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Context.— The use of saliva samples for diagnosis of SARS-CoV-2 infection offers several advantages, including ease of sample collection, feasibility of self-collection, and minimization of medical staff exposure to infection. The emergence of new SARS-CoV-2 variants has had an impact on the viral load of specimens and the results of real-time reverse transcription-polymerase chain reaction (rRT-PCR). Objective.— To compare nasopharyngeal swab and saliva samples for the diagnosis of SARS-CoV-2 using rRT-PCR. Design.— In this study, participants were recruited prospectively, and paired nasopharyngeal swab and saliva samples were collected simultaneously from each participant. After adding universal transport medium, RNA was extracted in an identical manner for both sample types, and samples were tested using rRT-PCR. In addition, samples with positive results were tested for SARS-CoV-2 variants. Results.— Of the 338 paired samples, 100 nasopharyngeal swab and 101 saliva samples tested positive for SARS-CoV-2. The rRT-PCR results of the saliva and nasopharyngeal swab samples showed a positive percent agreement of 95.0% (95% CI, 88.7%–98.4%), a negative percent agreement of 97.9% (95% CI, 95.2%–99.3%), and an overall percent agreement of 96.8% (95% CI, 94.3%–98.4%). SARS-CoV-2 was detected in the saliva samples of 6 participants with negative nasopharyngeal sample results. In addition, the sensitivity of saliva samples was similar to that of nasopharyngeal samples for detecting various SARS-CoV-2 variants, including the Omicron variant. Conclusions.— Saliva samples can be used as an alternative to nasopharyngeal samples for convenient and effective detection of various SARS-CoV-2 variants.

Background Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) antibody assays have high clinical utility in managing the pandemic. We compared antibody responses and seroconversion of coronavirus disease 2019 (COVID-19) patients using different immunoassays. Methods We evaluated 12 commercial immunoassays, including three automated chemiluminescent immunoassays (Abbott, Roche, and Siemens), three enzyme immunoassays (Bio-Rad, Euroimmun, and Vircell), five lateral flow immunoassays (Boditech Med, SD biosensor, PCL, Sugentech, and Rapigen), and one surrogate neutralizing antibody assay (GenScript) in sequential samples from 49 COVID-19 patients and 10 seroconversion panels. Results The positive percent agreement (PPA) of assays for a COVID-19 diagnosis ranged from 84.0% to 98.5% for all samples (>14 days after symptom onset), with IgM or IgA assays showing higher PPAs. Seroconversion responses varied across the assay type and disease severity. Assays targeting the spike or receptor-binding domain protein showed a tendency for early seroconversion detection and higher index values in patients with severe disease. Index values from SARS-CoV-2 binding antibody assays (three automated assays, one LFIA, and three EIAs) showed moderate to strong correlations with the neutralizing antibody percentage (r=0.517-0.874), and stronger correlations in patients with severe disease and in assays targeting spike protein. Agreement among the 12 assays was good (74.3%-96.4%) for detecting IgG or total antibodies. Conclusions Positivity rates and seroconversion of SARS-CoV-2 antibodies vary depending on the assay kits, disease severity, and antigen target. This study contributes to a better understanding of antibody response in symptomatic COVID-19 patients using currently available assays.

Infectious diarrhea is a global pediatric health concern; therefore, rapid and accurate detection of enteropathogens is vital. We evaluated the BioFire® FilmArray® Gastrointestinal (GI) Panel with that of comparator laboratory tests. Stool samples of pediatric patients with diarrhea were prospectively collected and tested. As a comparator method for bacteria, culture, conventional PCR for diarrheagenic E. coli, and Allplex GI-Bacteria(I) Assay were tested. For discrepancy analysis, BD MAX Enteric Bacterial Panel was used. As a comparator method for virus, BD MAX Enteric Virus Panel and immunochromatography was used and Allplex GI-Virus Assay was used for discrepancy analysis. The “true positive” was defined as culture-positive and/or positive results from more than two molecular tests. Of the 184 stool samples tested, 93 (50.5%) were true positive for 128 pathogens, and 31 (16.9%) were positive for multiple pathogens. The BioFire GI Panel detected 123 pathogens in 90 of samples. The BioFire GI Panel demonstrated a sensitivity of 100% for 12 targets and a specificity of >95% for 16 targets. The overall positive rate and multiple pathogen rate among patients in the group without underlying diseases were significantly higher than those in the group with hematologic disease (57.0% vs. 28.6% (p = 0.001) and 20.4% vs. 4.8% (p = 0.02), respectively). The BioFire GI Panel provides comprehensive results within 2 h and may be useful for the rapid identification of enteropathogens.

Early predictors of severe coronavirus disease 2019 (COVID-19) would identify patients requiring intensive care. Recently, the monocyte distribution width (MDW) and presepsin level have been used for the early diagnosis of sepsis. Here, we assessed the utility of MDW and presepsin for the early assessment of COVID-19 severity. Eighty-seven inpatients with confirmed COVID-19 were enrolled and divided into 3 groups by the type of respiratory support: (1) mechanical ventilation or high-flow nasal cannula oxygen therapy (MVHF-OT), (2) conventional oxygen therapy, and (3) no oxygen therapy. We measured the complete blood count; MDW; erythrocyte sedimentation rate; and the levels of presepsin, C-reactive protein, procalcitonin, lactate dehydrogenase, ferritin, Krebs von den Lungen-6 (KL-6), and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) neutralizing antibody. Thirteen (14.9%) patients on MVHF-OT exhibited a significantly higher mortality and a longer hospital stay than did the others. The MDW and presepsin levels were significantly elevated on admission, and correlated with COVID-19 severity (both P.001). Notably, only the MDW correlated significantly with symptoms in the no oxygen therapy group (P.012). In the first week after admission, the MDW fell and no longer differed among the groups. The KL-6 level did not differ by disease severity at any time. Neutralizing antibodies were detected in 74 patients (91.4%) and the level of neutralization correlated significantly with COVID-19 severity (P.001). The MDW and presepsin are useful indicators for early assessment of disease severity in COVID-19 patients.

