Discordant SARS-CoV-2 Detection in the Nasopharynx Versus Trachea for Patients With Tracheostomies.

OBJECTIVES/HYPOTHESIS: Patients with tracheostomies have an anatomically altered connection between their upper and lower airways that could impact SARS-CoV-2 testing. Our goal was to evaluate for discordance in SARS-CoV-2 detection in hospitalized patients with COVID-19 and tracheostomies based on the site analyzed. STUDY DESIGN: Retrospective chart review. METHODS: This single-institution study evaluated hospitalized patients with COVID-19 who had tracheostomies placed during their treatment. We analyzed SARS-CoV-2 RNA nucleic acid amplification test (NAAT) results after tracheostomy. All included patients had nasopharyngeal (NP) and tracheal (TR) samples taken within a 48-hour period, allowing us to characterize rate of test concordance. RESULTS: Forty-five patients met our inclusion criteria. Thirty-two (71.1%) patients had entirely concordant results after tracheostomy. However, 13 (28.9%) patients had at least one set of discordant results, the majority of which were NP negative and TR positive. There were no statistically significant differences in demographic or clinical variables, including time to tracheostomy and time to testing, among patients with concordant versus discordant SARS-CoV-2 results. CONCLUSION: This represents the first study to examine SARS-CoV-2 RNA NAAT concordance between NP and TR sites in hospitalized patients with COVID-19 and tracheostomies. One-third of patients demonstrated discordant testing when NP and TR specimens were collected within a 48-hour time period. Thus, patients with tracheostomies may have a higher false-negative rate if only one site is assessed for SARS-CoV-2. We recommend analyzing samples from both the nasopharynx and trachea for these patients until more prospective data exist. LEVEL OF EVIDENCE: 4 Laryngoscope, 131:E2634-E2638, 2021.

Effects of Surface Chemistry on the Photophysics of Colloidal InP Nanocrystals.

Indium phosphide (InP) semiconductor nanocrystals (NCs) provide a promising alternative to traditional heavy-metal-based luminescent materials for lighting and display technologies, and implementation of InP NCs in consumer products is rapidly increasing. As-synthesized InP NCs typically have very low photoluminescence quantum yields (PLQY), however. Although empirical methods have led to NCs with near-unity PLQYs, a fundamental understanding of how specific synthetic and post-synthetic protocols can alter the electronic landscape of InP NCs is still lacking. Here, we have studied a series of homologous InP NCs prepared from InP clusters using a combination of room-temperature and low-temperature time-resolved spectroscopies to elucidate how specific charge-carrier trapping processes are affected when various surface modifications are performed. The data allow identification of large PLQY increases that occur specifically through elimination of surface electron traps and provide a rationale for understanding the microscopic origins of this trap suppression in terms of elimination of undercoordinated surface In3+ ions. Despite essentially complete elimination of surface electron trapping when surface In3+ is addressed, hole trapping still exists. This hole trapping is shown to be partially suppressed by even very thin shell growth, attributable to elimination of undercoordinated surface phosphides. We also observe signatures of bright-dark excitonic splitting in InP NCs with only submonolayer surface coverage of select additives (divalent Lewis acids or fluoride anions)-signatures that have only been previously observed in thick-shelled InP NCs. Together, these synthetic and spectroscopic results improve our understanding of relationships between specific InP NC surface chemistries and the resulting NC photophysics.

Effects of Zn2+ and Ga3+ doping on the quantum yield of cluster-derived InP quantum dots.

As the commercial display market grows, the demand for low-toxicity, highly emissive, and size-tunable semiconducting nanoparticles has increased. Indium phosphide quantum dots represent a promising solution to these challenges; unfortunately, they typically suffer from low inherent emissivity resulting from charge carrier trapping. Strategies to improve the emissive characteristics of indium phosphide often involve zinc incorporation into or onto the core itself and the fabrication of core/shell heterostructures. InP clusters are high fidelity platforms for studying processes such as cation exchange and surface doping with exogenous ions since these clusters are used as single-source precursors for quantum dot synthesis. Here, we examined the incorporation of zinc and gallium ions in InP clusters and the use of the resultant doped clusters as single-source precursors to emissive heterostructured nanoparticles. Zinc ions were observed to readily react with InP clusters, resulting in partial cation exchange, whereas gallium resisted cluster incorporation. Zinc-doped clusters effectively converted to emissive nanoparticles, with quantum yields strongly correlated with zinc content. On the other hand, gallium-doped clusters failed to demonstrate improvements in quantum dot emission. These results indicate stark differences in the mechanisms associated with aliovalent and isovalent doping and provide insight into the use of doped clusters to make emissive quantum dots.

Probing the Surface Structure of Semiconductor Nanoparticles by DNP SENS with Dielectric Support Materials.

