[Clinical characteristics of children on prolonged mechanical ventilation due to different primary diseases]. / ä¸åŒåŽŸå‘ç— å¯¼è‡´é•¿æœŸæœºæ¢°é€šæ°”æ‚£å„¿çš„ä¸´åºŠç‰¹å¾åˆ†æž.

OBJECTIVES: To investigate the differences in clinical characteristics among children on prolonged mechanical ventilation (PMV) due to different primary diseases. METHODS: A retrospective analysis was performed on the clinical data of 59 pediatric patients requiring PMV from July 2017 to September 2022. According to the primary disease, they were divided into respiratory disease (RD) group, central nervous system (CNS) group, neuromuscular disease (NMD) group, and other disease group. The four groups were compared in terms of general information, treatment, and outcome. RESULTS: There were significant differences among the four groups in age, body weight, Pediatric Logistic Organ Dysfunction-2 (PELOD-2) score, Pediatric Risk of Mortality III (PRISM Ⅲ) score, analgesic and sedative treatment, nutrition supply, rehabilitation treatment, tracheotomy, successful ventilator weaning, and outcomes (P<0.05). Compared with the RD group, the CNS group and the other disease group had a significantly higher age and a significantly higher proportion of children receiving rehabilitation treatment, and the CNS group had a significantly higher proportion of children receiving tracheotomy (P<0.008). Compared with the other disease group, the CNS group and the NMD group had significantly lower PELOD-2 and PRISM III scores, and the CNS group had a significantly higher proportion of children with successful ventilator weaning and a significantly higher proportion of children who were improved and discharged (P<0.008). CONCLUSIONS: There are differences in clinical characteristics among children receiving PMV due to different etiologies. Most children in the RD group have a younger age, and children in the CNS group have a relatively good prognosis.

Elimination of Intragrain Defect to Enhance the Performance of FAPbI3 Perovskite Solar Cells by Ionic Liquid.

Ionic liquids have been widely used to improve the efficiency and stability of perovskite solar cells (PSCs), and are generally believed to passivate defects on the grain boundaries of perovskites. However, few studies have focused on the relevant effects of ionic liquids on intragrain defects in perovskites which have been shown to be critical for the performance of PSCs. In this work, the effect of ionic liquid 1-hexyl-3-methylimidazolium iodide (HMII) on intragrain defects of formamidinium lead iodide (FAPbI3) perovskite is investigated. Abundant {111}c intragrain planar defects in pure FAPbI3 grains are found to be significantly reduced by the addition of the ionic liquid HMII, shown by using ultra-low-dose selected area electron diffraction. As a result, longer charge carrier lifetimes, higher photoluminescence quantum yield, better charge carrier transport properties, lower Urbach energy, and current-voltage hysteresis are achieved, and the champion power conversion efficiency of 24.09% is demonstrated. These observations suggest that ionic liquids significantly improve device performance resulting from the elimination of {111}c intragrain planar defects.

Ordered Perovskite Structure with Functional Units for High Performance and Stable Solar Cells.

Ion migration is one of the most critical challenges that affects the stability of metal-halide perovskite solar cells (PSCs). However, the current arsenal of available strategies for solving this issue is limited. Here, novel perovskite active layers following the concept of ordered structures with functional units (OSFU) to intrinsically suppress ion migration, in which a three-dimensional (3D) perovskite layer is deposited by vapor deposition for light absorption and a 2D layer is deposited by solution process for ion inhibition, are constructed. As a promising result, the activation energy of ion migration increases from 0.36 eV for the conventional perovskite to 0.54 eV for the OSFU perovskite. These devices exhibit substantially enhanced operational stability in comparison with the conventional ones, retaining >85% of their initial efficiencies after 1200 h under ISOS-L-1. Moreover, the OSFU devices show negligible fatigue behavior with a robust performance under light/dark cycling aging test (ISOS-LC-1 protocol), which demonstrates the promising application of functional motif theory in this field.

Doping with KBr to Achieve High-Performance CsPbBr3 Semitransparent Perovskite Solar Cells.