For electronic devices, a tradeoff exists between the structural stability and electrical conductivity of silver nanowires (Ag NWs). Self-assembled monolayers (SAMs) containing sulfur functional groups formed on the Ag nanowire surface through Ag–S covalent bonds can act as a passivation layer, thereby improving the corrosion resistance. This work explored the effect of 2-mercaptobenzimidazole (MBI) SAM on the thermal and oxidation resistance of Ag NW films. The conductivity, surface morphology, chemical properties, and thermal stability of MBI-modified Ag NW films were analyzed via four-point probe measurements, field-emission scanning electron microscopy, x-ray photoelectron spectroscopy (XPS), and thermal characterization. In particular, the results show that the MBI layer can significantly reduce the oxidation of Ag NW films at room temperature for 60 days. Moreover, the MBI layer improved the thermal stability of the Ag NW films up to 230°C by inhibiting Ag diffusion. The unmodified Ag NW film completely lost conductivity after heating and oxidation treatment. In contrast, the sheet resistance of the Ag NW film modified by 0.1 wt.% MBI only increased from 65 Ω/ $$\square$$ to 106 Ω/ $$\square$$ , and 156 Ω/ $$\square$$ after heating treatment and oxidation test, respectively.

Background The type of blood collection tube affects specimen quality and laboratory results. Because plasma specimens have a shorter processing time compared with serum specimens, emergency biochemistry tests use plasma. However, serum specimens remain stable after centrifugation and show more accurate results than plasma. Therefore, a quick-clotting serum separator tube is expected to be useful for shorter turnaround times and accurate results. We evaluated a new quick-clotting serum separator tube VQ-Tube™ (AB Medical, Korea) for clinical chemistry and thyroid hormone assays. Methods One hundred volunteers from four university hospitals were recruited, and peripheral blood samples were collected in quick-clotting serum separator tube VQ-Tubes™ and the commonly used serum separator tube V-Tubes™. The obtained specimens were used for 16 clinical chemistry assays and three thyroid hormone assays. Results The differences (%) in the test results obtained from the samples in each tube satisfied the allowable difference ranges (19 assays). The differences in the test results between the tubes satisfied the desired specifications for accuracy except for the glucose results (2.75%). The paired t-test revealed significant differences between the results of six assays, but each set of results showed a good correlation. Samples were visually inspected for serum clarity and gel barrier integrity, and incomplete clotting reactions and haemolysed serum were not observed. Conclusions The new quick-clotting VQ-Tube™ demonstrated reliable test results compared with the commonly used serum separator tube V-Tube™. This quick-clotting tube will provide fast test results with adequately separated serum specimens, especially for patients who need fast tests.

Objective Accessing medical data from multiple institutions is difficult owing to the interinstitutional diversity of vocabularies. Standardization schemes, such as the common data model, have been proposed as solutions to this problem, but such schemes require expensive human supervision. This study aims to construct a trainable system that can automate the process of semantic interinstitutional code mapping. Materials and Methods To automate mapping between source and target codes, we compute the embedding-based semantic similarity between corresponding descriptive sentences. We also implement a systematic approach for preparing training data for similarity computation. Experimental results are compared to traditional word-based mappings. Results The proposed model is compared against the state-of-the-art automated matching system, which is called Usagi, of the Observational Medical Outcomes Partnership common data model. By incorporating multiple negative training samples per positive sample, our semantic matching method significantly outperforms Usagi. Its matching accuracy is at least 10% greater than that of Usagi, and this trend is consistent across various top-k measurements. Discussion The proposed deep learning-based mapping approach outperforms previous simple word-level matching algorithms because it can account for contextual and semantic information. Additionally, we demonstrate that the manner in which negative training samples are selected significantly affects the overall performance of the system. Conclusion Incorporating the semantics of code descriptions more significantly increases matching accuracy compared to traditional text co-occurrence-based approaches. The negative training sample collection methodology is also an important component of the proposed trainable system that can be adopted in both present and future related systems.

Various physical structures have improved light-harvesting and power-conversion efficiency in organic photovoltaic devices, and optical simulations have supported the improvement of device characteristics. Herein, we experimentally investigated how microlens arrays manipulate light propagation in microlens films and material stacks for organic photovoltaics to understand the influence of the constituent materials and sizes of the microlens. As materials to fabricate a microlens array, poly(dimethylsiloxane) and Norland Optical Adhesive 63 were adopted. The poly(dimethylsiloxane) microlens array exhibited higher total transmittance and higher diffuse transmittance, further enhancing the effective optical path and light extinction in material stacks for organic photovoltaics. This resulted in more current generation in an organic photovoltaic device with a poly(dimethylsiloxane) microlens array than in a Norland Optical Adhesive 63 microlens array. The sizes of the microlenses were controlled from 0.5 to 10 μm. The optical characteristics of microlens array films and material stacks with microlenses generally increased with size of the microlens, leading to a 10.6% and 16.0% improvement in the light extinction and power-conversion efficiency, respectively. In addition, electron and current generation in material stacks for organic photovoltaics were calculated from light extinction. The theoretical current generation matched well with experimental values derived from organic photovoltaic devices. Thus, the optical characterization of physical structures helps to predict how much more current can be generated in organic photovoltaic cells with a certain physical structure; it can also be used for screening the physical structures of organic photovoltaic cells.