Surface characterization is crucial for understanding how the atomic-level structure affects the chemical and photophysical properties of semiconducting nanoparticles (NPs). Solid-state nuclear magnetic resonance spectroscopy (NMR) is potentially a powerful technique for the characterization of the surface of NPs, but it is hindered by poor sensitivity. Dynamic nuclear polarization surface enhanced NMR spectroscopy (DNP SENS) has previously been demonstrated to enhance the sensitivity of surface-selective solid-state NMR experiments by 1-2 orders of magnitude. Established sample preparations for DNP SENS experiments on NPs require the dilution of the NPs on mesoporous silica. Using hexagonal boron nitride (h-BN) to disperse the NPs doubles DNP enhancements and absolute sensitivity in comparison to standard protocols with mesoporous silica. Alternatively, precipitating the NPs as powders, mixing them with h-BN, and then impregnating the powdered mixture with radical solution leads to further 4-fold sensitivity enhancements by increasing the concentration of NPs in the final sample. This modified procedure provides a factor of 9 improvement in NMR sensitivity in comparison to previously established DNP SENS procedures, enabling challenging homonuclear and heteronuclear 2D NMR experiments on CdS, Si, and Cd3P2 NPs. These experiments allow NMR signals from the surface, subsurface, and core sites to be observed and assigned. For example, we demonstrate the acquisition of DNP-enhanced 2D 113Cd-113Cd correlation NMR experiments on CdS NPs and natural isotropic abundance 2D 13C-29Si HETCOR of functionalized Si NPs. These experiments provide a critical understanding of NP surface structures.

Conversion Reactions of Atomically Precise Semiconductor Clusters.

Clusters are unique molecular species that can be viewed as a bridge between phases of matter and thus between disciplines of chemistry. The structural and compositional complexity observed in cluster chemistry serves as an inspiration to the material science community and motivates our search for new phases of matter. Moreover, the formation of kinetically persistent cluster molecules as intermediates in the nucleation of crystals makes these materials of great interest for determining and controlling mechanisms of crystal growth. Our lab developed a keen interest in clusters insofar as they relate to the nucleation of nanoscale semiconductors and the modeling of postsynthetic reaction chemistry of colloidal materials. In particular, our discovery of a structurally unique In37P20X51 (X = carboxylate) cluster en route to InP quantum dots has catalyzed our interest in all aspects of cluster conversion, including the use of clusters as precursors to larger nanoscale colloids and as platforms for examining postsynthetic reaction chemistry. This Account is presented in four parts. First, we introduce cluster chemistry in a historical context with a focus on main group, metallic, and semiconductor clusters. We put forward the concept of rational, mechanism-driven design of colloidal semiconductor nanocrystals as the primary motivation for the studies we have undertaken. Second, we describe the role of clusters as intermediates both in the synthesis of well-known material phases and in the discovery of unprecedented nanomaterial structures. The primary distinction between these two approaches is one of kinetics; in the case of well-known phases, we are often operating under high-temperature thermolysis conditions, whereas for materials discovery, we are discovering strategies to template the growth of kinetic phases as dictated by the starting cluster structure. Third, we describe reactions of clusters as model systems for their larger nanomaterial progeny with a primary focus on cation exchange. In the case of InP, cation exchange in larger nanostructures has been challenging due to the covalent nature of the crystal lattice. However, in the higher energy, strained cluster intermediates, cation exchange can be accomplished even at room temperature. This opens opportunities for accessing doped and alloyed nanomaterials using postsynthetically modified clusters as single-source precursors. Finally, we present surface chemistry of clusters as the gateway to subsequent chemistry and reactivity, and as an integral component of cluster structure and stability. Taken as a whole, we hope to make a compelling case for using clusters as a platform for mechanistic investigation and materials discovery.

A compact dispersive refocusing Rowland circle X-ray emission spectrometer for laboratory, synchrotron, and XFEL applications.

X-ray emission spectroscopy is emerging as an important complement to x-ray absorption fine structure spectroscopy, providing a characterization of the occupied electronic density of states local to the species of interest. Here, we present details of the design and performance of a compact x-ray emission spectrometer that uses a dispersive refocusing Rowland (DRR) circle geometry to achieve excellent performance for the 2-2.5 keV range, i.e., especially for the K-edge emission from sulfur and phosphorous. The DRR approach allows high energy resolution even for unfocused x-ray sources. This property enables high count rates in laboratory studies, approaching those of insertion-device beamlines at third-generation synchrotrons, despite use of only a low-powered, conventional x-ray tube. The spectrometer, whose overall scale is set by use of a 10-cm diameter Rowland circle and a new small-pixel complementary metal-oxide-semiconductor x-ray camera, is easily portable to synchrotron or x-ray free electron laser beamlines. Photometrics from measurements at the Advanced Light Source show excellent overall instrumental efficiency. In addition, the compact size of this instrument lends itself to future multiplexing to gain large factors in net collection efficiency or its implementation in controlled gas gloveboxes either in the lab or in an endstation.

