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BACKGROUND: This study aimed to analyze the current status of brain death/death by neurologic criteria (BD/DNC) determination in Korea over a decade, identifying key areas for improvement in the process. METHODS: We conducted a retrospective analysis of data from the Korea Organ Donation Agency spanning 2011 to 2021, focusing on donors whose donations were not completed. The study reviewed demographics, medical settings, diagnoses, and outcomes, with particular emphasis on cases classified as nonbrain death and those resulting in death by cardiac arrest during the BD/DNC assessment. RESULTS: Of the 5047 patients evaluated for potential brain death from 2011 to 2021, 361 were identified as noncompleted donors. The primary reasons for noncompletion included nonbrain death (n = 68, 18.8%), cardiac arrests during the BD/DNC assessment process (n = 80, 22.2%), organ ineligibility (n = 151, 41.8%), and logistical and legal challenges (n = 62, 17.2%). Notably, 25 (36.8%) of them failed to meet the minimum clinical criteria, and 7 of them were potential cases of disagreement between the two clinical examinations. Additionally, most cardiac arrests (n = 44, 55.0%) occurred between the first and second examinations, indicating management challenges in critically ill patients during the assessment period. CONCLUSIONS: Our study highlights significant challenges in the BD/DNC determination process, including the need for improved consistency in neurologic examinations and the management of critically ill patients. The study underscores the importance of refining protocols and training to enhance the accuracy and reliability of brain death assessments, while also ensuring streamlined and effective organ donation practices.
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BACKGROUND: The migration of oligodendrocyte precursor cells (OPC) is a key process of remyelination, which is essential for the treatment of white matter stroke. This study aimed to investigate the role of HMGB1 (high mobility group box 1), a damage-associated molecular pattern released from dying oligodendrocytes, as an autocrine chemoattractant that promotes OPC migration. METHODS: The migratory capacity of primary cultured OPCs was measured using the Boyden chamber assay. The downstream pathway of HMGB1-mediated OPC migration was specified by siRNA-induced knockdown or pharmacological blockade of TLR2 (toll-like receptor 2), RAGE (receptor for advanced glycation end product), Src, ERK1/2 (extracellular signal-regulated kinase1/2), and FAK (focal adhesion kinase). Conditioned media were collected from oxygen-glucose deprivation-treated oligodendrocytes, and the impact on OPC migration was assessed. Lesion size and number of intralesional Olig2(+) cells were analyzed in an in vivo model of white matter stroke with N5-(1-iminoethyl)-L-ornithine (L-NIO). RESULTS: HMGB1 treatment promoted OPC migration. HMGB1 antagonism reversed such effects to untreated levels. Among the candidates for the downstream signal of HMGB1-mediated migration, the knockdown of TLR2 rather than that of RAGE attenuated the migration-promoting effect of HMGB1. Further specification of the HMGB1-TLR2 axis revealed that the phosphorylation of ERK1/2 and its downstream molecule FAK, rather than of Src, was decreased in TLR2-knockdown OPCs, and pharmacological inhibition of ERK1/2 and FAK led to decreased OPC migration. Oxygen-glucose deprivation-conditioned media promoted OPC migration, suggesting the autocrine chemoattractant function of HMGB1. In vivo, TLR2(-/-)-mice showed lesser intralesional Olig2(+) cells compared to wild-type controls in response to L-NIO induced ischemic injury regardless of HMGB1 administration. CONCLUSIONS: HMGB1, through the TLR2-ERK1/2-FAK axis, functions as an autocrine chemoattractant to promote OPC migration, which is an initial and indispensable step in remyelination. Thus, a novel treatment strategy for white matter stroke based on the HMGB1-TLR2 axis in the oligodendrocyte lineage could be feasible.
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Proteína HMGB1 , Acidente Vascular Cerebral , Substância Branca , Camundongos , Animais , Receptor 2 Toll-Like/metabolismo , Substância Branca/patologia , Linhagem da Célula , Proteína HMGB1/metabolismo , Meios de Cultivo Condicionados/metabolismo , Oligodendroglia/metabolismo , Acidente Vascular Cerebral/patologiaRESUMO
Multi-valued logic gates are demonstrated on solution-processed molybdenum disulfide (MoS2) thin films. A simple chemical doping process is added to the conventional transistor fabrication procedure to locally increase the work function of MoS2 by decreasing sulfur vacancies. The resulting device exhibits pseudo-heterojunctions comprising as-processed MoS2 and chemically treated MoS2 (c-MoS2). The energy-band misalignment of MoS2 and c-MoS2 results in a sequential activation of the MoS2 and c-MoS2 channel areas under a gate voltage sweep, which generates a stable intermediate state for ternary operation. Current levels and turn-on voltages for each state can be tuned by modulating the device geometries, including the channel thickness and length. The optimized ternary transistors are incorporated to demonstrate various ternary logic gates, including the inverter, NMIN, and NMAX gates.
