Analysis and Comparison of the Effect of Preserving Spontaneous Breathing Without Intubation and Endotracheal Intubation with One Lung Ventilation in Single-hole Thoracoscopic Bulla Suture

Objective:To explore the situation of patients and the compare the effect between two methods,which are preserving spontaneous breathing without intubation and endotracheal intubation with one lung ventilation in the single-hole thoracoscopic bulla suture.Method:42 patients who received single-hole thoracoscopic pulmonary bullae suture in our hospital from January 2020 to December 2021 were selected as the study subjects,including 19 patients who underwent endotracheal intubation and one lung ventilation as the control group and 23 patients who underwent single-hole thoracoscopic pulmonary bullae suture without intubation as the study group.The relevant indexes,postoperative general conditions,complications and pneumothorax recurrence of the two groups were analyzed and observed.Results:In the control group,the scores of anesthesia time(points),resuscitation time(points),surgical visual field score(points),surgical time(points),and surgical bleeding volume(points)were 20.8±4.6,19.9±7.9,1.7±0.5,44.9±7.9,and 11.4±2.4 respectively.In the study group,the scores of anesthesia time(points),resuscitation time(points),surgical visual field score(points),surgical time(points),and scores of surgical bleeding(points)were 17.9±4.3,15.4±3.4,1.9±0.4,48.4±7.1,10.9±2.2,respectively.There was no statistical difference in surgical visual field score,surgical time and surgical bleeding whereas there was a statistical difference between anesthesia time and resuscitation time.In the control group after operation,VAS score at 6 hours after operation,SaO_(2)(%)after operation,PaCO_(2)(mmHg)after operation,drainage volume(ML)after operation,feeding time(H)after operation,retention time of thoracic tube after operation(H),WBC(109)on the first day after operation,hospitalization time(d),and total hospitalization cost(RMB 1000)were 2.1±0.7,98.2±1.4,42.4±4.9,139.1±23.1,6.9±1.6,37.1±5.4,7.9±2.1,6.6±1.3,and 2.6±0.3 respectively.As for the study group,the VAS score at 6 hours after operation,SaO_(2)(%)after operation,PaCO_(2)(mmHg)after operation,drainage volume(ML)after operation,feeding time(H)after operation,retention time of thoracic tube after operation(H),WBC(109)on the first day after operation,hospitalization time(d),and total hospitalization cost(RMB 1000)were 1.9±0.4,97.9±1.2,42.8±5.1,151.8±21.9,4.3±1.4,15.3±2.6,5.2±2.3,4.2±1.2,and 1.8±0.4 respectively.Among them,there were no significant differences in visual analog scale(VAS)score at 6 hours after operation,SaO_(2) after operation and PaCO_(2) after operation between the two groups,but there were significant differences in other factors.The complication rate of the control group was 36.84%,which was significantly higher than that of the study group(4.35%),with statistical difference.The recurrence rate of the control group was 21.05%,which was not significantly different from that of the study group(4.35%).Conclusion:The single-hole thoracoscopic bullae suture without intubation can reduce the anesthesia time and resuscitation time of patients,reduce the hospitalization cost of patients,reduce the treatment burden,shorten the first feeding time,and reduce the complication rate of patients.Therefore,it is worthy of clinical promotion.

PREPARATION OF SINGLE-HOLE HOLLOW POLYMER NANOSPHERES BY RASPBERRY-LIKE TEMPLATE METHOD

Single-hole hollow polymer nanospheres were fabricated by raspberry-like template method using ＂graft-from＂ strategy through atom transfer radical polymerization （ATRP）. Nanometer-sized silica spheres were covalently attached onto the surfaces of micrometer-sized silica spheres. Crosslinked polymer shells on the nano-sized spheres outside the attached area were formed by ＂graft-from＂ strategy through ATRP. After removal of the silica cores, single-hole hollow crosslinked polymer nanospheres were obtained. In this strategy, most of ATRP monomers may be used and thus many functional groups can be easily incorporated into the single-hole hollow crosslinked polymer nanospheres.

Modified scaled distance regression analysis approach for prediction of blast-induced ground vibration in multi-hole blasting

The blast-induced ground vibration prediction using scaled distance regression analysis is one of the most popular methods employed by engineers for many decades. It uses the maximum charge per delay and distance of monitoring as the major factors for predicting the peak particle velocity(PPV). It is established that the PPV is caused by the maximum charge per delay which varies with the distance of monitoring and site geology. While conducting a production blasting, the waves induced by blasting of different holes interfere destructively with each other, which may result in higher PPV than the predicted value with scaled distance regression analysis. This phenomenon of interference/superimposition of waves is not considered while using scaled distance regression analysis. In this paper, an attempt has been made to compare the predicted values of blast-induced ground vibration using multi-hole trial blasting with single-hole blasting in an opencast coal mine under the same geological condition. Further,the modified prediction equation for the multi-hole trial blasting was obtained using single-hole regression analysis. The error between predicted and actual values of multi-hole blast-induced ground vibration was found to be reduced by 8.5%.

Signal processing method for shear wave velocity measurement

Soil shear wave velocity （SWV） is an important parameter in geotechnical engineering. To measure the soil SWV, three methods are generally used in China, including the single-hole method, cross-hole method and the surface-wave technique. An optimized approach based on a correlation function for single-hole SWV measurement is presented in this paper. In this approach, inherent inconsistencies of the artificial methods such as negative velocities, and too-large and too-small velocities, are eliminated from the single-hole method, and the efficiency of data processing is improved. In addition, verification using the cross-hole method of upper measuring points shows that the proposed optimized approach yields high precision in signal processing.