Ink-Jet Printing of Micro-Electro-Mechanical Systems (MEMS) : Micromachines
Ink-Jet Printing of Micro-Electro-Mechanical Systems (MEMS) : Micromachines
Ink-Jet Printing of Micro-Electro-Mechanical Systems (MEMS) : Micromachines
Article
Ink-Jet Printing of Micro-Electro-Mechanical Systems
(MEMS)
Gih-Keong Lau 1,2, * and Milan Shrestha 1,2
1 School of Mechanical and Aerospace Engineering, Nanyang Technological University,
Singapore 639798, Singapore; [email protected]
2 Singapore Center of 3D Printing, Nanyang Technological University, Singapore 639798, Singapore
* Correspondence: [email protected]; Tel.: +65-6790-6825
Abstract: Beyond printing text on paper, inkjet printing methods have recently been applied to
print passive electrical and optical microparts, such as conductors, resistors, solder bumps and
polymeric micro lenses. They are also useful to print micro-electro-mechanical systems (MEMS)
as sub-millimeter sensor and actuator arrays, such as multifunctional skins applicable to robotic
application and ambient monitoring. This paper presents the latest review of a few successful
cases of printable MEMS devices. This review shows that inkjet printing is good for printing
two-dimensional or surface MEMS devices from a small unit to an array over a large area. In the
future, three-dimensional printing of multi-materials, from metal, plastic, to ceramic, will open
the possibility of realizing more variety and function of a large-areal MEMS array, for a mobile
electro-mechanical systems.
1. Introduction
Micro-electro-mechanical systems (MEMS) are sensors or actuators of micro-meter to
sub-millimeter size [1,2]. MEMS sensors can convert an input of a mechanical measurand into
an electrical output signal. For example, MEMS accelerometers and gyroscopes [1,3] are used in
a smartphone to sense the orientation/rotation of a display screen. MEMS actuators can convert an
electrical input into a controllable output of mechanical response. For example, a micro-mirror array is
used to switch pixels of the light projection display (i.e., Texas Digital Light Processor) [13].
Sensing principles of MEMS include one of the following [13]: (1) capacitive sensing to measure
an electrode displacement with the output of capacitance change; (2) piezo-resistive sensing to measure
a stress or strain in a deformable element with the output of a resistance change; (3) piezoelectric
sensing to measure the stress in a piezoelectric ceramic with the output of electric charge. The actuation
principles include [1,2]: (1) electrostatic attraction to close the air gap between a movable electrode
and a stationery one; (2) converse piezoelectric effect to induce a strain in the piezoelectric ceramic
subjected to an electric field; (3) solid thermal expansion as induced by resistive heating.
MEMS consist of moving micro-structural elements, integrated electrodes and even active material
under the control of integrated microelectronics. MEMS are mostly fabricated on silicon substrate,
which is the choice for fabricating integrated microelectronics. Yet, silicon micro-machining is
expensive and tedious in steps, involving photolithography, material addition and material subtraction.
Silicon micro-machining of MEMS devices is done in batch and often has a low yield at the initial
trials. Successful making of MEMS devices required many runs and optimization of established
micro-fabrication processes. Alternatively, inkjet printing methods or additive manufacturing can help
rapid prototyping of MEMS devices [47], albeit larger at a sub-millimeter size.
Inkjet printing methods are not just limited to printing of color inks on paper [4], but they also
apply to printing of functional devices [6,7]. The inkjet printing technology has a print head to eject
and direct liquid droplets at a precise location on a paper or flexible substrate. There are two modes
of inkjet printing [4,7], namely a continuous mode for industrial marking or product labeling and
an on-demand mode for home/office-use inkjet printers. For example, a conductor can be printed
from conductive colloid [5,6] or molten solder [5,7]. Inkjet printing methods readily make passive
electrical components, like a planar conductor, a planar inductor (coil), even a coplanar air capacitor.
Yet, printing of moving elements, such as a suspended spring, is more challenging due to the need for
printing multi-materials, into the over-hanged micro-structure with support on a sacrificial layer.
