Pressurized Irrigation Research Articles

System dynamic model of water, energy and food nexus for policy implementation

In this study, a spatiotemporal disaggregated simulation model was developed based on water–food–energy (WFE) nexus approach to assess water and food supply security considering ecosystem provisioning services. The main components of the developed model in this study (SD-WFE model) are population, water, agriculture, and energy modules. The model, which was developed using system dynamics (SD) approach, was utilized to simulate effectiveness of sectoral municipal, industrial, and agricultural water and energy consumption management and environmental protection policies in improving ecosystem provisioning services during a 20-year period. Through sensitivity analysis utilizing the Monte Carlo model, the study addresses the formulation of sustainable water resource policies across four main categories: water demand management, water supply management, food resource management, and energy resource demand management. Additionally, it explores the integration of policies within an optimal framework. The simulation of proposed solutions revealed that a combination of water demand management and food resource management yielded the most promising outcome. Specifically, the recommended solution entails enhancing water irrigation efficiency by 18% through the expansion of pressurized irrigation network coverage, adjusting cropping patterns by 14%, reducing agricultural product losses by 8% via improved food supply management, minimizing food demand by 9% due to reduced food consumption losses, and achieving an annual 10% increase in crop performance. These selected policies form the foundation for sustainable water resource management strategies.

Water Footprint Assessment of Agricultural Production in Bilecik Province

The freshwater sources are under serious pressure both in terms of quality characteristics due to pollution and in terms of quantity due to the increase in parameters such as temperature and evaporation under the influence of global warming. To ensure sustainable use of these resources, it is necessary to employ high-efficiency pressurized irrigation systems and cultivate plant species that are resilient to various stress factors and highly productive. In determining the water usage characteristics of plants, rapid atmospheric effects brought by climate change, plant water and temperature stress, soil moisture should be monitored, and water production indicators should be determined. In the water-intensive agricultural sector, monitoring the water footprint has become one of the important indicators in terms of ensuring water-food-energy sustainability, efficient use and fair sharing of water resources. This study aims to determine the water footprint of agricultural production in Bilecik province and its districts located in the transitional zone. Accordingly, values of crop and livestock production throughout the province and using a volume-based approach, the water footprint of crop production is estimated at 0.6 billion cubic meters (BCM), while the water footprint of livestock production is 0.5 BCM, resulting in a total agricultural water footprint of 1.1 BCM. In crop production, green water footprint constitutes 33%, blue water footprint 59%, and grey water footprint 8% of the total water footprint. The data obtained will form the basis for developing strategies in sustainable water and food management, aligned with climate change scenarios, to achieve sectoral supply-demand balance.

NITRINET: A predictive model for nitrification in reclaimed water distribution in pressurised irrigation networks

In this work, a new model (NITRINET) to simulate nitrification processes in pressurised irrigation distribution networks fed with reclaimed water is developed and applied to the Tintín Irrigation District distribution network as case study (Montilla, southern Spain). The importance of this model relies on the fact that the nutrient chemical composition of reclaimed water varies spatially along the network. The water quality analyses carried out in the Irrigation District have shown that nitrate concentrations increase along the distribution network in contrast to the reduction observed in the ammoniacal forms. This confirms that nitrification processes occur inside the pipes. Thus, the model combines the hydraulic simulation of the distribution network and the modelling of nitrification processes to predict the concentration of ammoniacal nitrogen (NH4+-N) and nitric nitrogen (NO3--N) in water arriving at farms. This model is of great applicability to the irrigation sector, given that to carry out precision fertigation strategies and optimise the amount of fertiliser applied, it is necessary to determine the concentration of nutrients present in water arriving at farms. The nutrients that reclaimed water already carries must be considered when planning fertilisation. This allows for a reduction in the amount of fertiliser applied to the soil, which has a positive impact both on the environment and on farmers’ incomes. Simulations performed with NITRINET have shown promising results, predicting the concentration of NH4+-N and NO3--N in irrigation water with mean absolute errors of 1.49 mg·L−1 and 1.25 mg·L−1, respectively.

