An updated review of immunotherapy in esophageal cancer: PD-L1 footprint.

Esophageal cancer is considered one of the most significant challenges to public health worldwide. While various therapeutic options exist for esophageal cancer, including chemotherapy, radiotherapy, and surgery, several adverse effects of these medications have been reported. Therefore, a new generation of therapeutic lines should be applied to minimize complications. In this regard, immunotherapy is a novel approach that aims to kill tumor cells directly by targeting them. Specifically, monoclonal antibodies can target specific markers of esophageal cancer tumor cells, keeping other normal cells safe. Multiple monoclonal antibodies optimized for esophageal cancer, such as pembrolizumab, ramucirumab, trastuzumab, nivolumab, and ipilimumab, are available. On the other hand, esophageal cancer tumor cells express a specific inhibitory ligand and its receptor called programmed cell death, which can suppress T cell immune responses. This receptor provides an inhibitory signal, causing the highest expression of the PD-L1 ligand on tumor cells. The outcomes of this interaction lead to the suppression of the activation and function of T lymphocytes. Therefore, immunotherapy for esophageal cancer targeting the PD-1/PD-L1 pathway has shown a remarkable correlation with cancer care. This study presents a comprehensive review of the latest findings related to immunotherapy in esophageal cancer.

Distinct neural signatures underlying information maintenance and manipulation in working memory.

Previous working memory research has demonstrated robust stimulus representations during memory maintenance in both voltage and alpha-band activity in electroencephalography. However, the exact functions of these 2 neural signatures have remained controversial. Here we systematically investigated their respective contributions to memory manipulation. Human participants either maintained a previously seen spatial location, or manipulated the location following a mental rotation cue over a delay. Using multivariate decoding, we observed robust location representations in low-frequency voltage and alpha-band oscillatory activity with distinct spatiotemporal dynamics: location representations were most evident in posterior channels in alpha-band activity, but were most prominent in the more anterior, central channels in voltage signals. Moreover, the temporal emergence of manipulated representation in central voltage preceded that in posterior alpha-band activity, suggesting that voltage might carry stimulus-specific source signals originated internally from anterior cortex, whereas alpha-band activity might reflect feedback signals in posterior cortex received from higher-order cortex. Lastly, while location representations in both signals were coded in a low-dimensional neural subspace, location representation in central voltage was higher-dimensional and underwent a representational transformation that exclusively predicted memory behavior. Together, these results highlight the crucial role of central voltage in working memory, and support functional distinctions between voltage and alpha-band activity.

A case report of melanosis of the bladder within a bladder diverticulum and associated Aerococcus urinary infection.

Background: Melanosis vesicae is a rare condition characterized by the deposition of melanin within the bladder urothelium. Case presentation: We present a case of a 72-year-old male with a history of recurrent urinary retention, bladder diverticula, and concurrent Aerococcus urinary tract infection who presented with left-sided abdominal pain. Cystoscopy revealed diffuse black splotch lesions throughout the bladder and two diverticula. Histopathological examination confirmed the diagnosis of melanosis vesicae. The patient ultimately underwent an open bladder diverticulectomy. Conclusion: The potential associations between melanosis vesicae, urinary tract malignancies and concurrent conditions such as bladder diverticula and urinary infections warrant further investigation.

Intelligent mine safety risk based on knowledge graph: hotspots and frontiers.

The safety of mining has always been a concern. The occurrence of safety accidents not only endangers human health, but also causes serious damage to the ecological environment. With the continuous upgrade and improvement of mining technology, most mines are undergoing intelligent construction and transformation. In order to analyze security risks that should be focused on the construction of intelligent mines and the technical challenges that will be faced, we used the Web of Science (WOS) Core Collection to identify 283 publications on the field of security risks in intelligent mines from 2013 to 2022. We combined the Vosviewer, CiteSpace, and Bibliometrix R software packages to conduct an in-depth analysis and exquisite visualization of the literature, including the authors, journals, countries, hot topics, and research frontiers. This paper can help scholars comprehensively and quickly understand the research status and hotspots in the field of intelligent mine safety and risk, and it provides theoretical support for further research and exploration in the future.

