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BACKGROUND Laser lithotripsy is an established endourological modality. Ho:YAG laser have broadened the indications for ureteroscopic stone managements to include larger stone sizes throughout the whole upper urinary tract. Aim of current work is to assess efficacy and safety of Ho:YAG laser lithotripsy during retrograde ureteroscopic management of ureteral(More)
OBJECTIVES In vitro investigations of Ho:YAG laser-induced stone fragmentation were performed to identify potential impacts of different pulse durations on stone fragmentation characteristics. MATERIALS AND METHODS A Ho:YAG laser system (Swiss LaserClast, EMS S.A., Nyon, Switzerland) with selectable long or short pulse mode was tested with regard to its(More)
We report about a 25-year-old patient with transnasal ketamine abuse over years presenting with severe irritative urinary dysfunction (imperative urinary urgency, pollakisuria, dysuria) and severe alguria. Cystoscopia showed ketamine-induced vesicopathy with errosive cystitis; other etiologies could be excluded. Despite serious effort the patient was not(More)
The author presents two clinical vignettes involving the deliberate use of humor by the analyst, which appeared to help foster an atmosphere that promoted the analytic process. It is suggested that the analyst's use of humor conveyed information about his mental state and his attitude toward the patient which disconfirmed inhibiting expectations and thus(More)
There is a growing appreciation of an ethic of authenticity in analytic technique, a trend related to a recognition of the engagement of the spontaneous, unconscious dimension of the analyst's mind in the clinical situation. This liberatory trend in our theory of technique can and should be elaborated to take account of situations in which the analyst(More)
In our theory and practice as psychoanalysts, we have a tendency to idealize and elevate process goals over therapeutic outcome. This tendency is problematic because it deprives us of a vital check and balance in our technique and can lead to an implicit pessimism about our ability to systemically evaluate and modify our theory of therapeutic action. This(More)
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