Ischemia-guided vs routine non-culprit vessel angioplasty for patients with ST segment elevation myocardial infarction and multi-vessel disease: the IAEA SPECT STEMI trial.

BACKGROUND: In patients with multi-vessel disease presenting with ST elevation myocardial infarction (STEMI), the efficacy and safety of ischemia-guided, vs routine non-culprit vessel angioplasty has not been adequately studied. METHODS: We conducted an international, randomized, non-inferiority trial comparing ischemia-guided non-culprit vessel angioplasty to routine non-culprit vessel angioplasty, following primary PCI for STEMI. The primary outcome was the between-group difference in percent ischemic myocardium at follow-up stress MPI. All MPI images were processed and analyzed at a central core lab, blinded to treatment allocation. RESULTS: In all, 109 patients were enrolled from nine countries. In the ischemia-guided arm, 25/48 (47%) patients underwent non-culprit vessel PCI following stress MPI. In the routine non-culprit PCI arm, 43/56 (77%) patients underwent angioplasty (86% within 6 weeks of randomization). The median percentage of ischemic myocardium on follow-up imaging (mean 16.5 months) was low, and identical (2.9%) in both arms (difference 0.13%, 95%CI - 1.3%-1.6%, P < .0001; non-inferiority margin 5%). CONCLUSION: A strategy of ischemia-guided non-culprit PCI resulted in low ischemia burden, and was non-inferior to a strategy of routine non-culprit vessel PCI in reducing ischemia burden. Selective non-culprit PCI following STEMI offers the potential for cost-savings, and may be particularly relevant to low-resource settings. (CTRI/2018/08/015384).

Overcoming Nanoscale Inhomogeneities in Thin-Film Perovskites via Exceptional Post-annealing Grain Growth for Enhanced Photodetection.

Antisolvent-assisted spin coating has been widely used for fabricating metal halide perovskite films with smooth and compact morphology. However, localized nanoscale inhomogeneities exist in these films owing to rapid crystallization, undermining their overall optoelectronic performance. Here, we show that by relaxing the requirement for film smoothness, outstanding film quality can be obtained simply through a post-annealing grain growth process without passivation agents. The morphological changes, driven by a vaporized methylammonium chloride (MACl)-dimethylformamide (DMF) solution, lead to comprehensive defect elimination. Our nanoscale characterization visualizes the local defective clusters in the as-deposited film and their elimination following treatment, which couples with the observation of emissive grain boundaries and excellent inter- and intragrain optoelectronic uniformity in the polycrystalline film. Overcoming these performance-limiting inhomogeneities results in the enhancement of the photoresponse to low-light (<0.1 mW cm-2) illumination by up to 40-fold, yielding high-performance photodiodes with superior low-light detection.

Halide Chemistry in Tin Perovskite Optoelectronics: Bottlenecks and Opportunities.

Tin halide perovskites (Sn HaPs) are the top lead-free choice for perovskite optoelectronics, but the oxidation of perovskite Sn2+ to Sn4+ remains a key challenge. However, the role of inconspicuous chemical processes remains underexplored. Specifically, the halide component in Sn HaPs (typically iodide) has been shown to play a key role in dictating device performance and stability due to its high reactivity. Here we describe the impact of native halide chemistry on Sn HaPs. Specifically, molecular halogen formation in Sn HaPs and its influence on degradation is reviewed, emphasising the benefits of iodide substitution for improving stability. Next, the ecological impact of halide products of Sn HaP degradation and its mitigation are considered. The development of visible Sn HaP emitters via halide tuning is also summarised. Lastly, halide defect management and interfacial engineering for Sn HaP devices are discussed. These insights will inspire efficient and robust Sn HaP optoelectronics.

Lewis Base Passivation Mediates Charge Transfer at Perovskite Heterojunctions.

Understanding interfacial charge transfer processes such as trap-mediated recombination and injection into charge transport layers (CTLs) is crucial for the improvement of perovskite solar cells. Herein, we reveal that the chemical binding of charge transport layers to CH3NH3PbI3 defect sites is an integral part of the interfacial charge injection mechanism in both n-i-p and p-i-n architectures. Specifically, we use a mixture of optical and X-ray photoelectron spectroscopy to show that binding interactions occur via Lewis base interactions between electron-donating moieties on hole transport layers and the CH3NH3PbI3 surface. We then correlate the extent of binding with an improvement in the yield and longer lifetime of injected holes with transient absorption spectroscopy. Our results show that passivation-mediated charge transfer has been occurring undetected in some of the most common perovskite configurations and elucidate a key design rule for the chemical structure of next-generation CTLs.