The effects of aperture position and length in side-vented needles on root canal irrigation: A computational fluid dynamics study

IntroductionRoot canal irrigation is crucial for infection control during root canal treatment. Side-vented needles for positive pressure irrigation are commonly used in clinical practice. However, variations in needle design among manufacturers can impact the fluid dynamics of irrigation. This study aims to use computational fluid dynamics to explore the flow characteristics of different needle aperture lengths and positions, and their effects on the effectiveness and safety of irrigation, using a validated passive scalar transport numerical model. MethodsThe validation of the CFD irrigant model was achieved by comparing it with an in vitro irrigation experiment model. The CFD model used scalar concentration, while the in vitro experiment model used red dye tracing. Using a standard 30G side-vented needle as a reference, virtual needle models featuring four aperture lengths and three positions were created. These virtual irrigation needles were then placed in two root canal geometries for CFD simulation to evaluate fluid exchange capabilities and related fluid dynamic parameters. ResultsThe results of the CFD simulation, using a scalar transport model, closely matched the in vitro tracer tests for irrigation experiments across seven root canal geometries. The CFD analysis indicated that positioning the aperture lower increased the irrigant exchange distance. Notably, decreasing the aperture length to 0.25x, and positioning it at the lower end of the needle significantly increased exchange distance and shear stress, while reducing apical pressure. ConclusionsThese results indicate that the position and length of the aperture affect the exchange distance of irrigant flow, wall shear stress, and apical pressure. The CFD validation model for scalar transport, based on a steady state, can function as a valuable tool for optimizing the side-vented needle in research. Further research on the design of side-vented needles will enhance the understanding of flow characteristics beneficial for irrigation efficiency in clinical practice.

Comparative Assessment of Postoperative Pain After Three Irrigation Techniques in Single-Rooted Teeth With Symptomatic Irreversible Pulpitis and Symptomatic Apical Periodontitis: A Randomized Controlled Trial.

Aim This study aimed to assess the impact of positive pressure, negative pressure (EndoVac), and sonic-activated irrigation (EndoActivator) on postoperative pain with symptomatic irreversible pulpitis and symptomatic apical periodontitis. The hypothesis tested the superiority of negative pressure irrigation in reducing pain and analgesic requirements. Methodology Forty-eight eligible patients meeting inclusion criteria were enrolled, ensuring comprehension through verbal and written patient information sheets. The sample size calculation, based on prior data, determined 14 teeth per group with consideration for potential dropouts, resulting in 16 teeth per group. Inclusion criteria included healthy individuals aged 16-65 years with single-rooted teeth diagnosed with symptomatic irreversible pulpitis and symptomatic apical periodontitis, while exclusion criteria comprised recent analgesic intake, pregnancy, lactation, and specific dental conditions. Participants were allocated to three groups using computer-generated block randomization with allocation concealment via sequentially numbered opaque sealed envelopes. While blinding of the operator was not feasible, patient and assessor blinding was ensured. Preoperative data collection included patient demographics, tooth details, and pain intensity assessed on a Visual Analogue Scale (VAS). Root canal therapy procedures, conducted in two visits, included instrumentation and irrigation using 3% NaOCl across three groups: positive pressure irrigation, negative pressure irrigation, and sonic activation. Postoperative pain and analgesic intake were evaluated using VAS at specific intervals. One assessor tabulated and analyzed all the information. Results Postoperative pain assessments revealed that the EV group experienced the lowest pain levels, followed by the EA and SVN groups, with significant differences observed at six and 24 hours postoperatively (p < 0.05). Analgesic requirements correlated with pain levels, with the SVN group requiring the most analgesics and the EV group the least, highlighting the efficacy of the interventions. Conclusions Negative pressure irrigation (EndoVac) significantly reduced postoperative pain compared to conventional side-vented needle irrigation. These findings enhance understanding and guide evidence-based recommendations for optimizing endodontic procedures and prioritizing patient comfort and outcomes.

Turning up the HEAT Surgical simulation of the Moses 2.0 laser in an anatomic model.

