Effects of early detection of peritoneal catheter migration on clinical outcomes: 15-years experiences from a single centre.

AIM: Catheter migration is an important cause of catheter malfunction in peritoneal dialysis (PD). The purpose of this study was to investigate the effect of early detection of catheter migration on clinical outcomes. METHODS: A retrospective review of 135 consecutive patients initiating PD immediately following catheter insertion from 2002 to 2017 was undertaken. In order to detect catheter migration without malfunction early, serial abdominal-pelvic radiographic examinations were performed according to a predefined protocol. Conservative management with rigorous catharsis was undertaken to correct catheter migration. A Kaplan-Meier method was used to calculate survival rate. RESULTS: Mean follow-up period was 42.8 ± 34.9 months. Catheter migration occurred in 62.4%. Among them, 85.9% occurred within the first 2 weeks after catheter insertion. There were no significant associations between catheter migration and variables such as gender, obesity, DM and type of catheter. Success rate of conservative management with rigorous catharsis was 91.1%. Catheter survival at 1 and 5 years were 91.5% and 64.6% in the migration group and 81.2% and 69.9% in the non-migration group, respectively (Log-rank test, P = 0.915). Patient survival at 1 and 5 years were 96.8% and 85.8% in the migration group and 91.9% and 82.3% in the non-migration group, respectively (P = 0.792). CONCLUSION: Early detection of PD catheter migration allowed the migrated tip to be easily corrected with conservative management. Once the migrated catheter tip was restored, catheter migration itself did not affect catheter survival. These findings suggest that early detection and correction of catheter migration is important for improving clinical outcomes.

Characteristics of Vanadium Oxide Thin Films Fabricated by Unbalanced Magnetron Sputtering for Smart Window Application.

Vanadium oxide (VOx) thin films were deposited by an unbalanced magnetron (UBM) sputtering system with a vanadium metal target and O2 reaction gas, and thermally treated at various annealing temperatures. In this work, the structural, electrical, and optical properties of the fabricated VOx films with various annealing temperatures were experimentally investigated. The UBM sputter grown VOx thin films exhibited amorphous structure, and had a very weak peak of V2O5 (002) owing to very thin films. However, the crystallite size of VOx films increased with increasing annealing temperature. The surface roughness of VOx films and average transmittance decreased with increasing annealing temperature. The resistivity of VOx films also decreased with increasing annealing temperature, while the electrical properties of films improved.

Characteristics of Sputtered Cr Thin Films and Application as a Working Electrode in Transparent Conductive Oxide-Less Dye-Sensitized Solar Cells.

Cr metal electrode was suggested as the working electrode material to fabricate DSSCs without the TCO, and thin films were fabricated by an unbalanced magnetron sputtering system. The surface morphologies show uniform and smooth surfaces regardless of various film thicknesses, and the small crystallites of various sizes were showed with the vertical direction on the surface of Cr thin films with the increase of film thickness. And also, the root mean square (RMS) surface roughness value of Cr thin films increased, and the sheet resistance is decreased with the increase of film thickness. The maximum cell efficiency of the TCO-less DSSC was observed when a Cr working electrode with a thickness of 80 nm was applied to the TCO-less DSSC. Consequently, these results are related to the result of the optimization of conduction characteristics, transmission properties and surface properties of Cr thin films.

Effects of Thermal Treatment on DC Voltage-Driven Color Conversion in Organic Light-Emitting Diode.

A DC voltage-dependent color-tunable organic light-emitting diode (CTOLED) was proposed for lighting applications. The CTOLED consists of six consecutive organic layers: the hole injection layer, the hole transport layer (HTL), two emission layers (EMLs), a hole blocking layer (HBL), and an electron transport layer (ETL). Only one metal-free phthalocyanine (H2Pc) layer with a thickness of 5 nm was employed as the EML in the CTOLED on a green organic light-emitting diode (OLED) structure using tris (8-hydroxyquinoline) aluminum (III) (Alq3). The current density-voltage-luminance characteristics of the CTOLEDs before and after thermal treatment were characterized and analyzed. Several Gaussian peaks were also extracted by multipeak fitting analysis of the electroluminescent spectra. In the CTOLED before thermal treatment, green emission was dominant in the entire voltage range from low to high voltages, and blue and infrared were emitted simultaneously and at relatively low intensities at low and high voltages, respectively. In the CTOLED after thermal treatment, the dominant color conversion from blue to green was observed as the applied voltage increased, and the infrared emission was relatively low over the entire voltage range. By simulating the CTOLED with and without traps at the H2Pc interface using a technology computer-aided design simulator, we observed the following: 1. After thermal treatment, the CTOLED emitted blue light by exciton generation at the H2Pc-HBL interface because of the small electron transport through the H2Pc thin film due to the dramatic reduction of traps in the low-voltage regime. 2. In the high-voltage regime, electrons reaching the HBL were transferred to Alq3 by resonant tunneling in two quantum wells; thus, green light was emitted by exciton generation at the HTL-Alq3 interface.

