Treatment of renal stones by extracorporeal shockwave lithotripsy - An update

Aim: Despite the extensive experience with minimal invasive stone therapy, there are still different views on the ideal management of renal stones. Materials and Methods: Analysis of the literature includes more than 14,000 patients. We have compared these data with long-term results of two major stone centers in Germany. The results have been compared concerning the anatomical kidney situation, stone size, stone localization and observation time. Results: According to the importance of residual fragments following extracorporeal shock wave lithotripsy (ESWL), we have to distinguish between clinically insignificant residual fragments and clinically significant residual fragments (CIRF). 24 months following ESWL stone passage occurs as a continous process, and if there are no clinical symptoms, any endoscopic procedure should be considered as overtreatment. According to these results, stone-free rates of patients increase in longer follow-up periods. Newer ESWL technology has increased the percentage of CIRF. Conclusion: We consider ESWL in most patients with renal calculi as first-line treatment, except in patients with renal calculi bigger than 30 mm in diameter. Copyright (C) 2001 S. Karger AG, Basel

Fine frequency shift of sigle vortex entrance and exit in superconducting loops

The heat capacity $C_{p}$ of an array of independent aluminum rings has been measured under an external magnetic field $\vec{H}$ using highly sensitive ac-calorimetry based on a silicon membrane sensor. Each superconducting vortex entrance induces a phase transition and a heat capacity jump and hence $C_{p}$ oscillates with $\vec{H}$. This oscillatory and non-stationary behaviour measured versus the magnetic field has been studied using the Wigner-Ville distribution (a time-frequency representation). It is found that the periodicity of the heat capacity oscillations varies significantly with the magnetic field; the evolution of the period also depends on the sweeping direction of the field. This can be attributed to a different behavior between expulsion and penetration of vortices into the rings. A variation of more than 15% of the periodicity of the heat capacity jumps is observed as the magnetic field is varied. A description of this phenomenon is given using an analytical solution of the Ginzburg-Landau equations of superconductivity

Specific heat measurement of mesoscopic loops

We report highly sensitive specific heat measurement on mesoscopic superconducting loops at low temperature. These mesoscopic systems exhibit thermal properties significantly different from that of the bulk materials. The measurement is performed on a silicon membrane sensor where 450 000 superconducting aluminium loops are deposited through electron beam lithography under an applied magnetic field. Each entry of a vortex is associated to a jump in the specific heat of few thousands of Boltzmann constant kB indicating the existence of phase transitions. The periodicity of this sequential phase transitions is a nontrivial behaviour and varies strongly as the temperature is decreased. The successive phase transitions are well described by the Ginzburg-Landau theory of superconductivity. The presence of metastable states is responsible for the n-0 (n=1, 2, 3...) periodicity of the discontinuities of the measured specific heat.Comment: 4 pages, Proceeding of the 24th International Conference on Low Temperature Physics in Orlando (2005

Optical conductivity of the nonsuperconducting cuprate La(8-x)Sr(x)Cu(8)O(20)

La(8-x)Sr(x)Cu(8)O(20) is a non-superconducting cuprate, which exhibits a doubling of the elementary cell along the c axis. Its optical conductivity sigma (omega) has been first measured here, down to 20 K, in two single crystals with x = 1.56 and x = 2.24. Along c, sigma (omega) shows, in both samples, bands due to strongly bound charges, thus confirming that the cell doubling is due to charge ordering. In the ab plane, in addition to the Drude term one observes an infrared peak at 0.1 eV and a midinfrared band at 0.7 eV. The 0.1 eV peak hardens considerably below 200 K, in correspondence of an anomalous increase in the sample dc resistivity, in agreement with its polaronic origin. This study allows one to establish relevant similarities and differences with respect to the spectrum of the ab plane of the superconducting cuprates.Comment: Revised version submitted to Phys. Rev. B, including the elimination of Fig. 1 and changes to Figs. 4 and

Electrical characterization of YBCO single crystal surfaces oriented in any crystallographic direction

