating the impacts of using a non-pertechnetate form of Tc that is present in some Hanford tanks. In this activity one LAW simulant (7.8 M Na HTWOS Average) was spiked with a Tc(I)-tricarbonyl gluconate species and then solidified into Cast Stone monoliths. Cured monoliths were leached using the EPA-1315 leach protocol with DIW and VZP. The leach results for the Tc-Gluconate Cast Stone monoliths were compared to Cast Stone monoliths pertechnetate.

  17. Fad diets and their effect on urinary stone formation


    Nouvenne, Antonio; Ticinesi, Andrea; Morelli, Ilaria; Guida, Loredana; Borghi, Loris; Meschi, Tiziana


    The influence of unhealthy dietary habits on urinary stone formation has been widely recognized in literature. Dietary advice is indeed the cornerstone prescription for prevention of nephrolithiasis as well. However, only a small amount of medical literature has addressed the influence of popular or fad diets, often self-prescribed for the management of obesity and overweight or for cultural beliefs, on the risk of kidney stones. Thereby in this paper we analyze the current knowledge on the e...

  18. Visibility Management and the Body (United States)

    Lasser, Jon; Wicker, Nichole


    The authors employed grounded theory to explore the high school experiences of gay, lesbian, and bisexual students in Central Texas. The central phenomenon that emerged from the study was Visibility Management, or decisions made regarding the disclosure of invisible traits. This article reviews the results of this research with an emphasis on the…

  19. Early Learning Theories Made Visible (United States)

    Beloglovsky, Miriam; Daly, Lisa


    Go beyond reading about early learning theories and see what they look like in action in modern programs and teacher practices. With classroom vignettes and colorful photographs, this book makes the works of Jean Piaget, Erik Erikson, Lev Vygotsky, Abraham Maslow, John Dewey, Howard Gardner, and Louise Derman-Sparks visible, accessible, and easier…

  20. Visible fluorescent proteins for FRET

    NARCIS (Netherlands)

    Kremers, G.J.; Goedhart, J.; Gadella, T.W.J.


    This chapter discusses the use of Visible fluorescent proteins (VFPs) for FRET studies, a comprehensive table with Förster radii of VFP pairs is presented and recommendations for choosing the right pairs are made. The chapter discusses VFPs that are used for studies that use fluorescence resonance

  1. Impact of Lower Pole Anatomy on Stone Clearance After Shock Wave Lithotripsy

    Directory of Open Access Journals (Sweden)

    Yung-Shun Juan


    Full Text Available This study retrospectively analyzed patients treated with shock wave ithotripsy (SWL for lower calyceal stones, to determine the influence of the lower pole anatomy and stone size in predicting the clearance of fragments. Between June 2000 and March 2002, we reviewed excretory urography (IVU of 59 patients with isolated lower pole stones treated with SWL. A total of 44 men and 15 women, with an age ranging between 23 and 78 years (mean, 55 years, were included in the study. The patients were divided into two groups, either a stone-free group or residual-stone group. After SWL, overall stone rate was 57.6%, and clearance for stones less than 10 mm in diameter was 64.5%, whereas clearance was 50% for stones between 10 and 20 mm in diameter. Intrarenal anatomy on IVU, such as infundibular width and infundibulopelvi-ureteric angle showed no significant difference between the stone-free and residual-stone groups. Our analysis showed that three significant variables were relevant to stone clearance: infundibular length, stone size and stone burden. We conclude that SWL is the best treatment for lower pole kidney stones 10 mm or less in diameter, showing lower complication and acceptable stone-free rates.

  2. Internal Structure of Kidney Calculi as a Predictor for Shockwave Lithotripsy Success

    DEFF Research Database (Denmark)

    Christiansen, Frederikke Eichner; Andreassen, Kim Hovgaard; Osther, Susanne Sloth


    was to evaluate whether the internal morphology of calculi defined by CT bone window influences SWL outcome in vivo. MATERIALS AND METHODS: One hundred eleven patients with solitary renal calculi treated with SWL were included. Treatment data were registered prospectively and follow-up data were collected...... retrospectively. All patients had noncontrast computed tomography (NCCT) performed before SWL and at 3-month follow-up. The stones were categorized as homogeneous or inhomogeneous. At follow-up, the patient's stone status was registered. Stone-free status was defined as no evidence of calculi on NCCT. Treatment...... was considered successful if the patient was either stone free or had clinically insignificant residual fragments. RESULTS: Using simple logistic regression, the odds for being stone free 3 months post-SWL were significantly reduced in the patients with inhomogeneous stones compared with patients...

  3. Fracture toughness estimation of ballast stone used in Iranian railway

    Directory of Open Access Journals (Sweden)

    I. Ferestade


    Full Text Available Ballast is a layer composed of crushed stone basically with diameters of 20–60 mm, on which sleepers and rails are set. Ballast is used to withstand vertical, horizontal and lateral forces applied on sleepers and to hold the line in operative conditions. Ballast deterioration induced by crashed stones is a major issue of track instability as the ballast layer quality depending on the materials used and their densities should be focused on. Therefore, ballast should be resistant against loads applied, and the fracture toughness of ballast stone is of great importance. For this purpose, the fracture toughness of two kinds of ballast stones used in Iranian railway, i.e. Gaduk (limestone and Anjylavnd (andesite, is investigated experimentally in this paper. The quality of ballast stone is evaluated in different weather conditions. Numerical results shown that the Anjylavnd stone is more appropriate for rainy and cold weather when there is a probability of fracturing due to frozen water captured in ballast.

  4. The History of Urinary Stones: In Parallel with Civilization

    Directory of Open Access Journals (Sweden)

    Ahmet Tefekli


    Full Text Available The roots of modern science and history of urinary stone disease go back to the Ancient Egyptians and Mesopotamia. Hippocrates defined the symptoms of bladder stones. The first recorded details of “perineal lithotomy” were those of Cornelius Celsus. Ancient Arabic medicine was based mainly on classical Greco-Roman works. Interestingly, the Fourth Lateran Council in 1215 forbade physicians from performing surgical procedures, as contact with blood or body fluids was viewed as contaminating to men. With Renaissance new procedures could be tried on criminals. The first recorded suprapubic lithotomy was carried out by Pierre Franco in 1561. In 1874, Bigelow developed a lithotrite, which was introduced into the bladder under anaesthesia (called as “litholopaxy”. Young was the first to report ureteroscopy (1929. With advances in intracorporeal lithotripsy techniques, ureteroscopy became the treatment of choice for ureteric stones. In 1976, Fernstrom and Johannson established percutaneous access to remove a renal stone. However, with the introduction of the first extracorporeal shock wave machine in 1980, a dramatic change in stone management was observed. Civilization in parallel with scientific developments has brought us to a point where we try not to “cut” our patients for stone disease, as Hippocrates admonishes, but rather manage them with minimal invasive alternatives.

  5. Defective urinary crystallization inhibition and urinary stone formation

    Directory of Open Access Journals (Sweden)

    Mauricio Carvalho


    Full Text Available INTRODUCTION: Nephrocalcin (NC is a glycoprotein produced in the kidney and inhibits calcium oxalate crystal formation. It has been separated into 4 isoforms (A, B, C, and D and found that (A + B are more abundant than (C + D in urine of healthy subjects, but the reverse is seen in human urine of kidney stone patients. To further examine the role of this protein in inhibition of urinary crystallization, nephrocalcin isoforms were purified from 2 genetically pure dog species. MATERIALS AND METHODS: We studied healthy Beagles, known to be non-stone forming dogs, and Mini-Schnauzers, known to be calcium oxalate stone formers. NC was isolated and purified from each group. Urinary biochemistry and calcium oxalate crystal growth inhibition were measured. RESULTS: Specific crystal growth inhibition activity was significantly higher in non-stone forming dogs (9.79 ± 2.25 in Beagles vs. 2.75 ± 1.34 of Mini-Schnauzers, p < 0.005. Dissociation constants toward calcium oxalate monohydrate were 10-fold different, with Beagles' isoforms being 10 times stronger inhibitors compare to those of Mini-Schnauzers'. Isoforms C + D of NC were the main isoforms isolated in stone-forming dogs. CONCLUSION: NC of these two species of dogs differently affects calcium oxalate crystallization and might have a role in determining ulterior urinary stone formation.

  6. The history of urinary stones: in parallel with civilization. (United States)

    Tefekli, Ahmet; Cezayirli, Fatin


    The roots of modern science and history of urinary stone disease go back to the Ancient Egyptians and Mesopotamia. Hippocrates defined the symptoms of bladder stones. The first recorded details of "perineal lithotomy" were those of Cornelius Celsus. Ancient Arabic medicine was based mainly on classical Greco-Roman works. Interestingly, the Fourth Lateran Council in 1215 forbade physicians from performing surgical procedures, as contact with blood or body fluids was viewed as contaminating to men. With Renaissance new procedures could be tried on criminals. The first recorded suprapubic lithotomy was carried out by Pierre Franco in 1561. In 1874, Bigelow developed a lithotrite, which was introduced into the bladder under anaesthesia (called as "litholopaxy"). Young was the first to report ureteroscopy (1929). With advances in intracorporeal lithotripsy techniques, ureteroscopy became the treatment of choice for ureteric stones. In 1976, Fernstrom and Johannson established percutaneous access to remove a renal stone. However, with the introduction of the first extracorporeal shock wave machine in 1980, a dramatic change in stone management was observed. Civilization in parallel with scientific developments has brought us to a point where we try not to "cut" our patients for stone disease, as Hippocrates admonishes, but rather manage them with minimal invasive alternatives.

  7. The Stones and the Stars Building Scotland's Newest Megalith

    CERN Document Server

    Lunan, Duncan


    There are at least 48 identified prehistoric stone circles in Scotland.  In truth, very little is known about the people who erected them, and ultimately about what the stone circles were for.  Most stone circles are astronomically aligned, which has led to the modern debate over the significance of the alignments.  The megaliths certainly represented an enormous cooperative effort, would at the very least have demonstrated power and wealth, and being set away from any dwellings probably served a ceremonial, or perhaps religious, purpose. Observations at the site of the stone circles, of solar, lunar, and stellar events, have already cast light on some of the questions about the construction and use of ancient megalithic observatories. In his capacity as manager of the Glasgow Parks Department Astronomy Project, author Duncan Lunan designed and built in the late 1970s Sighthill, the first astronomically aligned stone circle in Britain in over 3,000 years.  The Stones and the Stars examines the case for as...

  8. A heuristic model of stone comminution in shock wave lithotripsy. (United States)

    Smith, Nathan B; Zhong, Pei


    A heuristic model is presented to describe the overall progression of stone comminution in shock wave lithotripsy (SWL), accounting for the effects of shock wave dose and the average peak pressure, P+(avg), incident on the stone during the treatment. The model is developed through adaptation of the Weibull theory for brittle fracture, incorporating threshold values in dose and P+(avg) that are required to initiate fragmentation. The model is validated against experimental data of stone comminution from two stone types (hard and soft BegoStone) obtained at various positions in lithotripter fields produced by two shock wave sources of different beam width and pulse profile both in water and in 1,3-butanediol (which suppresses cavitation). Subsequently, the model is used to assess the performance of a newly developed acoustic lens for electromagnetic lithotripters in comparison with its original counterpart both under static and simulated respiratory motion. The results have demonstrated the predictive value of this heuristic model in elucidating the physical basis for improved performance of the new lens. The model also provides a rationale for the selection of SWL treatment protocols to achieve effective stone comminution without elevating the risk of tissue injury.

  9. Urethral obstruction from dislodged bladder Diverticulum stones: a case report

    Directory of Open Access Journals (Sweden)

    Okeke Linus I


    Full Text Available Abstract Background Secondary urethral stone although rare, commonly arises from the kidneys, bladder or are seen in patients with urethral stricture. These stones are either found in the posterior or anterior urethra and do result in acute urinary retention. We report urethral obstruction from dislodged bladder diverticulum stones. This to our knowledge is the first report from Nigeria and in English literature. Case presentation A 69 year old, male, Nigerian with clinical and radiological features of acute urinary retention, benign prostate enlargement and bladder diverticulum. He had a transurethral resection of the prostate (TURP and was lost to follow up. He re-presented with retained urethral catheter of 4months duration. The catheter was removed but attempt at re-passing the catheter failed and a suprapubic cystostomy was performed. Clinical examination and plain radiograph of the penis confirmed anterior and posterior urethral stones. He had meatotomy and antegrade manual stone extraction with no urethra injury. Conclusions Urethral obstruction can result from inadequate treatment of patient with benign prostate enlargement and bladder diverticulum stones. Surgeons in resource limited environment should be conversant with transurethral resection of the prostate and cystolithotripsy or open prostatectomy and diverticulectomy.

  10. Development of latent fingermarks from rocks and stones. (United States)

    Hefetz, Ido; Cohen, Amit; Cohen, Yaron; Chaikovsky, Alan


    Since the beginning of recorded history, stones have been used in the commission of crimes due to their widespread availability. Stones can be used as a lethal weapon that sometimes might be the only evidence in a serious case. The common perception, even in professional fingermark circles, is that stones do not yield identifiable latent fingermarks. The authors of this research paper examined the feasibility of developing fingermarks from seven types of stones using three latent fingermark techniques: magnetic powder, cyanoacrylate fuming, and ninhydrin. The paper will demonstrate that by classifying stones and rocks according to their natural properties (porosity, permeability, and the nature of surface area), even application of the simplest development techniques can produce good results. In conclusion, chert and limestone yielded the most qualitative and quantitative results using magnetic powder. The time factor is also important in recovering latent fingermarks on stones and rocks. 2014 American Academy of Forensic Sciences Published 2014. This article is a U.S. Government work and is in the public domain in the U.S.A.

  11. Stone Metaphors about a Village: a “Stone Vessel” or “The Most Portuguese”

    Directory of Open Access Journals (Sweden)

    Ana Isabel Queiroz


    Full Text Available This article focuses on the literary landscape of Monsanto. It confronts the discourse produced by the writer, Fernando Namora (1819-1989—a pioneer of the Neo-Realistic literature in Portugal—and the literary production of other contemporary authors related with the ideological bases of “Estado Novo” (“New State”, the dictatorial regime that held the government in Portugal from 1933 to 1974.In the writings analysed, the representation of the landscapes of Monsanto entails powerful ideological messages. For Namora, the village was a “stone vessel,” a metaphor about the hard life of its inhabitants, victims of social injustices and lacking of resources. For the “Estado Novo,” that place was the symbol of the national identity (“the most Portuguese village,” as was stated in 1938. The metaphors of the stone, the strong substrata and the raw material used for shelters, stressed the value of preservation of Tradition, History, Religion and Work. Although very different, both discourses attach great value to the productive and dominated rural landscape of Monsanto, and to the human role in the transformation of its soil.At the present time, even if population has decreased drastically and agriculture has been abandoned, local authorities and tourist agents alike try to conciliate the “stone vessel” with “the most Portuguese village.” In this context, the options for the management and valorisation of the landscape of Monsanto shall be discussed.

  12. Soap-stone in architecture of North European cities. A nomination as a candidate for a Global Heritage Stones Resource (United States)

    Bulakh, Andrey


    Soap stone represents soft Proterozoic rock type from the deposit Nunnalahti situated on the western shore of the big Lake Pielinen in Eastern Finland. It consists of talc (40 - 50 %), magnesite MgCO3 (40 - 50 %), chlorite (5 - 8 %), dolomite, calcite, etc. The colour of the stone is very spectacular and varies from yellow and brownish-yellow to grey, greenish grey. The soft stone is a highly workable material for a sculptor's chisel. It was one of the most popular ornamental rocks used architecture of the Modern style in St Petersburg, Helsinki, Turku, Tampere and other North European cities lately in the XIX-th centuries. Examples are given and discussed. References: Bulakh, A.G., Abakumova, N.B., and Romanovsky, J.V. St Petersburg: a History in Stone. 2010. Print House of St Petersburg State University. 173 p. (In English).

  13. Investigation of waterbird deformities recently observed at North Stone Lakes, Stone Lakes National Wildlife Refuge: Draft final report (United States)

    US Fish and Wildlife Service, Department of the Interior — We measured standard water quality parameters and collected water, sediment, and biota samples from Stone Lakes National Wildlife Refuge and adjacent areas during...

  14. Behind the scenes of GS: precious stones

    CERN Multimedia

    Anaïs Schaeffer


    Since the laying of the foundation stone for the Synchrocyclotron in June 1954, CERN has been expanding constantly to reach a current constructed surface area of 580,000 m2 covered by some 650 buildings (just 125 of which account for 70% of this area).   This year, while CERN’s 60th anniversary is an important milestone in the Laboratory’s history, it also highlights another reality: CERN is a collection of ageing buildings, no less than 60% of which are more than 40 years old. “Of the 580,000 m2 of buildings, around 52,000 m2 are nearing the end of their useful life and 140,000 m2 are in need of extensive renovations,” says Natacha Lopez, GS-SE-PO Section Leader. “Of course, we’ve already started several renovation projects, but it's a huge challenge as we have to renovate buildings constructed in the 1960s and 70s while complying with modern standards, which are very different from those that were in force when they were bu...

  15. Lunar base - A stepping stone to Mars (United States)

    Duke, M. B.; Mendell, W. W.; Roberts, B. B.


    Basic elements of technology and programmatic development are identified that appear relevant to the Case for Mars, starting from a base on the moon. The moon is a logical stepping stone toward human exploration of Mars because a lunar base can provide the first test of human ability to use the resources of another planetary body to provide basic materials for life support. A lunar base can provide the first long-term test of human capability to work and live in a reduced (but not zero) gravity field. A lunar base requires creation of the elements of a space transportation system that will be necessary to deliver large payloads to Mars and the space operations capability and experience necessary to carry out a Mars habitation program efficiently and with high reliability. A lunar base is feasible for the first decade of the 21st Century. Scenarios have been studied that provide advanced capability by 2015 within budget levels that are less than historical U.S. space expenditures (Apollo). Early return on the investment in terms of knowledge, practical experience and lunar products are important in gaining momentum for an expanded human exploration of the solar system and the eventual colonization of Mars.