Inkjet printing does not make a MEMS device as dimensionally precise as conventional methods
based on photolithography and silicon micro-machining processes. Lateral resolution of printed
pattern is not as high as that formed by lithography. In addition, thickness control of the printed layer
is not better than those deposited by the physical or chemical vapor deposition methods. However,
printing is inexpensive and effective to make arrays of MEMS or sub-millimeter sensors and actuators
distributed over a large area. For example, the inkjet printing method has successfully been used
to print: (1) a microlens array as the areal light diffuser in the light guide plate of a display [8];
(2) air-gap MEMS switches on plastic lamination for RF power transmission [9]. Recently, the printing
method even makes distributed and flexible sensors and actuators for the application to robotic skin or
environmental monitoring. One of the impressive examples is a large-area electro-adhesive pad as
grippers [10].
Calvert (2001) [5] presented a review of inkjet printing of electrical and optical micro-parts, mostly
electrically passive. Wallace et al. (2007) [7] reviewed the use of inkjet printing as the manufacturing
tool for passive components such as solder bumps and microlenses. Bessonov and Kirikova (2015) [11]
reviewed flexible sensors based on roll-to-roll printing or screen printing. Yet, few have reported the
inkjet printing of MEMS actuators or sensors due to complexity in the making of moving elements.
In the following sections of this paper, we shall review the successful and exciting development of
printable MEMS devices as sensors and actuators, in addition to printing methods and materials.
2. Printing Methods
Figure 1 shows a basic print head consisting of a piezoelectric diaphragm above or on the side
of an ink channel right above the nozzle [4,12]. Dynamic deflection of the pulsed-voltage activated
piezoelectric diaphragm can generate a pressure wave to eject the ink out of the nozzle, squeezing
out a liquid jet that breaks into droplets due to liquids surface tension. A continuous mode [4,7] of
ink printing has a faster rate of 0.5-L droplets generation for 80 kHz100 kHz. A deflection plate
is electrically controllable to aim the droplets on to a substrate. The excess droplets are recirculated
from the gutter. A demand-mode printing system [4,7] has a slower ejection rate (of up to 30 kHz) of
smaller ink droplets (2 pL500 pL) [7], without the recirculation system as for the continuous system.
Hence, the demand mode printing system has a simple design and wastes less ink. Some brand names
of on-demand inkjet material printers for research and development use are: Dimatix material printer
(DMP-2850) from Fujifilm USA and Omnijet 300 from Unijet Korea.
The normal print head can process inks with a viscosity up to 30 cP. Water or solvent-based ink
has a viscosity below 5 cP [13]. Yet, molten polymer or mixture could have a much higher viscosity.
A special print head was recently developed to process high-viscosity (of up to 500 cP) fluid [14].
Liquid solvent is commonly used to dissolve solid resin or suspend solid nanoparticles to make the ink
have the right viscosity (2 cP100 cP) for inkjet printing. The ideal solvent should also have a low evaporation
rate to prevent fast drying from causing the clogging of the nozzle. The substrate for printing is usually
heated at 100 C300 C to improve the print quality [6]. Flash evaporation occurs to dry up the liquid
in a printed droplet upon its contact on the hot substrate. This eliminates the smudging problem and
allows rapid printing of multiple layers. The drying process depends strongly on the selected solvent.
Smudging of liquid ink droplets can reduce the print quality and resolution.
Micromachines 2017, 8, 194 3 of 19
Pump Piezoelement
Nozzle
Ink
Chargeelectrode Imagesignal
Imagesignal Nozzle
Heatorpiezo
Deflector element
Inkdroplet Inkdroplet
Recyclinggutter
Paper Paper
Figure 1. Schematics showing: (a) a continuous inkjet printer; (b) an on-demand inkjet printer. Redrawn
from Ref. [12].
Lateral resolution of a printed line depends on the ink droplet size and the inks spread
on a substrate. Typically, a demand-mode print head ejects a smaller droplet (20 m100 m
diameter). In comparison, a continuous-mode print head produces a larger droplet of up to 0.5 mm
in diameter [15]. A resolution of greater than 20 m is possible by high precision inkjet printing
on a proper substrate, but an average resolution of a few 100 m is more widely achievable [6].
The omniphobic surface on a substrate is desirable for high resolution printing [10]. Too much ink
spread upon wetting on the substrate will reduce the resolution; whereas, no spread of ink on a phobic
substrate does no help to form a continuous line from separate ink droplets.