Although considerable studies have been carried out, the true nature of high-Tc superconductors (HTCS) is still not clear. Pseudogap phase at high temperature as well as possible time reversal symmetry breaking at low temperature need further investigations. The need of carefully made samples showing the intrinsic properties of superconductivity is essential to test new theoretical developments. We present in this paper how to control crystallographic orientation in the junction and a technique developed to determined the quality of the interface barrier between a gold electrode and a HTCS : YBCO. This potentially allows us to perform Andreev spectroscopy in the CuO2 planes of cuprate superconductors as a function of temperature, crystallographic orientation and doping.Comment: 13 pages, 5 figures, LaTeX, using elsart clas

Tacrolimus pretreatment attenuates preexisting xenospecific immunity and abrogates hyperacute rejection in a presensitized hamster to rat liver transplant model

In the hamster to rat liver transplant model, we determined the efficacy of tacrolimus in attenuating natural xenospecific humoral immunity and in abrogating the hyperacute liver rejection that is produced by presensitizing the Lewis rat recipient. Hamster livers, transplanted orthotopically into naive rats (controls), were rejected with animal death after 6.4±0.5 (SD) days. The infusion on (day -6) of 1.5 x 107 hamster hepatocytes, or of 1.5 x 108 nonparenchymal cells (NPC), resulted in hyperacute rejection and death in ≤1.9 days. However, when the rats were pretreated with 1 mg/kg/day tacrolimus from days -6 to -1, survival of non-presensitized animals was prolonged to 25±20 days and that of recipients presensitized with hamster hepatocytes to 36±16 days or with NPC to 32±1.7 days. The tacrolimus pretreatment significantly reduced the hamster-specific complement-dependent cytotoxic antibodies response directed to liver NPC but not to lymph node cell targets. These observations suggest that the prolongation of survival by appropriately timed treatment with this T cell directed drug model is caused by the inhibition of humoral as well as cellular xenograft rejection

High-intensity-focused ultrasound in the treatment of primary prostate cancer: the first UK series

BACKGROUND: The use of minimally invasive ablative therapies in localised prostate cancer offer potential for a middle ground between active surveillance and radical therapy. METHODS: An analysis of men with organ-confined prostate cancer treated with transrectal whole-gland HIFU (Sonablate 500) between 1 February 2005 and 15 May 2007 was carried out in two centres. Outcome data (side-effects using validated patient questionnaires, biochemical, histology) were evaluated. RESULTS: A total of 172 men were treated under general anaesthetic as day-case procedures with 78% discharged a mean 5 h after treatment. Mean follow-up was 346 days (range 135-759 days). Urethral stricture was significantly lower in those with suprapubic catheter compared with urethral catheters (19.4 vs 40.4%, P = 0.005). Antibiotics were given to 23.8% of patients for presumed urinary tract infection and the rate of epididymitis was 7.6%. Potency was maintained in 70% by 12 months, whereas mild stress urinary incontinence (no pads) was reported in 7.0% (12 out of 172) with a further 0.6% (1 out of 172) requiring pads. There was no rectal toxicity and no recto-urethral fistulae. In all, 78.3% achieved a PSA nadir <= 0.5 mu g ml(-1) at 12 months, with 57.8% achieving <= 0.2 mu g ml(-1). Then, 8 out of 13 were retreated with HIFU, one had salvage external beam radiotherapy and four chose active surveillance for small-volume low-risk disease. Overall, there was no evidence of disease (PSA <0.5 mu g ml(-1) or negative biopsy if nadir not achieved) after one HIFU session in 92.4% ( 159 out of 172) of patients. CONCLUSION: HIFU is a minimally invasive, day-case ablative technique that can achieve good biochemical outcomes in the short term with minimal urinary incontinence and acceptable levels of erectile dysfunction. Long-term outcome needs further evaluation and the inception of an international registry for cases treated using HIFU will significantly aid this health technology assessment. British Journal of Cancer (2009) 101, 19-26. doi: 10.1038/sj.bjc.6605116 www.bjcancer.com Published online 9 June 2009 (C) 2009 Cancer Research U