  16. Star-Paths, Stones and Horizon Astronomy (United States)

    Brady, Bernadette


    Archaeoastronomers tend to approach ancient monuments focusing on the landscape and the horizon calendar events of sun and moon and, due to problems with precession, generally ignore the movement of the stars. However, locating the position of solar calendar points on the horizon can have other uses apart from calendar and/or cosmological purposes. This paper firstly suggests that the stars do not need to be ignored. By considering the evidence of the Phaenomena, a sky poem by Aratus of Soli, a third century BC Greek poet, and his use of second millennium BC star lore fragments, this paper argues that the stars were a part of the knowledge of horizon astronomy. Aratus' poem implied that the horizon astronomy of the late Neolithic and Bronze Age periods included knowledge of star-paths or 'linear constellations' that were defined by particular horizon calendar events and other azimuths. Knowledge of such star-paths would have enabled navigation and orientation, and by using permanent markers, constructed or natural, to define these paths, they were immune to precession as the stones could redefine a star-path for a future generation. Finally the paper presents other possible intentions behind the diverse orientation of passage tombs and some megalithic sites.

  17. Visibilidad internacional e impacto de la producción científica española en Sanidad Penitenciaria (2002-2011 International visibility and impact of the Spanish research on prison health (2002-2011

    Directory of Open Access Journals (Sweden)

    R. Ruíz-Pérez


    Impacto bajo (2,062 y son escasos los trabajos en revistas de primer nivel (Q1. Son pocos los trabajos con un promedio aceptable de citas en su área de conocimiento. El patrón de coautoría muestra aún un estado inmaduro de la investigación española en Sanidad Penitenciaria.Objective: This paper sets out to analyze the dissemination and impact of Spanish research published in international scientific journals on Prison Health over the last decade. Material and methods: Descriptive, longitudinal and retrospective analysis of scientific output. We used the Medline-Pubmed database as an information resource. We focus on the bibliometric aspects of journals, papers and authors using the indicators offered by the Web of Science, the Journal Citation Reports and the Essential Science Indicators. We identify the output of Spanish researchers, journals in which they are published, authors and main research fields. Results: From 2002 to 2011, Spanish researchers published 159 papers, that is, nearly 2% of the world's share in Prison Health. The publication profile is mainly in international journals with an average impact on JCR. The Revista Española de Sanidad Penitenciaria is the most productive journal (9.09%, although its role is not prominent. Only two authors can be considered as medium-high productive authors with 10 papers in the study time period. The co-authors network shows a dense network with 14 authors along with minor fragmented networks. As regards citations, 6 papers have been cited 15 or more times and only two can be considered as highly cited. Three main research fronts have been identified: infectious diseases, drugs and psychiatric-psychological problems. Conclusions: The Spanish research production on Prison Health represents a similar share of the world output similar to that of other disciplines (1.9%, although slightly lower (General Medicine represents 3.05%; Public Health, 2.38%; Psychiatry, 2.29%; Toxicology, 2.46%. It seems likely that this

  18. [Composition analyses of urinary microcrystalline in urine of magnesium ammonium phosphate stones formers and its relationship with the stones formation]. (United States)

    Yang, Jin; Huang, Zhi-Jie; Hou, Shan-Hua; Ouyang, Jian-Ming


    By means of X-ray diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), nano-particle size analyzer, scanning electron microscopy (SEM) and transmission electron microscopy (TEM), the composition, morphology, particle size and zeta potential of urinary microcrystalline in urine of magnesium ammonium phosphate stone formers were investigated. The components of stones were also analyzed. The results showed that there was a close relationship among stone components, urinary microcrystalline composition and urine pH. A high pH value of 6.5 or more usually appeared in the urine of magnesium ammonium phosphate stone formers. The main component of urine microcrystalline was magnesium ammonium phosphate crystals with different crystal water such as monohydrate or hexahydrate. Magnesium ammonium phosphate crystals are mainly petal-shaped, crosswise shape. These microcrystalline have an uneven particle size distribution, a wider distribution range, and apparent aggregation. There is no significant difference in the zeta potential between the magnesium ammonium phosphate stone formers (mean (-9.83 +/- 0.66) mV) and healthy control subjects (mean (-10.74 +/- 0.25) mV). This study can help predict the occurrence of urolithiasis, and provide inspiration to the prediction of the type of urinary stones.

  19. Novelda Stone: widely used within the Spanish architectural heritage

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    Fort, R.


    Full Text Available Novelda Stone is a calcareous rock, of the biocalcarenite type. It is extracted from the «Vinalopó Medio» area (Alicante, eastern Spain. Novelda stone is known as construction material from the 13th century. From final of the 19th century until the present time, it has been used in Madrid, Valencia and Alicante. In the past, the main quarries from which this type of rock was extracted were located in the municipal districts of Monóvar (Almorquí Stone, Sax (Portazgo Stone and Elda (Bateig Stone. Nowadays, the main active extraction site is situated in the Bateig Hill quarries. The rock extracted is known commercially as Bateig Stone. The main varieties of this Bateig Stone are: White, Blue, Layer and Fantasy. Each variety of Novelda stone has different durability rate and different pathology depending on their characteristics, particularly on their hydric behaviour patterns. Layer Bateig and Portazgo stone undergo granular disintegration and alveolization and are less durable than the rest. White and Blue Bateig, as well as Almorquí stone, only develop fissures or scaling under extreme conditions.

    La Piedra de Novelda es una roca carbonática del tipo biocalcarenita. Se extrae del área de Vinalopó Medio (Alicante, España oriental. La piedra de Novelda es conocida como material de construcción desde el siglo XIII. Desde finales del siglo XIX hasta la actualidad, se ha utilizado en edificios y monumentos de Madrid y Valencia, así como Alicante. En el pasado, las canteras principales donde se extrajo este tipo de piedra se localizaban en los distritos municipales de Monóvar (Piedra Almorquí, Sax (Piedra Portazgo y El da (Piedra Bateig. Hoy en día, la actividad principal se sitúa en las canteras de Bateig. La piedra extraída es conocida comercialmente como Piedra Bateig. Las variedades principales de esta Piedra Bateig son: Blanco, Azul, Llano y Fantasía. Consecuencia de las diferentes propiedades y en especial de los

  20. Thickness effect on flexural strength of natural stone (United States)

    Bellopede, Rossana; Marini, Paola; Castelletto, Eleonora


    Few scientific works deal with size effect on mechanical resistance in the case of stone, but for the concrete size effect has been widely verified. In fact, the stone size effect is not always ruled by well-known statistical laws as Weibull because of the intrinsic complex structure and features of the materials analysed. Previous studies on natural stone size effect have been made mainly taking into account compression strength. However, flexural strength test under concentrated load, according EN12372, is applied to assess the mechanical resistance of stone and it is well correlated with the petrographic properties of stone. For this reason, to further investigate the size effect on stone , this research analyses the variation of mechanical resistance in relation to thickness of the specimens, taking into account the petrographic characteristics (mineralogical composition, heterogeneity, anisotropy, porosity)of different kinds of rock. From previous studies on 15 different stones (Bellopede et al. 2015) it was observed a negligible values variation for different thickness and a data scattering caused by: intrinsic properties (porosity and structure), defects distribution (fractures, cracks, voids), heterogeneity characterizing each specimen. According to EN 12372:2006, the suggested dimensions for the determination of flexural strength under concentrated load are 50x50x300mm. Other dimensions are possible, but the following requirement need to be fulfilled. The thickness should be minimum 25mm and maximum 100 mm, the width should be within 50 mm and 3 times the thickness and the distance between the supporting rollers span should be 5 times the thickness. In this research, in order to further investigate the thickness effect even in relation with the stone structure and heterogeneity, eight different stones have been tested: four with anisotropic features and four homogeneous. The distance between the support knife was equal to 2/3 to specimens length. The

  1. Representation and Visibility. Roma in the Media

    Directory of Open Access Journals (Sweden)

    Magdalena Ratajczak


    Full Text Available This article is divided into three main parts. The first is an overview of the situation of the Roma minorities in Slovenia and Poland. The second part of the article presents minority broadcast media and the main elements of the legal and institutional framework they operate in. Finally, this article focuses on the visibility of Roma in the media. This article draws attention to cultural pluralism and how cultural pluralism is implemented by the public service broadcasters in Poland and Slovenia, particularly in the context of the presence of Roma minorities in the media. The research is based on 15 interviews carried out in Slovenia and Poland between 2006-2009 with journalists, editors, researchers, workers of NGOs, government representatives and Roma minority leaders. This study is also based on policy documents, reports of governments, NGOs and international organisations, academic literature and content analysis of Roma minority media.

  2. Renal geology (quantitative renal stone analysis) by 'Fourier transform infrared spectroscopy'. (United States)

    Singh, Iqbal


    To prospectively determine the precise stone composition (quantitative analysis) by using infrared spectroscopy in patients with urinary stone disease presenting to our clinic. To determine an ideal method for stone analysis suitable for use in a clinical setting. After routine and a detailed metabolic workup of all patients of urolithiasis, stone samples of 50 patients of urolithiasis satisfying the entry criteria were subjected to the Fourier transform infrared spectroscopic analysis after adequate sample homogenization at a single testing center. Calcium oxalate monohydrate and dihydrate stone mixture was most commonly encountered in 35 (71%) followed by calcium phosphate, carbonate apatite, magnesium ammonium hexahydrate and xanthine stones. Fourier transform infrared spectroscopy allows an accurate, reliable quantitative method of stone analysis. It also helps in maintaining a computerized large reference library. Knowledge of precise stone composition may allow the institution of appropriate prophylactic therapy despite the absence of any detectable metabolic abnormalities. This may prevent and or delay stone recurrence.

  3. Urinary Stone Analysis of 1,000 Patients in Southern Taiwan

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    Yii-Her Chou


    Full Text Available Urolithiasis is a common urologic disease. Stones may occur in the kidney, ureter, or urinary bladder. We collected 1,000 stone samples in the subtropical area of southern Taiwan. Stone components were analyzed by Fourier transform infrared spectroscopy. Mixed components of calcium oxalate and calcium phosphate were the most common form of stones (52.3%, followed by calcium oxalate (27.8% and calcium phosphate (9.3%. Uric acid stones accounted for 7.6%. Magnesium ammonium phosphate stones accounted for 3.0%. Only one cystine stone was found. In the study of urinary stone formation mechanism and prevention of recurrent urolithiasis, knowing the stone composition is important.

  4. Patients' selection for treatment of caliceal diverticular stones with extracorporeal shock wave lithotripsy

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Won Hong; Lee, Hee Jeong; Son, Soon Yong; Kang, Seong Ho; Cho, Cheong Chan; Ryu, Meung Sun [AMC, Seoul (Korea, Republic of); Kim, Seung Kook [Kwang-Ju Health College, Kwang-Ju (Korea, Republic of)


    Symptoms of caliceal diverticular stones are commonly associated with pain, recurrent urinary tract infection and hematuria. The aim of this study is to select the proper patient for the application of more successful extracorporeal shock wave lithotripsy(ESWL) as a treatment of caliceal diverticular stone. 16 patients with caliceal diverticular stones were treated with ESWL, and all patients had single caliceal diverticulum. The diagnosis of caliceal diverticulum with stones was made by intraveneous pyelography to all patients. On these intravenous pyelogram, we also classified diverticular type, whether the diverticular neck is connected with urinary tract patently, diverticular site and stone number and size. All patients were followed after ESWL by plain film of the kidneys, ureters and bladder and interviewed. Of all patients 44% was shown stone-free completely, also 83% was rendered symptom-free. All patients whose diverticular neck connected with urinary tract patently on the intraveneous pyelogram became stone-free. Of solitary stone 60% and multiple stones (more than 2) 17% became symptom-free. The patients with infection before ESWL 75% had residual stones, of these patients 33% had slightly flank pain, and 25% of patients with stones recurred become stone-free. We propose that more successful ESWL for patients with caliceal diverticular stones select satisfactory patients including that the diverticular neck is connected with urinary tract patently, solitary stone and no infection simultaneously.

  5. Ultraviolet, Visible, and Fluorescence Spectroscopy (United States)

    Penner, Michael H.

    Spectroscopy in the ultraviolet-visible (UV-Vis) range is one of the most commonly encountered laboratory techniques in food analysis. Diverse examples, such as the quantification of macrocomponents (total carbohydrate by the phenol-sulfuric acid method), quantification of microcomponents, (thiamin by the thiochrome fluorometric procedure), estimates of rancidity (lipid oxidation status by the thiobarbituric acid test), and surveillance testing (enzyme-linked immunoassays), are presented in this text. In each of these cases, the analytical signal for which the assay is based is either the emission or absorption of radiation in the UV-Vis range. This signal may be inherent in the analyte, such as the absorbance of radiation in the visible range by pigments, or a result of a chemical reaction involving the analyte, such as the colorimetric copper-based Lowry method for the analysis of soluble protein.

  6. Secondary Waste Cast Stone Waste Form Qualification Testing Plan

    Energy Technology Data Exchange (ETDEWEB)

    Westsik, Joseph H.; Serne, R. Jeffrey


    The Hanford Tank Waste Treatment and Immobilization Plant (WTP) is being constructed to treat the 56 million gallons of radioactive waste stored in 177 underground tanks at the Hanford Site. The WTP includes a pretreatment facility to separate the wastes into high-level waste (HLW) and low-activity waste (LAW) fractions for vitrification and disposal. The LAW will be converted to glass for final disposal at the Integrated Disposal Facility (IDF). Cast Stone – a cementitious waste form, has been selected for solidification of this secondary waste stream after treatment in the ETF. The secondary-waste Cast Stone waste form must be acceptable for disposal in the IDF. This secondary waste Cast Stone waste form qualification testing plan outlines the testing of the waste form and immobilization process to demonstrate that the Cast Stone waste form can comply with the disposal requirements. Specifications for the secondary-waste Cast Stone waste form have not been established. For this testing plan, Cast Stone specifications are derived from specifications for the immobilized LAW glass in the WTP contract, the waste acceptance criteria for the IDF, and the waste acceptance criteria in the IDF Permit issued by the State of Washington. This testing plan outlines the testing needed to demonstrate that the waste form can comply with these waste form specifications and acceptance criteria. The testing program must also demonstrate that the immobilization process can be controlled to consistently provide an acceptable waste form product. This testing plan also outlines the testing needed to provide the technical basis for understanding the long-term performance of the waste form in the disposal environment. These waste form performance data are needed to support performance assessment analyses of the long-term environmental impact of the secondary-waste Cast Stone waste form in the IDF

  7. Quantifying Oldowan Stone Tool Production at Olduvai Gorge, Tanzania.

    Directory of Open Access Journals (Sweden)

    Jay S Reti

    Full Text Available Recent research suggests that variation exists among and between Oldowan stone tool assemblages. Oldowan variation might represent differential constraints on raw materials used to produce these stone implements. Alternatively, variation among Oldowan assemblages could represent different methods that Oldowan producing hominins utilized to produce these lithic implements. Identifying differential patterns of stone tool production within the Oldowan has implications for assessing how stone tool technology evolved, how traditions of lithic production might have been culturally transmitted, and for defining the timing and scope of these evolutionary events. At present there is no null model to predict what morphological variation in the Oldowan should look like. Without such a model, quantifying whether Oldowan assemblages vary due to raw material constraints or whether they vary due to differences in production technique is not possible. This research establishes a null model for Oldowan lithic artifact morphological variation. To establish these expectations this research 1 models the expected range of variation through large scale reduction experiments, 2 develops an algorithm to categorize archaeological flakes based on how they are produced, and 3 statistically assesses the methods of production behavior used by Oldowan producing hominins at the site of DK from Olduvai Gorge, Tanzania via the experimental model. Results indicate that a subset of quartzite flakes deviate from the null expectations in a manner that demonstrates efficiency in flake manufacture, while some basalt flakes deviate from null expectations in a manner that demonstrates inefficiency in flake manufacture. The simultaneous presence of efficiency in stone tool production for one raw material (quartzite and inefficiency in stone tool production for another raw material (basalt suggests that Oldowan producing hominins at DK were able to mediate the economic costs associated

  8. Soda and other beverages and the risk of kidney stones. (United States)

    Ferraro, Pietro Manuel; Taylor, Eric N; Gambaro, Giovanni; Curhan, Gary C


    Not all fluids may be equally beneficial for reducing the risk of kidney stones. In particular, it is not clear whether sugar and artificially sweetened soda increase the risk. We prospectively analyzed the association between intake of several types of beverages and incidence of kidney stones in three large ongoing cohort studies. Information on consumption of beverages and development of kidney stones was collected by validated questionnaires. The analysis involved 194,095 participants; over a median follow-up of more than 8 years, 4462 incident cases occurred. There was a 23% higher risk of developing kidney stones in the highest category of consumption of sugar-sweetened cola compared with the lowest category (P for trend=0.02) and a 33% higher risk of developing kidney stones for sugar-sweetened noncola (P for trend=0.003); there was a marginally significant higher risk of developing kidney stones for artificially sweetened noncola (P for trend=0.05). Also, there was an 18% higher risk for punch (P for trend=0.04) and lower risks of 26% for caffeinated coffee (P for trend<0.001), 16% for decaffeinated coffee (P for trend=0.01), 11% for tea (P for trend=0.02), 31%-33% for wine (P for trend<0.005), 41% for beer (P for trend<0.001), and 12% for orange juice (P for trend=0.004). Consumption of sugar-sweetened soda and punch is associated with a higher risk of stone formation, whereas consumption of coffee, tea, beer, wine, and orange juice is associated with a lower risk.