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Irreversible faradic reactions in reverse electrodialysis (RED) are an emerging concern for scale-up, reducing the overall performance of RED and producing environmentally harmful chemical species. Capacitive RED (CRED) has the potential to generate electricity without the necessity of irreversible faradic reactions. However, there is a critical knowledge gap in the fundamental understanding of the effects of operational stack voltages of CRED on irreversible faradic reactions and the performance of CRED. This study aims to develop an active control strategy to avoid irreversible faradic reactions and pH change in CRED, focusing on the effects of a stack voltage (0.9-5.0 V) on irreversible faradic reactions and power generation. Results show that increasing the initial output voltage of CRED by increasing a stack voltage has an insignificant impact on irreversible faradic reactions, regardless of the stack voltage applied, but a cutoff output voltage of CRED is mainly responsible for controlling irreversible faradic reactions. The CRED system with eliminating irreversible faradic reactions achieved a maximum power density (1.6 W m-2) from synthetic seawater (0.513 M NaCl) and freshwater (0.004 M NaCl). This work suggests that the control of irreversible faradic reactions in CRED can provide stable power generation using salinity gradients in large-scale operations.
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Água Doce , Salinidade , Eletricidade , Fenômenos Físicos , Água do MarRESUMO
We investigated a flexible and transparent conductive electrode (FTCE) based on Ag nanowires (AgNWs) and a graphene oxide (GO) nanosheet and fabricated through a simple and cost-effective spray coating method. The AgNWs/GO hybrid FTCE was optimized by adjusting the nozzle-to-substrate distance, spray speed, compressor pressure, and volume of the GO solution. The optimal AgNWs/GO hybrid FTCE has a high transmittance of 88% at a wavelength of 550 nm and a low sheet resistance of 20 Ohm/square. We demonstrate the presence of the GO nanosheet on the AgNWs through Raman spectroscopy. Using scanning electron microscopy and atomic force microscopy, we confirmed that the nanosheet acted as a conducting bridge between AgNWs and improved the surface morphology and roughness of the electrode. Effective coverage by the GO sheet improved the conductivity of the AgNWs electrode Effective coverage of the GO sheet improved conductivity of the AgNWs electrode with minimum degradation of optical and mechanical properties. Flexible thin film heater (TFH) and electroluminescent (EL) devices fabricated on AgNWs/GO hybrid FTCEs showed better performance than devices on bare AgNWs electrodes due to lower sheet resistance and uniform conductivity. In addition, an AgNWs/GO electrode layer on a facial mask acts as a self-heating and antibacterial coating. A facial mask with an AgNWs/GO electrode showed a bacteriostatic reduction rate of 99.7 against Staphylococcus aureus and Klebsiella pneumonia.
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Two-dimensional molybdenum disulfide (MoS2) nanosheets have emerged as a promising material for transparent, flexible micro-supercapacitors, but their use in electrodes is hindered by their poor electrical conductivity and cycling stability because of restacking. In this paper, we report a novel electrode architecture to exploit electrochemical activity of MoS2 nanosheets. Electrochemically exfoliated MoS2 dispersion was spin coated on mesh-like silver networks encapsulated with a flexible conducting film exhibiting a pseudocapacitive behavior. MoS2 nanosheets were electrochemically active over the whole electrode surface and the conductive layer provided a pathway to transport electrons between the MoS2 and the electrolyte. As the result, the composite electrode achieved a large areal capacitance (89.44 mF cm-2 at 6 mA cm-2) and high energy and power densities (12.42 µWh cm-2 and P = 6043 µW cm-2 at 6 mA cm-2) in a symmetric cell configuration with 3 M KOH solution while exhibiting a high optical transmittance of ~80%. Because the system was stable against mechanical bending and charge/discharge cycles, a flexible micro-supercapacitor that can power electronics at different bending states was realized.