Wide-bandgap semitransparent perovskite photovoltaics are emerging as one of the ideal candidates for building-integrated photovoltaics (BIPV). However, surface defects in inorganic CsPbBr3 perovskite prepared by vapor deposition severely limit the optoelectronic performance of perovskite solar cells. To address this issue, a strategy of doping a trace amount of KBr into perovskite by vapor deposition is adopted, effectively improving the quality of the film, reducing surface defect concentration, and enhancing the transportation and extraction of charge carriers. Simultaneously, fully physical vapor deposition technology is employed to fabricate perovskite solar cells with an average visible light transmittance of 44%. These devices exhibited an ultrahigh open-circuit voltage of 1.55 V and a superior power conversion efficiency (PCE) of 7.28%, demonstrating excellent moisture and heat resistance. Moreover, the corresponding 5 cm × 5 cm modules achieve a PCE of 5.35% with great thermal insulation capability. This work provides an approach for fabricating highly efficient all-inorganic perovskite solar cells with high average visible light transmittance, demonstrating new insights into their application in building-integrated photovoltaics.

LiTFSI-Free Hole Transport Materials for Robust Perovskite Solar Cells and Modules with High Efficiencies.

Lithium bis(trifluoromethane) sulfonamide (LiTFSI) and oxygen-doped organic semiconductors have been frequently used to achieve record power conversion efficiencies of perovskite solar cells (PSCs). However, this conventional doping process is time-consuming and leads to poor device stability due to the incorporation of Li ions. Herein, aiming to accelerate the doping process and remove the Li ions, we report an alternative p-doping process by mixing a new small-molecule organic semiconductor, N2,N2,N7,N7-tetrakis (4-methoxyphenyl)-9-(4-(octyloxy) phenyl)-9H carbazole-2,7-diamine (labeled OH44) and its preoxidized form OH44+(TFSI-). With this method, a champion efficiency of 21.8% has been achieved for small-area PSCs, which is superior to the state-of-the-art EH44 and comparable with LiTFSI and oxygen-doped spiro-OMeTAD. Moreover, the stability of OH44-based PSCs is improved compared with those of EH44, maintaining more than 85% of its initial efficiency after aging in an ambient condition without encapsulation for 1000 h. In addition, we achieved efficiencies of 14.7 and 12.6% for the solar modules measured with a metal mask of 12.0 and 48.0 cm2, respectively, which demonstrated the scalability of this method.

Eliminating Non-Corner-Sharing Octahedral for Efficient and Stable Perovskite Solar Cells.

The metal halide (BX6)4- octahedron, where B represents a metal cation and X represents a halide anion, is regarded as the fundamental structural and functional unit of metal halide perovskites. However, the influence of the way the (BX6)4- octahedra connect to each other has on the structural stability and optoelectronic properties of metal halide perovskite is still unclear. Here, the octahedral connectivity, including corner-, edge-, and face-sharing, of various CsxFA1-xPbI3 (0 ≤ x ≤ 0.3) perovskite films is tuned and reliably characterized through compositional and additive engineering, and with ultralow-dose transmission electron microscopy. It is found that the overall solar cell device performance, the charge carrier lifetime, the open-circuit voltage, and the current density-voltage hysteresis are all improved when the films consist of corner-sharing octahedra, and non-corner sharing phases are suppressed, even in films with the same chemical composition. Additionally, it is found that the structural, optoelectronic, and device performance stabilities are similarly enhanced when non-corner-sharing connectivities are suppressed. This approach, combining macroscopic device tests and microscopic material characterization, provides a powerful tool enabling a thorough understanding of the impact of octahedral connectivity on device performance, and opens a new parameter space for designing high-performance photovoltaic metal halide perovskite devices.

Photoexcitation-induced passivation of SnO2 thin film for efficient perovskite solar cells.

A high-quality tin oxide electron transport layer (ETL) is a key common factor to achieve high-performance perovskite solar cells (PSCs). However, the conventional annealing technique to prepare high-quality ETLs by continuous heating under near-equilibrium conditions requires high temperatures and a long fabrication time. Alternatively, we present a non-equilibrium, photoexcitation-induced passivation technique that uses multiple ultrashort laser pulses. The ultrafast photoexcitation and following electron-electron and electron-phonon scattering processes induce ultrafast annealing to efficiently passivate surface and bulk defects, and improve the crystallinity of SnO2, resulting in suppressing the carrier recombination and facilitating the charge transport between the ETL and perovskite interface. By rapidly scanning the laser beam, the annealing time is reduced to several minutes, which is much more efficient compared with conventional thermal annealing. To demonstrate the university and scalability of this technique, typical antisolvent and antisolvent-free processed hybrid organic-inorganic metal halide PSCs have been fabricated and achieved the power conversion efficiency (PCE) of 24.14% and 22.75% respectively, and a 12-square-centimeter module antisolvent-free processed perovskite solar module achieves a PCE of 20.26%, with significantly enhanced performance both in PCE and stability. This study establishes a new approach towards the commercialization of efficient low-temperature manufacturing of PSCs.