  9. Stone formation and calcification by nanobacteria in the human body (United States)

    Ciftcioglu, Neva; Bjorklund, Michael; Kajander, E. Olavi


    The formation of discrete and organized inorganic crystalline structures within macromolecular extracellular matrices is a widespread biological phenomenon generally referred to as biomineralization. Recently, bacteria have been implicated as factors in biogeochemical cycles for formation of many minerals in aqueous sediments. We have found nanobacterial culture systems that allow for reproducible production of apatite calcification in vitro. Depending on the culture conditions, tiny nanocolloid-sized particles covered with apatite, forming various size of aggregates and stones were observed. In this study, we detected the presence of nanobacteria in demineralized trilobit fossil, geode, apatite, and calcite stones by immunofluorescence staining. Amethyst and other quartz stones, and chalk gave negative results. Microorganisms are capable of depositing apatite outside the thermodynamic equilibrium in sea water. We bring now evidence that this occurs in the human body as well. Previously, only struvite kidney stones composed of magnesium ammonium phosphate and small amounts of apatite have been regarded as bacteria related. 90 percent of demineralized human kidney stones now screened, contained nanobacteria. At least three different distribution patterns of nanobacteria were conditions, and human kidney stones that are formed from small apatite units. Prerequisites for the formation of kidney stones are the supersaturation of urine and presence of nidi for crystallization. Nanobacteria are important nidi and their presence might be of special interest in space flights where supersaturation of urine is present due to the loss of bone. Furthermore, we bring evidence that nanobacteria may act as crystallization nidi for the formation of biogenic apatite structures in tissue calcification found in e.g., atherosclerotic plaques, extensive metastatic and tumoral calcification, acute periarthritis, malacoplakia, and malignant diseases. In nanaobacteria-infected fibroblasts

  10. Book Review: Making Thinking Visible


    ROYAL, KENNETH; Hardie, Lizette


    Recent trends in medical education emphasize the importance of producing well-rounded graduates who not only possess a sufficient fund of medical knowledge but who can think clearly and deeply. Unfortunately, many medical educators struggle with what exactly it means to ?think? and do not know where to begin when asked to teach ?thinking.? We believe the book Making Thinking Visible, though written for K-12, will be of great interest to medical educators. The book describes different types of...

  11. Context: The strategic management Rosetta Stone

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    R. V. Weeks


    Full Text Available Purpose: The purpose of this paper is to analyse context as a means for interpreting and making sense of evolving strategic management theory and practice. Problem investigated: Traditional strategic management theory based on rational deductive methodologies assumes contextual predictability, yet contemporary conditions tend to contradict this assumption. In response, alternative theories and practices for dealing with complex contexts have emerged (Brews & Purohit, 2006; Grant, 2003; Kurt & Snowden, 2003and Stacey, 1995. Methodology: A literature study was undertaken to determine the nature of emergent strategic management theory and practice, in response to contextual complexity and how it differs from traditional practice (Mintzberg, 1994 and Weeks &Lessing, 1993. Findings: An important conclusion drawn from the study is that context acts as a determinant for making sense of the evolution of strategic management theory and practice. While traditional strategic management practice still assumes relevance in contexts of linear causality, it breaks down in complex contexts. Emergent strategic management theory, based on complex adaptive systems, is increasingly assuming relevance. Notably, many institutions are still attempting to make use of scenario planning in an attempt to deal with contextual complexity, a practice not supported by leading researchers(Stacey, 1995 and Kurt & Snowden, 2003. Value of the research: The insights gained from the study assume relevance, in view of the contextual complexity confronting modern-day institutions. The findings suggest that emergent strategy based on complex adaptive system theory needs to be considered as a means for dealing with increasing environmental turbulence. Conclusion: It is concluded that context serves as the Rosetta stone for making sense of strategic management theory and practice. In view of the research findings, as reflected in the literature, it would seem that the use of complex

  12. Visibility of halos and rainbows. (United States)

    Gedzelman, S D


    A theory for the visibility of halos and rainbows is presented. The light reaching the observer's eye from the direction of the halo or rainbow is assumed to consist of two parts: (1) a beam of singly scattered sunlight (or moonlight) from a cloud of ice crystals or a rainswath, which, in turn, has suffered depletion by scattering or absorption in its passage to the observer, and (2) the general background brightness. The model is able to account for several long-known qualitative observations concerning halos, namely, that the brightest halos are produced by optically thin cirrostratus clouds (i.e., for which the cloud optical depth tau(c), rainbow the brightness of the beam increases monotonically with the optical depth tau(R) of the sunlit part of the rainswath, but the increase is quite small for tau(R) >/=1. On the other hand, the brightness of the background increases more rapidly with tau(R) for tau(R)> 1 so that the rainbow appears most easily visible for tau(R) less, similar1. This implies that the most easily visible rainbows are produced by light or moderate showers rather than heavy downpours. Finally, suggestions are made for applying the theory to other atmospheric optical phenomena, such as coronas and glories.

  13. Obituary: Ronald Cecil Stone, 1946-2005 (United States)

    Monet, Alice Kay Babcock


    Ronald C. Stone, an astronomer at the US Naval Observatory Flagstaff Station, passed away on 10 September 2005 in Downer's Grove, IL, following a valiant struggle with cancer. He was fifty-nine years old. Ron was born on 9 June 1946 in Seattle, Washington, to Helen (Vocelka) and Cecil Stone. His father was a World War II veteran who attended college on the GI Bill and became a mechanical engineer. He and his wife raised three sons: Dwight, Ronald, and Gavin. They lived in a number of locations across the U.S. before settling at last in Downer's Grove when Ron was in the fourth grade. Ron's interest in astronomy began when he was given a toy planetarium projector while still in grade school, and later a small telescope. In high school, he also built his own telescope, grinding the 6-inch mirror by hand. He completed grade school and high school in Downer's Grove and did his undergraduate studies at the University of Illinois at Urbana-Champaign, majoring in astronomy and physics and graduating cum laude in 1968. The following year, he was drafted into the U.S. Army and served for two years, including a stint in Vietnam. Although his primary assignment was auditing, he was also involved in the defense of the Long Binh base in Vietnam. He was honorably discharged from the service in 1971 and enrolled that fall at the University of Chicago. While a graduate student working with Bill van Altena, Ron developed his life long interest in the field of astrometry. Van Altena recalls him as "a quiet and cheerful student who wanted to learn, and [who] worked hard to understand the intricacies of astrometry... deriving the most precise proper motions from the 40-inch [Yerkes] refractor plates." Working at Yerkes Observatory in Williams Bay, Wisconsin, he completed a thesis entitled, "Mean Secular Parallax at Low Galactic Latitude." While living in Wisconsin, Ron also became engaged to Ellen Mickel, and the two were married at his parents' home in Downer's Grove. After earning

  14. Use of the probability of stone formation (PSF score to assess stone forming risk and treatment response in a cohort of Brazilian stone formers

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    Benjamin Turney


    Full Text Available Introduction The aim was to confirm that PSF (probability of stone formation changed appropriately following medical therapy on recurrent stone formers. Materials and Methods Data were collected on 26 Brazilian stone-formers. A baseline 24-hour urine collection was performed prior to treatment. Details of the medical treatment initiated for stone-disease were recorded. A PSF calculation was performed on the 24 hour urine sample using the 7 urinary parameters required: voided volume, oxalate, calcium, urate, pH, citrate and magnesium. A repeat 24-hour urine sample was performed for PSF calculation after treatment. Comparison was made between the PSF scores before and during treatment. Results At baseline, 20 of the 26 patients (77% had a high PSF score (> 0.5. Of the 26 patients, 17 (65% showed an overall reduction in their PSF profiles with a medical treatment regimen. Eleven patients (42% changed from a high risk (PSF > 0.5 to a low risk (PSF 0.5 during both assessments. Conclusions The PSF score reduced following medical treatment in the majority of patients in this cohort.

  15. The Swedish Bohus granite - a stone with a fascinating history (United States)

    Schouenborg, Björn; Eliasson, Thomas


    One of the most well-known and well spread Swedish stone types used as building stones is the Bonus granite. It outcrops in an area north of Gothenburgh (SW Sweden), along the coastline, approximately 35 km wide and 85 km long. The granite continues into Norway as the Iddefjord granite. The Bohus granite is one of Sweden's youngest granites. Isotopic dating shows that the magma cooled at about 920 M years ago and thus marking the end of the Sveconorwegian orogoney. It is a composite granite massif area with several granitic intrusions but with rather homogeneous mineralogy. However, colour and texture varies quite a lot and the colour ranges from red to reddish grey although some pure grey varieties occur sparsely. The grain size ranges from medium grained to coarse grained and even with some porphyric parts. Quarrying in an industrial scale started 1842. The merchant A C Kullgren opened the first quarry and produced stones for the construction of the 86 km long Trollhättan channel connecting lake Vänern and the Atlantic ocean in the SW Sweden The stone was used for constructing harbors and wharves along the channel. Several quarries opened in the late 1800 around 1870 - 1890 and the export increased steadily with deliveries to Germany, Denmark, Holland, England and even to South America. The stone industries in Bohuslän (Bohus county), at its peak in 1929, engaged around 7 000 employees. During the depression in 1930 almost all of them became unemployed. However, as a curiosity, production and export continued to Germany for construction of Germania, the future World capital city ("Welthauptstadt Germania"), planned by Adolf Hitler and Albert Speer. About 500 stone workers were kept employed for this project during the late thirties. Today several varieties are still produced: Evja/Ävja, Tossene, Brastad, Näsinge, Broberg, Nolby, Allemarken and Skarstad. However, the number of stone workers is far from that of the early 1900. The Swedish production is mainly

  16. Thermo-Mechanical Compatibility of Viscoelastic Mortars for Stone Repair

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    Thibault Demoulin


    Full Text Available The magnitude of the thermal stresses that originate in an acrylic-based repair material used for the reprofiling of natural sandstone is analyzed. This kind of artificial stone was developed in the late 1970s for its peculiar property of reversibility in an organic solvent. However, it displays a high thermal expansion coefficient, which can be a matter of concern for the durability either of the repair or of the underlying original stone. To evaluate this risk we propose an analytical solution that considers the viscoelasticity of the repair layer. The temperature profile used in the numerical evaluation has been measured in a church where artificial stone has been used in a recent restoration campaign. The viscoelasticity of the artificial stone has been characterized by stress relaxation experiments. The numerical analysis shows that the relaxation time of the repair mortar, originating from a low T g , allows relief of most of the thermal stresses. It explains the good durability of this particular repair material, as observed by the practitioners, and provides a solid scientific basis for considering that the problem of thermal expansion mismatch is not an issue for this type of stone under any possible conditions of natural exposure.

  17. Caffeine intake and the risk of kidney stones. (United States)

    Ferraro, Pietro Manuel; Taylor, Eric N; Gambaro, Giovanni; Curhan, Gary C


    Although caffeine intake may increase urine calcium excretion, caffeine-containing beverages have been associated with a lower risk of nephrolithiasis. We sought to determine the association between caffeine intake and the risk of incident kidney stones in 3 large prospective cohorts. We prospectively analyzed the association between intake of caffeine and incidence of kidney stones in 3 large ongoing cohort studies, the Health Professionals Follow-Up Study (HPFS) and the Nurses' Health Studies (NHS) I and II. Information on the consumption of caffeine and the incidence of kidney stones was collected by validated questionnaires. The analysis included 217,883 participants; over a median follow-up of >8 y, 4982 incident cases occurred. After multivariate adjustment for age, BMI, fluid intake, and other factors, participants in the highest quintile of caffeine intake had a 26% (95% CI: 12%, 38%) lower risk of developing stones in the HPFS cohort, a 29% lower risk (95% CI: 15%, 41%) in the NHS I cohort, and a 31% lower risk (95% CI: 18%, 42%) in the NHS II cohort (P-trend kidney stones. © 2014 American Society for Nutrition.

  18. Caffeine intake and the risk of kidney stones123 (United States)

    Taylor, Eric N; Gambaro, Giovanni; Curhan, Gary C


    Background: Although caffeine intake may increase urine calcium excretion, caffeine-containing beverages have been associated with a lower risk of nephrolithiasis. Objective: We sought to determine the association between caffeine intake and the risk of incident kidney stones in 3 large prospective cohorts. Design: We prospectively analyzed the association between intake of caffeine and incidence of kidney stones in 3 large ongoing cohort studies, the Health Professionals Follow-Up Study (HPFS) and the Nurses’ Health Studies (NHS) I and II. Information on the consumption of caffeine and the incidence of kidney stones was collected by validated questionnaires. Results: The analysis included 217,883 participants; over a median follow-up of >8 y, 4982 incident cases occurred. After multivariate adjustment for age, BMI, fluid intake, and other factors, participants in the highest quintile of caffeine intake had a 26% (95% CI: 12%, 38%) lower risk of developing stones in the HPFS cohort, a 29% lower risk (95% CI: 15%, 41%) in the NHS I cohort, and a 31% lower risk (95% CI: 18%, 42%) in the NHS II cohort (P-trend kidney stones. PMID:25411295

  19. Sialendoscopy-assisted transfacial surgical removal of parotid stones. (United States)

    Capaccio, Pasquale; Pasquale, Capaccio; Gaffuri, Michelle; Michele, Gaffuri; Pignataro, Lorenzo; Lorenzo, Pignataro


    Minimally invasive surgical approaches to parotid stones (such as extra-corporeal shockwave lithotripsy and sialendoscopy) have proved to be effective in a high percentage of cases, although success depends on factors such as the localisation of the stone, its size and its mobility. The failure rate of 10% is largely due to large and impacted stones and, in such cases, a combined external and sialendoscopic approach can be used to avoid morbidity and the risks of more invasive superficial parotidectomy. We treated eight patients with large parotid stones (>7 mm) using a sialendoscopy-assisted transfacial surgical approach that was effective in all but one case, which was successfully solved by combining this procedure with extra-corporeal lithotripsy and operative sialendoscopy. Our results confirm that the combined approach is a valid alternative to parotidectomy for large parotid stones and should be added to other minimally invasive techniques aimed at restoring the function of the affected parotid gland. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

  20. Beyond Language Equivalence on Visibly Pushdown Automata

    DEFF Research Database (Denmark)

    Srba, Jiri


    We study (bi)simulation-like preorder/equivalence checking on the class of visibly pushdown automata and its natural subclasses visibly BPA (Basic Process Algebra) and visibly one-counter automata. We describe generic methods for proving complexity upper and lower bounds for a number of studied...... preorders and equivalences like simulation, completed simulation, ready simulation, 2-nested simulation preorders/equivalences and bisimulation equivalence. Our main results are that all the mentioned equivalences and preorders are EXPTIME-complete on visibly pushdown automata, PSPACE-complete on visibly...... one-counter automata and P-complete on visibly BPA. Our PSPACE lower bound for visibly one-counter automata improves also the previously known DP-hardness results for ordinary one-counter automata and one-counter nets. Finally, we study regularity checking problems for visibly pushdown automata...

  1. Success of rigid ureteroscopy according to the stone localization in the ureter

    Directory of Open Access Journals (Sweden)

    Oktay Üçer


    Full Text Available Objectives: We retrospectively evaluated our rigid ureteroscopy(URS treatment results in ureteric stones andassessed its effectiveness concerning ureteric stone localisation.Materials and methods: Overall, 101 patients were retrospectivelyevaluated including lower (n=69, mid (n=23and upper ureteric (n=9 stones which were treated withrigid URS (Wolf 8.0-9.8Fr, Germany in our hospital betweenJanuary 2007- June 2009. Stones were removedby stone forceps/basket catheter either as single pieceor fragmented by pneumatic lithotripsy (EMS-Swisslithoclast-Master.Results: Mean patient age was 45.1 (19-78 years.Stones were located in the right (n=52 and left (n=49 ureters,respectively. Mean stone size was 7,4 mm (5-15. Ofthe 9 patients with upper ureteric stones, 7 were (77.8%stone-free. However, stone migrated into renal pelvis intwo patients but passed into ureter again in the follow-upand removed by URS. Of the 23 patients with mid-uretericstones, 22 were (95.7% stone-free. Ureter perforationoccurred in one patient and ureteroneocystostomy wasperformed. Of the 69 patients with lower ureteric stones,68 were (98.6% stone-free. Ureter perforation occurredin one patient and healed spontaneously by ureter catheterreplacement. Stone was removed afterwards by URS.Overall (n=101, ureter perforation occurred in 1.9% (n=2in our series. Resistant urinary tract infection developedin one patient (0.9% (P.aeroginosa.Conclusion: Due to results of this preliminary study, rigidURS and pneumatic lithotripsy can be performed successfullyparticularly in lower ureteric stones. However,as stone location shifts to upper ureter, success rate decreases.Although URS can be performed safely with lowcomplication rates in the treatment of ureteric stones, severecomplications like ureter perforation might occur.

  2. [Factors affecting residual stones after percutaneous nephrolithotomy in patients with renal calculus]. (United States)

    Qiao, Mingzhou; Zhang, Haifang; Zhou, Chenlong


    To explore the factors affecting the residual stones after percutaneous nephrolithotomy (PCNL) in patients with renal calculus. A retrospective analysis was performed for 1 200 patients who were affected by renal calculus and treated with PCNL between Jan 2008 and May 2014 in People's Hospital of Anyang City. Among those patients, 16 were diagnosed as bilateral renal stone and had two successive operations. The size, location and number of stones, previous history of surgery, the degree of hydronephrosis, urinary infection were included in the univariate analysis. Significant factors in univariate analysis were included in the multivariate analysis to determine factors affecting stone residual. A total of 385 cases developed stone residual after surgery. The overall residual rate was 31.7%. In univariate analysis, renal pelvis combined with caliceal calculus (P=0.006), stone size larger than 4 cm (P=0.005), stone number more than 4 (P=0.002), the amount of bleeding more than 200 ml (P=0.025), operation time longer than 120 minutes (P=0.028) were associated with an increased rate of stone residual. When subjected to the Cox multivariate analysis, the independent risk factors for residual stones were renal pelvis combined with caliceal calculus (P=0.049), stone size larger than 4 cm (P=0.038) and stone number more than 4 (P=0.018). Factors affecting the incidence of residual stones after PCNL are the size, location and number of stones. Larger size stone and the presence of renal pelvis combined with caliceal calculus are significantly associated with residual stones. Nevertheless, stone number less than 4 indicates an increased stone clearance rate.

  3. Visibility and invisibility in chronic illness

    NARCIS (Netherlands)

    Hoppe, S.