A common substrate for inkjet printing is paper. Yet, a paper is not necessarily the best substrate
for high-resolution printing of special inks. Conductive inks, like silver ink or carbon ink, are often
printed on plastic, glass or silicon wafer where the printed ink droplets do not spread too much for good
lateral resolution. The plastic substrate is preferred for high flexibility. Recently, omniphobic paper with
fluoroalkylated coating enabled high-resolution printing of silver or carbon inks with a lateral resolution
greater than 80 m. A commercial paper (e.g., pe:smart paper type 2 from Felix Schoeller) for printed
electronics has a nanoporous coating made of oxide film and a 3.3-nm roughness to improve inkjet
printing [16].
Besides adding material, printing of solvent can help remove material. Printing of solvent helps
create a via hole through a polymeric insulator layer between the printed polymeric electrodes in
an organic thin film transistors (see Figure 2). For example, Kawase et al. [17] show that a droplet of
solvent can locally dissolve the insulator poly(vinyl phenol) ((PVP) of 500 nm thick), which was spin
coated from the solution of xylene and isopropanol (IPA). The printed solvent for material removal
dries within a second, with re-solidification of the insulator from the solution. The dissolved solid PVP
insulator is reflowed towards the edge of solvent puddle. Repeating the solvent drop and drying at
the same location creates a crater-like via hole through the insulator layer.
Micromachines 2017, 8, 194 4 of 19
PEDOT: poly(3,4-ethylenedioxythiophene)
F8T2: fluorenebithiophene copolymer (~30 nm))
PVP: poly(vinyl phenol (~500 nm)
Figure 2. Printing of solvent droplets to create a via hole through a polymeric insulator. (a) Organic
thin film transistor; (b) via hole through the PVP layer. Reproduced and adapted with permission [17].
Copyright 2001, John Wiley and Sons.
3. Printable Materials
This section presents a review of various materials suitable for inkjet printing or modified for printing.
used to generate jets and droplets from molten solder. The SolderJet [7] produces solder droplets with
a size ranging from 20 m125 m at a rate of 1000 droplets per second.
technology provides a facile way to pattern the slurry [31] of piezoelectric particles or sol-gel before
they are sintered into piezoelectric ceramic.
PVDF and its copolymers with TrFE are highly soluble in polar organic solvent,
such as dimethylformamide (DMF) [32], cyclopentanone [19], dimethylacetamide (DMAc),
N-methyl-2-pyrrolidone (NMP) [33] and methyl ethyl ketone (MEK) [34]. These piezoelectric polymers
can be processed into thin films by solution casting and annealing close to the crystallization
temperature. Hence, the solution containing the piezoelectric polymer resin is inkjet printable.
For example, a 2 wt % solution of PVDF in cyclopentanone was inkjet printed on to a metalized
plastic substrate [19].
4.1. Microlens
The microlens is useful to couple light between the source and detector by light beam shaping.
According to Cox et al. [35], 125 m-diameter microlenses were printed onto the tips of multimode
optical fibers to increase their acceptance angles by at least a factor of three. In addition, an array of
inkjet-printed microlenses (see Figure 3) is useful as light deflectors, converting side lighting, such as
a cold cathode fluorescent lamp (CCFL) or light emitting diode (LED), into planar back-lighting for
a liquid crystal display (LCD) [8].
(a)
(c)
CCFL Inkjetprinted
orLED microlenses Reflector
(b)
(d)
Microlens
Figure 3. Microlens array on a seven-inch light guide plate, together with white reflector, for display:
(a,b) schematics of light guide plate with the microlens array; (c,d) optical micrograph and topology of
microlenses. [2009] IEEE. Reprinted, with permission, from [8].
Micromachines 2017, 8, 194 7 of 19
Inkjet printing reduces the time for microlens prototyping, eliminating the need for mold making.
Printable materials for the microlens are UV-curable liquid pre-polymer like SU8 epoxy [36] and
modified poly(methyl methacrylate) (PMMA) [8]. They can be printed as droplets on the substrate
like an acrylic or glass plate. The contact angle between the ink droplet depends on the ink viscosity
and substrate surface treatment. Perfluorine hard coating on PMMA makes the hydrophobic surface
good for creating a nearly spherical droplet. After being printed, the pre-polymer droplets are UV
cured into solid microlenses. A typical microlens in the array for the light guide plate has a diameter
of 50 m, a sag of 5 m and a 65 m radius of curvature [8].
