PURPOSE:To re-evaluated the clinic efficacy of ureteroscopic lithotripsy (URS) and extracorporeal shock wave lithotripsy (ESWL) on ureteral calculi with Cochrane systematic reviews in this paper.METHODS: We searched clinical randomized controlled trials and prospective controlled trials in databases such as Cochrane library, Medline, Springer, Elsevier Science Direct, PubMed. Pooled estimate of risk ratios (RRs), standard mean difference (SMD) with 95% confidence intervals (CIs) were used as measure of effect sizes. Summary effect estimates were also stratified by sample size, study design and study region. The overall effect sizes were derived using a random-effects model or fixed-effects model when appreciated, and meta-analysis were conducted with software RewMan 5.0.RESULTS:The meta-analysis suggested that there were significant differences of post-treatment stone free rate, repeat treatment rate, patients' satisfaction, incidence of postoperative complications, operation time and hospital stays between ESWL treatment cases and URS treatment cases. But in the sample sizes analysis, there were no significant differences of the post-treatment stone free rate and repeat treatment rate when the sample sizes were less than 100.CONCLUSIONS: Compared to the ureteroscopic lithotripsy treatment, extracorporeal shock wave lithotripsy treatment provided a significantly lower post-treatment stone free rate, but it also obviously brought out less postoperative complications, shorter operation time and hospital stays.

O efeito da adição de Nb, na microestrutura e nas propriedades mecânicas e de resistência à corrosão dos aços martensíticos com 13% Cr, foi investigado. Excelente resistência mecânica final e suficiente tenacidade e alongamento foram obtidos em aços contendo baixo teor de elementos intersticiais (0.01%N e C < 0.02%) e com adição de 0.10%Nb. O efeito do Nb, também, foi estudado em uma amostra industrial contendo maiores teores de N e adição de V. As propriedades mecânicas obtidas, no aço contendo 0.10% Nb, mostraram-se, significativamente, maiores que aquelas obtidas com o aço contendo V e maior teor de N. A microestrutura, morfologia e dispersão de precipitados, bem como a fração volumétrica de austenita revertida, foram, também, caracterizadas. O tamanho e a dispersão dos precipitados formados a partir dos elementos microligantes contribuem para aumentar a resistência mecânica, enquanto a formação de austenita revertida auxilia na obtenção de tenacidade e ductilidade. Quanto à resistência à corrosão por pite, o desempenho do aço 13Cr5Ni1Mo com maior teor de Nb e menor quantidade de N foi, surpreendentemente, melhor em comparação ao desempenho das demais composições estudadas.

The effect of Nb microalloying on structure and physical properties of quenched and tempered 13%Cr martensitic stainless steel was investigated. Excellent strength and adequate toughness properties were obtained by 0.10 wt% Nb addition to low interstitial (N 0.01wt%, C < 0.02wt%) steel. The effect of Nb in 13%Cr steels with high N content was also studied in a commercial martensitic stainless steel sample containing higher levels of N and also alloyed with V. The microstructure, precipitate morphology and dispersion and volume fraction of reverse austenite were characterized. The strength properties obtained in the steel with 0.10%Nb are significantly higher than those of the V-containing steel. The study shows that whereas amount, size and dispersion of precipitates of microalloying elements contribute to enhanced strength, the optimum volume fraction of reverse austenite formed contributes to enhanced ductility and toughness properties. More importantly, high Nb additions to low N -13%Cr-1%Mo steel are found to improve significantly resistance against pitting corrosion significantly.

The attenuated Salmonella typhimurium χ4550 strain was used to harbour a reconstructed bicistronic DNA vaccine against porcine rotavirus, which carried the rotavirus nonstructural protein 4 (NSP4) and VP7 genes simultaneously. Using a balanced lethal system, the kanamycin resistance gene of expressing eukaryotic plasmids pVAX1 and pVAXD were replaced by the aspartate β-semialdehyde dehydrogenase (asd) gene. The NSP4 cleavage product (259-525) of rotavirus OSU strain and VP7 full-length genes were amplified by reverse transcription polymerase chain reaction and then inserted into the eukaryotic single-expression plasmid, pVAX1-asd, and the eukaryotic dual-expression plasmid, pVAXD-asd, respectively. The recombinant plasmids pVAX1-asd-NSP4, pVAX1-asd-VP7 and pVAXD-asd-NSP4-VP7 were transformed into the attenuated S. typhimurium χ4550 strain by electrotransformation. An indirect immunofluorescence assay of the expressed COS-7 cell suggested that the recombinant S. typhimurium χ4550 strain was constructed successfully. The recombinant S. typhimurium χ4550 strain was orally administered to BALB/c mice. The group immunised with dual-expression plasmids produced a significantly higher level of serum Immunoglobulin G (IgG) and intestinal Immunoglobulin A (IgA) than the group immunised with single-expression plasmids. These results indicated that eukaryotic bicistronic plasmid DNA vaccines could be successfully constructed to enhance humoural, mucosal and cellular immune response against rotavirus infection.