Phase II Trial of Concurrent Nivolumab and Radiation Therapy for Muscle-Invasive Bladder Cancer of Older or Chemotherapy-Ineligible Patients.

PURPOSE: Bladder cancer is predominantly a disease of older individuals. Concurrent chemotherapy and radiation is a bladder-sparing strategy for management of muscle-invasive bladder cancer; however, many patients are not candidates for chemotherapy due to comorbidities or impaired performance status. We conducted a study in a chemotherapy-ineligible patient population with the objectives of evaluating the safety, efficacy, and quality-of-life effect of the combination of nivolumab and radiation therapy in patients with localized/locally advanced urothelial cancer. METHODS AND MATERIALS: Eligible patients had muscle-invasive bladder cancer and were not candidates for standard chemoradiation strategy due to at least one of the following: performance status of 2, creatinine clearance ≤60 mL/min, cardiac disease, neuropathy, and intolerance to previous treatment. Creatinine clearance ≥40 mL/min, normal marrow, and liver function were required. The primary endpoint was progression-free survival at 12 months. Nivolumab was started within 3 days of radiation therapy and administered at a dose of 240 mg intravenously every 2 weeks for a maximum of 6 months. Radiation therapy was per standard of care for bladder cancer. Imaging and cystoscopy and biopsy evaluation were required at months 3, 6, and 12 and then annually until progression. RESULTS: Twenty patients were enrolled, with a median age of 78.5 years (range, 58-95 years); 80% of patients were >70 years of age, and 8 (40%) were >80 years of age. Median creatinine clearance was 52 mL/min. Nine patients (48%) were progression free at 12 months. Median progression-free survival was 11.4 months (90% CI, 7.5-23.7 months), and median overall survival was 15.6 months (90% CI, 9.1-26.1 months). CONCLUSIONS: Concurrent nivolumab and radiation therapy is tolerable but demonstrated limited efficacy in an older population with multiple comorbidities. Immune correlates demonstrated that patients with baseline programmed cell death ligand 1 combined prognostic score ≥5% had numerically longer progression-free survival.

Diffusion Characteristics of Airflow and CO in the Dead-End Tunnel with Different Ventilation Parameters after Tunneling Blasting.

After tunnel blasting, a large amount of CO will be produced and accumulated in the dead-end tunnel. If the ventilation discharge is not proper and the entry time into the dead-end tunnel is not appropriate, then it can cause workers to suffer from poisoning, hypoxia, and suffocation. Therefore, to understand the airflow and diffusion characteristics of CO in the dead-end tunnel after excavation and improve the working environment quality of the heading excavation tunnel, this paper uses numerical simulation and on-site verification to study the influence of different ventilation parameters on the airflow and CO diffusion characteristics in the dead-end tunnel after excavation and blasting. The research results show that the higher the air velocity of the duct, the smaller the distance between the duct and the working face, and the higher the hanging height of the duct, the easier it is for CO to be discharged from the dead-end tunnel. The larger the distance between the duct and the side wall, the more vortices there are in the dead-end tunnel and the more difficult it is to discharge CO from the tunnel. This study provides theoretical guidance for the research of the migration law of CO after tunnel blasting and has important value for ensuring a safe working environment and clean production in tunnel excavation.

The Atmospheric Environment Effects of the COVID-19 Pandemic: A Metrological Study.