Grain Boundary Elimination via Recrystallization-Assisted Vapor Deposition for Efficient and Stable Perovskite Solar Cells and Modules.

Vapor deposition is a promising technology for the mass production of perovskite solar cells. However, the efficiencies of solar cells and modules based on vapor-deposited perovskites are significantly lower than those fabricated using the solution method. Emerging evidence suggests that large defects are generated during vapor deposition owing to a specific top-down crystallization mechanism. Herein, a hybrid vapor deposition method combined with solvent-assisted recrystallization for fabricating high-quality large-area perovskite films with low defect densities is presented. It is demonstrated that an intermediate phase can be formed at the grain boundaries, which induces the secondary growth of small grains into large ones. Consequently, perovskite films with substantially reduced grain boundaries and defect densities are fabricated. Results of temperature-dependent charge-carrier dynamics show that the proposed method successfully suppresses all recombination reactions. Champion efficiencies of 21.9% for small-area (0.16 cm2 ) cells and 19.9% for large-area (10.0 cm2 ) solar modules under AM 1.5 G irradiation are achieved. Moreover, the modules exhibit high operational stability, i.e., they retain >92% of their initial efficiencies after 200 h of continuous operation.

Monolithically-grained perovskite solar cell with Mortise-Tenon structure for charge extraction balance.

Although the power conversion efficiency values of perovskite solar cells continue to be refreshed, it is still far from the theoretical Shockley-Queisser limit. Two major issues need to be addressed, including disorder crystallization of perovskite and unbalanced interface charge extraction, which limit further improvements in device efficiency. Herein, we develop a thermally polymerized additive as the polymer template in the perovskite film, which can form monolithic perovskite grain and a unique "Mortise-Tenon" structure after spin-coating hole-transport layer. Importantly, the suppressed non-radiative recombination and balanced interface charge extraction benefit from high-quality perovskite crystals and Mortise-Tenon structure, resulting in enhanced open-circuit voltage and fill-factor of the device. The PSCs achieve certified efficiency of 24.55% and maintain >95% initial efficiency over 1100 h in accordance with the ISOS-L-2 protocol, as well as excellent endurance according to the ISOS-D-3 accelerated aging test.

Printable High-Efficiency and Stable FAPbBr3 Perovskite Solar Cells for Multifunctional Building-Integrated Photovoltaics.

Perovskite solar cells (PSCs) show great promise for next-generation building-integrated photovoltaic (BIPV) applications because of their abundance of raw materials, adjustable transparency, and cost-effective printable processing. Owing to the complex perovskite nucleation and growth control, the fabrication of large-area perovskite films for high-performance printed PSCs is still under active investigation. Herein, the study proposes an intermediate-phase-transition-assisted one-step blade coating for an intrinsic transparent formamidinium lead bromide (FAPbBr3 ) perovskite film. The intermediate complex optimizes the crystal growth path of FAPbBr3 , resulting in a large-area, homogeneous, and dense absorber film. A champion efficiency of 10.86% with high open-circuit voltage up to 1.57 V is obtained with a simplified device architecture of glass/FTO/SnO2 /FAPbBr3 /carbon. Moreover, the unencapsulated devices maintain 90% of their initial power conversion efficiency after aging at 75 °C for 1000 h in ambient air, and 96% after maximum power point tracking for 500 h. The printed semitransparent PSCs, with average visible light transmittance over 45%, demonstrate high efficiencies for both small devices (8.6%) and 10 × 10 cm2 modules (5.55%). Finally, the ability to customize the color, transparency, and thermal insulation properties of FAPbBr3 PSCs makes them high prospects as multifunctional BIPVs.

