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Abstract Objective This study aimed to explore the feasibility and advantages of a modified chest tube suture-fixation technique in uniportal video-assisted thoracic surgery for pulmonary resection. Methods A retrospective analysis was conducted on 116 patients who underwent uniportal video-assisted thoracic surgery (U-VATS) for lung diseases in Zhengzhou People’s Hospital between October 2019 and October 2021. Patients were stratified into two groups based on the applied suture-fixation methods, i.e., 72 patients in the active group and 44 patients in the control group. The two groups were subsequently compared in the terms of gender, age, operation method, indwelling time of chest tube, postoperative pain score, chest tube removal time, wound healing grade, length of hospital stay, incision healing grade, and patient satisfaction. Results There was no significant difference between the two groups in terms of gender, age, operation method, indwelling time of chest tube, postoperative pain score, and length of hospital stay (P = 0.167, 0.185, 0.085, 0.051, 0.927, and 0.362, respectively). However, the chest tube removal time, incision healing grade, and incision scar satisfaction in the active group were significantly better compared with those of the control group (P =

Abstract Objective To discuss the application of bilateral simultaneous sequential single-incision video-assisted thoracic surgery in multiple nodules in both lungs. Methods A retrospective analysis of 10 patients in Zhengzhou People’s Hospital who underwent single-incision thoracoscopic surgery to treat multiple nodules in both lungs at the same time from September 2019 to January 2021, and analyze the perioperative indicators (general condition, smoking history, family history, follow-up time of pulmonary nodules, size, location, height and weight, pulmonary function, intraoperative blood loss, operation time, color and volume of drainage fluid, catheterization time, perioperative complications, length of stay, pathology, patient satisfaction, etc.). Results All 10 patients used single-incision thoracoscopy to complete bilateral simultaneous sequential operations, aged 32 to 70 years, 8 female patients, 2 male patients, preoperative follow-up time ranging from 1 day to 2 years, a total of 23 lung nodules were removed except for the benign lesions in one nodule in the 2 patients, the other nodules were tumorous lesions (91.3%). The average total hospital stay was 10.5 days (8–14 days), and the average operation time was 194.5 min (145–292 min). The blood loss ranged from 10 to 280 ml, all patients had no serious complications during the perioperative period, and they recovered well and were discharged smoothly, and the satisfaction reached 100%. Conclusion Single-incision bilateral simultaneous sequential thoracoscopy have certain advantages in the treatment of patients with multiple nodules in both lungs, conforms to the concept of rapid recovery, and is a feasible choice in the shared decision making of doctors and patients.

Multi-layered drug delivery (MLDD) system has promising potential to achieve controlled release. However, existing technologies face difficulties in regulating the number of layers and layer-thickness ratio. In our previous works, layer-multiplying co-extrusion (LMCE) technology was applied to regulate the number of layers. Herein, we utilized layer-multiplying co-extrusion technology to modulate the layer-thickness ratio to expand the application of LMCE technology. Four-layered poly (ε-caprolactone)-metoprolol tartrate/poly (ε-caprolactone)-polyethylene oxide (PCL-MPT/PEO) composites were continuously prepared by LMCE technology, and the layer-thickness ratios for PCL-PEO layer and PCL-MPT layer were set to be 1:1, 2:1, and 3:1 just by controlling the screw conveying speed. The in vitro release test indicated that the rate of MPT release increased with decreasing the thickness of the PCL-MPT layer. Additionally, when PCL-MPT/PEO composite was sealed by epoxy resin to eliminate the edge effect, sustained release of MPT was achieved. The compression test confirmed the potential of PCL-MPT/PEO composites as bone scaffolds.

Mining has caused considerable damage to vegetation coverage, especially in grasslands. It is of great significance to investigate the specific contributions of various factors to vegetation cover change. In this study, fractional vegetation coverage (FVC) is used as a proxy indicator for vegetation coverage. We constructed 50 sets of geographically weighted artificial neural network models for FVC and its driving factors in the Shengli Coalfield. Based on the idea of differentiation, we proposed the geographically weighted differential factors-artificial neural network (GWDF-ANN) to quantify the contributions of different driving factors on FVC changes in mining areas. The highlights of the study are as follows: (1) For the 50 models, the average RMSE was 0.052. The lowest RMSE was 0.007, and the highest was 0.112. For the MRE, the average value was 0.007, the lowest was 0.001, and the highest was 0.023. The GWDF-ANN model is suitable for quantifying FVC changes in mining areas. (2) Precipitation and temperature were the main driving factors for FVC change. The contributions were 32.45% for precipitation, 24.80% for temperature, 22.44% for mining, 14.44% for urban expansion, and 5.87% for topography. (3) Over time, the contributions of precipitation and temperature exhibited downward trends, while mining and urban expansion showed positive trajectories. For topography, its contribution remains generally unchanged. (4) As the distance from the mining area increases, the contribution of mining gradually decreases. At 200 m away, the contribution of mining was 26.69%; at 2000 m away, the value drops to 17.8%. (5) Mining has a cumulative effect on vegetation coverage both interannually and spatially. This study provides important support for understanding the mechanism of vegetation coverage change in mining areas.