Since the COVID-19 outbreak, the scientific community has been trying to clarify various problems, such as the mechanism of virus transmission, environmental impact, and socio-economic impact. The spread of COVID-19 in the atmospheric environment is variable and uncertain, potentially resulting in differences in air pollution. Many scholars are striving to explore the relationship between air quality, meteorological indicators, and COVID-19 to understand the interaction between COVID-19 and the atmospheric environment. In this study, we try to summarize COVID-19 studies related to the atmospheric environment by reviewing publications since January 2020. We used metrological methods to analyze many publications in Web of Science Core Collection. To clarify the current situation, hotspots, and development trends in the field. According to the study, COVID-19 research based on the atmospheric environment has attracted global attention. COVID-19 and air quality, meteorological factors affecting the spread of COVID-19, air pollution, and human health are the main topics. Environmental variables have a certain impact on the spread of SARS-CoV-2, and the prevalence of COVID-19 has improved the atmospheric environment to some extent. The findings of this study will aid scholars to understand the current situation in this field and provide guidance for future research.

MTA1 aggravates experimental colitis in mice by promoting transcription factor HIF1A and up-regulating AQP4 expression.

Experimental colitis can persist as a chronic disease, accompanied with an underlying risk of development into colorectal cancer. Metastasis-associated protein 1 (MTA1), as a chromatin modifier, exerts notable association with multiple diseases, including colitis. The current study aims to investigate the mechanism of MTA1/HIF1A/AQP4 axis in experimental colitis in mice. First, experimental colitis mouse models were established using dextran sulfate sodium (DSS) and in vitro colonic epithelial cells FHC inflammation models were with lipopolysaccharide (LPS) for determination of MTA1 and HIF1A expressions. It was found that MTA1 and HIF1A were both highly-expressed in experimental colitis samples. Results of dual-luciferase reporter gene assay and ChIP assay further revealed that MTA1 activated HIF1A, and subsequently induced AQP4 transcription to up-regulate AQP4 in experimental colitis. Following loss- and gain-function, the effects of MTA1/HIF1A/AQP4 axis on apoptosis and viability of colon epithelial cells were detected by a combination of TUNEL staining and flow cytometry, and CCK-8 assay. It was observed that silencing of MAT1 in the FHC and NCM460 cells reduced IL-1ß and TNF-α expressions induced by LPS. Meanwhile, AQP4 promoted LPS-induced inflammation, and exacerbated apoptosis of colon epithelial cells and augmented experimental colitis development in mice. In vivo experiments further verified that TGN-020 treatment effectively alleviated DSS-induced experimental colitis in mice and diminished apoptosis of colon epithelial cells. Altogether, MTA1 may promote AQP4 transcription by activating HIF1A, thus exacerbating DSS-induced experimental colitis in mice, which provides a novel direction for the treatment of experimental colitis.

Expression and subcellular localization of Discoidin Domain Receptor 1 (DDR1) define prostate cancer aggressiveness.

BACKGROUND: The Discoidin Domain Receptor 1 (DDR1) is one of the two members of a unique family of receptor tyrosine kinase receptors that signal in response to collagen, which has been implicated in cancer progression. Here, we examined the expression of DDR1 in prostate cancer (PCa), and assessed its potential value as a prognostic marker, as a function of grade, stage and other clinicopathologic parameters. METHODS: We investigated the association between the expression level and subcellular localization of DDR1 protein and PCa aggressiveness by immunohistochemistry, using tissue microarrays (TMAs) encompassing 200 cases of PCa with various Gleason scores (GS) and pathologic stages with matched normal tissue, and a highly specific monoclonal antibody. RESULTS: DDR1 was found to be localized in the membrane, cytoplasm, and nuclear compartments of both normal and cancerous prostate epithelial cells. Analyses of DDR1 expression in low GS (≤ 7[3 + 4]) vs high GS (≥ 7[4 + 3]) tissues showed no differences in nuclear or cytoplasmic DDR1in either cancerous or adjacent normal tissue cores. However, relative to normal-matched tissue, the percentage of cases with higher membranous DDR1 expression was significantly lower in high vs. low GS cancers. Although nuclear localization of DDR1 was consistently detected in our tissue samples and also in cultured human PCa and normal prostate-derived cell lines, its presence in that site could not be associated with disease aggressiveness. No associations between DDR1 expression and overall survival or biochemical recurrence were found in this cohort of patients. CONCLUSION: The data obtained through multivariate logistic regression model analysis suggest that the level of membranous DDR1 expression status may represent a potential biomarker of utility for better determination of PCa aggressiveness.

