Today it is well demonstrated that stethoscopes can be as contaminated as hands, which are a recognized source of Health-Care Associated Infections (HCAIs). Ultraviolet C (UVC) light has proven disinfection capacity and the innovative UVC technology of Light Emitting Diode (LED) shows several potential benefits. To verify whether the use of UVC LEDs is effective and reliable in stethoscope membrane disinfection after prolonged use, a pre-post intervention study was conducted. A total of 1668 five-minute cycles were performed on two UVC LEDs to simulate their use; thereafter, their disinfection capacity was tested on stethoscope membranes used on a previously auscultated volunteer. Then, a further 1249 cycles were run and finally the LEDs were tested to assess performance in reducing experimental contamination by Staphylococcus aureus, Pseudomonas aeruginosa and Escherichia coli on the stethoscope membrane. Baseline volunteer contamination identified 104 Colony Forming Units (CFUs) while treated Petri dishes had 12 and 15 CFUs (p < 0.001). Statistically significant differences (p < 0.001) were also found relating to the reduction of specific bacteria: in particular, after treatment no CFU were observed for S. aureus and E. coli. UVC LEDs demonstrated the capacity to maintain high levels of disinfection after more than 240 h of use and they were effective against common microorganisms that are causative agents of HCAIs.

On 29 June 2015, a small phreatic eruption occurred at Hakone volcano, Central Japan, forming several vents in the Owakudani geothermal area on the northern slope of the central cones. Intense earthquake swarm activity and geodetic signals corresponding to the 2015 eruption were also observed within the Hakone caldera. To complement these observations and to characterise the shallow resistivity structure of Hakone caldera, we carried out a threedimensional inversion of magnetotelluric measurement data acquired at 64 sites across the region. We utilised an unstructured tetrahedral mesh for the inversion code of the edge-based finite element method to account for the steep topography of the region during the inversion process. The main features of the best-fit three-dimensional model are a bell-shaped conductor, the bottom of which shows good agreement with the upper limit of seismicity, beneath the central cones and the Owakudani geothermal area, and several buried bowl-shaped conductive zones beneath the Gora and Kojiri areas. We infer that the main bell-shaped conductor represents a hydrothermally altered zone that acts as a cap or seal to resist the upwelling of volcanic fluids. Enhanced volcanic activity may cause volcanic fluids to pass through the resistive body surrounded by the altered zone and thus promote brittle failure within the resistive body. The overlapping locations of the bowl-shaped conductors, the buried caldera structures and the presence of sodium-chloride-rich hot springs indicate that the conductors represent porous media saturated by highsalinity hot spring waters. The linear clusters of earthquake swarms beneath the Kojiri area may indicate several weak zones that formed due to these structural contrasts.

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