    Does the visibility of a condition necessarily lead to stigmatization? Is it easier to suffer from an invisible than a visible condition? And what are the consequences of living with an invisible or visible illness? In this article the author draws on the concepts of stigma and concealability to

  4. Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy

    Directory of Open Access Journals (Sweden)

    Robert Marcovich


    Full Text Available Introduction of minimally invasive techniques has revolutionized the surgical management of renal calculi. Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are now both well-established procedures. Each modality has advantages and disadvantages, and the application of each should be based on well-defined factors. These variables include stone factors such as number, size, and composition; factors related to the stone's environment, including the stone's location, spatial anatomy of the renal collecting system, presence of hydronephrosis, and other anatomic variables, such as the presence of calyceal diverticula and renal anomalies; and clinical or patient factors like morbid obesity, the presence of a solitary kidney, and renal insufficiency. The morbidity of each procedure in relation to its efficacy should be taken in to account. This article will review current knowledge and suggest an algorithm for the rational management of renal calculi with shock wave lithotripsy and percutaneous nephrolithotomy.

  5. Pulp Stones, Prevalence and Distribution in an Iranian Population. (United States)

    Kuzekanani, Maryam; Haghani, Jahangir; Walsh, Laurence J; Estabragh, Mohammad Am


    This study determined the prevalence and distribution of pulp stones in the permanent dentition of an adult population using their periapical radiographs. The study followed a cross-sectional design. A total of 800 periapical radiographs collected from 412 patients attending dental clinics in Kerman, Islamic Republic of Iran, were examined using magnification. Pulp stones were present in 9.6% of all permanent teeth examined, being most common in maxillary first and second molars, followed by mandibular first and second molars. They were present in 31.5% of all adult patients, with a significantly increased prevalence in females compared with males (40.5 vs 23.9%, chi-squared test p endodontic treatment. They obstruct access to the canal orifices and thus complicate endodontic treatment. Knowing where and when pulp stones are likely to occur improves the quality of root canal treatments.

  6. Stone Formation and Fragmentation in Forgotten Ureteral Double J Stent

    Directory of Open Access Journals (Sweden)

    Okan Bas


    Full Text Available Aim: Nowadays, ureteral stents play an essential role in various endourological and open surgical procedures and common procedures performed in daily urological practice. However, stents can cause significant complications such as migration, infection, fragmentation, stone formation and encrustation, especially when forgotten for a long period. Objectives: We present our experience in endoscopic management of forgotten ureteral stents with a brief review of current literature. Case presentation: A total of 2 patients with forgotten ureteral stents were treated with endourological approaches in our department. Indwelling durations were 18 months and 36 months. After treatment both patients were stone and stent free. Conclusion: An endourological approach is effective for stent and stone removal after a single anesthesia session with minimal morbidity and short hospital stay. However, therapeutic strategy is also determined by the technology available. The best treatment would be the prevention of this complication by providing detailed patient education.

  7. Border Cave and the beginning of the Later Stone Age in South Africa. (United States)

    Villa, Paola; Soriano, Sylvain; Tsanova, Tsenka; Degano, Ilaria; Higham, Thomas F G; d'Errico, Francesco; Backwell, Lucinda; Lucejko, Jeannette J; Colombini, Maria Perla; Beaumont, Peter B


    The transition from the Middle Stone Age (MSA) to the Later Stone Age (LSA) in South Africa was not associated with the appearance of anatomically modern humans and the extinction of Neandertals, as in the Middle to Upper Paleolithic transition in Western Europe. It has therefore attracted less attention, yet it provides insights into patterns of technological evolution not associated with a new hominin. Data from Border Cave (KwaZulu-Natal) show a strong pattern of technological change at approximately 44-42 ka cal BP, marked by adoption of techniques and materials that were present but scarcely used in the previous MSA, and some novelties. The agent of change was neither a revolution nor the advent of a new species of human. Although most evident in personal ornaments and symbolic markings, the change from one way of living to another was not restricted to aesthetics. Our analysis shows that: (i) at Border Cave two assemblages, dated to 45-49 and >49 ka, show a gradual abandonment of the technology and tool types of the post-Howiesons Poort period and can be considered transitional industries; (ii) the 44-42 ka cal BP assemblages are based on an expedient technology dominated by bipolar knapping, with microliths hafted with pitch from Podocarpus bark, worked suid tusks, ostrich eggshell beads, bone arrowheads, engraved bones, bored stones, and digging sticks; (iii) these assemblages mark the beginning of the LSA in South Africa; (iv) the LSA emerged by internal evolution; and (v) the process of change began sometime after 56 ka.

  8. Visibilidad de las revistas argentinas en bases de datos internacionales: Proyecto UBACYT F28 (Programación científica 2001-2002 = Visibility of Argentine periodicals in international databases: A project UBACYT F28 (Programación científica 2001-2002

    Directory of Open Access Journals (Sweden)

    Susana Romanos de Tiratel


    Full Text Available El principal propósito de este proyecto es estudiar la presencia (visibilidad de las revistas argentinas de Humanidades y Ciencias Sociales en bases de datos internacionales. En primer lugar se aborda el tema dentro del marco teórico que justifica y avala el proyecto. Luego, tomando en cuenta la principal bibliografía existente en esta temática, se pasa revista a los objetivos buscados, a la metodología empleada, a las precisiones conceptuales, y a los procedimientos llevados a cabo. Finalmente, se presentan los primeros resultados obtenidos = The main purpose of this project is to study the presence (visibility of Argentine journals of Social Sciences and Humanities in international databases. Firstly, the subject is approached within the theoretical framework that justifies and guarantees the project. Secondly, taking into account the main existing bibliography on the subject, the searched objectives, the methodology used, the conceptual precision, and the proceedings are browsed. Finally, the first results obtained are shown.

  9. Visibilidad de las revistas argentinas en bases de datos internacionales: Proyecto UBACYT F28 (Programación científica 2001-2002 Visibility of Argentine periodicals in international databases: A project UBACYT F28 (Programación científica 2001-2002

    Directory of Open Access Journals (Sweden)

    Susana Romanos de Tiratel


    Full Text Available El principal propósito de este proyecto es estudiar la presencia (visibilidad de las revistas argentinas de Humanidades y Ciencias Sociales en bases de datos internacionales. En primer lugar se aborda el tema dentro del marco teórico que justifica y avala el proyecto. Luego, tomando en cuenta la principal bibliografía existente en esta temática, se pasa revista a los objetivos buscados, a la metodología empleada, a las precisiones conceptuales, y a los procedimientos llevados a cabo. Finalmente, se presentan los primeros resultados obtenidos.The main purpose of this project is to study the presence (visibility of Argentine journals of Social Sciences and Humanities in international databases. Firstly, the subject is approached within the theoretical framework that justifies and guarantees the project. Secondly, taking into account the main existing bibliography on the subject, the searched objectives, the methodology used, the conceptual precision, and the proceedings are browsed. Finally, the first results obtained are shown.

  10. Visible spectrum of stable sonoluminescence (United States)

    Carlson, Joseph T.


    Synchronous emissions of picosecond pulses of light are observed to originate from a bubble trapped at the pressure antinode of a resonant sound field. The spectrum has been measured using a single slit spectrometer equipped with a linear array CCD detector. Spectra from differing solutions of water and glycerin are compared to the visible blackbody spectrum distribution. Assuming a blackbody model, apparent temperatures of 18,900 Kelvins are observed in pure water. Increasing glycerin concentration appears to correlate with cooler blackbody temperatures. The spectrum is also found to continually change with time, independent of input parameters.

  11. Book Review: Making Thinking Visible


    Kenneth Royal; Lizette Hardie


    Recent trends in medical education emphasize the importance of producing well-rounded graduates who not only possess a sufficient fund of medical knowledge but who can think clearly and deeply. Unfortunately, many medical educators struggle with what exactly it means to “think” and do not know where to begin when asked to teach “thinking.” We believe the book Making Thinking Visible, though written for K-12, will be of great interest to medical educators. The book describes different types of...

  12. Book Review: Making Thinking Visible

    Directory of Open Access Journals (Sweden)

    Kenneth Royal


    Full Text Available Recent trends in medical education emphasize the importance of producing well-rounded graduates who not only possess a sufficient fund of medical knowledge but who can think clearly and deeply. Unfortunately, many medical educators struggle with what exactly it means to “think” and do not know where to begin when asked to teach “thinking.” We believe the book Making Thinking Visible, though written for K-12, will be of great interest to medical educators. The book describes different types of thinking and presents more than 20 teaching routines that can help engage learners and improve learning to think.

  13. Book Review: Making Thinking Visible (United States)

    Royal, Kenneth; Hardie, Lizette


    Recent trends in medical education emphasize the importance of producing well-rounded graduates who not only possess a sufficient fund of medical knowledge but who can think clearly and deeply. Unfortunately, many medical educators struggle with what exactly it means to “think” and do not know where to begin when asked to teach “thinking.” We believe the book Making Thinking Visible, though written for K-12, will be of great interest to medical educators. The book describes different types of thinking and presents more than 20 teaching routines that can help engage learners and improve learning to think.

  14. Digitalization of the exceptional building and decorative stones collection of the Natural History Museum Vienna (United States)

    Ferrière, Ludovic; Steinwender, Christian


    The Natural History Museum Vienna (NHMV) owns one of the largest building, decorative, and ornamental stones collections in Europe. This important collection dates back to the 19th century and was initiated by curator Felix Karrer after a donation of the "Union-Baugesellschaft" (Karrer, 1892). It contains rock samples used for the construction of most of the famous buildings and monuments in Vienna and in the entire Austria and surrounding countries, as well as from other famous constructions and antique (Egyptian, Greek, Roman, etc.) monuments in the world. Decorative stones that were used for the inside parts of buildings as well as artificial materials, such as stucco, tiles, and building-materials like gravel, are also part of this collection. Unfortunately, most specimens of this collection cannot be displayed at the NHMV (i.e., only 500 specimens are visible in the display Hall I) and are therefore preserved in storage rooms, and not accessible to the public. The main objective of our project of digitalization is to share our rock collection and all treasures it contains with the large majority of interested persons, and especially to provide knowledge on these rocks for people who need this information, such as people who work in cultural, architectural, scientific, and commercial fields. So far 4,500 samples from our collection have been processed with the support of the Open Up! project (Opening up the Natural History Heritage for Europeana). Our database contains all information available on these samples (including e.g., the name of the rock, locality, historic use, heritage utilization, etc.), high-quality digital photographs (with both top and bottom sides of the samples), and scanned labels (both "old" NHMV labels and other (original) labels attached to the samples). We plan to achieve the full digitalization of our unique collection within the next two years and to develop a website to provide access to the content of our database (if adequate

  15. Enhancing Visibility in International Supply Chains : The Data Pipeline Concept

    NARCIS (Netherlands)

    Klievink, A.J.; Van Stijn, E.; Hesketh, D.; Aldewereld, H.; Overbeek, S.; Heijmann, F.; Tan, Y.H.


    With increasing global trade and growing emphasis on security, enhanced information sharing between actors in global supply chains is required. Currently, the data about cargo available in the supply chain does not provide a timely and accurate description of the goods. To solve this data quality

  16. Centurion in Flight with Internal Wing Structure Visible (United States)


    The lightweight wing structure and covering of the Centurion remotely piloted flying wing can be clearly seen in this photo of the plane during one of its initial low-altitude, battery-powered test flights in late 1998 at NASA's Dryden Flight Research Center, Edwards, California. Centurion was a unique remotely piloted, solar-powered airplane developed under NASA's Environmental Research Aircraft and Sensor (ERAST) Program at the Dryden Flight Research Center, Edwards, California. Dryden joined with AeroVironment, Inc., Monrovia, California, under an ERAST Joint Sponsored Research Agreement, to design, develop, manufacture, and conduct flight development tests for the Centurion. The airplane was believed to be the first aircraft designed to achieve sustained horizontal flight at altitudes of 90,000 to 100,000 feet. Achieving this capability would meet the ERAST goal of developing an ultrahigh-altitude airplane that could meet the needs of the science community to perform upper-atmosphere environmental data missions. Much of the technology leading to the Centurion was developed during the Pathfinder and Pathfinder-Plus projects. However, in the course of its development, the Centurion became a prototype technology demonstration aircraft designed to validate the technology for the Helios, a planned future high-altitude, solar-powered aircraft that could fly for weeks or months at a time on science or telecommunications missions. Centurion had 206-foot-long wings and used batteries to supply power to the craft's 14 electric motors and electronic systems. Centurion first flew at Dryden Nov. 10, 1998, and followed up with a second test flight Nov. 19. On its third and final flight on Dec. 3, the craft was aloft for 31 minutes and reached an altitude of about 400 feet. All three flights were conducted over a section of Rogers Dry Lake adjacent to Dryden. For its third flight, the Centurion carried a simulated payload of more than 600 pounds--almost half the lightweight aircraft's empty weight. John Del Frate, Dryden's project manager for solar-powered aircraft, said he was impressed to see how well the aircraft handled the large weight increase from an initial payload of 150 pounds to one of 600 pounds. During 1999, Centurion gave way to the Helios Prototype, the latest and largest example of a slow-flying ultralight flying wing designed for long-duration, high-altitude Earth science or telecommunications relay missions. This was an enlarged version of the Centurion flying wing with a wingspan of 247 feet, 41 feet greater than the Centurion, 2 1/2 times that of the solar-powered Pathfinder flying wing, and longer than the wingspans of either the Boeing 747 jetliner or Lockheed C-5 transport aircraft. In upgrading the Centurion to the Helios Prototype configuration, AeroVironment added a sixth wing section and a fifth landing gear pod, among other improvements. The additional wingspan increased the area available for installation of solar cells and improved its lifting capability. This allows the Helios Prototype to carry a regenerative fuel-cell-based energy storage system that will enable flight at night, while still meeting the performance goals originally established for the Centurion.

  17. Finding Soul: Voice and Visibility for Youth | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    These are the kind of concerns the young people express in their music. IDRC : Has the project had an impact on government policy toward youth in Brazil? Grzybowski: In a new program, the government provides grants for youth to continue their studies at the university level — there are maybe 200 000 young people ...


    Directory of Open Access Journals (Sweden)

    Elenova Aurika Almazovna


    Full Text Available This article contains the results of studies of the use of additives containing crystallization components significantly affecting the curing of cement, improving the structure of cement stone and concrete. The crystalline component is obtained using the rotary-pulse unit, which provides not only the grinding of agents, but their interaction with each other as well in order to accelerate the hydration and structure formation in cement stone. The degree, and kinetics of hydration, the composition of hydrated phases, the structure of the additives and cement stone was studied using the following methods: x-ray diffraction (XRD, differential thermal analysis (DTA, scanning electron microscope (SEM. Mechanical properties of cement were determined by standard methods and techniques. The expander produced by means of hydrodynamic activation of the sulfoaluminate clinker (SAC consists of ettringite and hydrated calcium silicates, which are characterized by high dispersion rate (less than 10 µm and reactivity as the seed for the crystallization of hydrated compounds. The introduction of the ultrafine additives of the crystalline SAC (within 1-5% was discovered to cause expansion of the cement stone. Implementation of the additives increases cement hydration and contributes to the formation of active centers of crystallization that lead to the fast formation of ettringite, hydrated calcium aluminates and calcium silicates. The activated crystalline additive provides for significant reduction of porosity, initial curing, and high strength of cement stone. In addition, the additive is an expansive component, forming needle-like crystals of ettringite during hydration. These microcrystals grow in the capillaries of cement stone, filling them, and create conditions for improving the crack resistance of cement concrete.

  19. Coincidence symptomatic gall stone and helicobacter pylori: a brief report

    Directory of Open Access Journals (Sweden)

    Seyed Kazem Nezam


    Full Text Available Background: On of the most common gasterointrestinal disease is gallstone disease and it`s prevalence is 11%-36%in autopsies. If gallstone leads to symptoms and side effect cholecystectomy will be inevitable. Gastric infection due to H.P will cause several symptoms of which dyspepsia and epigastric pain are outstanding .Gall stones also usually causes epigastric and/or right upper quadrant pain. Pain in other abdominal quadrant is less common. In this study we investigated the coincidence of gall stone and gastro intestinal H.P regarding the common symptom, between these two conditions to prevent unnecessary operation.Methods: The cases were adopted from cholecystectomy candidates due to gall stone disease (proved by ultrasonography. The control group were normal people who proved to be gall stone free ultrasonographicly. Serum IgG anti H.P was checked and compared between the two groups.Results: Seventy percent of patients entered into the study which consisted of 35 case and 35 controls. The two groups were not significantly different in age and gender. There were 22 (68.8% and 10 (31.2% H.P positive cases in case and control groups respectively. Thirteen (34.2% and 25 (65.8% cases were H.P negative in case and control groups respectively. Comparing these results will reveal a statistically significant difference (P=0.004.Conclusion: The relationship between gastric H.P and gall stone in this study supports the role of H.P in gall stone formation. According to our results and the common symptoms of two conditions specially in atypic biliary colic, it seems that in many cases gastrointestinal H.P causes the pain. Prospective studies are recommended.

  20. Emergency department revisits for patients with kidney stones in California. (United States)

    Scales, Charles D; Lin, Li; Saigal, Christopher S; Bennett, Carol J; Ponce, Ninez A; Mangione, Carol M; Litwin, Mark S


    Kidney stones affect nearly one in 11 persons in the United States, and among those experiencing symptoms, emergency care is common. In this population, little is known about the incidence of and factors associated with repeat emergency department (ED) visits. The objective was to identify associations between potentially mutable factors and the risk of an ED revisit for patients with kidney stones in a large, all-payer cohort. This was a retrospective cohort study of all patients in California initially treated and released from EDs for kidney stones between February 2008 and November 2009. A multivariable regression model was created to identify associations between patient-level characteristics, area health care resources, processes of care, and the risk of repeat ED visits. The primary outcome was a second ED visit within 30 days of the initial discharge from emergent care. Among 128,564 patients discharged from emergent care, 13,684 (11%) had at least one additional emergent visit for treatment of their kidney stone. In these patients, nearly one in three required hospitalization or an urgent temporizing procedure at the second visit. On multivariable analysis, the risk of an ED revisit was associated with insurance status (e.g., Medicaid vs. private insurance; odds ratio [OR] = 1.52, 95% confidence interval [CI] = 1.43 to 1.61; p kidney stones. Access to urologic care and processes of care are associated with lower risk of repeat emergent encounters. Efforts are indicated to identify preventable causes of ED revisits for kidney stone patients and design interventions to reduce the risk of high-cost, high-acuity, repeat care. © 2015 by the Society for Academic Emergency Medicine.