Although real-time reverse transcription-PCR (RT-PCR) is the gold standard for diagnosing coronavirus disease 2019 (COVID-19), simpler and faster antibody detection tests can be complementary for diagnosis of COVID-19. To manage the COVID-19 pandemic, the need for serologic testing has increased. In this report, the newly developed antibody detection assays ACCEL ELISA COVID-19 (ACCEL) and Elecsys anti-SARS-CoV-2 (Elecsys) were evaluated.Serum samples submitted for routine laboratory testing were analyzed (66 and 161 PCR-positive and PCR-negative samples). After the samples were aliquoted, antibody detection tests were performed using ACCEL and Elecsys assays.When detection of viral RNA using RT-PCR was set as the reference method for diagnosis of COVID-19, the sensitivity was 83.3% and 75.8, and the specificity was 96.9 and 99.4% in ACCEL and Elecsys, respectively. The true positivity rates of ACCEL and Elecsys assays were 57.1%/42.9%, 57.1%/28.6%, 77.8%/66.7%, and 97.1%/97.1% among the specimens collected ≤3, 4-7, 8-14, and14 days after symptom onset, respectively.The ACCEL assay showed high sensitivity in samples collected within 7 days after symptom onset. Because many patients are asymptomatic in the early stage of SARS-CoV-2 infection, the ACCEL assay could be a good screening tool due to high sensitivity in the early stage of SARS-CoV-2 infection.

Background Plasma cell myeloma (PCM) is a genetically heterogeneous disease. The genetic spectrum of PCM has been expanded to mutations such as KRAS, NRAS, and BRAF genes in the RAS-RAF-MAPK pathway. In this study, we have evaluated the frequency of these mutations and their significance, including baseline characteristics and clinical outcomes. Methods We explored 50 patients who were newly diagnosed with PCM between 2009 and 2012 at a single Korean institute. Clinical and laboratory parameters were gathered through careful review of medical records. Mutation analysis was carried out using DNA from the bone marrow at the time of diagnosis. Pyrosequencing was performed to detect KRAS G12V, KRAS G13D, and NRAS G61R. BRAF V600E was analyzed by allele-specific real- time PCR. Comparison of clinical and laboratory parameters was carried out according to those mutations. Results We identified 14 patients (28%) with activating mutations in the RAS-RAF-MAPK pathway (RAS/RAF mutations): KRAS (N=3), NRAS (N=4), BRAF (N=7), and both KRAS and BRAF (N=1). RAS/RAF mutations were more frequently observed in patients with complex karyotypes and showed poorer progression free survival (PFS). Specifically, the BRAF V600E mutation had a significantly negative impact on median PFS. Conclusion We first showed the frequency of RAS/RAF mutations in Korean patients with PCM. Screening of these mutations could be considered as a routine clinical test at the time of diagnosis and follow-up due to their influence on clinical outcome, as well as its potential as a therapeutic target.

A major problem in the application of mesoporous TiO2 as an electron transport layer for flexible perovskite solar cells is that a high-temperature sintering process is required to remove organic a...

Infectious diseases and the deaths caused due to contact with germ-contaminated surfaces are severe problems worldwide. Antibacterial materials based on silver nanowires (AgNWs) have a structural advantage when addressing this issue; this is because agglomeration is minimized when nanowires are fabricated into a film. Therefore, employing AgNWs for antimicrobial applications has garnered continuous interest, and increased research for further improvements has been observed. In this study, a AgNW film was fabricated onto glass by spin-coating and then subjected to surface irradiation up to a dose of 1200 kGy, using a low-energy electron beam (e-beam). This "e-beam" irradiation changed the surface morphology and chemical composition; consequently, this improved the performance of the film. The generation of a silver oxide (Ag

Electrical properties of silver nanowire (AgNW)-based transparent electrodes have been improved without transmittance loss by forming a composite with zinc oxide (ZnO). Here, we identified the dominant effect responsible for the improvement of electrical conductivity of the transparent AgNW:ZnO composite electrodes by fabricating the AgNW:ZnO composite electrodes with different architectures and theoretically calculating the overall resistance of their equivalent circuits. Specifically, when we compared the overall resistances of the AgNW:ZnO electrodes with various architectures by experiment, the electrode with only the electrical bridge effect showed the lowest electrical resistance. In addition, while the theoretical overall resistances were comparable on changing the interconnect resistances between the silver nanowires in the equivalent circuits of all architectures, they decreased dramatically with the decreasing ZnO bridging resistance. Thus, it was concluded that the electrical bridge effect is more important than the capillary force effect which decreases the interconnect resistance between the silver nanowires for the enhancement of the electrical properties of AgNW:ZnO composite electrodes. It was also found that the AgNW:ZnO electrodes with only the electrical bridge effect showed better device performances when applied to optoelectronic devices such as organic photovoltaics.

The lithographic process for flexible transparent electrodes is essential for constructing wearable optoelectronic devices with a well-defined active area. Although photolithography is a well-established patterning process, and can generate small features, it involves toxic materials and high processing cost. Herein, we introduce a novel lithographic process for both silver nanowire (AgNW)-embedded and AgNW-exposed flexible transparent electrodes. We selectively control the adhesion between AgNWs and the substrate via a local surface treatment with ultraviolet/ozone (UV/ozone), oxygen plasma, and atmosphere plasma. Since strong adhesion leads to retention of AgNWs on the substrate during embedding of AgNWs in a UV-curable polymer, selective control of adhesion induces selective embedding of AgNWs, generating AgNW-embedded and AgNW-exposed transparent electrodes with desirable patterns. Additionally, this process is versatile enough to be applicable to various substrates including poly(methyl methacrylate) (PMMA)-coated surfaces, poly(ethylene terephthalate) (PET) films, and acrylic substrates, and various AgNWs with different surface energies. The critical work of adhesion to successfully pattern AgNW-based transparent electrodes is experimentally obtained. Conclusively, we demonstrate that patterning of AgNW-based electrodes by controlling the work of adhesion is economical and eco-friendly, and can be successfully applied for designing various optoelectronic devices such as organic photovoltaic cells and liquid crystal cells.

