A comparative study of three nutritional risk screening tools in surgical inpatients with laryngeal cancer.

BACKGROUND AND OBJECTIVES: Nutritional screening has been recommended for hospitalized patients. The goal of this study was to compare the screening value of Nutritional Risk Screening 2002 (NRS-2002), Malnutrition Universal Screening Tool (MUST), and Malnutrition Screening Tool (MST) in inpatients with laryngeal cancer, and to identify which is the most accurate. METHODS AND STUDY DESIGN: An observational cross-sectional study of 197 laryngeal cancer patients admitted for surgery was conducted using continuous sampling. NRS-2002, MUST, and MST were used to screen the nutritional risk of patients after admission and before discharge. Diagnostic information and the length-of-hospital stay (LOS) data were extracted from the hospital HIS system. RESULTS: The detection rates of NRS-2002, MUST, and MST in admission or discharge patients were 14.7%/27.9%, 22.3%/26.9%, and 4.6%/11.2%, respectively. Using NRS-2002 as the reference, high sensitivity (82.8%) and a Kappa coefficient (k=0.584) were achieved using MUST in admission patients, while MST presented the lowest sensitivity (17.3%) and Kappa coefficient (k=0.208). MST maintained low sensitivity (25.5%) and Kappa coefficient (k=0.243) in discharge patients. NRS-2002 ≥3 was an independent risk factor for longer LOS in patients with laryngeal cancer (odds ratio (OR)=5.59, 95% confidence interval (CI)=1.86-16.81, p=0.002). The MUST and MST scores did not predict long LOS. CONCLUSIONS: Compared with NRS-2002, MUST is superior to MST in sensitivity, specificity, and Kappa coefficient. NRS-2002 better identified patients at risk for longer LOS, but a consistent conclusion was not reached with MUST and MST. Further validation in larger samples is needed.

Removal of Nonylphenol by using Fe-doped NaBiO3 compound as an efficient visible-light-heterogeneous Fenton-like catalyst.

Fe-doped NaBiO3 nanoscaled compounds were prepared by hydrothermal method and evaluated as a highly efficient photo-Fenton-like catalyst under visible light irradiation. The Fe-doped NaBiO3 compound had a specific surface area of 41.42 m2 g-1, which is considerably larger than that of NaBiO3 nanoparticles (28.81 m2 g-1). The compound exhibited an excellent visible light-Fenton-like catalysis activity, which is influenced by the iron content of the compound and the pH value of the solution. Under the optimal conditions, the Fe-doped NaBiO3 compound led to fast degradation of Nonylphenol with an apparent rate constant of 5.71 × 10-2 min-1, which was 8.23-fold of that achieved by using NaBiO3. The significantly enhanced visible light-Fenton-like catalytic property of the Fe-doped NaBiO3 was attributed to the large surface area and the high adsorption capacity of the compound, and the Fenton catalytic ability of iron in the compound.

Synthesis, structure, luminescence and catalytic properties of cadmium(ii) coordination polymers with 9H-carbazole-2,7-dicarboxylic acid.

Two Cd(ii) metal-organic frameworks were synthesized from the NH-functionalized dicarboxylate ligand 9H-carbazole-2,7-dicarboxylic acid (2,7-H2CDC). Compound , [Cd4(CDC)4(DMF)4]·4DMF·4H2O, displays 2D square grid networks based on novel tetranuclear [Cd4(COO)8] secondary building units (SBUs) and pairwise CDC(2-) linkers. Compound , (H3O)2[Cd3(2,7-CDC)4]·3DMF·4H2O, is also based on 4-connected SBUs and pairwise CDC linkers, but the unusual trinuclear [Cd3(COO)8] SBUs lead to 2-fold interpenetrated 3D diamond-type frameworks with guest accessible voids. Both compounds display strong blue fluorescence in the solid state, and compound shows high catalytic activity for Knoevenagel condensation.