  1. Cystic Duct Enhancement: A Useful CT Finding in the Diagnosis of Acute Cholecystitis Without Visible Impacted Gallstones. (United States)

    Kim, Sang Won; Kim, Hyun Cheol; Yang, Dal Mo; Won, Kyu Yeoun; Moon, Sung Kyoung


    The purpose of this study was to determine the incremental value of the presence of cystic duct enhancement for diagnosing acute cholecystitis without visible impacted gallstones. CT scans of 63 patients with acute cholecystitis and 63 control subjects were retrospectively and independently reviewed by two radiologists to determine the presence of cystic duct enhancement or impacted stones. Two additional radiologists were then asked to independently evaluate all CT images using a 5-point scoring system for diagnosing acute cholecystitis. They conducted the evaluations both before and after being informed that cystic duct enhancement could be substituted for a CT finding of impacted gallstones. The prevalence of either cystic duct enhancement or stone impaction was observed to be significantly more common in the patient group (86-91%) than in the control group (6-14%) (p acute cholecystitis improved significantly when cystic duct enhancement was used as an alternative to impacted gallstones as a diagnostic criterion.

  2. Differentiation of tissue and kidney stones for laser lithotripsy using different spectroscopic approaches (United States)

    Lange, Birgit; Cordes, Jens; Brinkmann, Ralf


    Holmium lasers are nowadays the gold standard for endoscopic laser lithotripsy. However, there is a risk of damaging or perforating the ureter or kidney tissue when the vision is poor. An automatic tissue/stone differentiation would improve the handling and safety of the procedure. To achieve this objective, an easy and robust real-time discrimination method has to be found which can be used to realize a feedback loop to control the laser system. Two possible approaches have been evaluated: White light reflectance and fluorescence spectroscopy. In both cases, we use the treatment fiber for detection and evaluate the possibility to decide whether the fiber is placed in front of tissue or calculus by the signal that is delivered by the surface in front of it. White light reflectance spectroscopy uses the standard light source for endourologic surgeries: Radiation of a Xenon light source is coupled to the ureteroscope via a liquid light guide. The part of the white light that is reflected back into the fiber is spectroscopically analyzed. In a clinical proof of concept study reflection signals were measured in vivo in 8 patients. For differentiation of stone and tissue via autofluorescence, excitation as well as detection was done via the treatment fiber. A suitable excitation wavelength was chosen with in vitro measurements (UV / visible) on several human renal calculi and porcine tissues. For verification of the positive results with green excitation in a clinical proof of concept study, a measurement set-up was realized which allows the recording of fluorescence signals during an endourological intervention.

  3. Mother goddesses with boat motifs on stone sculptures from Goa

    Digital Repository Service at National Institute of Oceanography (India)

    Kerkar, R.; Gaur, A.S.

    , and the port's extent is only now being revealed. Archaeologists call it the "Port of Theodosius", after the emperor of Rome and Byzantium who died in 395 AD. They expect to gain insights into ancient commercial life in the city, once called Constantinople..., seals, on the hero-stones, rock caves and coins have been amply found in the Indian subcontinent, some dating back to the prehistoric period, to the modern times. Archaeological Museum at Old Goa housed two hero-stones, one of which depicts a naval...

  4. Prevention of recurrent calcium stones: diet versus drugs. (United States)

    Jaeger, P


    Excessive intakes of meat protein, oxalate and potentially sodium, as well as insufficient intakes of vegetables fibers, calcium and fluid all lead to increased urinary crystallization. Renal stone disease, however, does not have to ensue. The underlying condition in a given patient is of paramount importance to allow 'bad eating habits' to lead to nephrolithiasis. Several of these underlying abnormalities have been detected so far from which we recently derived the powder keg and tinderbox theory. Most of the time, the dietary approach to nephrolithiasis allows recurrence of renal stone formation to be prevented. The pharmacological approach should be reserved for refractory cases.

  5. Gazetteer of Stone Quarries in the Roman World


    Russell, Ben


    The Stone Quarries Database was compiled by Ben Russell as part of his research project on Sculpted Stone and the Roman Economy. The database comes in two forms - an online version that can be queried through the above table view, and a downloadable PDF including a full gazetteer of quarry sites, and some introductory notes. The database includes all those quarries at which activity in the Roman period is proven or suspected. As such it builds on the ground-breaking studies of A. Dworakowska ...

  6. Diabetic severity and risk of kidney stone disease. (United States)

    Weinberg, Aviva E; Patel, Chirag J; Chertow, Glenn M; Leppert, John T


    The prevalence of kidney stone disease is rising along with increasing rates of obesity, type 2 diabetes mellitus (T2DM), and metabolic syndrome. To investigate the associations among the presence and severity of T2DM, glycemic control, and insulin resistance with kidney stone disease. We performed a cross-sectional analysis of all adult participants in the 2007-2010 National Health and Nutrition Examination Survey (NHANES). A history of kidney stone disease was obtained by self-report. T2DM was defined by self-reported history, T2DM-related medication usage, and reported diabetic comorbidity. Insulin resistance was estimated using fasting plasma insulin (FPI) levels and the homeostasis model assessment of insulin resistance (HOMA-IR) definition. We classified glycemic control using glycosylated hemoglobin A1c (HbA1c) and fasting plasma-glucose levels (FPG). Odds ratios (OR) for having kidney stone disease were calculated for each individual measure of T2DM severity. Logistic regression models were fitted adjusting for age, sex, race/ethnicity, smoking history, and the Quételet index (body mass index), as well as laboratory values and components of metabolic syndrome. Correlates of kidney stone disease included a self-reported history of T2DM (OR: 2.44; 95% confidence interval [CI], 1.84-3.25) and history of insulin use (OR: 3.31; 95% CI, 2.02-5.45). Persons with FPG levels 100-126 mg/dl and >126 mg/dl had increased odds of having kidney stone disease (OR 1.28; 95% CI, 0.95-1.72; and OR 2.29; 95% CI, 1.68-3.12, respectively). Corresponding results for persons with HbA1c 5.7-6.4% and ≥ 6.5% were OR 1.68 (95% CI, 1.17-2.42) and OR 2.82 (95% CI, 1.98-4.02), respectively. When adjusting for patient factors, a history of T2DM, the use of insulin, FPI, and HbA1c remained significantly associated with kidney stone disease. The cross-sectional design limits causal inference. Among persons with T2DM, more-severe disease is associated with a heightened risk of kidney

  7. Treatment Approaches to Urinary Stones Caused by Forgotten DJ Stents

    Directory of Open Access Journals (Sweden)

    Ergun Alma


    Full Text Available Ureteral DJ stents have been used widely for years in urology practice. With increased use, complications have been increased and forgotton stents have started to cause problems. The most common complications are early pain and irritative symptoms. Late complications are bacterial colonization and stone formation because of the biofilm covering the stents. Treatment for a forgotten stent varies on many factors, such as stent localization and stone formation. In this article, we aimed to discuss our clinic approach on two different cases in light to current literature. [Cukurova Med J 2015; 40(Suppl 1: 58-63

  8. Editorial - Stone Tools in Analytical and Cultural Perspective

    Directory of Open Access Journals (Sweden)

    Mark Edmonds


    Full Text Available The articles collected together here are the written record of presentations given at a conference on stone tool studies held in Britain at the Department of Archaeology, University of York, in the autumn of 2007. Convened by the Implement Petrology Group, the purpose of the conference was to encourage those working in a wide range of contexts to come together to discuss current approaches in lithic research. It seemed like a good idea; after all, stone tools are one of the most durable forms of evidence that we have for the study of the prehistoric past, and the conference created a chance to explore the various ways

  9. Historical period stone anchors from Vijaydurg on the west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.; Gaur, A.S.; Sundaresh; Bandodkar, S.N.

    Stone anchors are the primary antiquites in marine archaeological studies. Evidences of their evolution are noticed in India since 2500 B.C. A number of stone anchors have been recovered during the recent marine archaeological explorations at Dwarka...

  10. Experimental placement of stone matrix asphalt : project STP-8724 (00) X South Portland. (United States)


    In September 2003 the Maine Department of Transportation used stone matrix asphalt and Superpave to : renovate two intersections in South Portland, Maine. The experimental placement of stone matrix asphalt : (SMA) and Superpave with modified binder w...

  11. Grapnel stone anchors from Saurashtra: Remnants of Indo-Arab trade on the Indian coast

    Digital Repository Service at National Institute of Oceanography (India)

    Gaur, A.S.; Sundaresh; Tripati, S.

    Stone anchors have been used as a primary source of information on ancient navigation by marine archaeologists since long. These anchors used by ancient mariners are often noticed underwater at various places across the world. Stone anchors are also...

  12. Prediction of common bile duct stones in the earliest stages of acute biliary pancreatitis

    NARCIS (Netherlands)

    van Santvoort, H. C.; Bakker, O. J.; Besselink, M. G.; Bollen, T. L.; Fischer, K.; Nieuwenhuijs, V. B.; Gooszen, H. G.; Erpecum, K. J.

    Background and study aims: Accurate prediction of common bile duct (CBD) stones in acute biliary pancreatitis is warranted to select patients for early therapeutic endoscopic retrograde cholangiopancreatography (ERCP). We evaluated commonly used biochemical and radiological predictors of CBD stones

  13. Prediction of common bile duct stones in the earliest stages of acute biliary pancreatitis

    NARCIS (Netherlands)

    Santvoort, H.C. van; Bakker, O.J.; Besselink, M.G.; Bollen, T.L.; Fischer, K.; Nieuwenhuijs, V.B.; Gooszen, H.G.; Erpecum, K.J. van


    BACKGROUND AND STUDY AIMS: Accurate prediction of common bile duct (CBD) stones in acute biliary pancreatitis is warranted to select patients for early therapeutic endoscopic retrograde cholangiopancreatography (ERCP). We evaluated commonly used biochemical and radiological predictors of CBD stones

  14. Determination of components in traditional Chinese medicines associated with promoting or inhibiting urinary stone formation

    Directory of Open Access Journals (Sweden)

    Leqing Zhou


    Conclusions: Long-term use of TCMs would not increase the risk of urinary stone formation. The potassium content in TCMs is high, which is one possible reason for the prevention of urinary stones by TCMs.

  15. Pathological and therapeutic significance of cellular invasion by Proteus mirabilis in an enterocystoplasty infection stone model

    NARCIS (Netherlands)

    R.B. Mathoera (Rejiv); D.J. Kok (Dirk); C.M. Verduin (Cees); R.J.M. Nijman (Rien)


    textabstractProteus mirabilis infection often leads to stone formation. We evaluated how bacterium-mucin adhesion, invasion, and intracellular crystal formation are related to antibiotic sensitivity and may cause frequent stone formation in enterocystoplasties. Five intestinal

  16. Shock wave lithotripsy as a primary modality for treating upper ureteric stones: A 10-year experience

    Directory of Open Access Journals (Sweden)

    Abhijit S Padhye


    Conclusions: Best results with SWL as monotherapy for upper ureteric stones are achieved when stones are less than 1 cm in size, of short duration history and without indwelling stents. Overall success rate - 91.73%.

  17. Antegrade ureteroscopic assistance during percutaneous nephrolithotomy for complete renal staghorn stone: Technique and outcomes

    Directory of Open Access Journals (Sweden)

    Yuh-Shyan Tsai


    Conclusion: Such an ancillary procedure might be suitable for the management of complete staghorn stones or other complex renal stones in patients in whom adequate intracalyceal space was not available for the creation of nephrostomy access.

  18. Kanter revisited: Gender, power and (in)visibility


    Lewis, P.; Simpson, R


    This is the accepted version of the following article: Lewis, P. and Simpson, R. (2012), Kanter Revisited: Gender, Power and (In)Visibility. International Journal of Management Reviews, 14: 141–158., which has been published in final form at This paper revisits Kanter's (1977) seminal work Men and Women of the Corporation, rereading her account of numerical advantage and disadvantage through a poststructuralist l...

  19. Deterioration of the granitic stones of main front of the Vila Real Cathedral (N of Portugal

    Directory of Open Access Journals (Sweden)

    Gomes, M. E. P.


    Full Text Available The cathedral of Vila Real (North of Portugal is located in the city centre and at least four regional two-mica granites were used in its construction. A petrographic study of these granites concluded that the stones had different degrees of alterations. The identification of some physical properties of the granites –open porosity, real and apparent density, free water absorption, porometry and capillary transmission– confirms their susceptibility to degrees of weathering. A recent cleaning intervention was made and several types of deterioration were visible in the monument‚s stones, namely: granular disintegration, some thin black layers, plates, flakes and black crusts, especially in the main front exposed to SW. Granular disintegration is the most important deterioration process and is responsible for the loss of material in the most-affected stones; it is also related to the presence of small amounts of highly soluble salts such as halite and nitrates and to solar exposure.La Catedral de Vila Real (Norte de Portugal se encuentra en el centro de la ciudad y se han utilizado, al menos, cuatro granitos de dos micas para su construcción extraídos de sus alrededores. El estudio petrográfico de estos granitos pone de manifiesto que poseen un diferente grado de alteración. La determinación de algunas propiedades físicas de los granitos –porosidad abierta, densidad aparente y real, absorción libre de agua, porometría y capilaridad– confirman los distintos grados de alteración. La catedral ha sufrido una reciente limpieza y sobre las piedras de la Catedral se observan distintas formas de alteración, sobre todo desagregación granular (arenización, escasas pátinas finas negras, desplacaciones, escamas y costras negras, especialmente en la fachada principal, expuesta al SW. El fenómeno de la desagregación granular es el más importante y es el responsable de de la pérdida de material en las piedras más afectadas. Su g

  20. JPEG ringing artifact visibility evaluation (United States)

    Hu, Sirui; Pizlo, Zygmunt; Allebach, Jan P.


    To achieve high perceptual quality of compressed images, many objective image quality metrics for compression artifacts evaluation and reduction have been developed based on characterization of local image features. However, it is the end user who is judging the image quality in various applications, so the validation of how well these metrics predict human perception is important and necessary. In this paper, we present a preliminary psychophysics experiment method to capture human perception of local ringing artifacts in JPEG images with different severity levels. Observers are asked to annotate the compressed image where they perceive artifacts along the edges, directly on the screen using an interactive tablet display. They are asked to catalog the severity of artifacts into one of the three levels: Strong, Medium, and Light. We process the hand-marked data into a ringing visibility edge map showing a ringing severity mean opinion score (MOS) at every edge pixel. The perceptual information captured in this experiment, enables us to study the correlation between human perception and local image features, which is an important step towards the goal of developing a non-reference (NR) objective metric to predict the visibility of JPEG ringing artifacts in alignment with the assessments of human observers.

  1. Rapid vaporization of kidney stones, ex vivo, using a Thulium fiber laser at pulse rates up to 500 Hz with a stone basket (United States)

    Hardy, Luke A.; Wilson, Christopher R.; Irby, Pierce B.; Fried, Nathaniel M.


    The Holmium:YAG laser (λ = 2120 nm) is currently the preferred laser for fragmenting kidney stones in the clinic. However, this laser has some limitations, including operation at low pulse rates and a multimode spatial beam profile which prohibits its use with smaller, more flexible optical fibers. Our laboratory is studying the Thulium fiber laser (λ = 1908 nm) as an alternative lithotripter. The TFL has several advantages, including lower stone ablation thresholds, use with smaller and more flexible fibers, and operation at arbitrary pulse lengths and pulse rates. Previous studies have reported increased stone ablation rates with TFL operation at higher pulse rates, however, stone retropulsion remains an obstacle to even more efficient stone ablation. This study explores TFL operation at high pulse rates in combination with a stone stabilization device (e.g. stone basket) for improved efficiency. A TFL beam with pulse energy of 35 mJ, pulse duration of 500-μs, and pulse rates of 10-500 Hz was coupled into 100-μm-core, low-OH, silica fibers, in contact mode with uric acid and calcium oxalate monohydrate stones, ex vivo. TFL operation at 500 Hz produced UA and COM stone ablation rates up to 5.0 mg/s and 1.3 mg/s, respectively. High TFL pulse rates produced increased stone ablation rates sufficient for use in the clinic.

  2. Utility of Flexible Ureterorenoscopy and Laser Lithotripsy in the Treatment of Multiple Intrarenal Stones

    Directory of Open Access Journals (Sweden)

    Hasan Yılmaz


    Full Text Available Objective: We aimed to determine the safety and efficacy of flexible ureterorenoscopy and Holmium laser lithotripsy in treating multiple intrarenal stones. Materials and Methods: We identified 32 consecutive patients with multiple intrarenal stones who underwent flexible ureterorenoscopy and/or laser lithotripsy performed by a single surgeon. Informed consent was obtained from all participants before treatment. Each patient was evaluated in terms of stone location, stone number, stone size, stone burden (cumulative stone length, body mass index, operative time, stone-free rate, and perioperative complications. Results: The median age of the patients was 38 years [interquartile range (IQR, 34.25-52.00]. The patients had a total of 75 intrarenal calculi. The average number of stones per patient was 2.50 (IQR, 2.0-3.0. The median total stone burden per patient was 23.0 mm (IQR, 19.0-28.0 mm. Twenty-one patients (65.5% had stone burdens >20 mm, and 11 (34.5% had burdens ≤20 mm. The overall final stone-free rate was 78.1%. The stone-free rates for patients with stone burdens ≤20 mm and >20 mm were 81.8% (9/11 and 76.2% (16/21, respectively (p=0.544. A perioperative complication (urinary leakage occurred in one patient. Postoperative complications were recorded in four (12.5% patients; a urinary tract infection in one, pain requiring parenteral medication in two, and hematuria in one. Conclusion: Flexible ureterorenoscopy combined with laser lithotripsy may be an effective treatment option for patients with multiple intrarenal stones; we noted only a few minor complications. The success rate was higher in patients with stone burdens ≤20 mm.