Phosphorene Nanoribbon-Augmented Optoelectronics for Enhanced Hole Extraction.

Phosphorene nanoribbons (PNRs) have been widely predicted to exhibit a range of superlative functional properties; however, because they have only recently been isolated, these properties are yet to be shown to translate to improved performance in any application. PNRs show particular promise for optoelectronics, given their predicted high exciton binding energies, tunable bandgaps, and ultrahigh hole mobilities. Here, we verify the theorized enhanced hole mobility in both solar cells and space-charge-limited-current devices, demonstrating the potential for PNRs improving hole extraction in universal optoelectronic applications. Specifically, PNRs are demonstrated to act as an effective charge-selective interlayer by enhancing hole extraction from polycrystalline methylammonium lead iodide (MAPbI3) perovskite to the poly(triarylamine) semiconductor. Introducing PNRs at the hole-transport/MAPbI3 interface achieves fill factors above 0.83 and efficiencies exceeding 21% for planar p-i-n (inverted) perovskite solar cells (PSCs). Such efficiencies are typically only reported for single-crystalline MAPbI3-based inverted PSCs. Methylammonium-free PSCs also benefit from a PNR interlayer, verifying applicability to architectures incorporating mixed perovskite absorber layers. Device photoluminescence and transient absorption spectroscopy are used to demonstrate that the presence of the PNRs drives more effective carrier extraction. Isolation of the PNRs in space-charge-limited-current hole-only devices improves both hole mobility and conductivity, demonstrating applicability beyond PSCs. This work provides primary experimental evidence that the predicted superlative functional properties of PNRs indeed translate to improved optoelectronic performance.

Polymeric hole-transport materials with side-chain redox-active groups for perovskite solar cells with good reproducibility.

Two monomers, M:OO and M:ON, and their corresponding polymers, P:OO and P:ON, were prepared from styrene derivatives N,N-diphenyl-4-vinyl-aniline with different substituents (-OCH3 and -N(CH3)2) in the N-phenyl para positions. The polymers were synthesised and fully characterised to study their function as hole transport materials (HTMs) in perovskite solar cells (PSCs). The thermal, optical and electrochemical properties and performance of these monomers and polymers as HTMs in PSCs were compared in terms of their structure. The polymers form more stable amorphous glassy states and showed higher thermal stability than the monomers. The different substituent in the para position influenced the highest occupied molecular orbital (HOMO) level, altering the oxidation potential. Both monomers and polymers were employed as HTMs in perovskite solar cells with a device configuration FTO/bl-TiO2/mp-TiO2/CH3NH3PbI3/HTM/Au resulting in power conversion efficiencies of 7.48% for M:OO, 5.14% for P:OO, 5.28% for P:ON and 3.52% for M:ON. Although showing comparatively low efficiencies, the polymers showed much superior reproducibility in comparison with Spiro-OMeTAD or the monomers, suggesting further optimisation of polymeric HTMs with redox side groups is warranted.

Correction: Polymeric hole-transport materials with side-chain redox-active groups for perovskite solar cells with good reproducibility.

Correction for 'Polymeric hole-transport materials with side-chain redox-active groups for perovskite solar cells with good reproducibility' by Rosinda Fuentes Pineda et al., Phys. Chem. Chem. Phys., 2018, 20, 25738-25745.

Effect of alkyl chain length on the properties of triphenylamine-based hole transport materials and their performance in perovskite solar cells.

A new series of diacetylide-triphenylamine (DATPA) derivatives with five different alkyl chains in the para position, MeO, EtO, nPrO, iPrO and BuO, were synthesised, fully characterised and their function as hole-transport materials in perovskite solar cells (PSC) studied. Their thermal, optical and electrochemical properties were investigated along with their molecular packing and charge transport properties to analyse the influence of different alkyl chains in the solar cell parameters. The shorter alkyl chain facilitates more compact packing structures which enhanced the hole mobilities and reduced recombination. This work suggests that the molecule with the methoxy substituent (MeO) exhibits the best semiconductive properties with a power conversion efficiency of up to 5.63%, an open circuit voltage (Voc) of 0.83 V, a photocurrent density (Jsc) of 10.84 mA cm-2 and a fill factor of 62.3% in perovskite solar cells. Upon replacing the methoxy group with longer alkyl chain substituents without changing the energy levels, there is a decrease in the charge mobility as well as PCE (e.g. 3.29% for BuO-DATPA). The alkyl chain length of semiconductive molecules plays an important role in achieving high performance perovskite solar cells.