Successful endoscopic resection of an unusually enlarged and pedunculated type I gastric carcinoid tumour.

Three distinct gastric carcinoid (GC) tumour types have been described based on differing biological behaviour and prognoses. Type I GC tumours account for the vast majority (70%-80%), are associated with chronic atrophic gastritis and have a low metastatic potential. Type II carcinoid tumours are the least common (5%-10%), are related to Zollinger-Ellison syndrome and occur in relation to multiple neoplasia type I. Sporadic type III tumours (15%-25%) are the most aggressive type, are unrelated to gastrin over secretion and carry the worst prognosis. In this case report, we present a patient with longstanding gastroesophageal reflux disease (GERD) who presented with epigastric abdominal pain and tarry stools and was found to have a large gastric polyp on endoscopy. Despite current literature recommending surgical resection for larger GC tumours, endoscopic resection was successfully used to excise the tumour with pathology demonstrating complete resection with negative margins.

Changes in the Structures and Directions of Heavy Metal-Contaminated Soil Remediation Research from 1999 to 2020: A Bibliometric & Scientometric Study.

The pollution of heavy metals in soil is a problem of great concern to international scholars today. This research investigates the current research activities in the field of soil heavy metal pollution remediation and discusses the current areas of research focus and development trends. We conducted a bibliometric analysis of the literature on soil heavy metal pollution remediation from 1999 to 2020. CiteSpace and Vosviewer were used to conduct document co-citation and cluster analyses on the collected data. The research was mainly carried out based on the following factors: chronological distribution, country and institution distribution, source journal analysis, keyword co-occurrence analysis, and reference co-citation analysis. China (2173, 28.64%) and the United States (946, 12.47%) are the top two countries in terms of the number of articles published, and Environmental Science and Pollution Research (384, 5.06%) and Science of the Total Environment (345, 4.55%) published the most articles. The Chinese Academy of Science (485) is the organization that has contributed the most to the total number of publications. Furthermore, based on a keyword co-word analysis with Vosviewer and CitesSpace, it was concluded that the applications of phytoremediation and biochar in the remediation of heavy metals in soil are current research hotspots. Additionally, future research should focus on repair mechanisms, the development of new repair technology and joint repair systems.

Co-administration of berberine/gypenosides/bifendate ameliorates metabolic disturbance but not memory impairment in type 2 diabetic mice.

Cognitive impairment is a well-known complication of Type 2 diabetes mellitus (T2DM) characterized by cellular insulin resistance, chronic inflammation, and metabolic disturbances. Berberine, gypenosides and bifendate are traditional Chinese herbal medicines with multiple pharmacological activities including anti-inflammation, anti-oxidant, metabolism improvement and memory improvement. To investigate whether they have synergistic effect on T2DM metabolic syndrome and associated memory impairment, we measured in this study the effect of a low dose of berberine/gypenosides/bifendate (BGB) co-administration on metabolism and memory performance of T2DM model mice. We found that BGB co-administration ameliorated metabolic abnormalities of both high-fat diet/streptozotocin (STZ)-induced T2DM mice and db/db mice. However, it did not alleviate memory impairment in either type of T2DM model mice. Since neither berberine, gypenosides nor bifendate alone at the low dose is effective, we presume that BGB co-administration has synergistic action on T2DM metabolic syndrome. In addition, our findings suggest that higher doses of BGB might be required to ameliorate memory impairment than metabolic disturbance associated with T2DM.

