ABSTRACT Purpose: To evaluate the efficacy of adjunctive medical expulsive therapy (MET) with tamsulosin for the promotion of stone fragments clearance for repeated extracorporeal shock wave lithotripsy (ESWL). Materials and Methods: This meta-analysis was conducted by systematic search for randomized controlled trial (RCT) studies in PubMed/Medline, Scopus, Cochrane Library, Web of Science databases in January 2020, which compared tamsulosin with either placebo or non-placebo control for repeated ESWL. The primary endpoint was stone-free rate (SFR), the second endpoints were stone clearance time and complications. The quality assessment of included studies was performed by using the Cochrane System and Jadad score. Results: 7 RCTs were included in this meta-analysis. Tamsulosin provided higher SFR (for stones larger than 1cm, OR: 5.56, p=0.0003), except for patients with stones less than 1cm. For patients with renal stones (OR: 2.97, p=0.0005) or upper ureteral stones (OR: 3.10, p=0.004), tamsulosin can also provide a higher SFR. In addition, tamsulosin provided a shorter stone clearance time (WMD: −9.40, p=0.03) and lower pain intensity (WMD=-17.01, p <0.0001) and incidences of steinstrasse (OR: 0.37, p=0.0002). Conclusion: Adjunctive MET with tamsulosin is effective in patients with specific stone size or location that received repeated ESWL. However, no well-designed RCT that used computed tomography for the detection and assessment of residual stone fragments was found. More studies with high quality and the comparison between tamsulosin and secondary ESWL are needed in the future.

Abstract The effects of deformation on transformation kinetics during continuous cooling and microstructure evolution of a medium carbon high strength steel were investigated by metallographic method, dilatometry and X-ray diffraction etc. The results show that ausforming accelerated the ferrite and martensite transformation, but significantly retarded the bainite transformation. In addition, the amount of retained austenite decreased first and then increased, while the carbon content in retained austenite increased with the accumulation of strain. The change trend of the average dislocation density in martensite with strain showed the opposite trend as that of the amount of retained austenite. Moreover, the martensite laths were refined by ausforming. The work provides the theoretical reference for the design of parameters of thermalmechanical controlled process (TMCP) in the production of medium-carbon high strength steels.

Abstract In this paper, a novel zwitterionic copolymer AM/SSS/THDAB clay hydration dispersion inhibitor was synthesized by copolymerization of tris hydroxyethyl diallyl ammonium bromide (THDAB), sodium p-styrene sulfonate (SSS) and acrylamide (AM) initiated in an aqueous solution. The copolymer was characterized by FT-IR, GPC, TGA-DSC and SEM. Results demonstrated that molecular weight of AM/SSS/THDAB was 43674 g/mol and its temperature resistance ability was up to 225 °C. Evaluation experiments showed that AM/SSS/THDAB has an excellent clay hydration inhibitive performance. Methods including particle size analysis and SEM were utilized to study its dispersion inhibition mechanism by using sodium montmorillonite (Na-MMT). Results indicated that the micro-structure of Na-MMT has been successfully changed by AM/SSS/THDAB. In a word, the superior inhibition property makes the novel clay hydration dispersion inhibitor promised in water-based drilling fluids.