Electron beam (EB) curing is a foldable hard coating process and has attracted significant research attention in the field of flexible electronic devices. In this study, we report a method for enhancing material surface hardness with low-energy EB curing in a short time. The low-energy EB improved the coating hardness of films by inducing cross-linking polymerization of the silicon-containing monomer. The hardness of the cured coating layer was measured as 3 H using a pencil hardness tester, and the transparency of the coating was higher than 90%. Owing to a series of cross-linking reactions between Si-O-C and Si-OH groups under EB curing and the formation of Si-Si bonds, the cured layer exhibited remarkable durability in the 100000-flexible cycle test. Additionally, the natural oxidation of the C-O groups on the surface of the coating formed carboxyl groups that improved the hydrophilic properties of the coating layer. To the best of our knowledge, this is the first study to propose that the hardness of polyethylene terephthalate films can be improved using low-energy EBs to rapidly cure silicon-containing coatings. Our results provide a novel and commercially viable approach for improving the hardness of touch screens and foldable displays.

Rapid antigen (Ag) tests for the detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) provide quick results, do not require specialized technical skills or infrastructure, and can be used as a point-of-care method to prevent the spread of coronavirus disease (COVID-19). The performance of a magnetic force-assisted electrochemical immunoassay-based test, namely the MARK-B COVID-19 Ag test (BBB, Sungnam, Republic of Korea), was evaluated using 170 nasopharyngeal swab specimens and compared to that of RT-PCR and commercial rapid Ag test (STANDARD Q COVID-19 Ag Test, SD Biosensor, Suwon-si, Republic of Korea). The overall sensitivity and specificity of the MARK-B test were 90.0% (95% CI 79.4%–96.2%) and 99.0% (95% CI 95.0%–99.9%), respectively, with a kappa coefficient of 0.908. The correlations between the electrical current values of MARK-B and the Ct values of RT-PCR were −0.898 (E gene, 95% CI −0.938 to −0.834) and −0.914 (RdRp gene, 95% CI −0.948 to −0.860), respectively. The limit of detection of the MARK-B was measured using the viral culture reference samples and found to be 1 x 102 pfu/mL. The magnetic force-assisted electrochemical immunoassay-based Ag test can be used to rapidly detect SARS-CoV-2 infections, and the corresponding fully automated portable device can provide easy readability and semi-quantitative results.

BackgroundOur hospital experienced the first healthcare-associated COVID-19 outbreak in Seoul at the time the first COVID-19 cases were confirmed in Korea. The first confirmed COVID-19 patient was a hospital personnel who was in charge of transferring patients inside our hospital. To contain the virus spread, we shutdown our hospital, and tested all inpatients, medical staff members, and employees.MethodsWe retrospectively analyzed the results of SARS-CoV-2 RT-PCR testing according to the contact history, occupation, and presence of respiratory symptoms. Closed-circuit television (CCTV) was reviewed in the presence of an epidemiologist to identify individuals who came into contact with confirmed COVID-19 patients.ResultsA total of 3,091 respiratory samples from 2,924 individuals were obtained. Among 2,924 individuals, two inpatients, and one caregiver tested positive (positivity rate, 0.1%). Although all confirmed cases were linked to a general ward designated for pulmonology patients, no medical staff members, medical support personnel, or employees working at the same ward were infected. Contact with confirmed COVID-19 cases was frequent among inpatients and medical support personnel. The most common contact area was the general ward for pulmonology patients and medical support areas, including clinical and imaging examination rooms. Finally, the total number of hospital-associated infections was 14, consisting of four diagnosed at our hospital and ten diagnosed outside the hospital.ConclusionsThe robust control of the COVID-19 outbreak further minimized the transmission of SARS-CoV-2 in the hospital and local communities. However, there was also a debate over the appropriate period of hospital shutdown and testing of all hospital staff and patients. Future studies are required to refine and establish the in-hospital quarantine and de-isolation guidelines based on the epidemiological and clinical settings.

Silver nanomaterials (AgNMs) have been applied as antibacterial agents to combat bacterial infections that can cause disease and death. The antibacterial activity of AgNMs can be improved by increasing the specific surface area, so significant efforts have been devoted to developing various bottom-up synthesis methods to control the size and shape of the particles. Herein, we report on a facile heat-treatment method that can improve the antibacterial activity of transparent silver nanowire (AgNW) films in a size-controllable, top-down manner. AgNW films were fabricated via spin-coating and were then heated at different temperatures (230 and 280 &deg, C) for 30 min. The morphology and the degree of oxidation of the as-fabricated AgNW film were remarkably sensitive to the heat-treatment temperature, while the transparency was insensitive. As the heat-treatment temperature increased, the AgNWs spontaneously broke into more discrete wires and droplets, and oxidation proceeded faster. The increase in the heat-treatment temperature further increased the antibacterial activity of the AgNW film, and the heat treatment at 280 &deg, C improved the antibacterial activity from 31.7% to 94.7% for Staphylococcus aureus, and from 57.0% to 98.7% for Escherichia coli. Following commonly accepted antibacterial mechanisms of AgNMs, we present a correlation between the antibacterial activity and surface observations of the AgNW film.