Protic Amine Carboxylic Acid Ionic Liquids Additives Regulate α-FAPbI3 Phase Transition for High Efficiency Perovskite Solar Cells.

The α-phase formamidinium lead tri-iodide (α-FAPbI3 ) has become the most promising photovoltaic absorber for perovskite solar cells (PSCs) due to its outstanding semiconductor properties and astonishing high efficiency. However, the incomplete crystallization and phase transition of α-FAPbI3 substantially undermine the performance and stability of PSCs. In this work, a series of the protic amine carboxylic acid ion liquids are introduced as the precursor additives to efficiently regulate the crystal growth and phase transition processes of α-FAPbI3 . The MA2 Pb3 I8 ·2DMSO phase is inhibited in annealing process, which remarkably optimizes the phase transition process of α-FAPbI3 . It is noted that the functional groups of carboxyl and ammonium passivate the undercoordinated lead ions, halide vacancies, and organic vacancies, eliminating the deleterious nonradiative recombination. Consequently, the small-area devices incorporated with 2% methylammonium butyrate (MAB) and 1.5% n-butylammonium formate (BAFa) in perovskite show champion efficiencies of 25.10% and 24.52%, respectively. Furthermore, the large-area modules (5 cm × 5 cm) achieve PCEs of 21.26% and 19.27% for MAB and BAFa additives, indicating the great potential for commercializing large-area PSCs.

Low-Cost Fabrication of Efficient Perovskite Photovoltaics Using Low-Purity Lead Iodide via Powder Engineering.

Low cost is the eternal theme for any commercial production. Numerous efforts have been explored to realize low-cost, high-efficiency perovskite solar cells (PSCs), such as replacing the traditional spin-coating method with an economical printing strategy, simplifying the device structure, reducing the number of functional layers, etc. However, there are few reports on the use of low-cost precursors. Herein, we enable the low-cost fabrication of efficient PSCs based on a very cheaper low-purity PbI2 via powder engineering. The low-purity PbI2 is blended with formamidinium iodide followed by dissolving in a 2-methoxyethanol solvent, and then, the high-quality FAPbI3 powders are formed via an inverse temperature crystallization process and solvent washing after several simple processes to reduce the impurities. As a result, the devices fabricated using the as-synthesized black powders based on the low-purity PbI2 exhibit a champion power conversion efficiency (PCE) of 23.9% and retained ∼95% of the initial PCE after ∼400 h of storage in the conditions of 25 ± 5 °C and 25 ± 5 RH% without encapsulation. In addition, the upscaling fabrication of a 5 cm × 5 cm solar minimodule also demonstrates an impressive efficiency of 19.5%. Our findings demonstrate an economic strategy for the commercialization of PSCs from the perspective of low-cost production.

Low-Cost Hydroxyacid Potassium Synergists as an Efficient In Situ Defect Passivator for High Performance Tin-Oxide-Based Perovskite Solar Cells.

Perovskite solar cells (PSCs) based on SnO2 electron transport layers have attracted extensive research due to their compelling photovoltaic performance. Herein, we presented an in situ passivation of SnO2 with low-cost hydroxyacid potassium synergist during deposition to optimize the interface carrier extraction and transport for high power conversion efficiency (PCE) and stabilities of PSCs. The orbital overlap of the carboxyl oxygen with the Sn atom alongwith the homogenous nano-particle deposition effectively suppresses the interfacial defects and releases the internal residual strains in the perovskite. Accordingly, a PCE of 24.91 % with a fill factor (FF) up to 0.852 is obtained for in situ passivated devices, which is one of the highest values for SnO2 -based PSCs. Moreover, the unencapsulated device maintained 80 % of its initial PCE at 80 °C over 600 h, 100 % PCE at ambient conditions for 1300 h, and 98 % after one week maximum power point tracking (MPPT) under continuous AM1.5G illumination.

Enhanced Carrier Diffusion Enables Efficient Back-Contact Perovskite Photovoltaics.

