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Related Concept Videos

Shock Waves01:16

Shock Waves

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While deriving the Doppler formula for the observed frequency of a sound wave, it is assumed that the speed of sound in the medium is greater than the source's speed through it. When this condition is breached, a shock wave occurs.
When the source's speed approaches the speed of sound, constructive interference between successive wavefronts emitted by the source occurs immediately behind it. Initially, scientists believed that this constructive interference would result in such high...
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The Wave Nature of Light02:12

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The nature of light has been a subject of inquiry since antiquity. In the seventeenth century, Isaac Newton performed experiments with lenses and prisms and was able to demonstrate that white light consists of the individual colors of the rainbow combined together. Newton explained his optics findings in terms of a "corpuscular" view of light, in which light was composed of streams of extremely tiny particles traveling at high speeds according to Newton's laws of motion.
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Extracorporeal Removal of Drugs: Hemoperfusion and Hemofiltration01:25

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Hemoperfusion and hemofiltration are critical techniques in medical treatments to eliminate accumulated drugs, metabolites, and electrolytes from the bloodstream. These methods are particularly vital in cases of accidental poisoning and drug overdose.Hemoperfusion involves passing blood through an adsorbent material to remove unwanted substances. The main adsorbents used in hemoperfusion include activated charcoal and Amberlite resins. Activated charcoal can adsorb both polar and nonpolar...
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Wave Parameters01:10

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The simplest mechanical waves are associated with simple harmonic motion and repeat themselves for several cycles. These simple harmonic waves can be modeled using a combination of sine and cosine functions. Consider a simplified surface water wave that moves across the water's surface. Unlike complex ocean waves, in surface water waves, water moves vertically, oscillating up and down, whereas the disturbance of the wave moves horizontally through the medium. If a seagull is floating on the...
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Reflection of Waves01:07

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When a wave travels from one medium to another, it gets reflected at the boundary of the second medium. A common example of this is when a person yells at a distance from a cliff and hears the echo of their voice. The sound waves (longitudinal waves) traveling in the air are reflected from the bounding cliff. Similarly, flipping one end of a string whose other end is tied to a wall causes a pulse (transverse wave) to travel through the string, which gets reflected upon reaching the wall. In...
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Half wave rectifier01:20

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A half-wave rectifier is a fundamental circuit in electronics, designed to convert alternating current (AC) voltage into a unidirectional voltage. It utilizes the simplest form of diode rectification, where the circuit comprises a single diode in series with a load resistor and an AC power source.
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Shock Wave Application to Cell Cultures
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[Extracorporeal shock wave lithotripsy].

J Klein1, C Netsch2, K D Sievert3

  • 1Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland. jan-thorsten.klein@uniklinik-ulm.de.

Der Urologe. Ausg. A
|March 10, 2018
PubMed
Summary
This summary is machine-generated.

Extracorporeal shockwave lithotripsy (ESWL) is a noninvasive treatment for urinary stones. While historically dominant, its use has declined in favor of URS and PCNL, necessitating a review of ESWL indications, techniques, and complications.

Keywords:
Minimally invasive techniquesStone treatmentSurgical techniquesUrinary calculiUrolihiasis

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Area of Science:

  • Urology
  • Nephrology
  • Medical Technology

Background:

  • Urinary stone treatment involves three main modalities: ESWL, URS, and PCNL.
  • Extracorporeal shockwave lithotripsy (ESWL) is the sole noninvasive option for urinary stone management.
  • Recent trends show a decrease in ESWL procedures, with a preference shift towards URS and PCNL.

Purpose of the Study:

  • To detail the indications for ESWL in contemporary stone management.
  • To describe the surgical techniques employed during ESWL procedures.
  • To outline the management strategies for complications associated with ESWL.

Main Methods:

  • Review of current literature and clinical guidelines on ESWL.
  • Analysis of treatment trends comparing ESWL, URS, and PCNL.
  • Description of standard ESWL operative procedures.
  • Compilation of common ESWL-related complications and their management.

Main Results:

  • ESWL remains a viable, noninvasive option for specific urinary stone presentations.
  • Indications for ESWL have evolved with advancements in URS and PCNL.
  • Effective management protocols exist for ESWL-induced complications.

Conclusions:

  • ESWL continues to be an important modality in the interventional treatment of urinary stones.
  • Understanding ESWL's indications, techniques, and complication management is crucial for urologists.
  • The article provides a comprehensive overview for clinicians managing patients with urinary stones.