Purification and In Situ Ligand Exchange of Metal-Carboxylate-Treated Fluorescent InP Quantum Dots via Gel Permeation Chromatography.

Recently the addition of M2+ Lewis acids (M = Cd, Zn) to InP quantum dots (QDs) has been shown to enhance the photoluminescence quantum yield (PL QY). Here we investigate the stability of this Lewis acid layer to postsynthetic processing such as purification and ligand exchange. We utilize gel permeation chromatography to purify the quantum-dot samples as well as to aid in the ligand-exchange reactions. The Lewis-acid-capped particles are stable to purification and maintain the enhanced luminescence properties. We demonstrate successful ligand exchange on the quantum dots by switching the native carboxylate ligands to phosphonate ligands. Changes in the optical spectra after exposure to ambient environment indicate that both carboxylate- and phosphonate-capped QDs remain air-sensitive.

Main-Group-Semiconductor Cluster Molecules as Synthetic Intermediates to Nanostructures.

Main-group-semiconductor clusters are attractive atomically precise precursors for materials design. In particular, magic-sized clusters, those with elevated thermodynamic stability relative to other clusters of similar size, have been implicated as important intermediates in the synthesis of semiconductor nanostructures. A survey of the literature on the intermediacy of clusters in nanomaterial synthesis reveals two predominant mechanistic trends: monomer-driven growth and cluster assembly. In this Forum Article, we compare and contrast the systems in which these mechanisms are operative and attempt to extract the emerging design principles governing these transformations. Additionally, we highlight the gaps in our understanding of this emerging area of science and provide a roadmap for future reaction development.

Luminescent InP Quantum Dots with Tunable Emission by Post-Synthetic Modification with Lewis Acids.

We demonstrate the ability of M(2+) Lewis acids (M = Cd, Zn) to dramatically enhance the photoluminescence quantum yield (PL QY) of InP quantum dots. The addition of cadmium and zinc is additionally found to red- and blue-shift, respectively, the lowest energy absorption and emission of InP quantum dots while maintaining particle size. This treatment results in a facile strategy to post-synthetically tune the luminescence color in these materials. Optical and structural characterization (XRD, TEM, XAS, ICP) have led us to identify the primary mechanism of PL turn-on as surface passivation of phosphorus dangling bonds, affording PL QYs up to 49% without the growth of a type I shell or the addition of HF. This route to PL enhancement and color tuning may prove useful as a standalone treatment or as a complement to shelling strategies.

Novel features of the polysaccharide-digesting gliding bacterium Flavobacterium johnsoniae as revealed by genome sequence analysis.

The 6.10-Mb genome sequence of the aerobic chitin-digesting gliding bacterium Flavobacterium johnsoniae (phylum Bacteroidetes) is presented. F. johnsoniae is a model organism for studies of bacteroidete gliding motility, gene regulation, and biochemistry. The mechanism of F. johnsoniae gliding is novel, and genome analysis confirms that it does not involve well-studied motility organelles, such as flagella or type IV pili. The motility machinery is composed of Gld proteins in the cell envelope that are thought to comprise the "motor" and SprB, which is thought to function as a cell surface adhesin that is propelled by the motor. Analysis of the genome identified genes related to sprB that may encode alternative adhesins used for movement over different surfaces. Comparative genome analysis revealed that some of the gld and spr genes are found in nongliding bacteroidetes and may encode components of a novel protein secretion system. F. johnsoniae digests proteins, and 125 predicted peptidases were identified. F. johnsoniae also digests numerous polysaccharides, and 138 glycoside hydrolases, 9 polysaccharide lyases, and 17 carbohydrate esterases were predicted. The unexpected ability of F. johnsoniae to digest hemicelluloses, such as xylans, mannans, and xyloglucans, was predicted based on the genome analysis and confirmed experimentally. Numerous predicted cell surface proteins related to Bacteroides thetaiotaomicron SusC and SusD, which are likely involved in binding of oligosaccharides and transport across the outer membrane, were also identified. Genes required for synthesis of the novel outer membrane flexirubin pigments were identified by a combination of genome analysis and genetic experiments. Genes predicted to encode components of a multienzyme nonribosomal peptide synthetase were identified, as were novel aspects of gene regulation. The availability of techniques for genetic manipulation allows rapid exploration of the features identified for the polysaccharide-digesting gliding bacteroidete F. johnsoniae.