(a) (b)
(c) (d)
Figure 4. Solder bump printed from molten solder : (a) solder bumps on a chip; (b) solder bumps
for a read-write head; (c,d) solder towers in the angled and top views, respectively. Redrawn from
Ref. [37] with permission of Dr. David B. Wallace, MicroFab Technologies, Inc.
Printed solder balls and interconnect to read-write head
Micromachines 2017, 8, 194 8 of 19
4.3. Conductor
Inkjet printing of metallic nanoparticle ink can deposit a conductive dot on a heated substrate,
for example an 80100-m diameter dot on a 300 C substrate of polyimide film. Tracing the same path
by printing and drying of ink droplets yields a thicker multi-layer ink line on the substrate. Multiple
overlaps of printed droplets ensure the continuity of the printed conductive line or pad, while multiple
tracings make thicker multilayers. If the substrate heating is lower (<150 C), the multiple droplets of
ink will reflow and congregate on the substrate before complete solvent evaporation. Such printed
metallic lines can make a resonant LC circuit for a radio-frequency identifier (RFID) tag. For example,
Figure 5 shows a spiral silver coil [6] of 10 turns and 1.3 mm wide printed out of five layers of silver
nanoparticle ink with a layer thickness of 100 nm on a substrate of polyimide film. Such a metallic coil
together with air capacitance makes an LC circuit to absorb radio frequency signal at 150 MHz.
(a) (b)
100m 5mm
In comparison, inkjet-printed carbon nanotubes [39] were reported with a lower gauge factor
ranging between one and two. This CNT ink is a dispersion of multi-walled carbon nanotubes
(0.02 wt %) in dichlorobenzene with improved stability by surfactant [39]. A printed carbon-ink strain
gauge (Methode 3801, Methode Electronics, Inc., Richardson, TX, USA) on a omniphobic paper (Model
No. 702-442, Canson Vellum, France) can sense the tip deflection of the paper cantilever [10].
(a) (b)
Figure 6. Printed graphite strain gauge on a plastic film: : (a) flexing of the gauge on a plastic film;
(b) morphology of graphite coating. Reprinted from [38], Copyright (2014), with permission from
Elsevier.
Lateral stroke
(a) (b)
Cold
Hot arm
arm
Anchor
Contact pads
Anchor
400m
(c) (d)
Cold Current
arm Hot arm
Figure 7. Heat actuators printed from silver nanoparticle inks: (a,b) a schematic and a prototype of
a vertical heat actuator; (c,d) a schematic and a prototype for a pair of lateral heat actuators. Images (b)
and (d) reproduced with permission [6]. Copyright 2002, IEEE.
Printing of multiple conductive layers can make a heat actuator [6]. A 1 mm-tall vertical heat
actuator is printed out of 400 layers of silver nanoparticle inks on a glass slide (see Figure 7a,b).
The printing was carried out at the substrate heating of 300 C and took 30 min. The printed pillars of
hot and cold arms were joined at the top due to the mushrooming of the liquid top without the need
for a sacrificial layer.
Micromachines 2017, 8, 194 10 of 19
A planar heat actuator [6] (see Figure 7c,d) was obtained by printing multiple layers of silver
nanoparticle ink on a glass slide and a PMMA sacrificial patch. This planar resistor has a hot arm made
of 40 silver layers and a cold arm mode of 120 silver layers. The printed planar resistor is released
upon the removal of the sacrificial patch. The difference in height results in a resistance difference
between the hot and cold arms given the same line width. A 5-V activation of the planar heat actuator
produces a 200-m tip stroke.
Figure 1. Printed MEM switch fabricated using nanoparticle ink. Scanning electron micrographs of (a) multiple printed MEM switches and (b)
Figure
close-up view An electrostatic
8. switch.
of one The source beamswitch printed
is anchored to the on a Si
source pad;wafer:
the two (a,b) scanning
other electrodes electron
(actuating gatemicro-graphs;
and contacting drain) are
located underneath the source beam. Schematic cross-sectional illustration of the three-terminal switch structure (c) in the OFF-state and (d) in the
(c,d) schematics showing the working of the switch. Reprinted with permission from [21]. Copyright
ON-state.
2013, American Chemical Society.
