Influence of body mass index on postoperative complications after thymectomy in myasthenia gravis patients.

OBJECTIVES: It is not clear whether being overweight or obese influences postoperative complications in myasthenia gravis (MG) patients. We retrospectively investigated an association between body mass index (BMI) and postoperative complications in MG. MATERIALS AND METHODS: Fifty-nine MG patients who had undergone transsternal thymectomy were classified as low or high BMI based on the criteria for Asian-Pacific populations. An association between BMI and complications was analyzed. RESULTS: MG patients with high BMI had significantly higher rates of major adverse complications (P = 0.033), postoperative respiratory failure (P = 0.045), and longer postoperative hospitalization (P = 0.005). The optimal cutoff value of BMI for postoperative respiratory failure was 23.3 kg/m2, with a sensitivity of 75.0% and a specificity of 64.7% (P = 0.046). CONCLUSIONS: MG patients with a BMI indicating overweight or obesity have a higher risk of postoperative complications after thymectomy. Thus, close monitoring must be performed when surgery is necessary.

Paraneoplastic Cushing's syndrome associated with bronchopulmonary carcinoid tumor in youth: A case report and review of the literature.

Paraneoplastic Cushing's syndrome (CushingPS) caused by bronchopulmonary carcinoid tumors presents a diagnostic challenge for clinicians. The present study reports the case of an 18-year-old male patient presenting with rapid weight gain, polyuria, polydipsia and progressive muscle weakness. Chemical and imaging findings suggested ectopic secretion of adrenocorticotropin. Whole-body 18fluorine-fluorodeoxyglucose (18FDG-PET/CT) positron-emission tomography revealed an increased uptake of 18FDG-PET/CT in the right middle lung mass and lobar lymph node. Postoperative pathology confirmed the presence of a typical carcinoid, as well as a lobar lymph node metastasis. The patient underwent a right middle lobectomy with mediastinal lymph node resection, which resulted in symptom clearance, followed by rapid weight loss. No CushingPS or tumor recurrence was observed at the 3-month postoperative follow-up.

Band modulation and in-plane propagation of surface plasmons in composite nanostructures.

In this work, we have experimentally and theoretically studied band modulation and in-plane propagation of surface plasmons (SPs) in composite nanostructures with aperture arrays and metallic gratings. It is shown that the plasmonic band structure of the composite system can be significantly modulated because of coupling between the aperture and grating. By changing the relative positions between these optical components, the resonant modes would shift or split. And the resonant SP modes launched on the structure surface can be effectively modified by the geometric parameters. Further, we provide an experimental observation to directly show the SP in-plane propagation by using far-field measurements, which agree with the simulated results. Our study offers a convenient way for observing the SP propagation in far field, and provides unique composite nanostructures for possible applications in subwavelength optodevices, such as optical sensors and detectors.

Broadband absorption and efficiency enhancement of an ultra-thin silicon solar cell with a plasmonic fractal.

We report in this work that quantum efficiency can be significantly enhanced in an ultra-thin silicon solar cell coated by a fractal-like pattern of silver nano cuboids. When sunlight shines this solar cell, multiple antireflection bands are achieved mainly due to the self-similarity in the fractal-like structure. Actually, several kinds of optical modes exist in the structure. One is cavity modes, which come from Fabry-Perot resonances at the longitudinal and transverse cavities, respectively; the other is surface plasmon (SP) modes, which propagate along the silicon-silver interface. Due to the fact that several feature sizes distribute in a fractal-like structure, both low-index and high-index SP modes are simultaneously excited. As a whole effect, broadband absorption is achieved in this solar cell. Further by considering the ideal process that the lifetime of carriers is infinite and the recombination loss is ignored, we demonstrate that external quantum efficiency of the solar cell under this ideal condition is significantly enhanced. This theoretical finding contributes to high-performance plasmonic solar cells and can be applied to designing miniaturized compact photovoltaic devices.