Base flow in the Yarlungzangbo River, Tibet, maintained by the isotopically-depleted precipitation and groundwater discharge.

The extension-induced rift systems on the Tibetan Plateau (TP) may convey large amount of groundwater to rivers, but sources and flow paths of such groundwater are unknown. The Yarlungzangbo River (YR) is the only large river that traverses the southern Tibetan plateau from west to east, following one major suture zone that is cut by extensional normal faults. The faults could influence the flow paths of groundwater discharging to the river. In this study, O and H isotopes, major ions and 222Rn concentrations are analyzed along the YR, and interpreted in relation to structural geology and tectonics. The YR exhibits an abrupt change of isotopic and chemical compositions along with a large increase in flow where the middle reach intersects NE-SW-trending rifts. Low values of δD and δ18O and high concentrations of major ions and 222Rn in the middle reach show that waters are modified isotopically and chemically by a variety of possible water origins, such as recharge of high-altitude glacier melt and discharge from groundwater. Groundwater contributes 27 to 40% of the river flow in the middle reach. Isotopically-light meltwater from high-altitude glacier melt cannot account for the isotope composition of the present outflow of groundwater. The O and H isotope data in the YR and discharging groundwater can be well explained by the groundwater originated as paleo-precipitation during a cooler time, such as the late Pleistocene to early Holocene. The paleo-groundwater discharge can account for about 36 × 108 m3 water budget unbalance in the middle reach. The study provides the first clear isotope evidence for the source of groundwater discharge into a large river through favorable conduits in large-scale active tensile fault zones and confirms the regional scale of groundwater flow on the Tibetan Plateau. Understanding the characteristics and changes of streamflow and surface-groundwater circulation on the Tibetan Plateau will help to manage water resources under a changing environment.

Adrenal Metastases as Sanctuary Sites in Advanced Renal Cancer.

Involvement of the adrenal gland in kidney cancer represents a unique site of metastasis with a distinct clinical course. The cases are typically resistant to immune therapy and need local therapy management. A case series of patients with adrenal metastases was reviewed to highlight the nuances of clinical course and therapy. We reviewed renal cancer carcinoma (RCC) cases with adrenal metastases at Karmanos Cancer Center, Detroit MI. Medical records were reviewed to collect relevant case information. Next-generation sequencing, tumor mutation burden testing, and programmed death ligand biomarkers were evaluated in five cases. Twelve cases were reviewed; all were males with a median age of 49.5 years. Three patients presented with adrenal metastases only and were treated with local therapy. Three received interleukin-2 (IL-2). One patient relapsed with bilateral adrenal lesions after 11 years of remission, post-IL-2 therapy. Five cases received immune checkpoint inhibitor (ICI) and one received antivascular therapy. ICI therapy was followed by ablation of residual adrenal metastases in three patients. Genomic profiling was available in five cases. All were BAP1 and PD-L1 negative.Pathogenic mutations in PBRM1, SETD2, and VHL were noted. All patients with residual adrenal metastases responded to antivascular therapies or to local ablation. One patient died 17 years after diagnosis and 11 patients are alive at a median follow-up of 9.5 years. Adrenal metastases in RCC have a distinct clinical course. They can represent a sanctuary site of relapse/residual disease following treatment with immune therapy. Management with local therapy can induce durable remissions. Systemic management with antivascular therapies also demonstrated favorable responses. Further investigation should focus on the unique clinical course and optimal management of adrenal metastases in kidney cancer.

WITHDRAWN: Comparison of the accuracy between imageless navigation and manual freehand approaches for total hip arthroplasty: a systematic review and meta-analysis.

This article has been withdrawn at the request of the author(s) and/or editor. The Publisher apologizes for any inconvenience this may cause. The full Elsevier Policy on Article Withdrawal can be found at https://www.elsevier.com/about/our-business/policies/article-withdrawal.

