The 2013 Infection Prevention and Control (IP&C) Guideline for Cystic Fibrosis (CF) was commissioned by the CF Foundation as an update of the 2003 Infection Control Guideline for CF. During the past decade, new knowledge and new challenges provided the following rationale to develop updated IP&C strategies for this unique population:

1. The need to integrate relevant recommendations from evidence-based guidelines published since 2003 into IP&C practices for CF . These included guidelines from the Centers for Disease Control and Prevention (CDC)/Healthcare Infection Control Practices Advisory Committee (HICPAC), the World Health Organization (WHO), and key professional societies, including the Infectious Diseases Society of America (IDSA) and the Society for Healthcare Epidemiology of America (SHEA). During the past decade, new evidence has led to a renewed emphasis on source containment of potential pathogens and the role played by the contaminated healthcare environment in the transmission of infectious agents. Furthermore, an increased understanding of the importance of the application of implementation science, monitoring adherence, and feedback principles has been shown to increase the effectiveness of IP&C guideline recommendations.

2. Experience with emerging pathogens in the non-CF population has expanded our understanding of droplet transmission of respiratory pathogens and can inform IP&C strategies for CF . These pathogens include severe acute respiratory syndrome coronavirus and the 2009 influenza A H1N1. Lessons learned about preventing transmission of methicillin-resistant Staphylococcus aureus (MRSA) and multidrug-resistant gram-negative pathogens in non-CF patient populations also can inform IP&C strategies for CF.

We studied the effect of a cross-conjugated bridging group (χC) on charge-transfer in a push-pull chromophore system. The hyperpolarizability of such molecules was found to be comparable to that of a fully π-conjugated molecule (πC) with the same donor and acceptor. The cross-conjugated moiety was then applied as a pendant to a fully π-conjugated chromophore containing a tricyanopyrroline acceptor (TCP). The addition of a χC moiety did not alter the intrinsic hyperpolarizability and provides an avenue for extending and aiding πC systems. The molecules were examined by X-ray diffraction (XRD), hyper-Raleigh scattering (HRS) and UV-visible (UV-vis) spectroscopy. Experimental results were compared with the predictions of density functional theory (DFT). Cross-conjugated molecules have comparable β values, relative to πC molecules, due to reduced spatial overlap between the highest occupied molecular orbital (HOMO) and lowest unoccupied molecular orbital (LUMO). Thus, the χC architecture could facilitate independent modification of donor and acceptor strengths while minimizing unfavorable effects on electronic transitions and dipole moments.

The use of organic nonlinear optical (ONLO) materials in electro-optic (EO) modulators requires that the active molecular components (chromophores) be acentrically oriented. The fundamental molecular constituents are in a condensed, glassy phase. Molecular orientation in such systems is typically achieved by applying a DC poling field to the glassy material. We are developing efficient coarse-grained classical Monte Carlo (MC) methods to simulate the order of such systems. The most challenging aspects of these simulations are convergence to an experimentally relevant equilibrium ensemble and verification of simulation accuracy. We use a variety of molecular descriptions and a variety of MC methods to achieve proper order in the shortest number of computational cycles possible. Herein, we illustrate a few examples of the types of calculations and compare with experimental results with representative amorphous organic materials, including electro-optic chromophores.

A number of material properties must be optimized before organic electro-optic materials can be used for practical device applications. These include electro-optic activity, optical transparency, and stability including both thermal and photochemical stability. Exploiting an improved understanding of the structure/function relationships, we have recently prepared materials exhibiting electro-optic coefficients of greater than 50 pm/V and optical loss values of less than 0.7 dB/cm at the telecommunication wavelengths of 1.3 and 1.55 microns. When oxygen is excluded to a reasonable extent, long-term photostability to optical power levels of 20 mW has been observed. Photostability is further improved by addition of scavengers and by lattice hardening. Long-term (greater than 1000 hours) thermal stability of poling-induced electro-optic activity is also observed at elevated temperatures (greater than 80°C) when appropriate lattice hardening is used. The successful improvement of organic electro-optic materials rests upon (1) attention to the design of chromophore structure including design to inhibit unwanted intermolecular electrostatic interactions and to improve chromophore instability and (2) attention to processing conditions including those involved in spin casting, electric field poling, and lattice hardening. A particularly attractive new direction has been the exploitation of dendrimer structures and particularly of multi-chromophore containing dendrimer structures. This approach has permitted the simultaneous improvement of all material properties. Development of new materials has facilitated the fabrication of a number of prototype devices and most recently has permitted investigation of the incorporation of electro-optic materials into photonic bandgap and microresonator structures. The latter are relevant to active wavelength division multiplexing (WDM). Significant quality factors (greater than 10,000) have been realized for such devices permitting wavelength discrimination at telecommunication wavelengths of 0.01 nm.