With advancements in laser technology, urologists have been able to treat urinary calculi more efficiently by increasing the energy delivered to the stone. With increases in power used, there is an increase in temperatures generated during laser lithotripsy. The aim of this study was to evaluate the thermal dose and temperatures generated with four laser settings at a standardized power in a high-fidelity, anatomic model. Using high-fidelity, 3D-printed hydrogel models of a pelvicalyceal collecting system with a synthetic BegoStone implanted in the renal pelvis, surgical simulation of ureteroscopic laser lithotripsy was performed with the Moses 2.0 holmium laser. At a standard power (40 W) and irrigation pressure (100 cm H2O), we evaluated operator duty cycle (ODC) variations with different time-on intervals at four different laser settings. Temperature was measured at two separate locations: at the stone and ureteropelvic junction. Greater cumulative thermal doses and maximal temperatures were achieved with greater ODCs and longer laser activation periods. There were statistically significant differences between the thermal doses and temperature profiles of the laser settings evaluated. Temperatures were greater closer to the tip of the laser fiber. Laser energy and frequency play an important role in the thermal loads delivered during laser lithotripsy. Urologists must perform laser lithotripsy cautiously when aggressively treating large renal pelvis stones, as dangerous temperatures can be reached. To reduce the risk of causing thermal tissue injury, urologists should consider reducing their ODC and laser-on time.

HYDRAULIC CALCULATION SCHEME OF AN IRRIGATION PRESSURE SYSTEM FEEDING TWO RESERVOIRS OPERATING AT DIFFERENT ALTITUDES (BASED ON THE EXAMPLE OF THE KAMARIS-GEGHASHEN IRRIGATION SYSTEM)

The pumping station that was constructed in the middle of the 20th century within the boundaries of the city of Abovyan, Republic of Armenia, was designed to feed irrigation water to the 280 ha of community land owned by the villages of Geghashen and Kamaris. It hasn't functioned for many years now, for it has been entirely disassembled. In order to guarantee the simultaneous feeding of two reservoirs located at various altitudes, an issue was configured to restart the pumping station. This article provides an example of the Kamaris-Geghashen system using the hydraulic calculation technique of an irrigation pressure system feeding two reservoirs at various altitudes.

Micromachined needle-like calorimetric flow sensor for sap flux density measurement in the xylem of plants

Miniaturized silicon thermal probes for plant’s sap flow measurement, or micro sap flow sensors, have advantages in minimum invasiveness, low power consumption, and fast responses. Practical applications in sap flow measurement has been demonstrated with the single-probe silicon micro sensors. However, the sensors could not detect flow directions and require estimating zero sap flow output that leads to significant source of uncertainty. Furthermore, silicon-needles would break easily during the insertion into plants. We present the first three-element micro thermal sap flow sensor packaged on a durable printed circuit board needle that can measure bidirectional flows with improved dynamics and precision. The performance of the newly designed calorimetric flow sensor was confirmed through precision calibration and field test on tomato stems. A calibration curve for a tomato stem was obtained with a sensitivity of 0.299 K/(µL mm−2 s−1) under the maximum temperature increase of 4.61 K. Results from the field test for one month revealed a correlation between the measured sap flux density and related conditions such as solar radiation, vapor pressure deficit, sunshade and irrigation. The developed sensor will contribute to practical long-term sap flow monitoring for small and delicate plants with minimal physical invasion.

Sustainable dynamic planning and policy implementation for water, energy and food resources

The current investigation focuses on analyzing dynamic approaches to sustainable water resource management policies, considering the interconnectedness of water, food and energy resources. This analysis takes into consideration changes in demand resulting from population growth and economic development over a twenty-year timeframe, employing a systems dynamics methodology. Initially, the model was developed and simulated using data from the case province as a macro-scale representation of the water-food-energy resource framework, while also factoring in the continuation of current conditions. Through sensitivity analysis utilizing the Monte Carlo model, the study addresses the formulation of sustainable water resource policies across four main categories: water demand management, water supply management, food resource management, and energy resource demand management. Additionally, it explores the integration of policies within an optimal framework. The simulation of proposed solutions revealed that a combination of water demand management and food resource management yielded the most promising outcome. Specifically, the recommended solution entails enhancing water irrigation efficiency by 17 % through the expansion of pressurized irrigation network coverage, adjusting cropping patterns by 12 %, reducing agricultural product losses by 7 % via improved food supply management, minimizing food demand by 7 % due to reduced food consumption losses, and achieving an annual 8 % increase in crop performance. These selected policies form the foundation for sustainable water resource management strategies.

