Ureteral wall thickness as a predictor for non-invasive treatment success for steinstrasse. Can we save time?

PURPOSE

We aimed to define factors affecting the non-invasive overall treatment success (medical expulsive therapy (MET) ± shock wave lithotripsy (SWL)) for uncomplicated ureteral steinstrasse (SS) clearance.

METHODS

We retrospectively evaluated consecutive patients who underwent SWL for renal stones between 2017 and 2021. Patients with uncomplicated SS were included. All patient's demographic and radiological data, e.g., age, gender, pre-SWL stenting, SS site, type, leading stone size in widest diameter (< 10 mm and ≥ 10 mm), ureteral wall thickness (UWT) in mm against the leading stone were collected. If SS was diagnosed, medical treatment was given for 4 weeks. In case of MET failure, either SWL for the leading stones + MET or direct URS was done. Non-invasive treatment success (SFR) was considered if complete clearance of SS occurred with no complications or the need for invasive intervention.

RESULTS

A total of 145 patients were included with mean age of 45.9 ± 12.4 years. SFR in case of MET only occurred in 27.9%. Complications happened in 26 patients (17.9%). Non-invasive treatment SFR was achieved in 78 patients (53.8%) totally where SS type I, leading stone size ≤ 10 mm type and decreased UWT around the leading stone increased treatment success.

CONCLUSION

Ureteral wall thickness is an important factor predicting SS management success. Besides the decreased UWT, non-invasive management should be offered for type I SS with leading stone ≤ 10 mm.

A New Environmentally Friendly Mortar from Cement, Waste Marble and Nano Iron Slag as Radiation Shielding

Improving mortar shielding properties to preserve environmental and human safety in radiation facilities is essential. Conventional cement mortars, composed of cement, water, and lime aggregate, are crucial for radiation shielding. Using recycled aggregates to produce new mortar and concrete compositions has attracted the attention of several researchers. In the current study, waste marble and iron slag as aggregates are used to create novel cement mortar compositions to study the aggregate's impact on the radiation attenuation capability of the mortar. Three mortar groups, including a control mortar (CM-Ctrl), were prepared based on cement and waste marble. The other two groups (CM-MIS, CM-NIS), contained 25% iron slag at different particle sizes as a replacement for a waste marble. The study aims to compare iron slag in their micro and nano sizes to discuss the effect of particle size on the mortar radiation capability. For this purpose, the NaI scintillation detector and radioactive point sources (²⁴¹Am, ¹³³Ba, ¹³⁷Cs, ⁶⁰Co, and ¹⁵²Eu) were utilized to measure several shielding parameters, such as the linear attenuation coefficient (LAC), mass attenuation coefficient (MAC), half-value layer (HVL), tenth-value layer (TVL), and mean free path (MFP), for the produced mortars at different photon energies. Furthermore, the transmission electron microscope (TEM) is used to measure the particle size of the aggregates. In addition, a scanning electron microscope (SEM) is utilized to acquire the cross-section morphologies of the prepared mortars. According to our findings, mortars prepared with nano-iron slag and waste marble offered superior shielding capabilities than mortars containing natural sand or fine crushed stone. The nano iron slag mortar can be utilized in place of typical sand mortar for applications as rendering or plastering materials for building medical diagnostic and CT scanner rooms, due to its improved shielding abilities.

The effect of antisite disorder on magnetic and exchange bias properties of Gd-substituted Y2CoMnO6double perovskite

Combining experimental investigations and first-principles density functional theory (DFT) calculations, we report physical and magnetic properties of Gd-substituted Y₂CoMnO₆double perovskite, which are strongly influenced by antisite-disorder-driven spin configurations. On Gd doping, Co and Mn ions are present in mixed-valence (Co³⁺, Co²⁺, Mn³⁺and Mn⁴⁺) states. Multiple magnetic transitions have been observed: (i) paramagnetic to ferromagnetic transition is found to occur atT_C= 95.5 K, (ii) antiferromagnetic transition atT_N= 47 K is driven by3d-4fpolarization and antisite disorder present in the sample, (iii) change in magnetization belowT⩽20 K, primarily originating from Gd ordering, as revealed from our DFT calculations. AC susceptibility measurement confirms the absence of any spin-glass or cluster-glass phases in this material. A significantly large exchange bias effect (HEB= 1.07 kOe) is found to occur below 47 K due to interfaces of FM and AFM clusters created by antisite-disorder.