A relay switch can also be printed on a flexible substrate like a polyimide film. Yet, a simple
construction of relay switch on a flexible film is prone to false operation due to the external pressure
disturbance. To make a reliable switch, Yokota et al. [43] proposed and developed a three-layer stack
enclosing a deformable cantilever (see Figure 9). Such a device is made by laminating three polyimide
films with inkjet-printed electrodes. The three films are a top switch film, a cantilever film and a bottom
switch film. Their spacing of 12 m is controlled by stacking with two adhesive spacers. The cantilever
film was laser cut or mechanically cut to form a cantilever of 6 mm 4.5 mm. The electrode on each
film is printed from silver nanoparticle inks with a 80 substrate heating and a 180 C sintering for 1 h.
The electrodes are passivated by a 3 m-thick parylene layer by chemical vapor deposition.
Similarly, Sekitani et al., [9] developed a printed plastic MEMS switch sheet (see Figure 10) for
turning on or off a sheet of sender coil arrays for a wireless power transmission system. The power
Figure 2. Illustration of the process used to fabricate the rst MEM switches. (a) Gate electrode is printed onto an electrically insulating substrate
using silver nanoparticle ink. (b) Thin lm of cross-linked PVP is spin-coated to form the gate dielectric. Drain electrode and source pad are printed
in alignment with the gate electrode. Additional drops of ink can be printed in the drain-contacting region to dene a contact dimple. (c) Sacricial
layer of PMMA is spin-coated and source beam is inkjet-printed. (d) The source anchor region is dened by printing acetone to dissolve PMMA
underneath one end of the source beam. (e) The source anchor is formed by lling the hole in the PMMA with inkjet-printed silver nanoparticle ink,
and the structure is released by removing PMMA lm with acetone. (f) Optical plan-view micrograph of cantilever beam after the anchor-region hole
is dened by inkjet-printing PMMA; (inset) surface prole of the hole along XX.
Micromachines 2017, 8, 194 11 of 19
transmission electrode of the plastic MEMS switch is connected to the alternating current (AC) power
source operating at a frequency of 13.56 MHz. Once the MEMS switch is turn on, current starts flowing
through the sender coil and thus generates a magnetic field. In turn, the receiver coil is subjected to
a current flow as induced by the magnetic field. The receiver coil spaced at a distance from the sender
coil can transmit an AC power as much as 2 W. This MEMS switch consists of three polyimide films
stacked up, namely a top electrode film, a spacer film and a bottom electrode film, all with inkjet-printed
silver electrodes. A printed plastic electronic and screen-printed positioning coil are used to control
the switching.
Figure 9. An electrostatic switch printed on a flexible polyimide film: (a,b) schematic showing the
switch design; (c) optical micrographs (top view) showing each layer. Reprinted from [43], with the
permission of AIP Publishing
(b)
(a) Plastic MEMS
Organic transistor
switches
(c)
Positioning
-sensing coil
Figure 10. Plastic MEMS switches for RF power transmission: (a) photograph of the switch sheet;
(b) photograph and schematic of a sender coil; (c) photograph and schematic of a plastic MEMS switch.
Reprinted by permission from Macmillan Publishers Ltd: Nature [9], copyright 2007
Recently developed prototypes of electro-adhesion pads include an aluminized mylar clamp [47],
a stamp-printed carbon electroded silicone membrane [49] and sputtered copper-electroded polyimide
film [48]. The fabrication method varies with electrode size and material. Stamp printing is good
for mass production of carbon-based electrodes over a moderate area. Photolithography and the
lift-off process are good for making high-resolution metallic electrodes over a small area. On the other
hand, inkjet printing is scalable to print electrode from a small area to a large area. Recently, inkjet
printing was used to print a pair of silver interdigital electrodes on a flexible omniphobic dielectric
layer (a fluoroalkylated tracing paper). As shown in Figure 11, the printed silver interdigital electrodes
have a finger length of 50 mm, a finger width of 0.5 mm and a finger gap of 0.5 mm over a large span
of 115 mm. This large-areal (50 mm by 115 mm) printed electro-adhesion pad can support a 500-gram
weight upon 2-kV activation across the interdigital electrodes.
Figure 11. Electroadhesion based on printed silver interdigital electrodes on omniphobic Canson
tracing paper : (A) design of interdigital electrodes; (B) fringe field induction around coplanar electrode;
(C) test setup for electroadhesion; (D) 2-kV activated electro-adhesion in action, lifting a 500-gram weight.