Background We evaluated the two in-house sample preparation methods (saponin method (SAP) and [saponin + Sputazyme] method (SSPZ)) for direct identification of microorganisms using MALDI-TOF MS from positive blood culture bottles. Also, we evaluated the [saponin + Sputazyme] method for direct antimicrobial susceptibility testing (AST) using Vitek 2 system. Methods For direct identification, 163 prospective, monomicrobial positive blood culture bottles and 25 contrived blood culture bottles spiked with 25 infrequently isolated bacterial strains were included. For direct AST, pellets obtained by SSPZ method from 102 prospective blood culture bottles were tested. The results from the direct identification and AST were compared with those from the routine diagnostic method performed with colonies sub cultured on solid media. Results In 163 prospective specimens, SAP method correctly identified 132/163 (81.0%) isolates and SSPZ method correctly identified 148/163 (90.8%) isolates (P = .018). Among the 92 Gram-positive isolates, the correct identification rate was significantly higher with the SSPZ method than the SAP method (92.4% vs. 81.5%), respectively (P = .041). However, the SSPZ method failed to identify Streptococcus pneumoniae . Among the 64 Gram-negative isolates, the correct identification rate was 82.8% (53/64) and 87.5% (56/64) for the former and the latter method, respectively (P = .491). Compared with standard methods direct AST showed 98.5% (1523/1547) agreement. Conclusion The addition of Sputazyme improved the identification of commonly isolated bacteria, especially for Gram-positive isolates and yeasts and can be applied for direct antimicrobial susceptibility testing of bacteria. Although SAP method showed better results for Campylobacter spp. and anaerobic bacteria , considering their very low incidence, routine use of SSPZ will be more practical.

A promising release technique for SU-8 using a water-soluble sacrificial layer based on germanium oxide is developed. The relatively high etching rate of germanium oxide in water and its high etching selectivity make it suitable as a sacrificial layer for the release of SU-8 structures. Moreover, a water-soluble sacrificial layer causes no damage to either the structural materials or SU-8 because it can be etched under much milder conditions. To demonstrate the effectiveness of a water-soluble sacrificial layer for releasing SU-8 structures, a large-area SU-8 structure is released using this approach. In addition, various microfabrication processes are demonstrated using releasable SU-8 structures: a metal lift-off process using SU-8 as a lift-off mask, fabrication of thick metal microstructures using SU-8 as a mold, and fabrication of a free-standing SU-8 micromixer. Display Omitted Releasing SU-8 structures using germanium oxide as a water-soluble sacrificial layerA metal lift-off process using SU-8 as a lift-off maskFabrication of thick metal microstructures using SU-8 as a moldFabrication of a free-standing SU-8 micromixer

The mesoporous TiO2 nanoparticle-based scaffold structure is the best electron transport layer (ETL) for perovskite solar cells (PSCs) and is still used in most PSCs with optimal photovoltaic characteristics. However, the high sintering temperature of TiO2 nanoparticles required to remove binders from the TiO2 paste limits PSC application to flexible electronics. In this study, a simple interface modification process involving ethanol rinsing is developed to enhance the photovoltaic characteristics of low-temperature processed PSCs. This easy and fast technique could enable remarkable performance by PSCs by significantly increasing the fill factor and current density, leading to a power conversion efficiency more than four times that of untreated solar cells.

To combat infectious diseases, zinc oxide (ZnO) has been identified as an effective antibacterial agent, however, its performance can be adversely affected by harsh application environments. The ozone impact on ZnO antibacterial film needs to be evaluated prior to its application in an ozone disinfection system. In this study, ZnO films synthesized via sol-gel/spin-coating were subjected to ultraviolet&ndash, ozone (UVO) treatment for different periods. Surface investigations using scanning electron microscopy, ultraviolet&ndash, visible spectroscopy, and X-ray photoelectron spectroscopy revealed that the treatment-induced film changes. With longer UVO treatment, the surface porosity of the film gradually increased from 5% to 30%, causing the transmittance reduction and absorbance increase in visible-light range. Phase transformation of Zn(OH)2 to ZnO occurred during the first 10 min of UVO treatment, followed by oxygen uptake as a consequence of the reaction with reactive oxygen species generated during UVO treatment. However, despite these surface changes, the satisfactory antibacterial activity of the synthesized ZnO film against Staphylococcus aureus and Escherichia coli was sustained even after 120 min of UVO treatment. This indicates that the UVO-induced surface changes do not have a significant effect on the antibacterial performance and that the ZnO sol-gel film possesses good functional durability in ozone environments.

Stethoscopes have been suggested to be a possible vector of contact transmission. However, only a few studies have focused on the prevalence of contamination by multidrug-resistant (MDR) bacteria and effectiveness of disinfection training to reduce. This study is to investigate the burden of stethoscope contamination with nosocomial pathogens and multidrug-resistant (MDR) bacteria and to analyze habit changes in disinfection of stethoscopes among healthcare workers (HCWs) before and after education and training. We performed a prospective pre and post quasi-experimental study. A total of 100 HCWs (55 doctors and 45 nurses) were recruited. HCWs were surveyed on their disinfection behavior and stethoscopes were cultured by pressing the diaphragm directly onto a blood agar plate before and after education on disinfection. Pulsed-field gel electrophoresis was performed to determine the relatedness of carbapenem-resistantEnterobacteriaceae. Most of the stethoscopes were contaminated with microorganisms before and after the intervention (97.9% and 91.5%, respectively). The contamination rate of stethoscopes with nosocomial pathogens before and after education was 20.8% and 19.2%, respectively. Stethoscope disinfection habits improved (55.1%vs31.0%;pp= 0.019) after the intervention. However, the contamination rate by nosocomial pathogens and MDR bacteria did not decrease significantly. A carbapenemase-producingKlebsiella pneumoniaeisolates from a stethoscope was closely related to isolates from the patients admitted at the same ward where the stethoscope was used. Stethoscopes were contaminated with various nosocomial pathogens including MDR bacteria and might act as a vehicle of MDR bacteria. Continuous, consistent education and training should be provided to HCWs using multifaceted approach to reduce the nosocomial transmission via stethoscopes.