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We investigated the characteristics of thermally evaporated fullerene (C60)/Ag/C60 (CAC) multilayer films for use in semi-transparent perovskite solar cells (PSCs) and thin-film heaters (TFHs). The top and bottom C60 layers and Ag interlayer were prepared using multi-source thermal evaporation, and the thickness of the Ag interlayer was investigated in detail for its effects on the resistivity, optical transmittance, and mechanical properties of the CAC electrodes. We used a figure-of-merit analysis to obtain a CAC electrode with a smooth surface morphology that exhibited a sheet resistance of 5.63 Ohm/square and an optical transmittance of 66.13% at a 550 nm wavelength. We conducted mechanical deformation tests to confirm that the thermally evaporated multilayer CAC electrode has a high durability, even after 10,000 times of inner and outer bending, rolling, and twisting due to the flexibility of the amorphous C60 and Ag interlayer. We evaluated the feasibility of using CAC electrodes for semi-transparent PSCs and TFHs. The semi-transparent PSC with 1.08 cm2 active area prepared with a transparent multilayer CAC cathode showed a power conversion efficiency (PCE) of 5.1%. Furthermore, flexible TFHs (2.5 × 2.5 cm2) fabricated on a thermally evaporated CAC electrode show a high saturation temperature of 116.6 C, even at a low input voltage of 4.5 V, due to a very low sheet resistance. Based on the performance of the PSCs and TFHs, we conclude that the thermally evaporated multilayer CAC electrode is promising for use as a transparent conductive electrode (TCE) for semi-transparent PSCs and TFHs, with characteristics comparable to sputtered TCEs.
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Ga-doped ZnO (GZO)-graded layer, facilitating electron extraction from electron transport layer, was integrated on the surface of transparent indium tin oxide (ITO) cathode by using graded sputtering technique to improve the performance of planar n-i-p perovskite solar cells (PSCs). The thickness of graded GZO layer was controlled to optimize GZO-indium tin oxide (ITO) combined electrode for planar n-i-p PSCs. At optimized graded thickness of 15 nm, the GZO-ITO combined electrode showed an optical transmittance of 95%, a resistivity of 2.3 × 10-4 Ohm cm, a sheet resistance of 15.6 Ohm/square, and work function of 4.23 eV, which is well matched with the 4.0-eV lowest unoccupied molecular orbital of [6,6]-phenyl-C61-butyric acid methyl ester. Owing to enhanced extraction of electron by the graded GZO, the n-i-p PSC with GZO-ITO combined electrode showed higher power conversion efficiency (PCE) of 9.67% than the PCE (5.25%) of PSC with only ITO electrode without GZO-graded layer. In addition, the GZO integrated-ITO electrode acts as transparent electrode and electron extraction layer simultaneously due to graded mixing of the GZO at the surface region of ITO electrode.
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(ta-C) films coated through the filtered cathodic vacuum arc (FCVA) process as a hole transport layer (HTL) for perovskite solar cells (PSCs) and quantum dot light-emitting diodes (QDLEDs). The p-type ta-C film has several remarkable features, including ease of fabrication without the need for thermal annealing, reasonable electrical conductivity, optical transmittance, and a high work function. X-ray photoelectron spectroscopy and ultraviolet photoelectron spectroscopy examinations show that the electrical properties (sp3/sp2 hybridized bond) and work function of the ta-C HTL are appropriate for PSCs and QDLEDs. In addition, in order to correlate the performance of the devices, the optical, surface morphological, and structural properties of the FCVA-grown ta-C films with different thicknesses (5 ~ 20 nm) deposited on the ITO anode are investigated in detail. The optimized ta-C film with a thickness of 5 nm deposited on the ITO anode had a sheet resistance of 10.33 Ω-2, a resistivity of 1.34 × 10-4 Ω cm, and an optical transmittance of 88.97%. Compared to the reference PSC with p-NiO HTL, the PSC with 5 nm thick ta-C HTL yielded a higher power conversion efficiency (PCE, 10.53%) due to its improved fill factor. Further, the performance of QDLEDs with 5 nm thick ta-C hole injection layers (HIL) showed better than the performance of QDLEDs with different ta-C thicknesses. It is concluded that ta-C films have the potential to serve as HTL and HIL in next-generation PSCs and QDLEDs.