  3. Is Tamsulosin Effective after Shock Wave Lithotripsy for Pediatric Renal Stones? A Randomized, Controlled Study. (United States)

    Shahat, Ahmed; Elderwy, Ahmad; Safwat, Ahmed S; Abdelkawi, Islam F; Reda, Ahmed; Abdelsalam, Yasser; Sayed, Mohamed; Hammouda, Hisham


    We assessed the effect of tamsulosin as an adjunctive therapy after shock wave lithotripsy for pediatric single renal pelvic stones. A total of 120 children with a unilateral single renal pelvic stone were included in a prospective randomized, controlled study. All children were randomized to 2 equal groups. Group 1 received tamsulosin (0.01 mg/kg once daily) as adjunctive therapy after shock wave lithotripsy in addition to paracetamol while group 2 received paracetamol only. Stone clearance was defined as no renal stone fragments or fragments less than 3 mm and no pelvicalyceal system dilatation. Our study included 69 boys and 51 girls with a median age of 3.5 years and a median stone size of 1.2 cm. There was no statistically significant difference between groups 1 and 2 in stone or patient criteria. Of the children 99 (82.5%) achieved stone clearance after the first session, including 50 in group 1 and 49 in group 2. All children in each group were cleared of stones after the second session. The overall complication rate was 14.2%. There was no statistically significant difference between single session stone clearance rates (p = 0.81) and complications rates (p = 0.432) in either group. On multivariate analysis using logistic regression smaller stone size (p = 0.016) and radiopaque stones (p = 0.019) were the only predictors of stone clearance at a single shock wave lithotripsy session. Tamsulosin therapy did not affect stone clearance (p = 0.649). Tamsulosin does not seem to improve renal stone clearance. Smaller and radiopaque renal stones have more chance of clearance after shock wave lithotripsy for pediatric single renal pelvic stones. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  4. Improvement of Marine Clay Performance Using Geo-Textile Encased Stone Column


    S. Siva Gowri Prasad; G. Divya; P.V.V.Satyanarayana


    The use of stone columns is a popular ground reinforcing technique for flexible structures like raft foundations, oil storage tanks, embankments etc. The stone column technique is a cost effective method of improving the strength parameters like bearing capacity and reduce the settlements. When stone columns in soft soil are loaded, it undergoes excessive bulging due to low lateral confinement. To avoid this excessive bulging, stone column is encased with geotextile. In the presen...

  5. In vivo determination of renal stone composition with dual-energy computed tomography

    Directory of Open Access Journals (Sweden)

    John-Henry Corbett


    Full Text Available Background: Composition of renal stones influences management of patients with renal stone disease. Currently stone composition can only be analysed ex vivo after stone extraction or passage, but recent introduction of dual-energy computed tomography (CT to clinical practice has raised interest in the ability of this technology to determine composition of renal stones in vivo.Objectives: To determine renal stone composition in patients using single-source dual-energy rapid-peak kilovolt (kVp switching CT.Method: Nineteen patients with renal stones for percutaneous nephrolithotomy were evaluated with single-source dual-energy computed tomography on a Discovery CT 750HD. The Gemstone Spectral Imaging (GSI effective atomic number (Zeff and attenuation at 70 keV monochromatic energy were used to predict the stone composition. Infrared spectroscopy and x-ray diffraction of stones after extraction served as the reference standard.Results: Two (10.5% of the 19 stones had uric acid as major component. The other 17 (89.5% were calcium-based stones. No statistically significant difference between the GSI Zeff and calculated effective atomic number (Z for stone compounds was found. The GSI Zeff and attenuation could differentiate between uric acid and non-uric acid stones. No differentiation between different calcium stones could be made.Conclusion: Uric acid and non-uric acid renal stones can be differentiated with single-source dual-energy in vivo. The GSI Zeff reflects the dominant material in polycrystalline stones.

  6. FTIR spectroscopic study of human urinary stones from El Bayadh district (Algeria

    Directory of Open Access Journals (Sweden)

    Khaled Sekkoum


    Full Text Available Identification of components of urinary stones is essential to provide information about the etiological factors considered responsible for stones formation making the therapy and the prevention possible. Morphological examination combined to infrared spectroscopy can provide helpful information about its chemical composition. As the composition of urinary stones varies from one place to another, we have undertaken a study by FTIR of constituents of urinary stones from various patients of El Bayadh region (south west of Algeria.

  7. FTIR spectroscopic study of human urinary stones from El Bayadh district (Algeria)


    Sekkoum, Khaled; Cheriti, Abdelkrim; Taleb, Safia; Belboukhari, Nasser


    Identification of components of urinary stones is essential to provide information about the etiological factors considered responsible for stones formation making the therapy and the prevention possible. Morphological examination combined to infrared spectroscopy can provide helpful information about its chemical composition. As the composition of urinary stones varies from one place to another, we have undertaken a study by FTIR of constituents of urinary stones from various patients of El ...


    Directory of Open Access Journals (Sweden)

    ZvornicaninJasmin, Nadarevic-VodencarevicAmra


    Full Text Available ABSTRACT We read with interest the article by Surekha et al. regarding the retained stone piece in anterior chamber. Similar to the results of previous studies, the authors found that delayed intraocular foreign body (IOFB management can result in good visual outcome without an apparent increased risk of endophthalmitis or other deleterious side effects. However, the authors failed to explain the exact reason for the diminution of vision in patients left eye. It is unclear what the uncorrected visual acuity was and what kind of correction was used, more precisely type and amount of cylinder, given the presence of the corneal opacity. Since the size of the IOFB is approximately 4x4x1mm, significant irido-corneal angle changes resulting in intraocular pressure raise and optic nerve head damage can be expected. Traumatic glaucoma following open globe injury can occur in 2.7 to 19% of cases, with several risk factors associated with glaucoma development (advanced age, poor visual acuity at presentation,perforating rather than penetrating ocular injury,lens injury, presence of vitreous hemorrhage and presence of an IOFB. Earlier reportsof latetraumaticoptic neuropathy onset, even after several years, indicate that this possibility cannot be completely ruled out too. Therefore, repeated intraocular pressure measurements, gonioscopy, pupillary reaction assessment, together with through posterior segment examination including visual field and optical coherence tomography examinations can be useful in determining the possible optic nerve damage as one of the possible reasons for visual acuity reduction. The authors did not suggest any operative treatment at this time. However, it should bear in mind that the inert anterior chamber IOFB could be a risk factor for non-infectious endophthalmitis development even after many years. Also, long term retained anterior chamber foreign body leads to permanent endothelial cell loss and can even result in a corneal

  9. Analysis of urinary stone constituents using powder X-ray diffraction ...

    Indian Academy of Sciences (India)

    Constituents of urinary stones obtained from various patients from western part of India, which is a highly urinary stone disease-prone area, have been analysed. Eight stones from four patients were collected through urologists and have been analysed using powder X-ray diffraction and FT-IR. Thermogravimetric analysis ...

  10. Bladder stones in catheterized spinal cord-injured patients in Nigeria

    African Journals Online (AJOL)


    Apr 26, 2011 ... Objective: The objective was to determine the incidence of bladder stones in patients with spinal cord injury (SCI) and to assess if catheter encrustation or positive urinary culture of Proteus mirabilis is predictive of bladder stones. Background: Bladder stones are common urological complication in those ...

  11. Use of stone powder in concrete and mortar as an alternative of sand

    African Journals Online (AJOL)


    Stone powder produced from stone crushing zones appears as a problem for effective disposal. Sand is a common fine aggregate used in construction work as a fine aggregate. In this study, the main concern is to find an alternative of sand. Substitution of normal sand by stone powder will serve both solid.

  12. Stone risk after bladder substitution with the ileal-urethral Kock reservoir

    DEFF Research Database (Denmark)

    Osther, P J; Poulsen, A L; Steven, K


    to be the main risk factor for calcium stone formation in non-infected Kock reservoir patients, and citrate supplementation appears to be the most obvious choice for stone prophylaxis in patients with intestinal urinary diversion and recurrent renal stone formation....

  13. Risk Factors for Recurrence of Symptomatic Common Bile Duct Stones after Cholecystectomy

    Directory of Open Access Journals (Sweden)

    Ju Hyun Oak


    Full Text Available Purpose. The recurrence of CBD stone is still observed in a considerable number of patients. The study was to evaluate the risk factors for recurrence of symptomatic CBD stone in patients who underwent cholecystectomy after the removal of CBD stone. Methods. The medical records of patients who underwent removal of CBD stone with subsequent cholecystectomy were reviewed. The risk factors for the recurrence of symptomatic CBD stone were compared between the recurrence and the nonrecurrence group. Results. The mean follow-up period was 40.6 months. The recurrence of symptomatic CBD stones was defined as the detection of bile duct stones no sooner than 6 months after complete clearance of CBD stones, based on symptoms or signs of biliary complication. 144 patients (68 males, 47.2% were finally enrolled and their mean age was 59.8 (range: 26~86 years. The recurrence of CBD stone occurred in 15 patients (10.4%. The mean period until first recurrence was 25.9 months. The presence of type 1 or 2 periampullary diverticulum and multiple CBD stones were the independent risk factors. Conclusion. For the patients with type 1 or 2 periampullary diverticulum or multiple CBD stones, careful followup is needed for the risk in recurrence of symptomatic CBD stone.

  14. Use of stone powder in concrete and mortar as an alternative of sand

    African Journals Online (AJOL)

    The study focuses to determine the relative performance of concrete by using powder sand. From laboratory experiments, it was revealed that concrete made of stone powder and stone chip gained about 15% higher strength than that of the concrete made of normal sand and brick chip. Concrete of stone powder and brick ...

  15. In vitro comparison of renal stone laser treatment using fragmentation and popcorn technique. (United States)

    Klaver, Paul; de Boorder, Tjeerd; Rem, Alex I; Lock, Tycho M T W; Noordmans, Herke Jan


    To study the effectiveness of two laser techniques clinically used to fragment renal stones: fragmenting technique (FT) and popcorn technique (PT). Phantom stones were placed in a test tube filled with water, mimicking a renal calyx model. A Holmium:YAG laser was used for fragmentation using both techniques. Four series of experiments were performed with two parameters: the technique (FT or PT) and the number of stones in the test tube (one or four). The mass decrease of the phantom stones was measured before, during, and after the experiment to quantify the effect of both techniques. Visualization of PT showed that the main effect of PT takes place, when the stone moves in front of the laser fiber and is subject to direct radiant exposure. Both FT and PT resulted in a decrease in stone weight; the mass decrease of the stones subjected to FT exceeded that of the stones subjected to PT, even with less laser energy applied. This difference in mass decrease was evident in both the experiments with one and four stones. PT was less effective in decreasing stone weight compared with FT. The FT is more effective regarding the applied energy than PT, even in a shorter time period and regardless of the number of stones. This study suggests that FT is to be preferred over PT, when stones are accessible by the laser fiber. Lasers Surg. Med. 49:698-704, 2017. © 2017 Wiley Periodicals, Inc. © 2017 Wiley Periodicals, Inc.

  16. The Capabilities and Limitations of Clinical Magnetic Resonance Imaging for Detecting Kidney Stones: A Retrospective Study. (United States)

    Ibrahim, El-Sayed H; Cernigliaro, Joseph G; Bridges, Mellena D; Pooley, Robert A; Haley, William E


    The purpose of this work was to investigate the performance of currently available magnetic resonance imaging (MRI) for detecting kidney stones, compared to computed tomography (CT) results, and to determine the characteristics of successfully detected stones. Patients who had undergone both abdominal/pelvic CT and MRI exams within 30 days were studied. The images were reviewed by two expert radiologists blinded to the patients' respective radiological diagnoses. The study consisted of four steps: (1) reviewing the MRI images and determining whether any kidney stone(s) are identified; (2) reviewing the corresponding CT images and confirming whether kidney stones are identified; (3) reviewing the MRI images a second time, armed with the information from the corresponding CT, noting whether any kidney stones are positively identified that were previously missed; (4) for all stones MRI-confirmed on previous steps, the radiologist experts being asked to answer whether in retrospect, with knowledge of size and location on corresponding CT, these stones would be affirmed as confidently identified on MRI or not. In this best-case scenario involving knowledge of stones and their locations on concurrent CT, radiologist experts detected 19% of kidney stones on MRI, with stone size being a major factor for stone identification.

  17. Ultrasound Based Method and Apparatus for Stone Detection and to Facilitate Clearance Thereof (United States)

    Bailey, Michael (Inventor); Kucewicz, John (Inventor); Lu, Wei (Inventor); Sapozhnikov, Oleg (Inventor); Illian, Paul (Inventor); Shah, Anup (Inventor); Dunmire, Barbrina (Inventor); Owen, Neil (Inventor); Cunitz, Bryan (Inventor); Kaczkowski, Peter (Inventor)


    Described herein are methods and apparatus for detecting stones by ultrasound, in which the ultrasound reflections from a stone are preferentially selected and accentuated relative to the ultrasound reflections from blood or tissue. Also described herein are methods and apparatus for applying pushing ultrasound to in vivo stones or other objects, to facilitate the removal of such in vivo objects.

  18. 32 CFR 644.505 - Disposal plan for embedded gravel, sand or stone. (United States)


    ... 32 National Defense 4 2010-07-01 2010-07-01 true Disposal plan for embedded gravel, sand or stone. 644.505 Section 644.505 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY... Gravel, Sand and Stone § 644.505 Disposal plan for embedded gravel, sand or stone. Prior to offering sand...

  19. Bilateral ureteral stones and spontaneous perirenal hematoma in a patient with chronic idiopathic thrombocytopenic purpura. (United States)

    Akyüz, Mehmet; Calışkan, Selahattin; Kaya, Cevdet


    Idiopathic thrombocytopenic purpura (ITP) is an immune thrombocytopenia with a usually benign clinical course. Bleedings are mostly of the mucocutaneous type with mild symptoms. Massive bleedings requiring transfusion are rarely seen, unless the number of platelets decreases to extremely low levels. In this case, bilateral perirenal hematoma and bilateral distal ureteral stones were detected on a non-contrast computed tomography scan of a 57-year-old male patient who developed macroscopic hematuria during his treatment in the clinics of internal medicine because of left flank pain and diffuse petechial rashes all over his body. The patient, who had been receiving chronic ITP treatment for 1 year, had a very low platelet count (4,000/mm(3)). The patient was prescribed bed rest, and his platelet count increased to a safe level for surgical intervention of above 50,000/mm(3) with administration of prednisolone, intravenous immune globulin, and platelet suspension. A stone-free state was achieved after bilateral ureterorenoscopy and pneumatic lithotripsy. A conservative approach was followed for the perirenal hematoma. Upon regression of the perirenal hematoma, the patient was discharged at 9 weeks postoperatively.

  20. Idiopathic hypercalciuria: Can we prevent stones and protect bones? (United States)

    Ryan, Laura E; Ing, Steven W


    Idiopathic hypercalciuria increases the risk of urinary stones and osteoporosis. The aim of this review is to delineate our current understanding of idiopathic hypercalciuria in the context of bone health, specifically its definition, causes, epidemiology, laboratory evaluation, and potential treatments. Copyright © 2018 Cleveland Clinic.

  1. Anatomical factors predicting lower calyceal stone clearance after ...

    African Journals Online (AJOL)

    M. Khan


    Feb 17, 2016 ... 1992;147:322–4. [6] Elbahanasy AM, Shalhav AL, Hoenig DM, Elashry OM, Smith DS,. McDougall EM, et al. Lower caliceal stone clearance after shock wave lithotripsy or ureteroscopy: the impact of lower pole radiographic anatomy. J Urol 1998;159:676–82. [7] Kiely EA, Madigan D, Ryan PC, Butler MR.

  2. Large stone asphalt mix design for heavy duty asphalt pavements

    CSIR Research Space (South Africa)

    Rust, FC


    Full Text Available to between 9 and 10 metric tonnes. There is also a tendency from overseas to use higher tyre pressures with new tyre types. One of the main reasons why the top size stone in mixtures has been limited to 26,5 mm is because the conventional mix design...

  3. Occupational hazards and safety measures among stone quarry ...

    African Journals Online (AJOL)

    Occupational hazards and safety measures among stone quarry workers in northern Nigeria. AA Aliyu, AU Shehu. Abstract. The health conditions of workers all over the world vary widely, depending among others on the geographical location, the type of employment and the patterns of work. The study was undertaken to ...

  4. Ships on hero stones from the west coast of India

    Digital Repository Service at National Institute of Oceanography (India)

    Tripati, S.

    Hero stones have been erected since early times to remember those who died in battle, and have been reported from various provinces of India. Most show land-battles, but those in the Archaeological Museum, Goa (India) and Eksar in Mumbai...

  5. Development of a Mixture Design Procedure for Stone Matrix Asphalt (United States)


    Stone Matrix Asphalt (SMA) has been used successfully in Europe for over 20 : years to provide better rutting resistance and to resist studded tire wear. : Since 1991, the use of SMA has increased steadily in the United States. At : present, some sta...

  6. Flexible ureteroscopy for lower calyceal stones in a horseshoe kidney

    African Journals Online (AJOL)

    P. Bansal


    Jul 21, 2016 ... Horse shoe;. Kidney. Abstract. Introduction: The efficacy of retrograde intrarenal surgery (RIRS) for the treatment of disorders in a horse- shoe kidney has not been sufficiently ... The patients' written informed consent with regard to the type of ... matic effect of the laser, which could result in the stone migrating.

  7. Bone Genes in the Kidney of Stone Formers (United States)

    Evan, Andrew P.; Bledsoe, Sharon B.


    Intraoperative papillary biopsies from kidneys of idiopathic-calcium oxalate stone formers (ICSF) have revealed a distinct pattern of mineral deposition in the interstitium of the renal papilla. The earliest sites of these deposits, termed Randall's plaque, are found in the basement membrane of thin loops of Henle and appear to spread into the surrounding interstitium down to the papillary epithelium. Recent studies show kidney stones of ICSF patients grow attached to the renal papilla and at sites of Randall's plaque. Together these observations suggest that plaque formation may be the critical step in stone formation. In order to control plaque formation and thereby reduce future kidney stone development, the mechanism of plaque deposition must be understood. Because the renal papilla has unique anatomical features similar to bone and the fact that the interstitial deposits of ICSF patients are formed of biological apatite, this paper tests the hypothesis that sites of interstitial plaque form as a result of cell-mediated osteoblast-like activity.