Preparation of pentacene thin film deposited using organic material auto-feeding system for the fabrication of organic thin film transistor.

In this study, pentacene organic thin film was prepared using newly developed organic material auto-feeding system integrated with linear cell and characterized. The newly developed organic material auto-feeding system consists of 4 major parts: reservoir, micro auto-feeder, vaporizer, and linear cell. The deposition of organic thin film could be precisely controlled by adjusting feeding rate, main tube size, position and size of nozzle. 10 nm thick pentacene thin film prepared on glass substrate exhibited high uniformity of 3.46% which is higher than that of conventional evaporation method using point cell. The continuous deposition without replenishment of organic material can be performed over 144 hours with regulated deposition control. The grain size of pentacene film which affect to mobility of OTFT, was controlled as a function of the temperature.

Synthesis of bimetallic nanoparticles and their application to growth of multiwalled carbon nanotube forest.

We synthesized bimetallic nanoparticles and used them to grow CNTs with an atmospheric-pressure plasma-enhanced chemical vapor deposition system. FePt and FeCo bimetallic nanoparticles were synthesized by the bottom-up high-temperature polyol process using a simple centrifugal method. The diameter of synthesized nanoparticles ranged from 2 to 5 nm with high uniformity, as measured with a transmission electron microscope. The CNTs synthesis was carried out on bimetallic nanoparticles as a catalyst using acetylene as a carbon source gas. The CNT forests grown exhibited a maximum height of 96 microm, which is relatively high compared with other growth technologies. A forest of highly pure multiwalled CNTs with diameters of 10-20 nm was successfully synthesized on a bimetallic nanoparticle catalyzed substrate. As the growth temperature increased, the quality of CNTs improved remarkably, indicating that the graphitization could be controlled by varying the growth temperature. Furthermore, the oxygen plasma pre-treatment of dispersed bimetallic nanoparticles before CNTs growth could contribute to the production of highly pure CNTs. By TEM measurements, we observed that pure multiwall CNTs without defects or amorphous carbon could be synthesized.

Boron Nitride as a Passivation Capping Layer for AlGaN/GaN High Electron Mobility Transistors.

We report on the electrical characteristics of AlGaN/GaN high-electron mobility transistors (HEMTs) with hexagonal boron nitride (h-BN) as a passivation capping layer. The HEMTs with h-BN layers showed an increase in current drainage and 103-times reduction in the gate-leakage current compared with those of conventional unpassivated HEMTs. Moreover, the extrinsic transconductance and the pulse responses were improved due to the reduced charge-trapping effect at the surface of HEMTs. From our observations, the h-BN can be used as a passivation capping layer for high-power electronic devices.

Investigation on growth behavior of CNTs synthesized by atmospheric pressure plasma enhanced chemical vapor deposition system on Fe catalyzed substrate.

We have studied growth behavior of carbon nanotubes (CNTs) on iron (Fe) catalyzed substrate using newly developed atmospheric pressure plasma enhanced chemical vapor deposition (AP-PECVD) system. To investigate the improved growth performance with simple equipment and process on large scale, a new AP-PECVD system containing different concept on downstream gas was designed and manufactured. As a catalyst, either sputtered or evaporated Fe thin film on SiO2/Si substrate was used and acetylene gas was used as a carbon source. We observed growth behavior of CNTs such as height, rate and density were strongly affected by plasma power. The maximum height of 427 microm and 267 microm was synthesized under RF plasma power of 30 W for 30 min and 40 W for 3 min, respectively. The growth rate dramatically increased to 6.27 times as plasma power increased from 30 to 40 W which opens the possibility the mass production of CNTs. By SEM and TEM observation, it was verified the grown CNTs was consists of mixture of single-wall and multi-wall CNTs. The graphitization ratio was measured to be 0.93, indicating that the graphitized CNTs forest was formed and relatively high purity of CNTs was synthesized, being useful for nano-composite materials to reinforce the strength. From our experiments, we can observe that the height and growth rate of CNTs is strong function of plasma power.

