Impact of Controlling Nutritional Status score on short-term outcomes after carotid endarterectomy: a retrospective cohort study

Background Malnutrition and impaired immune responses significantly affect the clinical outcomes of patients with atherosclerotic stenosis. The Controlling Nutritional Status (CONUT) score has recently been utilized to evaluate perioperative immunonutritional status. This study aimed to evaluate the relationship between immunonutritional status, indexed by CONUT score, and postoperative complications in patients undergoing carotid endarterectomy (CEA). Methods We retrospectively evaluated 188 patients who underwent elective CEA between January 2010 and December 2019. The preoperative CONUT score was calculated as the sum of the serum albumin concentration, total cholesterol level, and total lymphocyte count. The primary outcome was postoperative complications within 30 days after CEA, including major adverse cardiovascular events, pulmonary complications, stroke, renal failure, sepsis, wounds, and gastrointestinal complications. Cox proportional hazards regression analysis was used to estimate the factors associated with postoperative complications during the 30-day follow-up period. Results Twenty-five patients (13.3%) had at least one major complication. The incidence of postoperative complications was identified more frequently in the high CONUT group (12 of 27, 44.4% vs. 13 of 161, 8.1%; p<0.001). Multivariate analyses showed that a high preoperative CONUT score was independently associated with 30-day postoperative complications (hazard ratio, 5.98; 95% confidence interval, 2.56–13.97; p<0.001). Conclusion Our results showed that the CONUT score, a simple and readily available parameter using only objective laboratory values, is independently associated with early postoperative complications

Persistent Continental Shelf Carbon Sink at the Ieodo Ocean Research Station in the Northern East China Sea

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Persistent Continental Shelf Carbon Sink at the Ieodo Ocean Research Station in the Northern East China Sea

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Persistent Continental Shelf Carbon Sink at the Ieodo Ocean Research Station in the Northern East China Sea

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Persistent Continental Shelf Carbon Sink at the Ieodo Ocean Research Station in the Northern East China Sea

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Humidity Sensors Based on Cellulose Nanofiber Fabricated on a Three-Dimensional (3D) Curved Surface

Traditional printed electronics processes have recently been utilized within 3D-printed structures where components and interconnects are introduced during manufacturing disruptions. The dielectric performance of 3D-printed materials has a low-resolution problem, and many technologies have been proposed for direct printing on a 3D curved surface or structure. This paper reports a humidity sensor fabricated with a 3D-printed electrode and cellulose nanofibers on a curved surface. The electrode part of an interdigital electrode (IDE) sensor is printed on a flat glass substrate and a 3D-curved glass substrate using a double blanket reverse offset. Subsequently, a cellulose nanofiber emulsion is coated onto the IDE pattern as a sensing layer with a dispenser. The electrical impedance of the sensor is measured with the relative humidity (RH) changes between 10% and 90% RH. The sensor demonstrates a high repeatability and sensitivity, even on a 3D curved substrate. This technology provides a promising method to integrate humidity sensors and 3D deformable surfaces

Protein-Precoated Surface of Metal-Organic Framework Nanoparticles for Targeted Delivery

Metal-organic framework (MOF) nanoparticles have recently emerged as a promising vehicle for drug delivery with high porosity and feasibility. However, employing a MOF-based drug delivery system remains a challenge due to the difficulty in controlling interfaces of particles in a biological environment. In this paper, protein corona-blocked Zr-6-based MOF (PCN-224) nanoparticles are presented for targeted cancer therapy with high efficiency. The unmodified PCN-224 surface is precoated with glutathione transferase (GST)-fused targetable affibody (GST-Afb) proteins via simple mixing conjugations instead of chemical modifications that can induce the impairment of proteins. GST-Afb proteins are shown to stably protect the surface of PCN-224 particles in a specific orientation with GST adsorbed onto the porous surface and the GST-linked Afb posed outward, minimizing the unwanted interfacial interactions of particles with external biological proteins. The Afb-directed cell-specific targeting ability of particles and consequent induction of cell death is demonstrated both in vitro and in vivo by using two kinds of Afb, which targets the surface membrane receptor, human epidermal growth factor receptor 2 (HER2) or epidermal growth factor receptor (EGFR). This study provides insight into the way of regulating the protein-adhesive surface of MOF nanoparticles and designing a more effective MOF-hosted targeted delivery system