  8. Another Method for Localization of Radiolucent Urinary Stones ...

    African Journals Online (AJOL)

    Objectives: 1. To study the feasibility and safety of localization of radiolucent urinary stones during ESWL utilising the refluxing intravesically injected contrast medium along indwelling ureteral stents. 2. To identify the optimum volume of contrast medium and the intravesical pressure at which adequate vesicoureteral reflux ...

  9. Jeanette Winterson’s The Stone Gods: A Postmodern Warning

    Directory of Open Access Journals (Sweden)

    Zekiye Antakyalıoğlu


    Full Text Available Jeanette Winterson attempts to provoke a new consciousness of existence in her 2007 novel The Stone Gods and stir the masses to re-evaluate the human condition under the encroaching shadow of death awaiting our mother earth. The Stone Gods can be read as the continuation of her 2005 novel Weight where she already implied an alternative perception of space/universe. Along with its apparent postmodern tissue, The Stone Gods offers a lament for the human condition which is acutely suffering from the deprivation of dreams, future hopes and sense of reality on one hand, the ongoing corruption of our ecological system on the other. In the novel the citizens of Orbus (an unknown future world are presented as dehumanized figures for whom “age is only an information failure” stemming from the body’s loss of fluency, nerve disconnection and cell mutation occuring in DNA nucleus.This paper aims at analysing how Winterson detects the postmodern superficiality, obsession with appearance, lack of hope, memory and conscience in The Stone Gods which, contrary to being a postmodern text, concentrates on giving a moral message with its satiric as well as parodic double voice about the changing experience of ageing for man and mother earth in the new millenium

  10. Middle Stone Age starch acquisition in the Niassa Rift, Mozambique (United States)

    Mercader, Julio; Bennett, Tim; Raja, Mussa


    The quest for direct lines of evidence for Paleolithic plant consumption during the African Middle Stone Age has led scientists to study residues and use-wear on flaked stone tools. Past work has established lithic function through multiple lines of evidence and the spatial breakdown of use-wear and microscopic traces on tool surfaces. This paper focuses on the quantitative analysis of starch assemblages and the botanical identification of grains from flake and core tools to learn about human ecology of carbohydrate use around the Niassa woodlands, in the Mozambican Rift. The processing of starchy plant parts is deduced from the occurrence of starch assemblages that presumably got attached to stone tool surfaces by actions associated with extractive or culinary activities. Specifically, we investigate starch grains from stone tools recently excavated in northern Mozambique at the site of Mikuyu; which presumably spans the middle to late Pleistocene and represents similar sites found along the Malawi/Niassa corridor that links East, Southern, and Central Africa. Starch was extracted and processed with a diverse tool kit consisting of scrapers, cores, points, flakes, and other kinds of tools. The microbotanical data suggests consumption of seeds, legumes, caryopses, piths, underground storage organs, nuts, and mesocarps from more than a dozen families. Our data suggest a great antiquity for starch use in Africa as well as an expanded diet and intensification.

  11. Banach-stone-like theorems for lattices OF uniformly continuous ...

    African Journals Online (AJOL)

    New couples of uniform spaces X, Y are found out for which a lattice isomorphism between U(X) and U(Y) implies a uniform homeomorphism between X and Y. Keywords: Banach-Stone, lattice of uniformly continuous functions, R-generated uniform space. Quaestiones Mathematicae 35(2012), 417–430 ...

  12. Wastewater Treatment of Stone Cutting Industries by Coagulation Process

    Directory of Open Access Journals (Sweden)

    Mohammad Fahiminia


    Full Text Available Background & Aims of the Study: The wastewater created as a result of stone cutting industries enters some pools for re-consumption so that its suspended solids settle by gravity. By taking to account the high volume of water and sludge, treatment of wastewater and removal of sludge cause many problems for stone cutting units. The objective of this study was to determine the quality of wastewater and to investigate the effects of coagulants on suspended solids removal efficiency from wastewater of some stone cutting industries (Qom, Iran. Materials & Methods: In this experimental study, the effects of different doses of coagulants including Alum, poly aluminum chloride, Polymer, Ferric chloride (Fecl3 and Lime on Turbidity, “total suspended solids” (TSS and “total solids” (TS removal were investigated by Jar Test. Removal efficiency of different coagulates was estimated. Results: The results indicated that lime in dose 100 PPM is the best coagulant for turbidity removal and the highest efficiency for TS removal is related to using Alum in dose 100 PPM. Conclusions: Considering the findings of this study, it can be concluded that using coagulants causes reduction in settling time and speeds up the return of water to the consumption cycle of stone cutting factories, and also increases turbidity removal efficiency.

  13. Secondary Waste Simulant Development for Cast Stone Formulation Testing

    Energy Technology Data Exchange (ETDEWEB)

    Russell, Renee L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Westsik, Joseph H. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Rinehart, Donald E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Swanberg, David J. [Washington River Protection Solutions, Richland, WA (United States); Mahoney, J. [Washington River Protection Solutions, Richland, WA (United States)


    Washington River Protection Solutions, LLC (WRPS) funded Pacific Northwest National Laboratory (PNNL) to conduct a waste form testing program to implement aspects of the Secondary Liquid Waste Treatment Cast Stone Technology Development Plan (Ashley 2012) and the Hanford Site Secondary Waste Roadmap (PNNL 2009) related to the development and qualification of Cast Stone as a potential waste form for the solidification of aqueous wastes from the Hanford Site after the aqueous wastes are treated at the Effluent Treatment Facility (ETF). The current baseline is that the resultant Cast Stone (or grout) solid waste forms would be disposed at the Integrated Disposal Facility (IDF). Data and results of this testing program will be used in the upcoming performance assessment of the IDF and in the design and operation of a solidification treatment unit planned to be added to the ETF. The purpose of the work described in this report is to 1) develop simulants for the waste streams that are currently being fed and future WTP secondary waste streams also to be fed into the ETF and 2) prepare simulants to use for preparation of grout or Cast Stone solid waste forms for testing.

  14. Carbohydrate intolerance and kidney stones in children in the Goldfields. (United States)

    Baldwin, D N; Spencer, J L; Jeffries-Stokes, C A


    Renal stones have been reported as a common finding in Australian Aboriginal children. The stones are predominantly urate in composition. We report on five children with nephrolithiasis from the Goldfields region of Western Australia. All were diagnosed when under 5 years of age, the majority being under 3 years. All five children also had lactose intolerance, and we postulate that carbohydrate malabsorption, together with the ensuing chronic diarrhoea and intraluminal breakdown of sugars by enteric bacteria may result in a situation of chronic metabolic acidosis. Chronic metabolic acidosis can lead to protein catabolism, increased urate excretion and the formation of renal stones. Carbohydrate intolerance may be an aetiological factor in the development of renal stones and possibly chronic renal disease, particularly in Aboriginal Australians. Renal disease represents one of the most significant factors affecting the health of Australian Aboriginal people. The incidence of end stage renal failure in this population exceeds that of non-Aboriginals by a factor of 13:1, and this disproportionate figure is increasing. It is likely that chronic renal damage is multifactorial; however, it is probable that at least some aetiological factors have their onset during childhood.

  15. Dental pulp stone formation during orthodontic treatment: A ...

    African Journals Online (AJOL)


    Jun 21, 2015 ... lithiasis, calcified atheromas etc.),[8] genetic predisposition,[9] problems with the blood circulation of the pulp[10] and long‑term irritation such as deep caries, restorations[11] and orthodontic tooth movements.[12,13] Although the currently held clinical view is that pulp stones have no clinical significance ...

  16. Dancing with Stones: Critical Creativity as Methodology for Human Flourishing (United States)

    Titchen, Angie; McCormack, Brendan


    Critical creativity is a paradigmatic synthesis linking critical social science with creative and ancient traditions. Our haiku summarises the essence of this three part paper. "Heavy feet of stone" describes the rationale for our creation of critical creativity. "Seeking transformation" sets out the background and methodology for our inductive,…

  17. HoneySweet: a hope for stone-fruit growers (United States)

    Prunus species are among the important domesticated fruit crops, and they have been spread worldwide. Since its identification in the early 1900’s, Plum pox virus (PPV), one of the most damaging pathogens of stone fruit trees, has also been spreading worldwide, and the pace of its movement has acce...

  18. Morphine versus oxycodone analgesia after percutaneous kidney stone surgery

    DEFF Research Database (Denmark)

    Pedersen, Katja Venborg; Olesen, Anne Estrup; Drewes, Asbjørn Mohr


    According to previous studies oxycodone might have some advantages over morphine in the treatment of visceral pain. This study investigated the opioid consumption (primary outcome), pain relief and side effects (secondary outcomes) of morphine versus oxycodone after percutaneous nephrolithotomy u...... after percutaneous kidney stone operation was not confirmed....

  19. Percutaneous Nephrolithotomy for Kidney Stones in Patients with Hematological Malignancy

    Directory of Open Access Journals (Sweden)

    Baris Kuzgunbay


    Full Text Available Aim: To define the alterations in the outcomes of percutaneous nephrolithotomy (PNL operations for kidney stones in patients with history of hematological malignancy (HM. Material and Method: Between 2000 and 2013, 1700 adult patients underwent PNL for the treatment of kidney stones in our institution. Four of these patients had a history of HM and considered to be HM group (n=4. Ten elderly (>65 years patients who had no history of operation, HM or any other co-morbide diseases were chosen as the control group (n=10. Surgical parameters, success rates, additional treatments and complications were evaluated. Results: Statistical analyses showed no significant differences between HM and control group according to stone area, operation time, fluoroscopy time, hospitalization time, %u2206Hb, blood transfusion rates and INR values (p>0.05. Statistical analyses revealed no significant differences between HM and control groups according to the success rates (p=0.470. Statistical analyses revealed no significant difference between groups for additional treatment requirements (p=0.882. No major perioperative complication was seen in both of the groups. Discussion: The treatment of kidney stone disease by PNL in patients with hematological malignancy is feasible, safe and effective. However, close cooperation with the Hematology Department before the operation is mandatory.

  20. Stone ingestion causing obstructed inguinal hernia with perforation ...

    African Journals Online (AJOL)

    We report a rare case of obstructed right inguinal hernia caused by ingested stones. A 2 year-old boy from Northern Thailand was transferred to our hospital with low-grade fever, vomiting, and acute painful swelling at his right hemiscrotum for one day. The physical examination revealed marked enlargement with ...

  1. Microbial deterioration of Mayan stone buildings at Uxmal, Yucatan, Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Ortega-Morales, O.; Guezennec, J. [DRV/VP/Laboratorie de Biotechnologie, IFREMER, Brest, 29280, Plouzane, France (France); Hernandez D, G. [Fac. Ingenieria, Universidad del Mayab, Carr. Merida-Progreso Km. 15.5, Cordemex, 97310 Merida, Yucatan (Mexico); Jozsa, P.; Sand, W. [Abteilung Mikrobiologie, Universitat Hamburg, Obnhorststrasse 18, D-22609 Hamburg, Germany (Germany); Crassous, P. [DRO/EP/Laboratoire de Microscopie, IFREMER, Brest, 29280, Plouzane (France)


    The microbial communities associated to Uxmal Mayan monuments (Yucatan, Mexico) and their role in stone deterioration were preliminary characterized by chemical, biochemical, microbiological, microscopical and surface analysis methods under two climatic seasons (1997). The organic matter and organic carbon and nitrogen were in the range of those reported for other stone buildings, indicating that oligo trophic conditions prevail at Uxmal. Quantitative differences in microbial biomass was higher at indoor section were the organic matter content was the highest and micro-environmental conditions (availability of water and protection to direct sunlight) are more suitable for microbial growth. The microbiological analysis underestimated the microbial biomass, as revealed by biochemical approaches. Nitrate and nitrite-oxidizing, metilotrophic and heterotrophic bacteria and fungi were detected in most surfaces. The heterotrophic bacteria were the most abundant microbial group (microbiological data). However, the chlorophyll profiles and Scanning Electron Microscopy showed that the microalgae are the most abundant colonizers in Uxmal stone buildings. EDAX analysis showed that the most surfaces were covered by an organic layer (cells and exo polymers). Gypsum was found in few samples. The large photo trophic biomass seems to play a role in stone bio deterioration by supporting growth of heterotrophic microorganisms (bacteria and fungi) which are known to produce organic acids leading to calcite dissolution and cations chelation. Further studies are being carried out in order to determine the role of exo polysaccharides which are thought to play a role in chemical degradation of limestone substrates in Uxmal. (Author)

  2. Silicosis among Stone- Cutter Workers: A Cross-Sectional Study. (United States)

    Aghilinejad, Mashaallah; Naserbakht, Ali; Naserbakht, Morteza; Attari, Ghavamedin


    Production process of most factory-made products is harmful to our health and environment. Silica is the most important stone used in stone cutting factories. Numerous researches have reported respiratory diseases due to the inhalation of these particles in various occupations. Silicosis is a disease with typical radiographic pattern caused as the result of inhalation of silica particles. According to the intensity of exposures and onset of initiation of clinical symptoms silicosis is classified into three groups of acute, chronic and accelerated forms. The present study evaluated silicosis among stone cutter workers. This cross sectional study was performed on stone cutter workers in Malayer city (Azandarian) between 2008 and 2009. Respiratory data of our study participants were collected with a respiratory questionnaire and performing spirometry tests and chest radiography. Among our participants, 16 silicosis cases were diagnosed by radiographic changes. Among them, 10 workers had exposure for more than three years and 6 workers were smokers. Eleven workers had an abnormal radiographic pattern on their chest x-rays. Seven workers had obstructive and 4 workers had restrictive spirometric patterns. Prevalence of silicosis was high among our understudy workers and preventive strategies are required to control it.

  3. Resensies: Letters of Stone. From Nazi Germany to South Africa ...

    African Journals Online (AJOL)

    Book Title: Letters of Stone. From Nazi Germany to South Africa. Book Author: Steven Robins. Cape Town: Penguin, 2016. 314 pp. ISBN 978 1 77609 024 2. Full Text: EMAIL FREE FULL TEXT EMAIL FREE FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT ·

  4. Factors affecting lower calyceal stone clearance after Extracorporeal ...

    African Journals Online (AJOL)


    Abstract. Objective: Extracorporeal shock wave lithotripsy (ESWL) is one of the most commonly used procedures to remove renal calculi from the lower calyces. The aim of this work is to study the impact of radiological, anatomical and demographic factors on stone clearance after ESWL of lower calyceal calculi. Patients and ...

  5. Factors affecting lower calyceal stone clearance after Extracorporeal ...

    African Journals Online (AJOL)

    Objective: Extracorporeal shock wave lithotripsy (ESWL) is one of the most commonly used procedures to remove renal calculi from the lower calyces. The aim of this work is to study the impact of radiological, anatomical and demographic factors on stone clearance after ESWL of lower calyceal calculi. Patients and ...

  6. Laparoscopic managment of common bile duct stones: our initial experience. (United States)

    Aroori, S.; Bell, J. C.


    The management of choledocholithiasis has changed radically since the introduction of laparoscopic cholecystectomy. However, perceived technical difficulties have deterred many surgeons from treating common bile duct stones laparoscopically at the time of cholecystectomy. This has lead to reliance on endoscopic retrograde cholangiopancreatography followed by endoscopic sphincterotomy to deal with common bile duct stones. We retrospectively reviewed the charts of patients who had laparoscopic common bile duct exploration at Downe Hospital between December 1999 and August 2001. Among 149 laparoscopic cholecystectomies done by our group in this period, 10 patients (6.7%) underwent laparoscopic CBD exploration, three by the transcystic technique and seven by choledochotomy. Three patients (2%) had unsuspected stones found on routine per- operative cholangiogram. The mean operative time was 2.34hrs (range 1.50-3.30hrs). The mean hospital post- operative stay was 3 days (range 1-6 days). Post-operative morbidity was zero. Stone clearance was achieved in all cases. We conclude, laparoscopic exploration of the common bile duct is relatively safe and straightforward method. The key skill required is the ability to perform laparoscopic suturing with confidence. PMID:12137159

  7. Flow and edge scour in current adjacent to stone covers

    DEFF Research Database (Denmark)

    Petersen, Thor U.; Sumer, B. Mutlu; Bøgelund, Jon


    This paper presents the results of an experimental investigation on edge scour adjacent to a stone cover laid on a sandy bed. The three-dimensional flow over the edge of the stone layer has been investigated by the use of particle image velocimetry. The flow measurements show a significant amount...... of turbulence in the primary flow near the junction between the stone layer and the sand bed and the formation of complex secondary-flow structures. The results show that the flow and the edge scour process in a steady current are governed by the size of the roughness elements and to some extent the side slope...... of the berm. The edge scour is caused by the combined action of the primary flow and the secondary flow. The primary flow stirs up the sediment and puts it into suspension, and the secondary flow carries it away from the junction between the stone layer and the sand bed, resulting in a scour hole forming...

  8. Incidence and Distribution of Pulp Stones Found in Radiographic ...

    African Journals Online (AJOL)

    effect of irritation by the microorganisms of dental caries on the pulpal tissue can cause a vascular wall injury, resulting in the deposition of calcium salts within the tissue.[5] Others are orthodontic tooth movement, idiopathic and genetic predisposing factors.[2]. Pulp stones appear radiographically as round or ovoid opacities.

