Search results for " Shock wave"
showing 10 items of 67 documents
Low-frequency extracorporeal shock wave lithotripsy improves renal pelvic stone disintegration in a pig model.
2009
OBJECTIVE To compare disintegration rates for renal stones treated by 60 vs 120 shock waves (SW)/min at the same energy settings, using standardized validated artificial stones in a pig model. MATERIALS AND METHODS Gypsum artificial stones (13 × 6 mm) were inserted into the renal pelvis on either side of 12 anaesthetized pigs by open surgery. Extracorporeal SW lithotripsy (ESWL) was applied using a new electromagnetic lithotripter (Lithoskop®, Siemens AG Healthcare, Munich, Germany) at 60 and 120 SW/min; 3000 SW were applied to each kidney with the same energy settings. Stone fragments were collected after nephrectomy, passed through calibrated test sieves, and weighed. Fragment size catego…
Surgical aspects of urolithiasis in children.
1991
Operative management of renal calculi has changed radically in the last decade. New operative techniques. the use of intra-operative ultrasound and Doppler sonography have even made possible the removal of complete staghorn calculi in short and kidney-preserving procedures. The introduction of percutaneous nephrolithotomy and stone extraction using a specially designed ureteroscope and, above all, the clinical application of extracorporeal shock wave lithotripsy have made stone surgery less invasive and have provided a higher rate of preservation of kidney function.
Extracorporeal shock wave lithotripsy (ESWL): alternatives and adjuvant procedures
1985
Within a short time, extensive statistics on ESWL have documented its efficiency in the treatment of most renal and ureteral stones. Approximately 20% of all stone patients, however, require additional or other forms of therapy, such as URS, PNL, or surgery. Up to now, the differential indications for these procedures have not been completely established. A crucial factor for successful application of ESWL is stone volume and localization. Large stones with a central stone mass may be successfully treated by combining ESWL and PNL, while surgery is still preferred in those with a peripheral stone mass.
Extracorporeal shock wave therapy as a potential therapeutic tool for breast cancer related lymphedema: a narrative review of in vitro, animal and cl…
2021
Background: The treatment of breast cancer related lymphedema (BCRL) focuses on the alleviation symptoms. One of the innovative, non-invasive therapies used for this condition is extracorporeal shock wave therapy (ESWT). Aim of the study: To review the available literature and evaluate the effectiveness of ESWT in the treatment of secondary lymphedema (in vitro works, animal experiments) and lymphedema associated with the treatment of breast cancer. Material and methods: The scientific literature review was conducted from October to December 2020. The review was carried out by searching scientifically recognized medical databases, including PubMed, MEDLINE and PEDro. Date restrictions were …
Assessment of the fundamental flexural guided wave in cortical bone by an ultrasonic axial-transmission array transducer
2013
Abstract The fundamental flexural guided wave (FFGW), as modeled, for example, by the A0 Lamb mode, is a clinically useful indicator of cortical bone thickness. In the work described in this article, we tested so-called multiridge-based analysis, based on the crazy climber algorithm and short-time Fourier transform, for assessment of the FFGW component recorded by a clinical array transducer featuring a limited number of elements. Methods included numerical finite-element simulations and experiments in bone phantoms and human radius specimens ( n = 41). The proposed approach enabled extraction of the FFGW component and determination of its group velocity. This group velocity was in good ag…
On the existence of a reverse shock in magnetized gamma-ray burst ejecta
2007
The role of magnetic fields in gamma-ray burst (GRB) flows remains controversial. The study of the early afterglow phases and, in particular, of the reverse shock dynamics and associated emission offers a promising probe of the magnetization of the ejecta. In this paper, we derive the conditions for the existence of a reverse shock in arbitrarily magnetized ejecta that decelerate and interact with the circumburst medium. Both constant and wind-like density profiles are considered. We show, in contrast to previous estimates, that ejecta with magnetization σ0 >∼ 1 are not crossed by a reverse shock for a large fraction of the parameter space relevant to GRB flows. Allowing for shell spreading…
3D YSO accretion shock simulations: a study of the magnetic, chromospheric and stochastic flow effects
2013
AbstractThe structure and dynamics of young stellar object (YSO) accretion shocks depend strongly on the local magnetic field strength and configuration, as well as on the radiative transfer effects responsible for the energy losses. We present the first 3D YSO shock simulations of the interior of the stream, assuming a uniform background magnetic field, a clumpy infalling gas, and an acoustic energy flux flowing at the base of the chromosphere. We study the dynamical evolution and the post-shock structure as a function of the plasma-beta (thermal pressure over magnetic pressure). We find that a strong magnetic field (~hundreds of Gauss) leads to the formation of fibrils in the shocked gas …
Hydrodynamic modelling of ejecta shrapnel in the Vela supernova remnant
2013
Many supernova remnants (SNRs) are characterized by a knotty ejecta structure. The Vela SNR is an excellent example of remnant in which detached clumps of ejecta are visible as X-ray emitting bullets that have been observed and studied in great detail. We aim at modelling the evolution of ejecta shrapnel in the Vela SNR, investigating the role of their initial parameters (position and density) and addressing the effects of thermal conduction and radiative losses. We performed a set of 2-D hydrodynamic simulations describing the evolution of a density inhomogeneity in the ejecta profile. We explored different initial setups. We found that the final position of the shrapnel is very sensitive …
Probing the Internal Structure of Magnetized, Relativistic Jets with Numerical Simulations
2016
From an observational point of view, unveiling the physical processes behind the nature of the jets emanating from radio-loud AGN demands the resolution of the structure across the jet with the highest angular resolutions. Relying on a magneto-fluid dynamical description, numerical simulations can help to characterize the internal structure of jets (transversal structure, magnetic field structure, internal shocks, etc.). In the first part of the paper, we shall discuss equilibrium models of magnetized, relativistic, infinite, axisymmetric jets with rotation propagating through a homogeneous, static, unmagnetized ambient medium. Then, these transversal equilibrium profiles will be used to bu…
Magnetohydrodynamic Modeling of the Accretion Shocks in Classical T Tauri Stars: The Role of Local Absorption in the X-Ray Emission
2014
We investigate the properties of X-ray emission from accretion shocks in classical T Tauri stars (CTTSs), generated where the infalling material impacts the stellar surface. Both observations and models of the accretion process reveal several aspects that are still unclear: the observed X-ray luminosity in accretion shocks is below the predicted value, and the density versus temperature structure of the shocked plasma, with increasing densities at higher temperature, deduced from the observations, is at odds with that proposed in the current picture of accretion shocks. To address these open issues we investigate whether a correct treatment of the local absorption by the surrounding medium …