Exploring the potential of combined B-mode features and color Doppler ultrasound in the diagnosis of ureteric stone as an alternative to ionizing radiation exposure by computed tomography.

OBJECTIVE: To assess the diagnostic efficacy of integrating B-mode and color Doppler capabilities of ultrasound (US) to establish a robust standalone diagnostic tool for the diagnosis of ureteric stones as an alternative to non-contrast-enhanced computed tomography (NCCT). METHODS: A total of 140 consecutive patients diagnosed with ureteric stones using NCCT were enrolled. On the same day, US in both B-mode and Color Doppler was performed by an experienced radiologist who was blinded to the NCCT scan results. The diagnostic rate of US for stone detection was recorded. Additionally, baseline patient and stone characteristics were analyzed for their association with the accuracy of stone detection using US. RESULTS: US exhibited a high sensitivity of 91.43%, detecting 128 out of 140 stone foci. Notably, ureteric stones in the proximal and uretero-vesical junction (UVJ) segments were readily identifiable compared to those in the pelvic region (p = 0.0003). Additionally, hydronephrosis enhanced the US's ability to detect stones (p < 0.0001). Conversely, abdominal gases and obesity adversely affected US capabilities (p < 0.0001 and p = 0.009, respectively). Stone side, size, and density showed no statistically significant impact (p > 0.05). CONCLUSIONS: US with its color Doppler capabilities could serve as a reliable and safe alternative imaging modality in the diagnostic work up of patients with ureterolithiasis. Factors including stone location, Hydronephrosis, weight and abdominal gases significantly influenced its accuracy.

Improvement of Maize Productivity and N Use Efficiency in a No-Tillage Irrigated Farming System: Effect of Cropping Sequence and Fertilization Management.

The sequence of the preceding crops in a no-tillage farming system, could interact with the integrated use of mineral and organic nitrogen (N) sources in a way that improves the growth and productivity of the terminal maize crop, meanwhile, enhancing its N use efficiency (NUE). In the current study, six legume-cereal crop sequences, including faba bean, soybean, Egyptian clover, wheat, and maize were evaluated along two experimental rotations that ended up by planting the terminal maize crop. In addition, the effects of applying variable mineral nitrogen (MN) rates with and without the incorporation of farmyard manure (FYM) on the productive performance of maize and its NUE were tested. The field experiments were conducted in a no-tillage irrigated farming system in Northern Egypt, a location that is characterized by its arid, Mediterranean climate. Results revealed that increasing the legume component in the evaluated crop sequences, up to 75%, resulted in improved maize ear leaf area, 1000-grain weight, and harvest index, thus, a higher final grain yield, with the inclusion of Egyptian clover was slightly better than faba bean. Comparing the crop sequences with 50% legume contribution uncovered the positive effects of soybean preceding crop on the terminal maize crop. Substituting 25% of the applied MN with FYM resulted in similar maize yields to the application of the equivalent 100% MN rates. The fertilizer treatments significantly interacted with the crop sequences in determining the maize grain yield, where the highest legume crop contribution in the crop sequence (75%) equalized the effects of the different fertilizer treatments on maize grain yield. The integrated use of FYM with MN in maize fertilization improved the NUE compared to the application of MN alone. Comparing fertilization treatments with similar MN content, with and without FYM, revealed that the difference in NUE was attributed to the additional amount of FYM. In similar conditions to the current study, it is recommended to grow faba bean two years before maize, while Egyptian clover could be grown directly preceding maize growth, with frequent inclusion of soybean in the sequence, this could be combined with the application of an average of 200 kg MN ha-1 in addition to FYM.