MicroRNA­1 regulates the development of osteoarthritis in a Col2a1­Cre­ERT2/GFPfl/fl­RFP­miR­1 mouse model of osteoarthritis through the downregulation of Indian hedgehog expression.

The present study assessed the effects of microRNA­1 (miR­1) on the development of osteoarthritis using human tissues and a Col2a1­Cre­ERT2/GFPfl/fl­RFP­miR­1 mouse model of osteoarthritis. Human cartilage tissues (n=20) were collected for reverse transcription­quantitative polymerase chain reaction (RT­qPCR), histological analysis and immunohistochemistry experiments. A transgenic mouse model of osteoarthritis was established by subjecting Col2a1­Cre­ERT2/GFPfl/fl­RFP­miR­1 transgenic mice to anterior cruciate ligament transection (ACLT). Mice were subjected to radiography and in vivo fluorescence molecular tomography (FMT), while mouse tissues were collected for histological analysis, RT­qPCR and Safranin O staining. It was found that the miR­1 level was downregulated, whereas the levels of Indian hedgehog (Ihh), as well as those of its downstream genes were upregulated in human osteoarthritic cartilage. In the transgenic mice, treatment with tamoxifen induced miR­1, as well as collagen, type II (Col2a1) and Aggrecan (Acan) expression; however, it decreased Ihh, glioma­associated oncogene homolog (Gli)1, Gli2, Gli3, smoothened homolog (Smo), matrix metalloproteinase (MMP)­13 and collagen type X (Col10) expression. Safranin O staining revealed cartilage surface damage in the non­tamoxifen + ACLT group, compared with that in the tamoxifen + ACLT group. Histologically, an intact cartilage surface and less fibrosis were observed in the tamoxifen + ACLT group. Immunohistochemistry revealed that the protein expression of Ihh, Col10, and MMP­13 was significantly higher in the joint tissues of the non­tamoxifen + ACLT group than in those of the tamoxifen + ACLT group. However, Col2a1 expression was lower in the joint tissues of the non­tamoxifen + ACLT group than in those of the tamoxifen + ACLT group. The results of RT­qPCR and FMT further confirmed these findings. On the whole, the findings of the present study demonstrate that miR­1 expression protects against osteoarthritis­induced cartilage damage and gene expression by inhibiting Ihh signaling.

Ultrasound measurement of laryngeal structures in the parasagittal plane for the prediction of difficult laryngoscopies in Chinese adults.

BACKGROUND: Abnormal laryngeal structures are likely to be associated with a difficult laryngoscopy procedure. Currently, laryngeal structures can be measured by ultrasonography, however, little research has been performed on the potential role of ultrasound on the evaluation of a difficult laryngoscopy. The present study investigated the value of laryngeal structure measurements for predicting a difficult laryngoscopy. OBJECTIVE: The main objective of this study was to explore the value of laryngeal structure measurements for predicting a difficult laryngoscopy. METHODS: Two hundred and eleven adult patients (over 18 years old) were recruited to undergo elective surgery under general anesthesia via endotracheal intubation. Ultrasound was utilized to measure the distance between the skin and thyroid cartilage (DST), the distance between the thyroid cartilage and epiglottis (DTE), and the distance between the skin and epiglottis (DSE) in the parasagittal plane. These metrics were then investigated as predictors for classifying a laryngoscopy as difficult vs easy, as defined by the Cormack and Lehane grading scale. RESULTS: Multivariate logistic regression showed that the DSE, but not DST or DTE, was significantly related to difficult laryngoscopies. Specifically, a DSE ≥ 2.36 cm predicted difficult laryngoscopies with a sensitivity and specificity of 0.818 (95% CI: 0.766-0.870) and 0.856 (95% CI: 0.809-0.904). Furthermore, when combining the best model constructed of other indicators (i.e. sex, body mass index, modified Mallampati test) to predict the difficult laryngoscopy, the AUC reached 93.28%. CONCLUSION: DSE is an independent predictor of a difficult laryngoscopy; a DSE cutoff value of 2.36 cm is a better predictor of a difficult laryngoscope than other ultrasound or physiological measurements for predicting a difficult laryngoscope. Nevertheless, it's more valuable to apply the best model of this study, composed of various physiological measurements, for this prediction purpose.