Background We evaluated the reliability and accuracy of the combined use of matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) bacterial identification and Vitek 2 antimicrobial susceptibility testing (AST) for bacteria from positive blood culture bottles. Methods Direct identification and AST were performed in parallel to the standard methods in monomicrobial positive blood culture bottles. In total, 254 isolates grown on aerobic and/or anaerobic bottles were identified with MALDI-TOF Vitek MS (bioMérieux, France), and 1,978 microorganism/antimicrobial agent combinations were assessed. For isolates from anaerobic bottles, an aliquot of the culture broth was centrifuged, washed, and filtered through a nylon mesh. For isolates from aerobic/pediatric bottles, a lysis step using 9.26% ammonium chloride solution and 2% saponin solution was included. Results The overall correct identification rate was 81.8% (208/254) and that for gram-positive/gram-negative isolates was 73.9%/92.6%, respectively, and it was 81.8%, 87.6%, and 57.9% for isolates from aerobic, anaerobic, and pediatric bottles, respectively. Identification was not possible in 45 cases, and most of these isolates were streptococci (N=14) and coagulase-negative staphylococci (N=11). Misidentification occurred only in one case. Compared with standard methods, direct AST showed 97.9% (1,936/1,978) agreement with very major error of 0.25%, major error of 0.05%, and minor error of 1.8%. Conclusions This simple and cost-effective sample preparation method gives reliable results for the direct identification and AST of bacteria. For the identification of streptococci and coagulase-negative staphylococci, the method should be further improved.

Background Stethoscopes have been suggested to be a possible vector of contact transmission. However, only a few studies have focused on the prevalence of contamination by multidrug-resistant (MDR) bacteria and the effectiveness of disinfection training to reduce. The aim of this study is to investigate the burden of stethoscope contamination with nosocomial pathogens and multidrug-resistant (MDR) bacteria and to analyze habit changes in the disinfection of stethoscopes before and after education and training. Methods We performed a prospective pre and post quasi-experimental study. All participants were surveyed on their disinfection behavior and stethoscopes were cultured by pressing the diaphragm directly onto a blood agar plate before and after education on disinfection. Pulsed-field gel electrophoresis (PFGE) was performed to determine the relatedness of MDR bacteria. Fig. 1. Study flow for pre and post quasi-experimental study. Abbreviations. PFGE, Pulsed-field gel electrophoresis Results Most of the stethoscopes were contaminated with microorganisms, 97.9% before and 91.5% even after intervention. The contamination rate of nosocomial pathogens before and after education was 20.8 % and 19.2%, respectively. Stethoscope disinfection habits were improved (55.1% vs 31%; p< 0.001), and the overall bacterial loads of contamination were reduced (median CFUs 15 vs 10; p=0.019) after the intervention. However, the contamination rate by nosocomial pathogens and MDR bacteria did not decrease significantly. A carbapenemase-producing Klebsiella pneumoniae from the stethoscope was closely related to isolates from the patients admitted at the same ward where the stethoscope was used. Fig. 2. Changes in colony forming units of bacteria isolated from stethoscopes between pre and post intervention period. Abbreviations. CFUs, colony forming units; ns, non-specific Fig. 3. Result of PFGE and dendrogram of carbapenemase-producing K. pneumoniae from the stethoscope and the patients where the stethoscope was used. Percentage similarities are shown above the dendrogram. Note. ST_7W, K. pneumoniae from the stethoscope; SM 01 to 03, K. pneumoniae isolates form the patients; PFGE, Pulsed-field gel electrophoresis Table 1. Contamination rates caused by nosocomial pathogens and proportion of MDR bacteria Conclusion Stethoscopes were contaminated with various nosocomial pathogens including MDR bacteria and were very likely to be a vehicle of MDR bacteria. Healthcare workers feel the need for education and think it helps, but continuous, consistent education and training should be done in multifaceted approach to reduce the nosocomial transmission via stethoscopes. Disclosures All Authors: No reported disclosures

Wrinkles attract significant attention due to their ability to enhance the mechanical and optical characteristics of various optoelectronic devices. We report the effect of the plasma gas type, power, flow rate, and treatment time on the wrinkle features. When an optical adhesive was treated using a low-pressure plasma of oxygen, argon, and nitrogen, the oxygen and argon plasma generated wrinkles with the lowest and highest wavelengths, respectively. The increase in the power of the nitrogen and oxygen plasma increased the wavelengths and heights of the wrinkles; however, the increase in the power of the argon plasma increased the wavelengths and decreased the heights of the wrinkles. Argon molecules are heavier and smaller than nitrogen and oxygen molecules that have similar weights and sizes; moreover, the argon plasma comprises positive ions while the oxygen and nitrogen plasma comprise negative ions. This resulted in differences in the wrinkle features. It was concluded that a combination of different plasma gases could achieve exclusive control over either the wavelength or the height and allow a thorough analysis of the correlation between the wrinkle features and the characteristics of the electronic devices.

Sol-gel zinc oxide (ZnO) is very useful for constructing various optoelectronic devices including different types of sensors and solar cells at low cost and fast processing time. Here, we adopted a zinc acetate dehydrate, with low processing temperature and suitable for flexible electronics, as a precursor to produce ZnO thin film. Then, we explored the morphological and optical properties of various sol-gel ZnO layers depending on the humidity of the sol-gel process because the humidity affects the morphological and optical characteristics, dramatically changing the performance of optoelectronic devices. As a result, extremely high humidity produced a ZnO layer with rough surface, high dispersive transmittance, and high trap density because rapid hydrolysis does not give atoms enough time to move to thermodynamically-stable sites. On the other hand, extremely low humidity produced a ZnO layer with smooth surface, low dispersive transmittance and oxygen-deficient trap sites owing to insufficient hydrolysis. Therefore, a ZnO layer prepared at humidity of 25% had low surface roughness, low trap density, and desirable transmittance characteristics, achieving the best device performance when applied to organic solar cells. This study will be helpful in determining the optimum processing conditions to obtain optoelectronic devices with the best performance.