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We have successfully exploited the Michael-type addition reaction between catechol and DABCO (1,4-diazabicyclo-[2,2,2]octane) molecules under alkaline conditions for the formation of new quaternary ammonium (QA) groups in an anion-exchange membrane. The anion-exchange membranes (AEMs) were prepared using the pore-filling method by addition of electrolytes (vinyl benzyl trimethylammonium chloride (VBTMA), dopamine methacrylamide (DMA) bearing a catechol group, and ethylene glycol diacrylate as a cross-linker) to a porous substrate. The formation of new QA groups by the reaction of DABCO with catechol components was confirmed by characterization of new peaks in the Fourier transform infrared spectra of the AEMs. The DABCO-bound AEM demonstrated a significant decrease in area resistance (0.4 Ω·cm2) and increase in permselectivity (94%). Furthermore, the electrochemical properties of the AEMs could be controlled by altering the concentrations of VBTMA and DMA and the formation of new bonds between DMA and DABCO. The calculated theoretical (4.31 W/m2) and practical (1.52 W/m2) power densities during a reverse electrodialysis (RED) process employing the membrane with the best properties (E2C1-DMA0.5-DABCO) were by 33 and 18% higher than those of a system utilizing a commercial membrane, Neosepta AMX (3.25 and 1.29 W/m2). Therefore, the AEM synthesized in this study is a good candidate for use in RED applications.
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Transparent electrodes that can remain electrically conductive and stable under large mechanical deformations are highly desirable for applications in flexible and wearable electronics. This paper describes a comprehensive study of the electrical, optical, and mechanical properties of hybrid nanostructures based on two-dimensional graphene and networks of one-dimensional metal nanowires, and their use as transparent and stretchable electrodes. Low sheet resistance (33 Ω/sq) with high transmittance (94% in visible range), robust stability against electric breakdown and oxidation, and superb flexibility (27% in bending strain) and stretchability (100% in tensile strain) are observed, and these multiple functionalities of the hybrid structures suggest a future promise for next generation electronics. The use of hybrid electrodes to fabricate oxide semiconductor transistors and single-pixel displays integrated on wearable soft contact lenses with in vivo tests are demonstrated.
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Eletrodos , Grafite/química , Metais/química , Nanofios/química , Lentes de Contato Hidrofílicas , Desenho de EquipamentoRESUMO
BACKGROUND: Trigeminal neuralgia (TN) is a debilitating condition characterized by sudden, excruciating facial pain due to neurovascular compression of the trigeminal nerve. Stent deployment can change the course of the superior cerebellar artery upwards, possibly releasing the root entry zone of the trigeminal nerve. We developed a novel stent, the Transform stent, for TN treatment, and evaluated its mechanical properties using benchtop and in vitro hemocompatibility tests. METHODS: We compared the performance of Transform and Enterprise stents in treating TN because they share similar self-expanding closed-cell features in the manufacturing process, are derived from nitinol tubes, and are fabricated through a laser-cutting process, but also because only the safety of Enterprise stents deployed in intracranial arteries has been reported clinically. All benchtop measurements, including radial force, trackability, bending stiffness, and conformability, were performed thrice for each stent model, and their average values are presented. RESULTS: Transform stents showed higher radial forces in vessels of diameters ranging from 1.0 mm than Enterprise stents. The trackability of the Transform stent was better than that of the Enterprise stent in a neurovascular model. Bending stiffness was stronger in the Transform stent whereas conformability was superior in the Enterprise stent. No significant thrombogenic issues were observed in the in vitro hemocompatibility tests. CONCLUSIONS: This study demonstrated the Transform stent as a potential option and paved the way for innovative endovascular approaches for the future TN treatment. Namely, the study confirmed that the characteristics of Transform stents at benchtop and in vitro evaluations may be used as a first step for studies such as in vivo pre- and clinical studies.
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Stents , Neuralgia do Trigêmeo , Neuralgia do Trigêmeo/cirurgia , Humanos , Ligas , Teste de Materiais , Desenho de PróteseRESUMO
Perovskite solar cells (PSCs) exhibit sufficient technological efficiency and economic competitiveness. However, their poor stability and scalability are crucial factors limiting their rapid development. Therefore, achieving both high efficiency and good stability is an urgent challenge. In addition, the preparation methods for PSCs are currently limited to laboratory-scale methods, so their commercialization requires further research. Effective packaging technology is essential to protect the PSCs from degradation by external environmental factors and ensure their long-term stability. The industrialization of PSCs is also inseparable from the preparation technology of perovskite thin films. This review discusses the solvent-free preparation of PSCs, shedding light on the factors that affect PSC performance and strategies for performance enhancement. Furthermore, this review analyzes the existing simulation techniques that have contributed to a better understanding of the interfacial evolution of PSCs during the packaging process. Finally, the current challenges and possible solutions are highlighted, providing insights to facilitate the development of highly efficient and stable PSC modules to promote their widespread application.