Graft copolymerization of glycerol 1,3-diglycerolate diacrylate onto poly(3-hydroxyoctanoate) to improve physical properties and biocompatibility.

Glycerol 1,3-diglycerol diacrylate-grafted poly(3-hydroxyoctanoate) (GDD-g-PHO) copolymers were prepared by heating homogeneous solutions of PHO, GDD monomer and benzoylperoxide initiator. Experiments showed that GDD was successfully grafted onto the PHO chains and that the resulting copolymers had enhanced thermal properties and mechanical strengths. The surfaces and the bulk of GDD-g-PHO copolymers became more hydrophilic as the GDD grafting density in the copolymer increased. Measurements of the growth of Chinese hamster ovary cells and the adsorption of blood proteins and platelets in vitro showed that biocompatibility was also enhanced by grafting of GDD groups. These results indicate that the GDD-g-PHO copolymers are promising materials for biocompatible biomedical applications.

Preparation and hydrolytic degradation of semi-interpenetrating networks of poly(3-hydroxyundecenoate) and poly(lactide-co-glycolide).

Semi-interpenetrating networks (semi-IPNs), where poly(lactide-co-glycolide) (PLGA) molecules were entrapped in the crosslinked matrices of poly(3-hydroxyundecenoate) (PHU), were prepared by irradiating homogeneous solutions of PHU and PLGA in chloroform with UV light. Attenuated total reflectance infrared spectroscopy showed that the PLGA chains were entrapped in PHU networks. The semi-IPNs showed enhanced mechanical strength as the PLGA content increased. The semi-IPNs were incubated at 37 degrees C in a 0.01N NaOH solution, and the extent of hydrolytic degradation was investigated by monitoring changes in various parameters such as water uptake, pH, mass, and morphology. Hydrolysis of semi-IPNs were significantly affected by the presence of PLGA. A semi-IPN prepared from a 9:1 (by weight) mixture of PHU and PLGA lost 25% of its original weight in 12 weeks while a PHU sample containing no PLGA lost only 5% of its weight during the same period under identical conditions. The hydrolysis was most likely accelerated when the pH of the medium was lowered by the hydrolyzed products of PLGA, 2-hydroxyalkanoic acids. These results showed that hydrolysis of PHA could be enhanced by incorporating a second component that lowered the pH of the hydrolysis system.

Effect of Oxygen on the Structural/Electrical Properties of NIZO Films on Transparent Flexible Substrates.

Thin film transparent oxides have attracted considerable attention over the last few decades for transparent electronic applications, such as flat panel displays, solar cells, touch-pads, and mobile devices. Metallic doped InZnO (IZO) films have been suggested for the transparent layer exhibiting semiconducting or metallic properties because of its controllable mobility and excellent electrical properties, but they show a degradation of the electrical performance under bending conditions. This study assessed Ni doped IZO (NIZO) films as a flexible transparent electrode on different flexible transparent substrates for flexible electronic applications. Thin NIZO films were deposited on cellulose, PES and glass substrates using a sputtering system with a single NIZO target (In2O3 73.8/ZnO 15.7/NiO 10.5 mol.%) at room temperature. During deposition of the NIZO films, the total flow rate of the carrier gas was maintained using a regulating system. The effects of the oxygen content in the carrier gas on the structural, electrical and optical properties of the thin films deposited on flexible substrates was characterized. The results highlight the feasibility of the transparent NIZO oxide layer on flexible substrates as a flexible electrode with a relatively high sheet resistance, which is strongly related to the crystallographic structure and oxygen content during the film deposition process.

Preparation and cell compatibility of acrylamide-grafted poly(3-hydroxyoctanoate).