We herein report the effect of the viscosity of a prepolymer solution on the thickness uniformity of silver-nanowire-embedded flexible transparent electrodes. We adopted a model system with all the prepolymer solutions possessing identical physical properties except for the viscosity and then explored the most common prepolymer solutions for silver-nanowire-embedded flexible electrodes. In all experiments, single-step spin coating was conducted to coat the prepolymer solution on silver nanowires. We found that the electrodes were thinner for lower viscosity. However, the thickness ratio between the center and edge was comparable (50&ndash, 60%) and independent of the prepolymer solution viscosity. This indicates that the viscosity does not determine the thickness uniformity, and that the coating method itself is vital to obtain films with uniform thickness. The flexible electrodes were introduced into organic solar cells. Their device performance was comparable regardless of the position of the electrodes and their thickness. This is because the thickness difference of the flexible electrodes did not affect their transmittance significantly. Thus, we conclude that although different coating approaches are needed to obtain flexible electrodes with high uniformity, the performance of optoelectronic devices on silver-nanowire-embedded flexible electrodes is independent of them.

Background Recently, Citrobacter freundii bacteremia outbreak in a neonatal intensive care unit has attracted public attention in Korea. However, Citrobacter bacteremia is uncommon and usually occurs in patients with underlying diseases such as malignancy and hepatobiliary diseases. Increase in resistance and emerging of multidrug resistance among Citrobacter species have gradually been reported. The aim of this study was to investigate the clinical characteristics and outcome of C. freundii and non-freundii bacteremia and antimicrobial susceptibility trends. Materials and Methods We reviewed the medical records of patients with Citrobacter bacteremia at St. Mary's Hospital, from 2007 to 2017. Results A total of 43 patients with a median age of 72 (24-93) years was identified and 90.7% of them had comorbidities. Twenty-nine (67.4%) patients had C. freundii bacteremia while 14 had non-freundii bacteremia (six of C. braakii, five of C. koseri, two of C. amalonaticus and one of C. youngae). A total of 26 (51.2%) patients had community-acquired infection and intra-abdominal infection including hepatobiliary tract was the most common portal of entry (24/43, 55.8%). Moreover, hepatobiliary tract was the leading primary site of nosocomial infection (9/17, 52.9%). Polymicrobial bacteremia was observed in 21 (48.8%) patients. The percentages of Citrobacter species susceptible to ampicillin, amikacin, aztreonam, cefazolin, cefoxitin, cefotaxime, cefepime, piperacillin-tazobactam, ciprofloxacin, and imipenem were 9.5%, 97.6%, 73.8%, 9.5%, 14.3%, 71.4%, 92.9%, 83.3%, 83.3% and 100%, respectively. The resistance rate did not increase during the study period. Of 39 patients treated with antibiotics, 36 (92.3%) received appropriate empirical antibiotics. Overall mortality was 18.6%. High Charlson comorbidity index and Pitt bacteremia score were significant risk factors for death in univariate analysis and showed trends in the multivariate analysis. No significant difference in clinical features and antimicrobial susceptibility rate was observed between C. freundii and non-freundii bacteremia. Conclusion Citrobacter bacteremia was predominant in the elderly with comorbidities, while no pediatric case was observed. Hepatobiliary tract is the leading primary focus of bacteremia both in community-acquired and nosocomial infection. The rate of susceptibility to antibiotics has not changed in the last 11 years.

We investigated the effect of different spray-coating parameters on the electro-optical properties of Ag nanowires (NWs). Highly transparent and conductive Ag NW&ndash, graphene oxide (GO) hybrid electrodes were fabricated by using the spray-coating technique. The Ag NW percolation network was modified with GO and this led to a reduced sheet resistance of the Ag NW&ndash, GO electrode as the result of a decrease in the inter-nanowire contact resistance. Although electrical conductivity and optical transmittance of the Ag NW electrodes have a trade-off relationship, Ag NW&ndash, GO hybrid electrodes exhibited significantly improved sheet resistance and slightly decreased transmittance compared to Ag NW electrodes. Ag NW&ndash, GO hybrid electrodes were integrated into smart windows based on polymer-dispersed liquid crystals (PDLCs) for the first time. Experimental results showed that the electro-optical properties of the PDLCs based on Ag NW&ndash, GO electrodes were superior when compared to those of PDLCs based on only Ag NW electrodes. This study revealed that the hybrid Ag NW&ndash, GO electrode is a promising material for manufacturing the large-area flexible indium tin oxide (ITO)-free PDLCs.

Increasing interests in stretchable electronic devices have resulted in vigorous research activities, most of which are focused on structural configurations. Diverse structural configurations are available for stretchability, including stiff-island, serpentine, and buckled structures. With easily deformable shapes and simple fabrication processes, buckled structures have the potential to realize stretchability. However, conventional buckled structures exhibit stretchability only in a single-axis direction. In the present study, a new type of cross-buckled structure, which can overcome the limitations of conventional buckled structures is developed. The stretchable thin film solar cells with the cross-buckled structure showed stable mechanical and electrical characteristics under both stretching and compressing conditions. The cross-buckled structure for stretchable electronic devices is expected to broaden the fields of wearable electronics, stretchable displays, and biocompatible applications.

To improve the electrical properties of silver nanowire (Ag NW) transparent conductive electrodes (TCEs), the density of Ag NW networks should be increased, to increase the number of percolation paths. However, because of the inverse relationship between optical transmittance and electrical resistivity, the optical properties of Ag NW TCEs deteriorate with increasing density of the Ag NW network. In this study, a hybrid Ag NW electrode composed of randomly oriented and grid-patterned Ag NW networks is demonstrated. The hybrid Ag NW electrodes exhibit significantly improved sheet resistances and slightly decreased transmittances compared to randomly oriented Ag NW networks. Hybrid Ag NW TCEs show excellent mechanical flexibilities and durabilities in bending tests with a 5 mm radius of curvature. Moreover, flexible transparent film heaters (TFHs) based on the hybrid Ag NW electrodes show elevated maximum temperatures relative to TFHs based on randomly oriented Ag NW electrodes, when operated at the same input voltages.