In Vitro Efficacy of Apical Negative Pressure Irrigation in Primary Teeth: A Smear Layer Analysis.

This study aimed to assess the efficacy of root canal debris removal in primary teeth through irrigation using the Endo-Irrigator Plus (CWAIS). A total of 25 primary mandibular first molars were divided into five groups, with five teeth in each group. After determining the working length and performing biomechanical preparation, groups I and II were subjected to hand and rotary instrumentation (ProTaper, Dentsply, United States of America) with conventional syringe irrigation with positive pressure, while groups III and IV were instrumented using hand and rotary instrumentation with positive and negative pressure irrigation employing the Endo-Irrigator Plus (CWAIS) system. Sodium hypochlorite (5.25%) and ethylenediaminetetraacetic acid (EDTA) (17%) were used as irrigants. Group V served as the control group, undergoing only root canal access opening. The removal of the smear layer was analyzed at the cervical, middle, and apical thirds of the canal using environmental scanning electron microscopy (SEM). Statistical significance was set at p < 0.05. Statistically significant differences were observed among all groups at the cervical, middle, and apical levels (p < 0.05). Groups III and IV exhibited significantly lower smear scores at all levels, particularly in the apical third, as observed through SEM examination. The use of the Endo-Irrigator Plus (CWAIS) system demonstrated superior debridement of intracanal debris in primary teeth compared to the positive pressure irrigation method. Badnaware SD, Kakade A, Takate V, et al. In Vitro Efficacy of Apical Negative Pressure Irrigation in Primary Teeth: A Smear Layer Analysis. Int J Clin Pediatr Dent 2024;17(6):653-657.

Irrigation Distribution Network Design Parameters and Their Influence on Sustainability Management

In 2030, the world population will exceed 8.5 billion, increasing the challenges to satisfy basic needs for food, shelter, water, and/or energy. Irrigation plays a vital role in productive and sustainable agriculture. In the current context, it is determined not only by water availability but also by optimal management. Several authors have attempted to measure the performance of irrigation networks through various approaches in terms of technical indicators. To improve the sustainability in the pipe sizing of the pressurised irrigation networks, 25 different models were evaluated to discuss the advantages and disadvantages to consider in future methodologies to size water systems, which guarantee the network operation but contribute to improving the sustainability. They enable water managers to use them as tools to reduce a complex evaluation of the performance of a system, and focusing on better management of resources and sustainability indicators for agricultural ecosystems are clear and objective values.

Perceived benefit of antibiotics irrigation before pharyngeal repair of severe cut-throat injuries

IntroductionWound irrigation has been employed as an important surgical step to remove bacteria, devitalized tissues, and foreign bodies from surgical sites to prevent infection and confer to the wound maximum potential of healing. MethodA prospective study was conducted at Federal Medical Centre, Gusau, between January 2019- August 2023 to assess the benefit of antibiotics as additives in irrigation of dirty wounds.Seven (7) patients in total were presented with severe cut-throat injuries that require laryngopharyngoplasty. A combination of injection ciprofloxacin and metronidazole were used as additives into 1 L of normal saline, low pressure irrigation was done using 20mls syringe fitted to a broken needle or canular. Dysphagia Outcome and Severity Scale (DOSS) was used to assess return of pharyngeal function. ResultThe mean time of presentation of the patients was 34 ± 29 h (µ ± standard deviation) and a range of 6–72 h. The mean repair time was 58.3 ± 38.4 h with a range of 24–120 h. Most of the patients (85.7 %) had dysphagia outcome and severity scale of level 5 when per oral feeding was started with steady progress until discharge day. ConclusionWound irrigation is one of the most crucial steps in treating severe cut-throat injuries. Based on our experience, adding antibiotics to the irrigant has shown potential in the control of local infection, particularly where patients present late.

