Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Extreme in-plane thermal conductivity anisotropy in Rhenium-based dichalcogenides

Anisotropies in thermal conductivity are important for thermal management in a variety of applications, but also provide insight on the physics of nanoscale heat transfer. As materials are discovered with more extreme transport properties, it is interesting to ask what the limits are for how dissimilar the thermal conductivity can be along different directions in a crystal. Here we report on the thermal properties of rhenium-based transition metal dichalcogenides (TMDs), specifically rhenium disulfide (ReS _2 ) and rhenium diselenide (ReSe _2 ), highlighting their extraordinary thermal conductivity anisotropy. Along the basal crystal plane of ReS _2 , a maximum of $169\pm11$  W mK ^−1 is detected along the b -axis and a minimum of $53\pm4$  W mK ^−1 perpendicular to it. For ReSe _2 , the maximum and minimum values of $116\pm3$  W mK ^−1 and $27\pm1$  W mK ^−1 are found to lie 60° and 150° away from the b -axis, along the polarization direction of some of the principal Raman modes. These measurements demonstrate a remarkable anisotropy of 3.2 × and 4.3 × in the conductivity within the crystal basal planes, respectively. The through-plane thermal conductivities, recorded at $0.66\pm0.01$  W mK ^−1 for ReS _2 and $2.31\pm0.01$  W mK ^−1 for ReSe _2 , highlight the impact of their layered structures, contributing to notably high in-plane to through-plane thermal conductivity ratios of 256 × for ReS _2 and 50 × for ReSe _2 . This research demonstrates the unique thermal properties that these comparatively underexplored TMDs have, shedding light on the need for further exploration into the intricate thermal behavior of such materials, while underscoring their potential significance for future applications in the fields of semiconductor devices and nanotechnology

Improved Magneto-Optic Surface Plasmon Resonance Biosensors

The magneto-optic (MO) characteristics and sensing performance of noble metal (Ag, Au, Cu) or transition metal (Fe, Ni, Co) single layers and Ag/Co or Au/Co bilayers have been studied and compared in both the standard plasmonic and MO plasmonic configurations at two different wavelengths (632.8 nm and 785 nm) and in two different sensing media (air and water). The sensing performance is found to be medium-specific and lower in biosensor-relevant water-based media. The sensitivities of MO-SPR sensors is found to be superior to SPR sensors in all cases. This enhancement in sensitivity means the detection limit of this class of transducers can be substantially improved by tuning Au/Co layer thickness, wavelength, and incident angle of optical radiation. The optimized bilayer showed an enhancement in sensitivity by over 30× in air and 9× in water as compared to the conventional Au SPR configuration. Notably, the best performance is 3× above that of MO-SPR sensors coupled to a photonic crystal previously reported in the literature and is found when the ferromagnetic layer is furthest from the sensing medium, as opposed to typical MO-SPR configurations. This proposed structure is attractive for next-generation biosensors

Surface Plasmon Resonance (SPR) to Magneto-Optic SPR

In this editorial, a brief background of the surface plasmon resonance (SPR) principle is discussed, followed by several aspects of magneto-optic SPR (MOSPR) and sensing schemes from the viewpoint of fundamental studies and potential technological applications. New sensitivity metrics are introduced that would allow researchers to compare the performance of SPR and MOSPR-based sensors. Merits of MOSPR over SPR based sensors and challenges faced by MOSPR sensors in terms of their practical use and portability are also considered. The editorial ends with potential new configurations and future prospects. This work is considered highly significant to device engineers, graduate and undergraduate students, and researchers of all levels involved in developing new classes of bio-devices for sensing, imaging, environmental monitoring, toxic gas detection, and surveying applications to name a few