CH3NH3PbI3 films prepared by combining 1- and 2-step deposition: how crystal growth conditions affect properties.

Perovskite solar cells continue to attract strong attention because of their unprecedented rate of power conversion efficiency increase. CH3NH3PbI3 (MAPbI3) is the most widely studied perovskite. Typically one-step (1-s) or two-step (2-s) deposition methods are used to prepare MAPbI3 films. Here, we investigate a new MAPbI3 film formation method that combines 1-s and 2-s deposition (termed 1 & 2-s) and uses systematic variation of the stoichiometric mole ratio (x) for the PbI2 + xMAI solutions employed. The PbI2 + xMAI solutions were used to deposit precursor films that were subsequently dipped in MAI solution as a second step to produce the final MAPbI3 films. The morphologies of the 1 & 2-s MAPbI3 films consisted of three crystal types: tree-like microcrystals (≫1 µm), cuboid meso-crystals (∼0.1-1 µm) and nanocrystals (∼50-80 nm). Each crystal type and their proportions were controlled by the value for x. The new 1 & 2-s deposition method produced MAPbI3 films with tuneable optoelectronic properties that were related to those for the conventional 1-s and 2-s films. However, the 1 & 2-s film properties were not simply a combination of those for the 1-s and 2-s films. The 1 & 2-s films showed enhanced light scattering and the photoluminescence spectra displayed a morphologically-dependent red-shift. The unique morphologies for the 1 & 2-s films also strongly influenced PbI2 conversion, power conversion efficiency, hysteresis and recombination. The trends for the performance parameters and hysteresis were compared for devices constructed using spiro-MeOTAD and P3HT and were similar. The 1 & 2-s method should apply to other perovskite formulations and the new insights concerning MAPbI3 crystal growth conditions, morphology and material properties established in this study should also be transferable.

Polymer/Nanocrystal Hybrid Solar Cells: Influence of Molecular Precursor Design on Film Nanomorphology, Charge Generation and Device Performance.

In this work, molecular tuning of metal xanthate precursors is shown to have a marked effect on the heterojunction morphology of hybrid poly(3-hexylthiophene-2,5-diyl) (P3HT)/CdS blends and, as a result, the photochemical processes and overall performance of in situ fabricated hybrid solar cells. A series of cadmium xanthate complexes is synthesized for use as in situ precursors to cadmium sulfide nanoparticles in hybrid P3HT/CdS solar cells. The formation of CdS domains is studied by simultaneous GIWAXS (grazing incidence wide-angle X-ray scattering) and GISAXS (grazing incidence small-angle X-ray scattering), revealing knowledge about crystal growth and the formation of different morphologies observed using TEM (transmission electron microscopy). These measurements show that there is a strong relationship between precursor structure and heterojunction nanomorphology. A combination of TAS (transient absorption spectroscopy) and photovoltaic device performance measurements is used to show the intricate balance required between charge photogeneration and percolated domains in order to effectively extract charges to maximize device power conversion efficiencies. This study presents a strong case for xanthate complexes as a useful route to designing optimal heterojunction morphologies for use in the emerging field of hybrid organic/inorganic solar cells, due to the fact that the nanomorphology can be tuned via careful design of these precursor materials.

The Role of Oxygen in the Degradation of Methylammonium Lead Trihalide Perovskite Photoactive Layers.

In this paper we report on the influence of light and oxygen on the stability of CH3 NH3 PbI3 perovskite-based photoactive layers. When exposed to both light and dry air the mp-Al2 O3 /CH3 NH3 PbI3 photoactive layers rapidly decompose yielding methylamine, PbI2 , and I2 as products. We show that this degradation is initiated by the reaction of superoxide (O2 (-) ) with the methylammonium moiety of the perovskite absorber. Fluorescent molecular probe studies indicate that the O2 (-) species is generated by the reaction of photoexcited electrons in the perovskite and molecular oxygen. We show that the yield of O2 (-) generation is significantly reduced when the mp-Al2 O3 film is replaced with an mp-TiO2 electron extraction and transport layer. The present findings suggest that replacing the methylammonium component in CH3 NH3 PbI3 to a species without acid protons could improve tolerance to oxygen and enhance stability.

Solution-processed mesoscopic Bi2S3:polymer photoactive layers.