Effect of nephrostomy sheath size on renal pelvic pressure during endoscopic combined intrarenal surgery: artificial kidney model study

BackgroundThis study aimed to evaluate the intrarenal pelvic pressure in endoscopic combined intrarenal surgery using an artificial kidney model.MethodsAn artificial kidney model was created using the Urovac evacuator™. Four sizes of nephrostomy sheaths (MIP-L: 25/26 Fr, MIP-M: 16.5/17.5 Fr, MIP-S: 11/12 Fr, MIP-XS: 8.5/9.5 Fr) and two sizes of ureteral access sheaths (12/14 Fr and 10/12 Fr) were installed into the model. For each combination of nephrostomy and ureteral access sheath, renal pelvic pressure was measured with and without insertion of the retrograde flexible ureteroscope. Irrigation from the nephroscope was adjusted to 40–160 mmHg using an automatic irrigation device, and the irrigation of the ureteroscope was by spontaneous dripping at 80 cmH2O. Conditions were measured six times, and the renal pelvic pressure was compared in different conditions.ResultsWithout ureteroscope insertion through the ureteral access sheath, the renal pelvic pressure never exceeded 30 mmHg. Meanwhile, when the ureteroscope was inserted, the renal pelvic pressure increased as the nephrostomy sheath and ureteral access sheath became narrower and as the irrigation pressure increased. Intrarenal pelvic pressure exceeded 30 mmHg when the irrigation pressure was increased in 12/14 Fr ureteral access sheath when MIP-XS was used, and in 10/12 Fr ureteral access sheath when MIP-XS and MIP-S were used.ConclusionsThe use of a thin nephrostomy sheath in endoscopic combined intrarenal surgery can lead to increased intrarenal pelvic pressure. Although our results are from an artificial kidney model, special care is suggested to be required when using a retrograde flexible ureteroscope simultaneously in treatment of patients.

Outcome of nonsurgical management of large cyst-like periapical lesions using a modified apical negative pressure irrigation system: a case series study

ObjectiveTo assess the effectiveness of a self-constructed modified apical negative pressure irrigation (ANPI) system employing commonly used clinical instruments in nonsurgical root canal therapy (NSRCT) for large cyst-like periapical lesions (LCPLs).MethodsFrom 2017 to 2022, 35 patients diagnosed with LCPLs (5-15 mm) via preoperative clinical and radiographic evaluations of endodontic origin underwent NSRCT combined with ANPI. These patients were subjected to postoperative clinical and radiographic follow-up at 3 months, 6 months, 1 year, 2 years, 3 years, and 4 years, with a CBCT scan specifically conducted at 6-month follow-up. Through the reconstruction of three-dimensional cone beam computed tomography (CBCT) data, an early prognosis was facilitated by monitoring changes in lesion volume. Various treatment predictors—including sex, type of treatment, lesion size, preoperative pain, jaw, type of teeth involved, sealer extrusion, and the number of root canals—were meticulously analyzed. The evaluation of post-treatment outcomes leveraged both clinical observations and radiographic data collected during the follow-up periods. The Kruskal‒Wallis test and one-way ANOVA were also conducted to determine the independent factors influencing treatment outcomes. A significance level of 5% was established.ResultsThirty-five teeth from 35 patients with a median age of 28 years (range 24–34) were treated; the median follow-up duration was 19 months (range 12–26). The overall success rate was 91.4%, with a median lesion reduction of 77.0% (range 54.2–96.4%) at 6 months. Patients under 30 years of age exhibited a significantly greater success rate than older patients did (100.0% vs. 80.0%, p = 0.037). Other factors, such as sex, jaw, treatment type, preoperative pain, cyst size, tooth location, sealer extrusion, and the number of roots, did not significantly impact treatment outcomes.ConclusionsDespite limitations related to the observational case-series study design and relatively small sample size, our findings suggest that utilizing the ANPI in the NSRCT for LCPLs may hold promise. The notably higher success rate in patients younger than 30 years is worth noting.

WATTS happening? Evaluation of thermal dose during holmium laser lithotripsy in a high-fidelity anatomic model.