This paper introduces a simple hydrazine treatment method to reduce the yellowing of silver nanowire transparent conductive electrodes. To investig ate the effects of hydrazine treatment on the yellowing of silver nanowire electrodes, the optical and electrical properties of silver nanowire electrodes were analyzed before and after hydrazine treatment. The optimal hydrazine treatment conditions were investigated by varying the concentrat ion and thickness of hydrazine; the effect of hydrazine treatment on the long-term stability of silver nanowires was also analyzed. (C) 2017 Author(s).

OBJECTIVES To evaluate the loss of heterozygosities (LOH) of chromosomes 3p14 (FHIT gene), 9p21 (p16), 13q21 (pRb), 6q22 (E-cadherin) and 17p13 (p53) in various thyroid tumors. METHODS Eighty thyroid tumor cases (20 follicular adenomas, 10 follicular carcinomas, and 50 papillary carcinomas) have been analyzed for the presence of LOH in chromosomes 3p14, 9p21, 13q21, 6q22, and 17p13 allelic loss, using microsatellite markers and DNA obtained from formalin-fixed paraffin-embedded archival tissues. RESULTS LOH on 3p14 was found in 10.5%, 33.3%, and 30.4% of follicular adenomas, follicular carcinomas, and papillary carcinomas, respectively. LOH on 9p21 was detected in 6%, 44.4%, and 47.8%, respectively. LOH on pRb gene was found in 5.3%, 20.0%, and 35.4%, respectively. LOH on E-cadherin gene was found in 5.3%, 22.2%, and 43.8%, respectively. LOH on 17p13 was detected in 0%, 40%, and 45.8%, respectively. LOH in FHIT gene, p16, pRb, E-cadherin, and p53 genes were more frequently identified in follicular carcinoma and papillary carcinoma than in follicular adenoma. CONCLUSION LOH results of the five tumor suppressor genes (FHIT gene, p16, pRb, E-cadherin, and p53) showed statistical differences between benign tumor and malignant tumor. Among papillary carcinoma, LOH in p16, E-cadherin and p53 genes well correlated with poorly differentiated grade, and LOH of E-cadherin was associated with lymph node metastasis.

Despite their excellent electrical and optical properties, Ag nanowires (NWs) suffer from oxidation when exposed to air for several days. In this study, we synthesized a Cs carbonate-incorporated overcoating layer by spin-coating and ultraviolet curing to prevent the thermal oxidation of Ag NWs. Cs incorporation increased the decomposition temperature of the overcoating layer, thus enhancing its thermal resistance. The effects of the Cs carbonate-incorporated overcoating layer on the optoelectrical properties and stability of Ag NWs were investigated in detail. The Ag NW electrode reinforced with the Cs carbonate-incorporated overcoating layer exhibited excellent thermal oxidation stability after exposure to air for 55 days at 85 &deg, C and a relative humidity of 85%. The novel overcoating layer synthesized in this study is a promising passivation layer for Ag NWs against thermal oxidation under ambient conditions. This overcoating layer can be applied in large-area optoelectronic devices based on Ag NW electrodes.

Background Recently, Citrobacter freundii bacteremia outbreak in a neonatal intensive care unit has attracted public attention in Korea. However, Citrobacter bacteremia is uncommon and usually occurs in patients with underlying diseases such as malignancy and hepatobiliary diseases. Increase in resistance and emerging of multidrug resistance among Citrobacter species have gradually been reported. The aim of this study was to investigate the clinical characteristics and outcome of C. freundii and non-freundii bacteremia and antimicrobial susceptibility trends. Materials and methods We reviewed the medical records of patients with Citrobacter bacteremia at St. Mary's Hospital, from 2007 to 2017. Results A total of 43 patients with a median age of 72 (24-93) years was identified and 90.7% of them had comorbidities. Twenty-nine (67.4%) patients had C. freundii bacteremia while 14 had non-freundii bacteremia (six of C. braakii, five of C. koseri, two of C. amalonaticus and one of C. youngae). A total of 26 (51.2%) patients had community-acquired infection and intra-abdominal infection including hepatobiliary tract was the most common portal of entry (24/43, 55.8%). Moreover, hepatobiliary tract was the leading primary site of nosocomial infection (9/17, 52.9%). Polymicrobial bacteremia was observed in 21 (48.8%) patients. The percentages of Citrobacter species susceptible to ampicillin, amikacin, aztreonam, cefazolin, cefoxitin, cefotaxime, cefepime, piperacillin-tazobactam, ciprofloxacin, and imipenem were 9.5%, 97.6%, 73.8%, 9.5%, 14.3%, 71.4%, 92.9%, 83.3%, 83.3% and 100%, respectively. The resistance rate did not increase during the study period. Of 39 patients treated with antibiotics, 36 (92.3%) received appropriate empirical antibiotics. Overall mortality was 18.6%. High Charlson comorbidity index and Pitt bacteremia score were significant risk factors for death in univariate analysis and showed trends in the multivariate analysis. No significant difference in clinical features and antimicrobial susceptibility rate was observed between C. freundii and non-freundii bacteremia. Conclusion Citrobacter bacteremia was predominant in the elderly with comorbidities, while no pediatric case was observed. Hepatobiliary tract is the leading primary focus of bacteremia both in community-acquired and nosocomial infection. The rate of susceptibility to antibiotics has not changed in the last 11 years.