The fabrication of solution-processed nontoxic mesoporous Bi2S3 structures is demonstrated and the suitability of these structures for use in hybrid solar cells investigated. Mesoporous Bi2S3 electrodes are prepared via thermal decomposition of a thin film composed of a bismuth xanthate single source precursor. The resultant Bi2S3 films are made up of regular needles with approximate dimensions of 50×500 nm, as confirmed by scanning electron microscopy (SEM). The crystallinity of the Bi2S3 is found to be dependent on the annealing temperature, as determined by X-ray diffraction. The porous Bi2S3 films are infiltrated with the hole conductor P3HT to generate novel hybrid films, and laser-based transient absorption spectroscopy is used to interrogate the charge-separation reaction at the resulting Bi2S3/P3HT heterojunction. Specifically, optical excitation of the hybrid films results in efficient and long-lived charge separation (microsecond to millisecond timescale), thereby rendering such films suitable for the development of novel low-cost solar-energy conversion devices.

Energy level alignment in TiO2/metal sulfide/polymer interfaces for solar cell applications.

Semiconductor sensitized solar cell interfaces have been studied with photoelectron spectroscopy to understand the interfacial electronic structures. In particular, the experimental energy level alignment has been determined for complete TiO2/metal sulfide/polymer interfaces. For the metal sulfides CdS, Sb2S3 and Bi2S3 deposited from single source metal xanthate precursors, it was shown that both driving forces for electron injection into TiO2 and hole transfer to the polymer decrease for narrower bandgaps. The energy level alignment results were used in the discussion of the function of solar cells with the same metal sulfides as light absorbers. For example Sb2S3 showed the most favourable energy level alignment with 0.3 eV driving force for electron injection and 0.4 eV driving force for hole transfer and also the most efficient solar cells due to high photocurrent generation. The energy level alignment of the TiO2/Bi2S3 interface on the other hand showed no driving force for electron injection to TiO2, and the performance of the corresponding solar cell was very low.

Correlates of markers of dyssynchrony in patients with STEMI and multivessel disease: an analysis from the IAEA SPECT STEMI trial.

BACKGROUND: In this substudy of the Value of Gated-SPECT MPI for Ischemia- Guided PCI of non-culprit vessels in STEMI Patients with Multi vessel Disease after primary PCI trial on the value of myocardial perfusion imaging (MPI) for ischemia-guided percutaneous coronary intervention (PCI) of nonculprit vessels in patients with ST-segment-elevation myocardial infarction (STEMI) and multivessel disease after primary PCI we aim to assess if infarct size affects conventional measures of dyssynchrony at rest. Additionally, we explore if there is an independent correlation of stress-inducible ischemia with dyssynchrony at rest. METHODS: The 48 patients with imaging at randomization were analyzed. Gated-single-photon emission computed tomography (SPECT) MPI with vasodilator stress and technetium-99m-labeled tracers was performed. The phase histogram bandwidth (HBW), phase SD, and entropy were obtained with the QGS software. Correlation between dyssynchrony at rest and infarct size and inducible ischemia was performed using the Spearman test. RESULTS: According to normal database limits dyssynchrony parameters at rest were abnormal for men. In women only HBW was abnormal. Correlation between the summed rest score with dyssynchrony was significant only for entropy (P = 0.035). No correlation was observed for dyssynchrony and stress-induced ischemia. CONCLUSION: Entropy, as a measure of dyssynchrony, has potential in the assessment of patients with STEMI and multivessel disease after primary PCI. Smaller residual myocardial scars in PCI-reperfused patients with STEMI may contribute to the lack of correlation between dyssynchrony at rest and infarct size and stress-induced ischemia, respectively.

Influence of morphology and polymer:nanoparticle ratio on device performance of hybrid solar cells-an approach in experiment and simulation.

We present a thorough study on the various impacts of polymer:nanoparticle ratios on morphology, charge generation and device performance in hybrid solar cells, comprising active layers consisting of a conjugated polymer and in situ prepared copper indium sulfide (CIS) nanoparticles. We conducted morphological studies through transmission electron microscopy and transient absorption measurements to study charge generation in absorber layers with polymer:nanoparticle weight ratios ranging from 1:3 to 1:15. These data are correlated to the characteristic parameters of the prepared solar cells. To gain a deeper understanding of our experimental findings, three-dimensional drift-diffusion-based simulations were performed. Based on elaborate descriptions of the contributions of polymer and nanoparticle phase to device performances, our results suggest that a polymer:CIS volume ratio of 1:2 (weight ratio 1:9) is necessary to obtain a balanced hole and electron percolation. Also at higher CIS loadings the photocurrent remains surprisingly high due to the contribution of the CIS phase to the charge carrier generation.

Synthesis and optical characterisation of triphenylamine-based hole extractor materials for CdSe quantum dots.