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The Alpha stent is an intracranial closed-cell stent with a unique mesh design to enhance wall apposition. It recently underwent structural modifications to facilitate easier stent deployment. This study aimed to evaluate the safety and efficacy of stent-assisted coil embolization for unruptured intracranial aneurysms using the Alpha stent. Between January 2021 and November 2021, 35 adult patients with 35 unruptured intracranial aneurysms in the distal internal carotid artery were prospectively enrolled. For efficacy outcomes, magnetic resonance angiography at the 6-month follow-up was evaluated using the Raymond-Roy occlusion classification (RROC). The safety outcome evaluated the occurrence of symptomatic procedure-related neurological complications up to 6 months postoperatively. Technical success was achieved in 34/35 (97.1%). Six months postoperatively, aneurysm occlusion showed RROC I in 32/35 (91.4%) and RROC II in 3/35 (8.6%) patients. Procedure-related neurologic complications occurred in one patient (2.9%) who experienced hemiparesis due to acute lacunar infarction, which resulted in a 6-month mRS score of 1. The Alpha stent demonstrated excellent efficacy and safety outcomes in stent-assisted coil embolization of unruptured distal ICA aneurysms. The recent structural modifications allowed for easier stent delivery and deployment.Clinical trial registration number: KCT0005841; registration date: 28/01/2021.
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Embolização Terapêutica , Aneurisma Intracraniano , Adulto , Humanos , Aneurisma Intracraniano/diagnóstico por imagem , Aneurisma Intracraniano/cirurgia , Resultado do Tratamento , Embolização Terapêutica/efeitos adversos , Embolização Terapêutica/métodos , Stents/efeitos adversos , Prótese Vascular , Angiografia Cerebral/métodos , Estudos RetrospectivosRESUMO
Oligodendrocytes (OL) are myelin-forming glial cells in the central nervous system. In vitro primary OL culture models offer the benefit of a more readily controlled environment that facilitates the examination of diverse OL stages and their intricate dynamics. Although conventional methods for primary OL culture exist, their performance in terms of simplicity and efficiency can be improved. Here, we introduce a novel method for primary OL culture, namely the E3 (easy, efficient, and effective) method, which greatly improves the simplicity and efficiency of the primary OL culture procedure using neonatal rodent brains. We also provided the optimal media composition for the augmentation of oligodendrocyte progenitor cell (OPC) proliferation and more robust maturation into myelin-forming OLs. Overall, E3 offers an undemanding method for obtaining primary OLs with high yield and quality. Alongside its value as a practical tool, in vitro characteristics of the OL lineage additionally identified during the development of the E3 method have implications for advancing research on OL physiology and pathophysiology.
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Oligodendrocytes (OLs) are glial cells responsible for the formation of myelin sheaths in the central nervous system. The characteristic features of the oligodendrocyte lineage, ranging from proliferative and migratory oligodendrocyte progenitor cells (OPC) to myelinating mature OLs, can be observed in vitro cultures of OL lineage cells. Here, we introduce a method for analyzing the spatial distribution of OPCs, which reflects their capacity for proliferation and migration, and the morphological complexity of mature OLs, which reflects their capacity for myelin formation, from immunostaining images of in vitro OL cultures. Through the methods described, we have demonstrated the tendency for OPCs to cluster in an environment with epidermal growth factor (EGF), and the differing morphological complexity of mature OLs according to culture medium and duration of differentiation.â¢The proliferative and migratory characteristics of OPCs can be evaluated by analyzing their spatial distribution.â¢The myelin-forming capacity of mature OLs can be measured by analyzing their morphological complexity.â¢Image-based analyses may be a substitute for more convoluted experiments to assess OL function.