Back-contact architectures offer a promising route to improve the record efficiencies of perovskite solar cells (PSCs) by eliminating parasitic light absorption. However, the performance of back-contact PSCs is limited by inadequate carrier diffusion in perovskite. Here, we report that perovskite films with a preferred out-of-plane orientation show improved carrier dynamic properties. With the addition of guanidine thiocyanate, the films exhibit carrier lifetimes and mobilities increased by 3-5 times, leading to diffusion lengths exceeding 7 µm. The enhanced carrier diffusion results from substantial suppression of nonradiative recombination and improves charge collection. Devices using such films achieve reproducible efficiencies reaching 11.2 %, among the best performances for back-contact PSCs. Our findings demonstrate the impact of carrier dynamics on back-contact PSCs and provide the basis for a new route to high-performance back-contact perovskite optoelectronic devices at low cost.

Unveiling the Intrinsic Structure and Intragrain Defects of Organic-Inorganic Hybrid Perovskites by Ultralow Dose Transmission Electron Microscopy.

Transmission electron microscopy (TEM) is a powerful tool for unveiling the structural, compositional, and electronic properties of organic-inorganic hybrid perovskites (OIHPs) at the atomic to micrometer length scales. However, the structural and compositional instability of OIHPs under electron beam radiation results in misunderstandings of the microscopic structure-property-performance relationship in OIHP devices. Here, ultralow dose TEM is utilized to identify the mechanism of the electron-beam-induced changes in OHIPs and clarify the cumulative electron dose thresholds (critical dose) of different commercially interesting state-of-the-art OIHPs, including methylammonium lead iodide (MAPbI3 ), formamidinium lead iodide (FAPbI3 ), FA0.83 Cs0.17 PbI3 , FA0.15 Cs0.85 PbI3 , and MAPb0.5 Sn0.5 I3 . The critical dose is related to the composition of the OIHPs, with FA0.15 Cs0.85 PbI3 having the highest critical dose of ≈84 e Å-2 and FA0.83 Cs0.17 PbI3 having the lowest critical dose of ≈4.2 e Å-2 . The electron beam irradiation results in the formation of a superstructure with ordered I and FA vacancies along <110>c , as identified from the three major crystal axes in cubic FAPbI3 , <100>c , <110>c , and <111>c . The intragrain planar defects in FAPbI3 are stable, while an obvious modification is observed in FA0.83 Cs0.17 PbI3 under continuous electron beam exposure. This information can serve as a guide for ensuring a reliable understanding of the microstructure of OIHP optoelectronic devices by TEM.

Mitigating the Internal Ion Migration of Organic-Inorganic Hybrid Perovskite by a Graphene Oxide Interlayer.

Organic-inorganic hybrid perovskite solar cells (PSCs) have attracted great research attention due to their outstanding optoelectronic properties. The low-temperature synthesizing process of organic-inorganic hybrid perovskites can provide a significant advantage of reducing the manufacturing cost of solar cells. However, at the same time, this also brings challenges to PSCs in the form of long-term stability. Because of the low vacancy formation energy, organic-inorganic hybrid perovskites suffer from serious ion migration issue. Also, this ion migration will lead to a series of stability problems, which can hardly be addressed by encapsulation. Currently, modifying the surface of perovskite by an ion-blocking layer is a common strategy for achieving highly stable PSCs. These strategies could effectively address the stability issues caused by the interfacial ion diffusion between perovskite and the charge transport layer. However, the ion migration inside the perovskite layer could be still a knotty problem, which is difficult to be solved through surface modification. Herein, we propose a novel strategy to mitigate the internal ion migration by inserting two-dimensional graphene oxide (GO) into a perovskite layer. Close-space sublimation and ultrasonic spray coating were employed to prepare perovskite and GO layers, respectively. We found that the ion migration in the as-prepared perovskite/GO/perovskite can be successfully mitigated by the GO interlayer. As a result, the champion PSC with a GO interlayer maintained 85% of its initial power conversion efficiency (PCE) after 96 h of continuous illumination. By contrast, the efficiency of the PSC without a GO interlayer declined rapidly and maintained only 50% of the initial value. We believe that this novel interlayer strategy could provide a new idea and approach to preparing highly stable PSCs.

Highly Crystalline Graphene as the Atomic 2D Blanket of a Perovskite Absorber for Enhanced Photovoltaic Performance.

