In-situ SEM microchip setup for electrochemical experiments with water based solutions.

Studying electrochemical (EC) processes with electron microscopes offers the possibility of achieving much higher resolution imaging of nanoscale processes in real time than with optical microscopes. We have developed a vacuum sealed liquid sample electrochemical cell with electron transparent windows, microelectrodes and an electrochemical reference electrode. The system, called the EC-SEM Cell, is used to study electrochemical reactions in liquid with a standard scanning electron microscope (SEM). The central component is a microfabricated chip with a thin (50 nm) Si-rich silicon nitride (SiNx) window with lithographically defined platinum microelectrodes. We show here the design principles of the EC-SEM system, its detailed construction and how it has been used to perform a range of EC experiments, two of which are presented here. It is shown that the EC-SEM Cell can survive extended in-situ EC experiments. Before the EC experiments we characterized the beam current being deposited in the liquid as this will affect the experiments. The first EC experiment shows the influence of the electron-beam (e-beam) on a nickel solution by inducing electroless nickel deposition on the window when increasing the current density from the e-beam. The second experiment shows electrolysis in EC-SEM Cell, induced by the built-in electrodes.

Improving handwashing habits in the newborn nurseries.

In five separate sessions over a 13-month period, the authors monitored the handwashing habits of doctors, nurses, and other healthcare professionals in the nursery. Compliance rates regarding three specific items related to handwashing prophylaxis were noted by a group of observers without the knowledge of the subjects involved. Good handwashing prophylaxis was carried out by the doctors only 37.5% prior to handling infants, and 29.2% after contact with inanimate objects, whereas for these items the nurses complied 53.9% and 29.2%, respectively. Wrist ornaments were removed prior to handwashing in 72.7% and 75.3% of contacts. The data for other healthcare professionals were generally similar. The information from this study was used for educational purposes, which seemed to have had an impact on handwashing habits. The compliance rates during the later part of the study for the first two items combined improved from 28.4% to 62.6% (p less than 0.001). The authors conclude that in the newborn units, the compliance with handwashing is generally poor. They believe that with continued monitoring and educational efforts, it may be possible to improve habits regarding handwashing prophylaxis.