To evaluate the thermal profiles of the holmium laser at different laser parameters at different locations in an in vitro anatomic pelvicalyceal collecting system (PCS) model. Laser lithotripsy is the cornerstone of treatment for urolithiasis. With the prevalence of high-powered lasers, stone ablation efficiency has become more pronounced. Patient safety remains paramount during surgery. It is well recognized that the heat generated from laser lithotripsy has the potential to cause thermal tissue damage. Utilizing high-fidelity, 3D printed hydrogel models of a PCS with a synthetic BegoStone implanted in the renal pelvis, laser lithotripsy was performed with the Moses 2.0 holmium laser. At a standard power (40W) and irrigation pressure (100cm H2O), we evaluated operator duty cycle (ODC) variations with different time-on intervals at four different laser settings. Temperature was measured at two separate locations-at the stone and away from the stone. Temperatures were highest closest to the laser tip with a decrease away from the laser. Fluid temperatures increased with longer laser-on times and higher ODCs. Thermal doses were greater with increased ODCs and the threshold for thermal injury was reached for ODCs of 75% and 100%. Temperature generation and thermal dose delivered are greatest closer to the tip of the laser fiber and are not dependent on power alone. Significant temperature differences were noted between four laser settings at a standardized power (40W). Temperatures can be influenced by a variety of factors, such as laser-on time, operator duty cycle, and location in the PCS.

The optimal ratio of endoscope-sheath diameter with negative-pressure ureteral access sheath: an in vitro research.

To maintain safe intrarenal pelvic pressure (IPP), the combination of flexible ureteroscope (fURS) and traditional ureteral access sheath (T-UAS) should maintain a basic rule that is the ratio of endoscope-sheath diameter (RESD) ≤ 0.75. However, the negative-pressure ureteral access sheath (NP-UAS) may break the rule of negative pressure suction. This study aimed to examine the effect of NP-UAS on IPP and flow rate (FR) with varying RESD. In a 3D-printed renal model, flexible ureteroscopy lithotripsy (fURL) was replicated. Six sizes of fURS paired with 12Fr T-UAS and NP-UAS resulted in six distinct RESDs of 0.63, 0.78, 0.87, 0.89, 0.90, and 0.91. While the irrigation pressure (IRP) was set between 100 and 800 cmH2O and the sucking pressure (SP) was set between 0 and 800 cmH2O, the IPP and FR were measured in each RESD. NP-UASs can reduce the IPP and increase the FR at the same RESD compared to T-UASs. The IPP decreased with increasing SP with NP-UAS. When RESD ≤ 0.78, T-UAS and NP-UAS can maintain IPP < 40 cmH2O in most circumstances. When RESD = 0.87, it is challenging for T-UAS to sustain IPP < 40 cmH2O; however, NP-UAS can do so. When RESD ≥ 0.89, it is difficult to maintain an IPP < 40 cmH2O even with NP-UAS. NP-UAS can decrease IPP and increase FR compared with T-UAS. To maintain a safe IPP, it is recommended that RESD < 0.85 when utilizing NP-UAS.

Wound Irrigation Using Normal Saline 0.9% Versus Tap Water: A Review for Street Medicine and Low-resource Providers

Patients experiencing homelessness are a vulnerable cohort who suffer from disproportionate skin disease burden. Acute and chronic wounds represent high morbidity conditions with severe consequences. Adequate management in the form of cleansing and irrigation is necessary for removing cellular debris, bacteria and contaminants. Providers in low-resource street medicine settings may be the first point of contact in the management of wounds encountered by unhoused patients. This review determines the feasibility of improvised irrigation techniques that can be used in street settings to irrigate wounds. A MEDLINE search was conducted and yielded randomized controlled trials, laboratory studies and case-control studies. No significant difference in wound infection and healing rates was found when normal saline 0.9% or tap water was used in wound irrigation. Improvised cleansing devices with suitable irrigation pressure included water bottles punctured with 14-18-gauge needles, 10-mL syringes and 50-syringes. Lower and upper extremity wounds were found to be at higher risk of infection, requiring judicious management and cleaning. Street medicine providers should consider weighing the benefits versus risks of on-site, improvised wound irrigation for acute soft tissue injuries, especially in the setting of limited resources.

Turning up the HEAT: Surgical simulation of the Moses 2.0 laser in an anatomic model.