  9. A Time, and a Place, to Gather Stones Together (United States)

    Biemiller, Lawrence


    Lenka Clayton, a British artist and documentary filmmaker, did not leave London and cross the Atlantic Ocean intending to paint tiny, precise numbers on 7,000 loose stones--that idea didn't come to her until later. By the time she began numbering, she had already started a class of freshmen at Alfred University mapping hard-to-map things (like…

  10. Significant differences in struvite and cystine stone frequency seen among Chinese nephrolithiasis patients living in North America compared to those living in China. (United States)

    Chi, Thomas; Usawachintachit, Manint; Filippou, Pauline; Bayne, David; Hu, Weiguo; Chang, Helena; Xia, Lei; Chen, Qi; Xue, Wei; He, Hui; Long, Qingzhi; Arsovska, Olga; Taylor, Eric; Paterson, Ryan; Sur, Roger L; Chew, Ben; Stoller, Marshall L; Li, Jianxing


    Interracial disparities in nephrolithiasis prevalence have been reported, but the interplay between genetics and the environment for urinary stone disease risk factors is poorly understood. To examine how environment may alter genetic predisposition for stone formation, we established the International Chinese Consortium on Nephrolithiasis (ICCON) as a multi-institutional collaboration to examine patterns of nephrolithiasis presentation between Chinese patients living in different countries. Chinese patients undergoing percutaneous nephrolithotomy (PCNL) at six participating institutions in China and North America over 4 years were reviewed retrospectively. Patient demographics and clinical data were compared between Chinese patients living in China and North America. A total of 806 patients were included, encompassing 721 Chinese patients living in China and 85 living in North America. Nephrolithiasis patients living in China were more likely to be male (67% vs. 56%, P=0.02), present at a younger age (48.6±15.0 vs. 55.0±13.0 years, P<0.01), and have a lower BMI (24.6±4.0 vs. 25.9±5.7, P=0.04) but were less likely to form struvite stones (5.5% vs. 14.1%, P<0.01). No cystine stone patients were seen in North American Chinese patients, whereas 1.8% of nephrolithiasis patients living in China presented with cystine stones. Similar rates of calcium-based and uric acid calculi as well as urinary pH were seen among both groups. Significant differences exist between Chinese nephrolithiasis patients living in China compared to those living in North America, highlighting the importance of environmental factors in addition to genetics in modulating risk for urinary stone disease.

  11. Carrara Marble: a nomination for Global Heritage Stone Resource (United States)

    primavori, piero


    In the collective memory, in ordinary people, or in any technical office not devoted expressly to stone, marble is automatically associated with the word Carrara (Italy). Indisputably, for decades and decades, there has been this word association: marble means Carrara and Carrara means marble. In few other commodity sectors is a word so automatically associated with a name, engendering an identification process that, despite the inexorable onslaught of globalization, continues to exist. Carrara Marble, probably one of the most famous dimension stone in the world, has been recently designated as a suitable "Global Heritage Stone Resource". The additional designation of "Global Ornamental Stone" has also been proposed. Quarried since pre-Roman times, this marble is the testimonial of an area/industry that was able - for a variety of reasons not easily repeatable in future stone history - from the dawn of the stone sector to trigger a flywheel-effect on a global scale. The term Carrara Marble, geographically referable to the marbles extracted in the sorroundings of Carrara town, is in reality a general one, erroneously used since long time to define a multitude of different marbles (more than two hundred commercial varieties) extracted in the whole Apuane Alps region, Nortwestern Tuscany, Italy. The district of Carrara Marble is part of a wider territory where five important extractive areas can be recognized: Lunigiana, Garfagnana, Versilia, Massa and the Carrara area sensu stricto. This region is approximately 30 km long and 12 km wide, with marble outcrops, useful for commercial purposes, covering over 75 km2. The Carrara Marble is currently excavated in more than 100 quarries, at a rate of about 1.500.000 tons per year, is processed almost everywhere, and sold all over the world. The most important commercial designations are the following: 1) "Marmo Bianco"/"Marmo Ordinario" (Carrara White marble/Ordinary marble); 2) "Marmo Venato" (Veined marble); 3) "Marmo

  12. History of kidney stones and risk of coronary heart disease (United States)

    Ferraro, Pietro Manuel; Taylor, Eric N; Eisner, Brian H; Gambaro, Giovanni; Rimm, Eric B; Mukamal, Kenneth J; Curhan, Gary C


    Importance Kidney stone disease is common and may be associated with an increased risk of coronary heart disease (CHD). However, previous studies of the association between kidney stones and CHD have often not controlled for important risk factors, and the results have been inconsistent. Objective We examined the association between a history of kidney stones and the risk of CHD in three large prospective cohorts. Design, setting, and participants Prospective study of 45,748 men and 196,357 women in the United States without a history of CHD at baseline who were participants in the Health Professionals Follow-Up Study (HPFS, 51,529 men aged 40–75 years followed since 1986), Nurses’ Health Study (NHS) I (121,700 women aged 30–55 years followed since 1976) and II (116,430 women aged 25–42 years followed since 1989). The diagnoses of kidney stones and CHD were updated biennially during follow-up. Main outcome measure CHD was defined as fatal or non-fatal myocardial infarction (MI) or coronary revascularization. The outcome was identified by biennial questionnaires and confirmed through review of medical records (fatal and non-fatal MI). Results Out of a total of 242,105 participants, 19,678 reported a history of kidney stones. After up to 24 years of follow-up in men and 18 years in women, 16,838 incident cases of CHD occurred. After adjusting for potential confounders, among women, those with a reported history of kidney stones compared with those without had an increased risk of CHD in NHS I (incidence rate (IR) 754 vs 514/100,000 person-years; multivariate HR 1.18, 95% CI 1.08 to 1.28) and NHS II (IR 144 vs 55/100,000 person-years; multivariate HR 1.48, 95% CI 1.23 to 1.78); there was no significant association in men (IR 1,355 vs 1,022/100,000 person-years; multivariate HR 1.06, 95% CI 0.99 to 1.13). Similar results were found when analyzing the individual end-points (fatal and non-fatal MI, revascularization). Conclusions Among two cohorts of women, a

  13. [Bladder stone caused by olive oil following TVT operation]. (United States)

    Kato, Kumiko; Hirata, Tomohiko; Suzuki, Koichi; Yoshida, Kazuhiko; Suzuki, Shoji; Murase, Tatsuro


    Tension-free vaginal tape (TVT), a less-invasive variation of the suburethral sling, has been rapidly gaining popularity worldwide in the treatment of female stress urinary incontinence. We report on two cases of bladder stones composed of fatty acid calcium following TVT operations. Case 1: A 76-year-old woman with a history of hysterectomy due to cervical cancer was suffering from vault prolapse. The insertion of a ring pessary lead to the development of stress urinary incontinence, and she was referred to our hospital. As she was frail, sexually inactive, and elderly, she underwent partial colpocleisis (Le Fort operation) combined with a TVT operation. One-month postoperative videourodynamics and chain cystourethrography (CUG) using olive oil as the lubricant showed cure of incontinence and mild support of the urethra. Her maximum flow rate was 18.8 ml/s and no residual urine was observed. Six months postoperatively she developed postmiction pain and pyuria that were not improved by antibiotics. Cystoscopy showed a small bladder stone, whose removal cured cystitis. Case 2: A 49-year-old woman, with a history of abdominal hysterectomy due to myoma uteri, visited our hospital complaining of stress urinary incontinence. A periurethral collagen injection was only temporarily effective, and she underwent a TVT operation. A 1-month postoperative evaluation including chain CUG using olive oil as the lubricant showed cure of incontinence, mild support of the urethra, a maximum flow rate of 28.8 ml/s, and no residual urine. Two months postoperatively she developed miction pain and pyuria that were solved by removing a small bladder stone. Anti-incontinence surgery increases the risk of developing bladder stones due to either foreign bodies (bladder erosion) or obstruction. However, neither of our cases had these conditions; instead, both bladder stones were composed of fatty acid calcium that appeared to be related to the olive oil used as the lubricant in chain CUG

  14. Archaeomagnetic studies of Maori Hangi Stones from New Zealand (United States)

    Kinger, R.; Turner, G. M.; McFadgen, B.


    Global palaeosecular variation models still suffer from a paucity of high quality data from the SW Pacific region. Over the past two years we have worked to fill this gap with archaeomagnetic data - directions and palaeointensities - by studying the thermoremanent magnetization of Maori hangi cooking stones. Used as heat retainers, these stones are heated, frequently above the Curie temperatures of constituent magnetic minerals, before being buried in earth ovens. After removal of the food, hangi sites are often abandoned with the stones still in situ, carrying a record of the magnetic field in which they were last cooled. We have sampled a range of archaeological hangi sites throughout New Zealand, dating to early prehistoric times (ca 700 BP). The stones vary in lithology from andesites, originating from the central North Island volcanoes, favoured by Maori for their durability and with NRM intensities up to 30 A/m, to greywackes and schists from the main axial ranges, with NRMs as weak as 10-4A/m. In all cases, we have independently oriented and retrieved several stones, and we have made several specimens from each stone, either by drilling (standard cylindrical specimens) or sawing (pseudo-cubes) in the laboratory. We have calculated site mean palaeomagnetic directions from principal component analysis of thermal demagnetization data, discarding the data of stones that show evidence of disturbance. We have carried out palaeointensity experiments using a Coe/Thellier method with pTRM and tail checks, and with selection criteria modified to the situation. Rock magnetic experiments contribute to our understanding of the mineralogy, domain state and blocking temperature spectra. The palaeodirections fall between declinations of 348o and 24.5o, and inclinations of -46.4o and -72.4o, with palaeointensities between 43.7±1.4 and 81.3±6.1 mT. Most fall within the expected range of secular variation for New Zealand. However the palaeointensity of 81.34±6.08mT, from an

  15. The Meteoritical Quincentennial: The Stone of Ensisheim 1492-1992 (United States)

    Marvin, U. B.


    This year marks the 500th anniversary of the fall of a meteorite at Ensisheim in Alsace. In at least two respects this event is unique in the history of meteoritics. First, this was the earliest witnessed meteorite fall in the West from which pieces are preserved. Second, it is the only meteorite of which a continuous five-century public record exists in manuscripts and books. Beginning with newsheets printed in 1492, writings about this event illuminate the evolution of ideas from a 15th century belief that stones from the sky were of miraculous origin, to an 18th century conviction that stones do not fall from the sky, to our present view that they fall in abundance, originating in interplanetary space (Marvin, 1992). This paper will highlight certain previously unexamined aspects of the story and address problems inherent in historical analysis. Unusable Maps. The fall of the stone was heralded by an explosion which, according to Sebastian Brant (1492), was heard along the valleys of the Danube, Neckar, Aare, Ill, and Rhine and in the alpine cantons of Schwyz and Uri. Contemporary maps, such as that published in The Nuremberg Chronicle of 1493, so distorted the regional geography that a fireball trajectory cannot be reconstructed on them. On modern maps, however, the areas Brant listed stretch about 150 km to the southeast of Ensisheim, a distance well within the range of sounds reported from other exploding fireballs. Newton (1891) and Marvin (1992) worked out possible trajectories that could account for the sound being heard in all named localities. This suggests that, far from exaggerating distances for dramatic effect, Brant's description may well have been accurate. If so, he compiled his information from word-of-mouth reports without reference to the rudimentary maps available in his time. The Language of Wonder. A document mounted beside the stone in the Ensisheim church stated that learned men did not know what it was: it must be supernatural, a wonder

  16. [Composition of 359 kidney stones from the East region of Algeria]. (United States)

    Bouslama, S; Boutefnouchet, A; Hannache, B; Djemil, T; Kadi, A; Dahdouh, A; Saka, S; Daudon, M


    Determine stones composition of the upper urinary tract in the eastern region of Algeria. Our study focuses on a set of 359 stones of the upper urinary tract collected between January 2007 and December 2012 at hospitals in the eastern region of Algeria and analyzed by Fourier transform infrared spectroscopy. The male/female ratio was only 1.32. Calcium oxalate prevailed in 68.5% of stones and 49.3% of nuclei, mainly as whewellite (51.8% of stones and 37.9% of nuclei vs 16.7% and 11.4% respectively for weddellite). Carbapatite prevailed in 15% of stones and 29.8% of nuclei. The struvite, identified in 11.1% of calculi, prevailed in 3.9% of stones and 3.1% of nuclei. Among purines, uric acid prevailed with frequencies quite close to 8.9% and 7% respectively in the stone and in the nucleus while the ammonium urate prevailed in only 0.3% of stones and 3.3% of nuclei. The cystine frequency was 3.6% in both stone and nucleus. The frequency of stone with umbilication was 26.2%. Whewellite was the main component of umbilicated stones with Randall's plaque. Our results suggest that stones of the urinary tract in the Algerian east region resemble those observed in industrialized countries. Some features such as stones location, the whewellite prevalence, the frequencies of main components in both the stone and the nucleus as well as the formation of stones on renal papilla confirm this trend. 4. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  17. Biliary stenting in the management of large or multiple common bile duct stones. (United States)

    Horiuchi, Akira; Nakayama, Yoshiko; Kajiyama, Masashi; Kato, Naoyuki; Kamijima, Tetsuya; Graham, David Y; Tanaka, Naoki


    Endoscopic biliary stenting with a plastic stent is often performed to prevent impaction of common bile duct (CBD) stones. The therapeutic effect of a plastic stent placement in terms of reduction in stone size and number has not been established. The aim of this study was to study the effect of biliary stenting as therapy for CBD stones. Retrospective study. Municipal hospital outpatients. Patients with large (> or = 20 mm) and/or multiple (> or = 3) stones had placement of a 7F double-pigtail plastic stent without stone extraction at the initial ERCP. Approximately 2 months later, stone removal was attempted. The number and size of CBD stones before and after stent placement, stone clearance, complications, and 180-day mortality were evaluated. Forty patients were studied. Stent placement averaged 65 days (range, 50-82 days). The median number (interquartile range) of stones per patient fell after stent placement (4.0 [3.0] before vs. 2.0 [1.0] after; P < .0001). Characteristically, larger stones became smaller and small stones disappeared (ie, the median stone index decreased from 4.6 [3.0] to 2.0 [1.5]; P < .0001). Stone clearance at the second ERCP was achieved in 37 out of 40 patients (93%). Complications included cholangitis (13%) and pancreatitis (5%) after the second ERCP. No 180-day mortality occurred. A retrospective, single-center study. Stent placement for 2 months was associated with large and/or multiple CBD stones becoming smaller and/or disappearing without any complications. Stenting followed by a wait period may assist in difficult CBD stone removal. Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.


    Directory of Open Access Journals (Sweden)

    Mojtaba Yari


    Full Text Available Building, dimensional and decorative stones from mining and industry are among the significant resources of Iran. Following China and Italy, Iran is in third place of world production, but only has a minor contribution in international trade. One main reason of this problem is negligence regarding the introduction of dependable mines to foreign customers. On the other hand, the frequency of fatal and non-fatal accidents in these mines implies the necessity of more attention to safety parameters. The first stage to attain this aim is identifying the major factors on safety of these mines and ranking the major mines considering these indices. In this paper, a comprehensive model for ranking of mines in the sense of all imposing attributes with an emphasis on safety parameters is presented. In order to validate the model, 19 active mines of the Pyrtak Company in Lorestan province have been used. In this paper, after determining all the parameters of safety in decorative stone mines and weighting these attributes, using AHP-TOPSIS and fuzzy environment, mines have been ranked. After a systematic evaluation of the decorative stone mines, the most appropriate mine is selected.

  19. [Intraoperative choledochoscopy usefulness in the treatment of difficult biliary stones]. (United States)

    Cuendis-Velázquez, A; Rojano-Rodríguez, M E; Morales-Chávez, C E; González Angulo-Rocha, A; Fernández-Castro, E; Aguirre-Olmedo, I; Torres-Ruiz, M F; Orellana-Parra, J C; Cárdenas-Lailson, L E


    Choledocholithiasis presents in 5-10% of the patients with biliary lithiasis. Numerous treatment algorithms have been considered for this disease, however, up to 10% of these therapeutic procedures may fail. Intraoperative choledochoscopy has become a useful tool in the treatment of patients with difficult-to-manage choledocholithiasis. To determine the usefulness of intraoperative choledochoscopy in the laparoendoscopic treatment of difficult stones that was carried out in our service. A cross-sectional study was conducted. The case records were reviewed of the patients that underwent intraoperative choledochoscopy during biliary tree exploration plus laparoscopic choledochoduodenal anastomosis within the time frame of March 1, 2011 and May 31, 2012, at the Hospital General Dr. Manuel Gea González. Transabdominal choledochoscopies were performed with active stone extraction when necessary, followed by peroral choledochoscopies through the recently formed bilioenteric anastomosis. The data were analyzed with descriptive statistics and measures of central tendency. The mean age was 71 years, 57% of the patients were women, and the ASA III score predominated. Active extraction of stones with 7 to 35mm diameters was carried out in 4 of the cases and the absence of stones in the biliary tract was corroborated in all the patients. The mean surgery duration was 18 minutes (range: 4 to 45min). Choledochoscopy is a safe and effective minimally invasive procedure for the definitive treatment of difficult stones. Copyright © 2013 Asociación Mexicana de Gastroenterología. Published by Masson Doyma México S.A. All rights reserved.

  20. Vitamin D Intake and the Risk of Incident Kidney Stones. (United States)

    Ferraro, Pietro Manuel; Taylor, Eric N; Gambaro, Giovanni; Curhan, Gary C


    Kidney stones are a common and painful condition. Longitudinal prospective studies on the association between the intake of vitamin D and the risk of incident kidney stones are lacking. We performed a prospective analysis of 193,551 participants in the Health Professionals Follow-up Study and Nurses' Health Study I and II. Participants were divided into categories of total (less than 100, 100 to 199, 200 to 399, 400 to 599, 600 to 999, 1,000 IU per day or greater) and supplemental (none, less than 400, 400 to 599, 600 to 999, 1,000 IU per day or greater) vitamin D intake. During a followup of 3,316,846 person-years there were 6,576 incident kidney stone events. Cox proportional hazards regression models were adjusted for age, body mass index, comorbidities, use of medications and intake of other nutrients. After multivariate adjustment there was no statistically significant association between vitamin D intake and risk of stones in the HPFS (HR for 1,000 or greater vs less than 100 IU per day 1.08, 95% CI 0.80, 1.47, p for trend = 0.92) and the NHS I (HR 0.99, 95% CI 0.73, 1.35, p for trend = 0.70), whereas there was a suggestion of a higher risk in the NHS II (HR 1.18, 95% CI 0.94, 1.48, p for trend = 0.02). Similar results were found for supplemental vitamin D intake. Vitamin D intake in typical amounts was not statistically associated with risk of kidney stone formation, although higher risk with higher doses than those studied here cannot be excluded. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.