Poly(3-hydroxyoctanoate) (PHO) films were treated with plasma of different discharge powers (10-50 W) and then treated with acryl amide solutions in order to prepare films with surfaces that contained different amounts of amide groups. The surfaces were characterized by contact angle measurement, attenuated total reflectance infrared spectroscopy, electron spectroscopy for chemical analysis, and scanning electron microscopy. Results from all these measurements indicated that amide groups were present on the surfaces. The amount of amide groups increased in proportion to the discharge power of the plasma. The interaction of Chinese hamster ovary cells with these grafted surfaces was investigated. The number of cells that adhered to and grew on the surfaces was highest for films grafted at 30 W of plasma discharge power, indicating that the moderate hydrophilicity was optimal for cells to adhere and grow. The present results support the suggestion that acryl amide-grafted PHO could be used as cell-compatible biomedical applications.

Poly(ethylene glycol)-grafted poly(3-hydroxyundecenoate) networks for enhanced blood compatibility.

Poly(ethylene glycol)-grafted poly(3-hydroxyundecenoate) (PEG-g-PHU) networks were prepared by irradiating homogeneous solutions of poly(3-hydroxyundecenoate) (PHU) and the monoacrylate of poly(ethylene glycol) (PEG) with UV light. The resulting polymer networks were characterized by measuring the water contact angle, water uptake, and mechanical properties and by performing attenuated total reflectance infrared spectroscopy and scanning electron microscopy. These measurements showed that the PEG chains were present in polymer networks. Adsorption of blood proteins and platelets on cross-linked PHU (CLPHU) and PEG-g-PHU were examined using poly(L-lactide) (PLLA) surfaces as control. Blood proteins and platelets had significantly lower tendency of adhesion to surfaces composed of CLPHU and PEG-g-PHU networks than to PLLA. Blood compatibility of polymer networks increased as the fraction of grafted PEG increased. The results of this study suggest that PEG-g-PHU networks might be useful for blood-compatible biomedical applications.

Biocompatibility and antimicrobial activity of poly(3-hydroxyoctanoate) grafted with vinylimidazole.

Vinylimidazole-grafted poly(3-hydroxyoctanoate) (VI-g-PHO) copolymers were prepared by heating homogeneous solutions of PHO, VI monomer, and benzoylperoxide initiator. The Fourier transform infrared spectroscopy attenuated total reflection and electron spectroscopy for chemical analyses showed that VI was successfully grafted onto the PHO chains. The surfaces and the bulk of VI-g-PHO copolymers became more hydrophilic as the VI grafting density in the copolymer increased. Measurements of the growth of Chinese hamster ovary cells and the adsorption of blood proteins and platelets in vitro showed that biocompatibility was also enhanced by grafting of VI groups. Antimicrobial activity of the VI-g-PHO copolymers was studied against Escherichia coli, Staphylococcus aureus, and Candida albicans. Treatment of each culture suspension with 2.0% (w/v) copolymers for 12h resulted in >90% reduction in viable cell counts against all test microorganisms. These results indicate that the VI-g-PHO copolymers are promising materials for biomedical applications, as they exhibited both biocompatibility and broad spectrum antimicrobial activity.

Photoprotective effects of methoxycinnamidopropyl polysilsesquioxane.

A new sunscreen ingredient, methoxycinnamidopropyl polysilsesquioxane (MCP-PSQ), which contains an UV-absorbing p-methoxycinnamoyl group, has been developed synthetically and evaluated using in vitro and in vivo approaches. Previous studies revealed that MCP-PSQ has a raising or boosting effect on the sun protection factor (SPF) of other sunscreen agents. In this study, we demonstrated that MCP-PSQ, an organic/inorganic hybrid compound, has photoprotective effects for human fibroblasts, and for hairless mouse and human skin. MCP-PSQ increases cell viability and suppresses the expression of p53 protein in fibroblasts after UV exposure. In addition, the numbers of sunburn cells and mast cells are reduced by topical application of MCP-PSQ on hairless mouse skin after UV irradiation. A 10% MCP-PSQ cream has higher and similar effects on SPF values for human skin compared to 5% titanium dioxide (TiO(2)) and 5% ethylhexyl methoxycinnamate (EHMC), respectively. The SPF value obtained using the MCP-PSQ cream did not drop after UV irradiation of the cream itself. However, higher dose of UV irradiation is required to guarantee the stability or photostability of the formulation. Further, there were no side effects such as erythema, edema, itch or tingling, suggesting that MCP-PSQ is a good sunscreen agent.