Effectiveness of Single Chest Tube vs Double Chest Tube Application Postdecortication: Prospective Randomized Controlled Study

BACKGROUND

Draining the chest cavity with 2 tubes is a common practice among thoracic surgeons. This research was conducted in Addis Ababa from March 2021 to May 2022. A total of 62 patients were included.

STUDY DESIGN

This study was conducted to investigate the superiority of either single or double tube insertion after decortication. Patients were randomized in a ratio of 1:1. In group A, 2 tubes were inserted; in group B, single 32F tubes were inserted. Statistical analyses were performed using Statistical Package for Social Sciences version 27.0, Student's t test and Pearson chi-square test.

RESULTS

The age range of patients was 18 to 70 years, with a mean of 44 ± 14.4434 years; the male to female ratio was 2.9:1. The dominant underlying pathologies were tuberculosis and trauma (45.2% vs 35.5%); the right side was more involved (62.3%). Drain output was 1,465 ± 1,887.9751 mL in group A vs 1,018 ± 802.5662 mL in group B (p value = 0.00001); the duration of drains was 7.5498 ± 11.3137 days in group A vs 3.8730 ± 1.4142 days in group B (p value = 0.000042). The degree of pain was 2.6458 ± 4.2426 vs 2.000 ± 2.1213 in group A and group B, respectively (p value = 0.326757). The length of hospital stay was 21.5818 ± 11.9791 days in group A vs 13.6091 ± 6.2048 days in group B (p value = 0.00001). Group A had air leak of 90.3% vs 74.2% in group B; subcutaneous emphysema was 9.7% in group A and 12.9% in group B. There was no fluid recollection, and no patients required tube reinsertion.

CONCLUSIONS

The placement of a single tube after decortication is effective in reducing drain output, time of drain, and hospital stay. There was no association with pain, and there was no effect on other endpoints.

Preparation of fatty acid-amino diol condensate and its utilization as a durable nonionic softener for PAN fabrics

Polyacrylonitrile (PAN) fabrics meet the customers' requirements in many aspects. Nevertheless, PAN fabrics suffer from low moisture regain and the accumulation of electrostatic charges on the fabric surface. Some PAN products exhibit rough a surface which is uncomfortable for human skin. Herein, we synthesized a new hydrophilic nonionic softener by reacting a fatty acid (FA), extracted from wool wax, with 2-amino-2-methyl-1,3-propanediol (AMPD). Adopting the pad-dry-cure technique, the synthesized softener was chemically bound to pretreated PAN fabrics. Without deterioration of the fabrics’ mechanical properties, new functions have been imparted to the treated PAN fabrics, viz., silk-like hand, induced resistance to the accumulation of electrostatic charges, and improved wettability. Fourier-transform infrared (FTIR) spectroscopy and carbon-13 nuclear magnetic resonance (¹³C-NMR) were utilized for the structure elucidation of the prepared softener as well as to determine whether AMPD reacts with the fatty acid through its amino or hydroxyl group. The mechanism of the preparation of the softener as well as its mode of action on PAN fabrics were proposed. The effects of the applied softener on air and water permeability, ultraviolet protection factor (UPF), stiffness, tensile properties, and yellowness of the treated fabric were studied. The scanning electron micrographs of the treated fabric revealed the existence of a layer of the applied softener on the fabric surface. The finished fabric was found to be durable against washing for up to 20 cycles in terms of the fabric smoothness and durability.

An enterotoxic activity of 18-20 kDa Cryptosporidium parvum secretory coproantigen (CCA 18-20 kDa)

An 18-20 kDa Cryptosporidum coproantigen (18-20 CCA), had been detected in the stool of infected humans and calves. A purified, electroeluted and concentrated 18-20 kDa antigen was tested in Ussing chamber, and electric parameters were tested before and after the addition of this antigen. A significant increase in the short circuit current (Isc) was detected. The enterotoxic effectof 18-20 kDa CCA, was time and dose dependent, heat labile, and Cl- dependent. The detected change in the short circuit current was not detected when the 18-20 kDa antigen wa incubated with its monospecific antibodies. These results indicate an enterotoxic activity of the 18-20 kDa antigen secreted from the released parasite and detected in stool of infected humans and calves. Additionally, they may help in developing an appropriate anti-secretory therapy for the intractable diarrhoea caused by cryptosporidiosis.