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Objective: To explore the effects and safety of the flexible vacuum-assisted ureteral access sheath combined with a flexible ureteroscope for the treatment of large renal stones over 3 cm.

Methods: In this retrospective study, 122 patients with kidney stones (stone diameter ≥ 3 cm) admitted to our hospital from January 2018 to December 2022 were selected as the study subjects. According to different surgical methods, these patients were divided into an observation group and a control group, with 61 cases in each group.

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Evaluating energy consumption patterns in novel foamed ternary alkali-activated masonry blocks.

Sci Rep

January 2025

Sustainability Solutions Research Lab, Faculty of Engineering, University of Pannonia, Egyetem Str. 10, Veszprém H, 8200, Veszprém, Hungary.

This study endeavors to tackle the energy requirements of the building sector by employing passive design strategies. However, there exists a dearth of comprehension regarding the energy efficiency performance of foamed alkali-activated materials. To bridge this research gap, the study proposes a solution in the form of a thermally proficient wall material crafted from ceramic tile dust (CTD), class C fly ash (FA), and Ground Granulated Blast-Furnace Slag (GGBS), all of which are industrial by-products.

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This study investigated the impact of an improved body positioning on the effectiveness of EDGE MP1000 robot-assisted laparoscopic partial nephrectomy. We compared clinical data from 39 patients who underwent the procedure at Zhujiang Hospital of Southern Medical University between November 2023 and May 2024. The control group (18 patients) received conventional positioning, while the experimental group (21 patients) received precise positioning, which included patient assessments, optimized positioning techniques, and enhanced nursing measures.

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Contribution of nebulized budesonide before bronchoscopy, a prospective clinical study.

Postgrad Med J

January 2025

Department of Respiratory and Critical Care Medicine, Tianjin University Chest Hospital, Thoracic Clinical College of Tianjin Medical University, Tianjin Chest Hospital, No. 261 Taier Zhuang Nan Road, Jinnan District, Tianjin 300051, China.

Purpose: This study evaluated the efficacy of adding budesonide to nebulized lidocaine in patients undergoing flexible bronchoscopy (FB) under topical anaesthesia.

Study Design: Patients aged ≥18 years, scheduled for FB under topical anaesthesia were randomized into two groups: the combination group received a pre-treatment of 2 ml 1 mg budesonide with 5 ml 2% lidocaine, whilst the lidocaine group received 5 ml 2% lidocaine with 2 ml saline solution, both administered via nebulization. Blood pressure (BP), heart rate, and percutaneous oxygen saturation were recorded before, during, and 10 min after FB.

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The acceptance of robots in the orthopedic joint replacement operating room.

Can J Surg

January 2025

From the Department of Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, London, Ont. (Kelenc, Stephenson, Bryant); the School of Physical Therapy, Faculty of Health Sciences, Western University, London, Ont. (Bryant); the Division of Orthopedic Surgery, London Health Sciences Centre, University Hospital, London, Ont. (Lanting).

Background: Robotic surgery has seen substantial growth over the years and continues to show promise, with recent implementation into orthopedic surgery. There is limited literature available on patient attitudes and comfort level with robotic compared with conventional surgery. We aimed to develop an understanding of patient views on robot-assisted knee replacement to help the development of patient education materials and facilitate successful implementation.

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