One-step electrodeposition of a polypyrrole/NiO nanocomposite as a supercapacitor electrode

An electrochemical deposition technique was used to fabricate polypyrrole (Ppy)/NiO nanocomposite electrodes for supercapacitors. The nanocomposite electrodes were characterized and investigated by Fourier transform infrared spectroscopy (FTIR), X-ray Diffraction (XRD), scanning electron microscopy (SEM), cyclic voltammetry (CV), galvanostatic charge–discharge (GCD) and electrochemical impedance spectroscopy (EIS). The performance of supercapacitor electrodes of Ppy/NiO nanocomposite was enhanced compared with pristine Ppy electrode. It was found that the Ppy/NiO electrode electrodeposited at 4 A/cm⁻² demonstrated the highest specific capacitance of 679 Fg⁻¹ at 1 Ag⁻¹ with an energy density of 94.4 Wh kg⁻¹ and power density of 500.74 W kg⁻¹. Capacitance retention of 83.9% of its initial capacitance after 1000 cycles at 1 Ag⁻¹ was obtained. The high electrochemical performance of Ppy/NiO was due to the synergistic effect of NiO and Ppy, where a rich pores network-like structure made the electrolyte ions more easily accessible for Faradic reactions. This work provided a simple approach for preparing organic–inorganic composite materials as high-performance electrode materials for electrochemical supercapacitors.

Optimization of shockwave lithotripsy use for single medium sized hard renal stone with stone density ≥ 1000 HU. A prospective study

PURPOSE

To identify shock wave lithotripsy (SWL) success predictors in hard renal stones (average stone density ≥ 1000 HU).

MATERIALS

We prospectively evaluated patients who underwent SWL for hard renal stones between April 2018 and December 2020. Radiological parameters were identified, e.g., stone site, size, the average density in addition to stone core and shell mean density, and renal cortical thickness (RKT). SWL sessions were performed using Doli-S lithotripter till a maximum of 3-4 sessions with 2-4 weeks interval. Initial response to SWL included stone fragmentation and decreased stone size after the first SWL. Treatment success was considered if complete clearance of renal stones occurred or in case of clinically insignificant residual fragments ≤ 4 mm after 12 weeks follow up by NCCT.

RESULTS

Out of 1878 patients who underwent SWL, the study included 157 patients with hard renal stones. Treatment overall success was found in 92 patients (58.6%) where 69 patients (43.9%) had complete stone clearance. On multivariate analysis, stone shell density < 901 HU, maximum stone size < 1 cm, RKT > 1.95 cm and initial treatment response were associated with increased the success rate after SWL for hard renal stones (P = 0.0001, 0.009, < 0.0001 and < 0.0001, respectively).

CONCLUSION

In hard renal stones, treatment overall success was found in 58.6% where complete stone clearance was found in 43.9%. Stone outer shell fragility, lower stone size, increased RKT and initial response to SWL were associated with a higher success rate at 12-week follow-up.

An experimental and theoretical study of magnetocaloric effect in Nd0.5Dy0.5FeO3

A significant magnetocaloric effect (MCE) has been revealed in our investigation on polycrystalline Nd_0.5Dy_0.5FeO₃ below 30 K. Observed magnetization of the system at low temperature is 32% higher than the expected average magnetization of NdFeO₃ and DyFeO₃. Such an enhancement in the magnetization led to a large change in magnetic entropy (10.4 Jkg^-1 K^-1) at 4 K. The observed entropy change is remarkable considering the higher natural abundance of Nd compared to that of Dy and negligible MCE seen in case of NdFeO₃. Theoretical calculations performed using mean-field approximation and Monte Carlo simulations on an Ising type spin model indicate that the high magnetocaloric effect is caused primarily by the ordering of rare-earth ions in C-type antiferromagnetic state in presence of molecular exchange field created by Fe ions.