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Lithotriptor
Extracorporeal shockwave therapy (ESWT) is a treatment using powerful acoustic pulses which is mostly used to treat kidney stones and in physical therapy and orthopedics. Medical uses The most common use of extracorporeal shockwave therapy (ESWT) is for lithotripsy to treat kidney stones (urinary calculosis) and biliary calculi (stones in the gallbladder or in the liver) using an acoustic pulse. It is also reported to be used for salivary stones and pancreatic stones. In the UK, the National Institute for Health and Care Excellence (NICE) found that the evidence for ESWT in the majority of indications is conflicting, and therefore ESWT should only be used where there are special arrangements for clinical governance and audit. Two 2017 reviews had similar findings, with moderate level evidence at best. Extracorporeal shockwave therapy is used as a second line measure to treat tennis elbow, shoulder rotator cuff pain, Achilles tendinitis, plantar fasciitis, and greater tro ...
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Kidney Stone Disease
Kidney stone disease (known as nephrolithiasis, renal calculus disease, or urolithiasis) is a crystallopathy and occurs when there are too many minerals in the urine and not enough liquid or hydration. This imbalance causes tiny pieces of crystal to aggregate and form hard masses, or calculi (stones) in the upper urinary tract. Because renal calculi typically form in the kidney, if small enough, they are able to leave the urinary tract via the urine stream. A small calculus may pass without causing Signs and symptoms, symptoms. However, if a stone grows to more than , it can cause blockage of the ureter, resulting in extremely sharp and severe pain (renal colic) in the lower back that often radiates downward to the groin. A calculus may also result in Hematuria, blood in the urine, vomiting (due to severe pain), or Dysuria, painful urination. About half of all people who have had a kidney stone are likely to develop another within ten years. ''Renal'' is Latin for "kidney", ...
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Lithotripsy
Lithotripsy is a procedure involving the physical destruction of hardened masses like kidney stones, bezoars or gallstones, which may be done non-invasively. The term is derived from the Greek words meaning "breaking (or pulverizing) stones" ( litho- + τρίψω ripso. Uses Lithotripsy is a non-invasive procedure used to break up hardened masses like kidney stones, bezoars or gallstones. Contraindications Commonly cited absolute contraindications to shock wave lithotripsy (SWL) include pregnancy, coagulopathy or use of platelet aggregation inhibitors, aortic aneurysms, severe untreated hypertension, and untreated urinary tract infections. Techniques * Extracorporeal shock wave therapy (lithotripsy) * Intracorporeal (endoscopic lithotripsy): ** Laser lithotripsy: effective for larger stones (>2 cm) with good stone-free and complication rates. ** Electro hydraulic lithotripsy ** Mechanical lithotripsy ** Ultrasonic lithotripsy: safer for small stones (<10 mm) < ...
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Vascularisation
Vascularisation is the physiological process through which blood vessels form in tissues or organs. Vascularisation is crucial to supply the organs and tissues with an adequate supply of oxygen and nutrients and for removing waste products. Blood vessels transport blood, water, and nutrients needed to support body systems. When blood vessels lose efficiency, it may lead to serious diseases such as cancer, heart disease, and diabetes. Scientists are currently working on ways to grow new blood vessels to help with tissue engineering and healing injuries. This is why vascularisation is important in medicine. Mechanisms These are processes in which vascularisation happens and should not be confused with vascularisation itself: Angiogenesis It is the process where new blood vessels form from pre-existing ones. This happens naturally when the body needs to repair tissue or when a wound needs to heal. It is driven by signals from growth factors, such as Vascular Endothelial Growth ...
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Navicular Syndrome
Navicular syndrome, often called navicular disease, is a syndrome of lameness problems in horses. It most commonly describes an inflammation or degeneration of the navicular bone and its surrounding tissues, usually on the front feet. It can lead to significant and even disabling lameness. Description of the navicular area Knowledge of equine forelimb anatomy is especially useful for understanding navicular syndrome. The navicular bone lies behind the coffin bone and under the small pastern bone (middle phalanx). The deep digital flexor (DDF) tendon runs down the back of the cannon and soft tissue in that area and under the navicular bone before attaching to the underside of the coffin bone. The DDF tendon flexes the coffin joint, and the navicular bone acts as a fulcrum that the DDF tendon runs over. The navicular bone is stabilized by the impar ligament distally at its attachment to the coffin bone (distal phalanx), and by the collateral ligaments of the navicular bone extend ...
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Kissing Spine
Baastrup's sign is an orthopedic and radiographic disorder that often occurs in elderly humans. It is characterized by enlargement of the posterior spinous processes of the lumbar spine, with normal intervertebral disc height and neuroforamina. The reason it is referred to as ''kissing spine'' is because the posterior spinous processes 'kiss' and touch one another as the individual goes into lumbar extension, for example when flat on their stomach. The condition has been seen in humans, canines, particularly with boxer breeds, and certain breeds of horses. This disorder is named after Christian Ingerslev Baastrup. Diagnosis The salient feature of the disorder is the exuberant osteophytosis that occurs at posterior lumbar spinous processes. Osteophytes are coarse calcifications at the edges of bone that form due to repetitive stress and trauma. There is also atrophy and fatty replacement of paraspinal musculature, which can be detected by CT or MRI. Treatment The malpositi ...