With advancements in laser technology, urologists have been able to treat urinary calculi more efficiently by increasing the energy delivered to the stone. With increases in power used, there is an increase in temperatures generated during laser lithotripsy. The aim of this study was to evaluate the thermal dose and temperatures generated with four laser settings at a standardized power in a high-fidelity, anatomic model. Using high-fidelity, 3D printed hydrogel models of a pelvicalyceal collecting system with a synthetic BegoStone implanted in the renal pelvis, surgical simulation of ureteroscopic laser lithotripsy was performed with the Moses 2.0 holmium laser. At a standard power (40 W) and irrigation pressure (100 cm H2O), we evaluated operator duty cycle (ODC) variations with different time-on intervals at four different laser settings. Temperature was measured at two separate locations: at the stone and ureteropelvic junction. Greater cumulative thermal doses and maximal temperatures were achieved with greater ODCs and longer laser activation periods. There were statistically significant differences between the thermal doses and temperature profiles of the laser settings evaluated. Temperatures were greater closer to the tip of the laser fiber. Laser energy and frequency play an important role in the thermal loads delivered during laser lithotripsy. Urologists must perform laser lithotripsy cautiously when aggressively treating large renal pelvis stones, as dangerous temperatures can be reached. To reduce the risk of causing thermal tissue injury, urologists should consider reducing their ODC and laser-on time.

A Novel Hydrodynamic Design Greatly Improves the Debris Clearance Rate of Flexible Ureteroscopy.

Objectives: To introduce a novel hydrodynamic design for a flexible ureteroscope that can increase stone debris clearance. Methods: Based on hydrodynamics, the new design allowed the ureteroscope to have six water jets. Fluid gushed from the six jets and would ultimately converge into an eddy. The safety and stone debris clearance efficiency were tested in a 3D-printed kidney model. Stone fragments between 0.5 and 1 mm were used to mimic the debris. A ureteroscope already approved for marketing was used as a control. Results: The new design did not change the local renal pressure and did not raise the whole renal pressure under irrigation at 80 or 100 mL/min but slightly raised it under irrigation at 120 mL/min. The pressures in the 2 g stone clearance procedures were 26.0, 33.1, and 37.5 cmH2O for the new design and 25.1, 30.2, and 39.3 cmH2O for the current design; in the 4 g stone clearance procedures, the pressures were 30.1, 37.2, and 40.0 cmH2O for the new design and 26.9, 30.8, and 39.8 cmH2O for the current design, all under conditions of 80, 100, and 120 mL/min irrigation, respectively. The new design significantly improved the stone clearance rate by ∼10-fold. It effectively cleared 2 and 4 g stones within 900 seconds under the three irrigation rates. In contrast, the current design cleared <10% of the stone debris in all tests. Conclusion: The new hydrodynamic design significantly improved the stone debris clearance rate without causing obviously increased renal pressure, and the improvement was maintained under different irrigation pressures and stone burdens.

Effects of stable and fluctuating soil water on the agronomic and biological performance of root vegetables.

Compared to fluctuating soil water (FW) conditions, stable soil water (SW) can increase plant water use efficiency (WUE) and improve crop growth and aboveground yield. It is unknown, however, how stable and fluctuating soil water affect root vegetables. Here, the effects of SW and FW were studied on cherry radish in a pot experiment, using negative pressure irrigation and conventional irrigation, respectively. The assessed effects included agronomic parameters, physiological indices, yield, quality and WUE of cherry radish. Results showed that under similarly average soil water contents, compared with FW, SW increased plant photosynthetic rate, stomatal conductance and transpiration rate, decreased leaf proline content by 13.7-73.3% and malondialdehyde content by 12.5-40.0%, and increased soluble sugars content by 6.3-22.1%. Cherry radish had greater biomass accumulation and nutrient uptake in SW than in FW. Indeed, SW increased radish output by 34.6-94.1% with no influence on root/shoot ratio or root quality. In conclusion, soil water stability affected directly the water physiological indicators of cherry radish and indirectly its agronomic attributes and nutrient uptake, which in turn influenced the crop biomass and yield, as well as WUE. This study provides a new perspective for improving agronomy of root crops and WUE through managing soil water stability.