We report the synthesis and optical characterisation of different triphenylamine-based hole capture materials able to anchor to CdSe quantum dots (QDs). Cyclic voltammetry studies indicate that these materials exhibit reversible electrochemical behaviour. Photoluminescence and transient absorption spectroscopy techniques are used to study interfacial charge transfer properties of the triphenylamine functionalized CdSe QDs. Specifically, we show that the functionalized QDs based on the most easily oxidised triphenylamine display efficient hole-extraction and long-lived charge separation. The present findings should help identify new strategies to control charge transfer QD-based optoelectronic devices.

Engineering Stable Lead-Free Tin Halide Perovskite Solar Cells: Lessons from Materials Chemistry.

Substituting toxic lead with tin (Sn) in perovskite solar cells (PSCs) is the most promising route toward the development of high-efficiency lead-free devices. Despite the encouraging efficiencies of Sn-PSCs, they are still yet to surpass 15% and suffer detrimental oxidation of Sn(II) to Sn(IV). Since their first application in 2014, investigations into the properties of Sn-PSCs have contributed to a growing understanding of the mechanisms, both detrimental and complementary to their stability. This review summarizes the evolution of Sn-PSCs, including early developments to the latest state-of-the-art approaches benefitting the stability of devices. The degradation pathways associated with Sn-PSCs are first outlined, followed by describing how composition engineering (A, B site modifications), additive engineering (oxidation prevention), and interface engineering (passivation strategies) can be employed as different avenues to improve the stability of devices. The knowledge about these properties is also not limited to PSCs and also applicable to other types of devices now employing Sn-based perovskite absorber layers. A detailed analysis of the properties and materials chemistry reveals a clear set of design rules for the development of stable Sn-PSCs. Applying the design strategies highlighted in this review will be essential to further improve both the efficiency and stability of Sn-PSCs.

Solution-Processable Cu3BiS3 Thin Films: Growth Process Insights and Increased Charge Generation Properties by Interface Modification.

Cu3BiS3 thin films are fabricated via spin coating of precursor solutions containing copper and bismuth xanthates onto planar glass substrates or mesoporous metal oxide scaffolds followed by annealing at 300 °C to convert the metal xanthates into copper bismuth sulfide. Detailed insights into the film formation are gained from time-resolved simultaneous small and wide angle X-ray scattering measurements. The Cu3BiS3 films show a high absorption coefficient and a band gap of 1.55 eV, which makes them attractive for application in photovoltaic devices. Transient absorption spectroscopic measurements reveal that charge generation yields in mesoporous TiO2/Cu3BiS3 heterojunctions can be significantly improved by the introduction of an In2S3 interlayer, and long-lived charge carriers (t50% of 10 µs) are found.

Operando dynamics of trapped carriers in perovskite solar cells observed via infrared optical activation spectroscopy.

Conventional spectroscopies are not sufficiently selective to comprehensively understand the behaviour of trapped carriers in perovskite solar cells, particularly under their working conditions. Here we use infrared optical activation spectroscopy (i.e., pump-push-photocurrent), to observe the properties and real-time dynamics of trapped carriers within operando perovskite solar cells. We compare behaviour differences of trapped holes in pristine and surface-passivated FA0.99Cs0.01PbI3 devices using a combination of quasi-steady-state and nanosecond time-resolved pump-push-photocurrent, as well as kinetic and drift-diffusion models. We find a two-step trap-filling process: the rapid filling (~10 ns) of low-density traps in the bulk of perovskite, followed by the slower filling (~100 ns) of high-density traps at the perovskite/hole transport material interface. Surface passivation by n-octylammonium iodide dramatically reduces the number of trap states (~50 times), improving the device performance substantially. Moreover, the activation energy (~280 meV) of the dominant hole traps remains similar with and without surface passivation.

Thermal decomposition of solution processable metal xanthates on mesoporous titanium dioxide films: a new route to quantum-dot sensitised heterojunctions.

We introduce a straightforward route to the fabrication of metal sulfide semiconductor (e.g. CdS, Sb(2)S(3), Bi(2)S(3)) sensitised TiO(2) films. Our approach is based upon the controllable thermal decomposition of a single-source metal xanthate precursor on a mesoporous metal oxide film. The growth of the metal sulfide deposit is confirmed by Raman and UV-Vis steady-state absorption measurements. Transient absorption spectroscopy measurements provide evidence for charge separation across the metal sulfide/TiO(2) interface. Moreover, a high yield of long-lived photogenerated charges is observed in a three-component TiO(2)/metal sulfide/spiro-OMeTAD film, thus demonstrating the potential of such multicomponent films for solar energy conversion devices.