PATIENT STONE

2021 ◽  
pp. 15-15
Keyword(s):  
Patient Stone

The Power of the Stone” in P. Bazhov’s Tales

2021 ◽  
Vol 16 (1) ◽  
pp. 83-91
Author(s):  
Yang Yubing ◽  
Keyword(s):  
Fairy Tales ◽  
Fairy Tale ◽  
Russian Literature ◽  
Contextual Analysis ◽  
Ural Mountains ◽  
The Urals ◽  
The Third ◽  
The Earth ◽  
History Of ◽  
Patient Stone

The article discusses "the power of stone” in the tales by P. P. Bazhov on the example of iconic stones of the Ural lytic culture: malachite, emerald, chrysolite. Using the method of cultural-historical, ideological-figurative and symbolic-contextual analysis, the author examines the history of the discovery of the stone riches of the Urals, the place of lytic discourse in the world of Bazhov’s tales, as well as the specific symbolism of gemstones (malachite, copper emerald, chrysolite) in the writer’s fantastic work. This is the relevance of the study. The author of the work proves the ambivalent nature of malachite as the main stone of the Ural mountains, symbolizing the beauty of the Mistress-Malachite, copper emerald, embodying the absolute power of the “stone force”， embodying the secret wealth of the mountains, inaccessible to ordinary mortals, like the secret of the stone flower. The third stone that embodies the lytic power of the Ural Mountains is the Bazhov chrysolite. The article consistently examines the evolution of Bazhov’s “iconic” stones in the writer’s artistic world during the transition from fairy tales depicting the pre-revolutionary life of the Urals to fairy tales depicting the realities of the revolutionary and Soviet Urals. It can be said that by depicting the evolution of the “stone power” of the main Ural gems, Bazhov prepared the ground for depicting the lytic discourse of the tales of the new Urals. In these tales, along with real stones, such as the eagle stone from the tale Eagle feather or “sun stone” - plagioclase from the same tale, mystical and semi - mystical stones will be used: “at all simple, on five faces” stone key of the earth (the fairy tale Key of the Earth, “patient stone” (the fairy tale Distant little body). The article will be of interest to all humanitarians working with the symbolism of stones in Russian literature of the XIX-XX centuries. Keywords: P. P. Bazhov, tales, “power of stone”，malachite, emerald, chrysolite

Early multicentre experience of ultra-mini percutaneous nephrolithotomy in the UK

2016 ◽  
Vol 10 (2) ◽  
pp. 124-128 ◽  
Author(s):  
Ben Pullar ◽  
Eric Havranek ◽  
Tony J R Blacker ◽  
Sam N Datta ◽  
Bhaskar Somani ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Stones ◽  
Stone Disease ◽  
Stone Size ◽  
Novel Technique ◽  
Post Procedure ◽  
Central Database ◽  
The Uk ◽  
Percutaneous Renal Access ◽  
Patient Stone

Objectives: Ultra-mini percutaneous nephrolithotomy (UMP) is a novel technique recently introduced allowing percutaneous renal access to stones using a specially modified 11 or 13 Fr sheath, a 6 Fr nephroscope, and permits laser fragmentation and stone evacuation. This study aimed to review the early practice of UMP in the UK. Methods: All centres in the UK which had performed UMP were contacted to submit data. Data were submitted to a central database from nine centres around the UK who performed UMP between July 2013 and December 2014. Data were collected on patient, stone, operative factors and outcomes. Results: A total of 32 UMP cases were performed in the contributing centres. Stone size ranged from 7 mm×5 mm to 24 mm×24 mm across the 32 cases, with a mean of 13 mm×10 mm. Stone-free rates were excellent with 31/32 cases stone-free post procedure; 26/32 patients were left without a nephrostomy tube. Complications were uncommon; there were two Clavien 1 complications in this series (6%). Conclusion: This study has shown the efficacy of UMP during its introduction into UK practice. It is likely that UMP will become a useful addition to the armamentarium to treat renal stones, especially smaller stones in the lower pole calyx, and in specialised cases such as paediatric stone disease and in patients with stones in calyceal diverticulae.

scholarly journals Multitract percutaneous nephrolithotomy in the management of staghorn stones

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
Aso Omer Rashid ◽  
Sarwar Noori Mahmood ◽  
Aram Karim Amin ◽  
Rawa Bapir ◽  
Noor Buchholz
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Renal Unit ◽  
First Line ◽  
Combination Treatments ◽  
Stone Free Rate ◽  
Staghorn Calculus ◽  
Grade Ii ◽  
Patient Stone ◽  
Free Rate ◽  
Staghorn Stones

Abstract Background Staghorn stones are difficult to manage with a risk of significant renal impairment and urosepsis. Percutaneous nephrolithotomy is the first-line treatment for staghorn stones. Often, multiple access tracts are needed to render the patient stone-free. PCNL has been combined with SWL, flexible URS (ECIRS), and mini-PCNL to access residual fragments without the need of additional tracts. However, in a country with limited access to technology and a restraint on resources, multitract PCNL still is the preferred option. The aim of this study was to assess the safety and efficacy of multitract PCNL in such an environment. Methods We analyzed data on sixty-five patients with staghorn calculus who underwent multitract PCNL for a staghorn calculus. Data included demographics, stone parameters, intraoperative parameters, complications and clinical outcomes. Hb-drop and creatinine changes were assessed pre- and post-OP. Complications were graded according to the modified Clavien-Dindo classification. Results In a total of 65 patients [47 males (72%)], 154 percutaneous access tracts were used in 66 renal units. The number of tracts varied between 2 and 4 in a single renal unit. The stone-free rate was 85%. 20% of patients developed grade I, 14% grade II, and 3% grade III b complications. There were no grade IV and V complications. Conclusion Multitract PCNL is safe and efficient, with a good stone-free rate and an acceptable complication rate. When auxiliary combination treatments are not available, multitract standard PCNL remains an option.

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