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Treatment Of Equine Lameness
The treatment of equine lameness is a complex subject. Lameness in horses has a variety of causes, and treatment must be tailored to the type and degree of injury, as well as the financial capabilities of the owner. Treatment may be applied locally, systemically, or intralesionally, and the strategy for treatment may change as healing progresses. The end goal is to reduce the pain and inflammation associated with injury, to encourage the injured tissue to heal with normal structure and function, and to ultimately return the horse to the highest possible post-recovery performance. The process of healing Bone Bone heals by formation of a callus over the defective area. Speed and quality of healing is directly related to the blood supply and fracture stability. Rest is required immediately following injury to reduce movement of the fracture site. Stability may be improved through use of surgical implants or casting, depending on the location of extent of the fracture. Shock wave th ...
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Chronic Prostatitis/chronic Pelvic Pain Syndrome
Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), previously known as chronic nonbacterial prostatitis, is long-term pelvic pain and lower urinary tract symptoms (LUTS) without evidence of a bacterial infection. It affects about 2–6% of men. Together with IC/BPS, it makes up urologic chronic pelvic pain syndrome (UCPPS). The cause is unknown. Diagnosis involves ruling out other potential causes of the symptoms such as bacterial prostatitis, benign prostatic hyperplasia, overactive bladder, and cancer. Recommended treatments include multimodal therapy, physiotherapy, and a trial of alpha blocker medication or antibiotics in certain newly diagnosed cases. Some evidence supports some non medication based treatments. Signs and symptoms Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is characterized by pelvic or perineal pain without evidence of urinary tract infection, lasting longer than 3 months, as the key symptom. Symptoms may wax and wane. Pain ca ...
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NICE
Nice ( ; ) is a city in and the prefecture of the Alpes-Maritimes department in France. The Nice agglomeration extends far beyond the administrative city limits, with a population of nearly one millionDemographia: World Urban Areas
, Demographia.com, April 2016
on an area of . Located on the French Riviera, the southeastern coast of France on the , at the foot of the French Alps, Nice is the second-largest French city on the Mediterranean coast an ...
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Dornier Flugzeugwerke
Dornier Flugzeugwerke was a German aircraft manufacturer founded in Friedrichshafen in 1914 by Claude Dornier. Over the course of its long lifespan, the company produced many designs for both the civil and military markets. History Originally Dornier Metallbau, Dornier Flugzeugwerke took over Flugzeugbau Friedrichshafen production facilities ( Weingarten, Warnemünde, and the former Zeppelin shed at Manzell) when it failed in 1923. Dornier was well known between the two world wars as a manufacturer of large, all-metal flying boats and of land based airliners. The record-breaking 1924 Wal () was used on many long distance flights and the Do X set records for its immense size and weight. Dornier's successful landplane airliners, including the Komet (''Comet'') and Merkur (''Mercury''), were used by Lufthansa and other European carriers during the 1920s and early 30s. Dornier built its aircraft outside Germany during much of this period due to the restrictions placed on G ...
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Anesthesia
Anesthesia (American English) or anaesthesia (British English) is a state of controlled, temporary loss of sensation or awareness that is induced for medical or veterinary purposes. It may include some or all of analgesia (relief from or prevention of pain), paralysis (muscle relaxation), amnesia (loss of memory), and unconsciousness. An individual under the effects of anesthetic drugs is referred to as being anesthetized. Anesthesia enables the painless performance of procedures that would otherwise require physical restraint in a non-anesthetized individual, or would otherwise be technically unfeasible. Three broad categories of anesthesia exist: * ''General anesthesia'' suppresses central nervous system activity and results in unconsciousness and total lack of Sensation (psychology), sensation, using either injected or inhaled drugs. * ''Sedation'' suppresses the central nervous system to a lesser degree, inhibiting both anxiolysis, anxiety and creation of long-term memory, ...
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Sedation
Sedation is the reduction of irritability or agitation by administration of sedative drugs, generally to facilitate a medical procedure or diagnostic procedure. Examples of drugs which can be used for sedation include isoflurane, diethyl ether, propofol, etomidate, ketamine, pentobarbital, lorazepam and midazolam. Medical uses Sedation is typically used in minor surgical procedures such as endoscopy, vasectomy, or dentistry and for reconstructive surgery, some cosmetic surgeries, removal of wisdom teeth, or for high-anxiety patients. Sedation methods in dentistry include inhalation sedation (using nitrous oxide), oral sedation, and intravenous (IV) sedation. Inhalation sedation is also sometimes referred to as "relative analgesia". Sedation is also used extensively in the intensive care unit so that patients who are being mechanical ventilation, ventilated tolerate having an endotracheal tube in their vertebrate trachea, trachea. It can also be used during a long term brain EEG ...
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