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We report the mechanical property and electromagnetic interference shielding effectiveness (EMI SE) of poly(vinyl alcohol) (PVA)/graphene and PVA/multi-walled carbon nanotube (MWCNT) composite nanofibers prepared by electrospinning. The metal (Cu) was deposited on the resultant PVA composite nanofibers using metal deposition technique in order to improve the mechanical properties and EMI shielding properties. The resulting PVA composite nanofibers and Cu-deposited corresponding nanofibers were characterized by field emission scanning electron microscopy (FE-SEM), transmission electron microscopy (TEM) and wide angle X-ray diffraction (WAXD). Tensile tests were performed on the PVA/graphene and PVA/MWCNT composite nanofibers. The tensile strength of the PVA/graphene and PVA/MWCNT composite nanofibers was found to be 19.2 +/- 0.3 MPa at graphene content - 6.0 wt% and 12.2 +/- 0.2 MPa at MWCNT content - 3.0 wt%, respectively. The EMI SE of the Cu-deposited PVA/graphene composite nanofibers was significantly improved compared to pure PVA/graphene composite nanofibers, and also depended on the thickness of Cu metal layer deposited on the PVA composite nanofibers.
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In this study, the Poly(vinylidene fluoride-trifluoethylene) (PVDF) electrospun fibers were successfully prepared by electrospinning. Processing parameters, such as solvents and solution temperature were varied to study their influence on fiber dimensions. Electrospun PVDF fibers were characterized by scanning electron microscope (SEM), Fourier transform infrared spectrophotometer (FT-IR), wide angle X-ray diffraction (WAXD) and differential scanning calorimetry (DSC). The result indicated that the solvent component and temperature have great influence on fiber dimensions. 19% PVDF dissolved in DMF/MEK mixed solvents with the ratio of 8:2 was considered to be most suitable in this study. Furthermore, the increasing of solution temperature can probably induce the formation of beta-phases in electrospun PVDF Fibers.
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In this study, we incorporated TiN as a carrier suppressor into an amorphous InZnO channel to achieve stable channels for thin-film transistors (TFTs) and light-emitting transistors (LETs). The low electronegativity and standard electrode potential of the Ti dopant led to a reduction in the number of oxygen vacancies in the InZnO channel. Moreover, the substitution of nitrogen into the oxygen sites of InZnO effectively decreased the excess electrons. As a result, the cosputtering of the TiN dopant resulted in a decrease in the carrier concentration of the InZnO channel, serving as an effective carrier suppressor. Due to the distinct structures of TiN and InZnO, the TiN-doped InZnO channel exhibited a completely amorphous structure and a featureless surface morphology. The presence of oxygen vacancies in the InZnO channel creates trap states for electrons and holes. Consequently, the TFT with the InZnTiON channel demonstrated an improved subthreshold swing and enhanced stability during the gate bias stress test. Furthermore, the threshold voltage shift (ΔVth) changed from 3.29 to 0.86 V in the positive bias stress test and from -0.92 to -0.09 V in the negative bias stress test. Additionally, we employed an InZnTiON channel in LETs as a substitute for organic semiconductors. The reduction in the number of oxygen vacancies effectively prevented exciton quenching caused by hole traps within the vacancies. Consequently, appropriate TiN doping in the InZnO channel enhanced the intensity of the LET devices.
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This report describes the direct electrolysis of treated wastewater (as a catholyte) to produce hydrogen and potentially reuse the water. To suppress the negative shift of the cathodic potential due to an increase in pH by the hydrogen evolution reaction (HER), the treated wastewater is acidified using the synergetic effect of protons generated from the bipolar membrane and inorganic precipitation occurred at the surface of the cathode during the HER. Natural seawater, as an accessible source for Mg2+ ions, was added to the treated wastewater because the concentration of Mg2+ ions contained in the original wastewater was too low for acidification to occur. The mixture of treated wastewater with seawater was acidified to pH 3, allowing the initial cathode potential to be maintained for more than 100 h. The amount of inorganic precipitates formed on the cathode surface is greater than that in the control case (adding 0.5 M NaCl instead of seawater) but does not adversely affect the cathodic potential and Faradaic efficiency for H2 production. Additionally, it was confirmed that less organic matter was adsorbed to the inorganic deposits under acidic conditions. These indicate that acidification plays an important role in improving the performance and stability of low-grade water electrolysis. Considering that the treated wastewater is discharged near the ocean, acidification-based electrolysis of the effluent with seawater can be a water reuse technology for green hydrogen production, enhancing water resilience and contributing to the circular economy of water resources.