Gross Hematuria in an Elderly Smoker Male Due to Eosinophilic Cystitis.

This is a case of a 71-year-old smoker man who presented with four days of gross hematuria, which turned to be caused by eosinophilic cystitis (EC) proven by bladder biopsy. EC is a rare clinical and pathological inflammatory condition of the bladder with an unknown exact cause. It can present with hematuria, urinary frequency, dysuria, and suprapubic pain. Sometimes, the presentation can mimic urinary tract infection (UTI) or malignancy, especially in older patients.

Should all prostate needle biopsy Gleason score 4 + 4 = 8 prostate cancers be high risk? Implications for shared decision-making and patient counselling.

OBJECTIVES: To estimate the probability of downgrading to Gleason score ≤7 at radical prostatectomy for men with a prostate needle biopsy demonstrating Gleason score 8 (4 + 4). METHODS: This is a retrospective review of men with Gleason score 8 (4 + 4) prostate cancer on needle biopsy who then underwent a radical prostatectomy at the Karmanos Cancer Institute or the University of Michigan. Men with any pattern 5 on the diagnostic biopsy were excluded. The objective was to estimate the proportion of patients whose tumors were downgraded to Gleason score ≤7 at radical prostatectomy and to identify clinical and biopsy parameters associated with downgrading. RESULTS: Median age of our cohort was 63 years (IQR: 59, 67.5) and median follow-up was 15 months (IQR: 7, 37). Of the 105 men that met inclusion criteria, 59% (62/105) were downgraded to Gleason score ≤7 at radical prostatectomy. Having ≤2 cores demonstrating Gleason score 8, ≤50% maximal tumor involvement of any individual core positive for Gleason score 8, or the presence of Gleason pattern 3 (such as 3 + 4, 4 + 3, or 3 + 3) in other biopsy cores were all independently associated with downgrading in our multivariable model. Depending on the absence, presence, or combination of these 3 factors, patients had an estimated 6% to 82% probability of having their tumor downgraded at radical prostatectomy. CONCLUSIONS: Men with low volume Gleason 8 (4 + 4) and/or the presence Gleason pattern 3 on prostate needle biopsy often have their tumors downgraded at radical prostatectomy. The presence of these preoperative biopsy parameters could affect pretreatment counseling and impact patient management.

A flexible, room-temperature and solution-processible copper nanowire based transparent electrode protected by reduced graphene oxide exhibiting high performance and improved stability.

Advances in flexible electronic and optoelectronic devices have caused higher requirements for fabricating high-performance and low cost flexible transparent conductive electrodes (TCEs). Copper nanowires (Cu NWs) possess excellent electrical and optical properties, but the large contact resistance and poor stability limit their practical application in optoelectronic devices. In this work, we report a robust, convenient and environment-friendly method to assemble copper nanowires/reduced graphene oxide (Cu NWs/rGO) TCEs with enhanced conductivity, flexibility and stability at room temperature. The NaBH4 treatment was used to remove the organics and oxides on the surface of Cu NWs, and the graphene oxide (GO) capping layer was also effectively reduced at the same time. The best Cu NWs/rGO composite TCEs show a good optical-electrical performance with a sheet resistance of ∼50 Ω/sq and transmittance of 83% as well as superior mechanical flexibility. The oxidation resistance of Cu NWs in normal environment and even at a relatively high temperature has also been greatly improved. Additionally, the Cu NWs/rGO TCEs based heaters presented high saturation temperature and rapid response time under a low voltage. The high-performance composite Cu NWs TCEs with good stability are expected to be applied in various types of flexible optoelectronic devices.