Reproduced with permission [10]. Copyright 2014, John Wiley and Sons.
Figure 12. All inkjet-printed piezoelectric polymer actuator : (ac) process steps for printing the bottom
electrode, piezoelectric (PVDF-TrFE) layer, and top electrodes (sintering and tempering step not shown);
(d) cross-section of the electroded PVDF layer; (e) piezoelectric cantilever; (f) a circular piezoelectric
membrane on a glass plate with a hole. Adapted from [19], Copyright (2013), with permission
from Elsevier.
Figure 13. Inkjet printed gas sensor with a SnO2 functional layer, gold electrodes and a heater:
(a) schematic showing the sensor section; (b,c) photographs in the top and angled views. Reproduced
from [51], Copyright (2015), with permission from Elsevier.
(a) (b)
Figure 14. Inkjet A printed humidity sensor: (a) a schematic of two opposite electrodes with a polymeric
sensing layer ; (b) an optical micrograph of a capacitor with inter-digital electrodes with an inset
showing a zoom-in view . Reproduced from [52], Copyright (2012), with permission from Elsevier.
Printedsilverelectrodes
(a) (b)
Figure 15. ZnO UV sensor: (a) schematic; (b) photograph. Redrawn with kind permission from
Mr. Tran, V. T.
Micromachines 2017, 8, 194 15 of 19
(b)
(a)
ZnO
(c)
Figure 16. ZnO infrared sensor : (a) photograph of a complete device; (b) schematics showing the
component layers; (c) a scanning electron micrograph showing the ZnO coating obtained from the
inkjet printing and sintering processes. Reproduced from [29]. CC licenses (2010), MPDI Sensor.
ZnO thin film can be printed from sol-gel. Typically, a precursor solution of ZnO is prepared by
dissolving a zinc acetate in ethanol (magnetically stirred at 60 C for 1 h) [20] or ethylene glycol (stirred
at 140 C for 0.5 h) [29]. After filtering, this particle-free precursor solution is suitable for inkjet printing.
A substrate heating is needed to evaporate the solvent, while sintering at 400500 C is needed to
improve the piezoelectric or pyroelectric effect of printed ZnO thin film. This high sintering temperature
of up to 500 C [29] may preclude the use of plastic substrate. The dot obtained from the printed and
sintered ZnO sol-gel is subject to the coffee-ring effect [20], with a peak rim ranging from 100 nm400 nm
thick, due to the non-uniform temperature of the droplet upon contact with the hot substrate.
5. Potential Applications
Parallel to inkjet printed transducers, 3D electronic printers have been recently developed to print
a 3D printed circuit board, e.g., a quadcopter body with an integrated circuit [55]. Such 3D electronic
printers (e.g., Voxel8 [56,57]) combine a fused filament fabrication print head for thermoplastics or
UV resin with a conductive silver ink print head (see Figure 17). These 3D printing techniques will be
useful for rapid prototyping of bio-inspired thoracic compliant mechanisms [58] for flapping wing
micro air vehicles.
Hybrid integration of inkjet printed transducer arrays can add sensory and additional function to
the 3D-printed mobile robot. It is foreseen that electro-adhesion pad can be integrated with the drone
to enable perching onto a branch like a bat does [59]. Whereas, the electro-adhesion pads have been
used to enable wall climbing of mobile robot [47]. Integration of gas sensors [51,53] with bioinspired
drones or mobile robots can also open the possibility of environmental surveillance.
(c)
(a)
(d)
(b)
Figure 17. 3D-printed quadcopter body with integrated silver wiring [56,57]: (a) a complete prototype;
(b) x-ray image showing the wiring and embedded electronics; (c) printing of silver ink for wiring to
a discrete electronic chip; (d) plastic encapsulation of silver wires and electronics. Reproduced with
permission from Voxel8, Inc.
Micromachines 2017, 8, 194 16 of 19
Acknowledgments: This research was supported by Singapore Millennium Foundation funded by Temasek Trust.
The second author Milan Shrestha is grateful to Singapore Center for 3D Printing (SC3DP) for supporting his
PhD scholarship.
Author Contributions: G.-K.L. developed the structure and wrote the paper. M.S. collected and analyzed
the literature.
Conflicts of Interest: The authors declare no conflict of interest.
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