Perovskite solar cells (PSCs) have demonstrated enormous potential for next-generation low-cost photovoltaics. However, due to the intrinsically low bond energy of the perovskite lattice, the long-term stability is normally undermined by ion migration initiated by the electric field and atmospheric conditions. Therefore, ideal ion migration inhibition is important to achieve an enhanced stability of PSCs. Herein, we first introduce a chemical vapor deposition (CVD) fabricated highly crystalline graphene as an atomic 2D blanket directly for the perovskite absorber of PSCs. Iodine and lithium ion migration is effectively inhibited for perovskite solar cells under a continuous static electric field. The water and oxygen corrosion of the unencapsulated device has been dramatically mitigated with atomic graphene blanketing on the perovskite film. With triphenylamine (TPA) molecule modification, the photoconversion efficiencies (PCEs) of the blanketed devices reach 21.54%. The sample with blanket graphene maintains 85% of the initial efficiency, in comparison to 52% of the control sample under voltage bias. After 600 h of aging at 25 °C and 55 RH%, 86% in comparison to <30% of the PCE for the control device is obtained for the sample with a graphene blanket. Thus, we propose that crystalline graphene has an excellent and effective ion-blocking blanket potential for highly stable perovskite devices.

All-vacuum deposited perovskite solar cells with glycine modified NiO x hole-transport layers.

Organic-inorganic hybrid perovskite solar cells (PSCs) have attracted enormous research attention due to their high efficiency and low cost. However, most of the PSCs with high efficiencies still need expensive organic materials as their hole-transport layer (HTL). Obviously, the highly expensive materials go against the low-cost concept of advanced PSCs. In this regard, inorganic NiO x was considered as an idea HTL due to its good transmittance in the visible region and outstanding chemical stability. But for most of the PSCs with a NiO x HTL, the hole-extraction efficiency was limited by the unmatched valence band and too many surface defects of the NiO x layer, especially for the vacuum-deposited NiO x and perovskite. Herein, we developed a facile strategy to overcome this issue by using self-assembled glycine molecules to treat the NiO x surface. With glycine on the surface, the NiO x exhibited a deeper valence band maximum and a faster charge-extraction at the NiO x /perovskite interface. What's more, the vacuum-deposited perovskite showed a better crystallinity on the NiO x + glycine substrate. As a result, the PSCs with a glycine interfacial layer achieved a champion PCE of 17.96% with negligible hysteresis. This facile approach is expected to be further developed for fabricating high-efficiency PSCs on textured silicon solar cells.

Differentiated Functions of Potassium Interface Passivation and Doping on Charge-Carrier Dynamics in Perovskite Solar Cells.

The inclusion of potassium in perovskite solar cells (PSCs) has been widely demonstrated to enhance the power conversion efficiency and eliminate the hysteresis effect. However, the effects of the locations K+ cations on the charge-carrier dynamics remain unknown with respect to achieving a more delicate passivation design for perovskite interfaces and bulk films. Herein, we employ the combined electrical and ultrafast dynamics analysis for the perovskite film to distinguish the effects of bulk doping and interfacial passivation of the potassium cation. Transient absorption spectroscopy indicates an enhancement of charge-carrier diffusion for K+-doped PSCs (from 808 to 605 ps), and charge-carrier transfer is significantly promoted by K+ interface passivation (from 12.34 to 1.23 ps) compared with that of the pristine sample. Importantly, K+ doping can suppress the formation of wide bandgap perovskite phases (e.g., FAPbI0.6Br2.4 and FAPbI1.05Br1.95) that generate an energy barrier on the charge-carrier transport channel.

Self-Enhancement of Efficiency and Self-Attenuation of Hysteretic Behavior of Perovskite Solar Cells with Aging.

Spontaneous enhancement of the photovoltaic performance of perovskite solar cells (PSCs) after aging has been reported, but the underlying reasons for such behavior are still under debate. Herein, we demonstrate that this spontaneous improvement effect accompanied by self-attenuation of hysteresis in the current-voltage characteristics is time- and temperature-dependent. Moreover, it is universal to PSCs based on a range of mixed-ion perovskites and coupled to different hole- and electron-transporting materials. Time-resolved confocal fluorescence microscopy and other characterization techniques suggest that the "self-healing" phenomenon is accompanied by the homogenization and enhancement of the charge extraction efficiency as well as suppressed recombination throughout cm2-scale perovskite layers. These dynamic effects need to be accounted for when assessing the initial and stabilized performance of PSCs.