High Response Research Articles

Comparison of Treatment Outcomes Between First-Line Chemotherapy With or Without Bevacizumab for Advanced Ovarian Clear Cell Carcinoma (Tohoku Gynecologic Cancer Unit: TGCU-RS001A Study)

Objective: The usefulness of bevacizumab (BEV) as first-line chemotherapy for advanced ovarian clear cell carcinoma (CCC) was retrospectively evaluated at Tohoku Gynecologic Cancer Unit institutions. Patients and Methods: A total of 81 patients (52 patients without BEV and 29 with BEV) with advanced ovarian CCC who received initial platinum-based chemotherapy were enrolled. We selected 26 patients each without and with BEV according to propensity score matching methods, and compared the platinum-resistant recurrence rate, response rate, progression-free survival (PFS), overall survival (OS), and adverse events between the two groups. Results: The objective response rates for the patients with measurable disease in the non-BEV and BEV groups were 60.0% and 95.5%, respectively (p = 0.007). The recurrence of platinum-resistant patients was observed in 50.0% of the non-BEV group and 23.1% of the BEV group (p = 0.117). The median PFS was 12 and 22 months, respectively (p = 0.034), and the median OS was 32 and 47 months, respectively (p = 0.223). In the BEV group, grade 3 hypertension and proteinuria occurred in two patients, and thrombosis and carboplatin hypersensitivity occurred in one patient. Grade 4 gastrointestinal perforation occurred in one patient. Conclusions: First-line chemotherapy with BEV in advanced CCC showed the potential for high response rates and improved PFS.

CsPbBr3 perovskite quantum dots/p-GaN heterojunction for ultraviolet-visible spectrum photodetectors

All-inorganic perovskites have attracted increasing attention because of their strong environmental stability and excellent photoelectric properties. However, the limited spectral response range of perovskite photodetectors restricts them in practical applications. In this work, an ultraviolet–visible photodetector with a wide spectral response and a high responsivity was prepared by constructing a CsPbBr3 quantum dots (QDs)/p-GaN heterojunction. The type-II energy band alignment formed by the heterojunction is conducive to the transport of photogenerated carriers, resulting in a high responsivity. Under certain conditions, the device can obtain responsivity values of 5 A/W and 850 mA/W under 350 and 725 nm illumination, respectively, which are comparable to those of other perovskite-based photodetectors. In addition, the photoresponse mechanism of the device is revealed through first-principles calculations of the heterojunction and the device. The enhanced light absorption of the heterojunction and the special band bending under different bias voltages improve the photoelectric performance of the device. This work can provide valuable insights into high-performance photodetectors based on all-inorganic perovskite QDs heterojunctions in terms of band regulation and device performance improvement.

Real-life data of hepatitis C treatment with direct acting antiviral therapy in persons injecting drugs or on opioid substitution therapy.

HCV treatment has been revolutionized by introduction of direct-acting antiviral therapy (DAA). Short treatment duration of eight to twelve weeks combined with significantly improved tolerability opened the opportunity to reach out to difficult-to-treat populations. Here, we retrospectively analyzed real life data on HCV treatment adherence and outcome in people who inject drugs (PWID) or on opioid substitution therapy (OST). All PWID or on OST receiving DAA therapy between 3/2021-11/2022 at an infectious disease clinic in Bonn were retrospectively analyzed. Patients received either 8weeks glecaprevir/pibrentasvir or 12weeks sofosbuvir/velpatasvir (+ ribavirin in genotype 3 cirrhotic patients). Sustained virological response (SVR) was measured 4 and 12weeks after HCV therapy. In our cohort 47 patients (68%) received treatment with glecaprevir/pibrentasvir and 22 patients (32%) sofosbuvir/velpatasvir. All 47 (100%) patients started on glecaprevir/pibrentasvir received prescriptions for the full length of therapy, while patients on sofosbuvir/velpatasvir completed 12weeks therapy in 86% and 8weeks in 14% (p = 0.029). Of 69 patients 74% were found to achieve SVR. In 20% no information is available as they were lost to follow-up. Re-infection was documented in 3 patients and one relapse in a gt3 patient with cirrhosis. High adherence and response rates to HCV treatment were found following DAA based therapy in PWID supporting the call to include difficult-to-treat populations into HCV treatment efforts on the way to HCV elimination. Treatment of OST and HCV at one institution supporting patients by a multidisciplinary team may further facilitate adherence to follow up visits enabling documentation of treatment outcomes more easily.

Effect of Annealing Time on Grain Structure Evolution and Superplastic Response of Al-Mg 5xxx Alloys

The impact of annealing on the recrystallized grain structure and superplastic behavior of two Al-Mg 5xxx alloys used for high-speed blow forming (HSBF) was studied. The results revealed that both alloys demonstrated rapid static recrystallization after only a few minutes of annealing at 520 °C, forming fine and equiaxed grain structures. After four min of annealing, Alloy 2 (Al-4.0Mg-1.18Mn) exhibited a higher fraction of small grains (<10 µm) compared to Alloy 1 (Al-4.5Mg-0.74Mn). Moreover, Alloy 2 displayed enhanced resistance to grain coarsening with increasing annealing times, which was attributed to its higher amount of Al6(Mn,Fe) intermetallic particles and a higher number density of Mn dispersoids. Optimizing the annealing time can effectively develop a fine and stable grain structure in Al-Mg 5xxx alloys. During tensile deformation, Alloy 2 consistently showed higher ductility compared to Alloy 1 at low strain rates (170% vs. 138% at 0.001 s−1 and 163% vs. 134% at 0.01 s−1), whereas at a high strain rate of 1 s−1, both alloys displayed comparable tensile elongation. The high superplastic response of Alloy 2 at low strain rates renders it a superior superplastic alloy for HSBF applications.

Stretchable and High-Performance Fibrous Sensors Based on Ionic Capacitive Sensing for Wearable Healthcare Monitoring.

Electronic textiles with remarkable breathability, lightweight, and comfort hold great potential in wearable technologies and smart human-machine interfaces. Ionic capacitive sensors, leveraging the advantages of the electric double layer, offer higher sensitivity compared to traditional capacitive sensors. Current research on wearable ion-capacitive sensors has focused mainly on two-dimensional (2D) or three-dimensional (3D) device architectures, which show substantial challenges for direct integration with textiles and compromise their wearing experience on conformability and permeability. One-dimensional (1D) stretchable fiber materials serve as vital components in constructing electronic textiles, allowing for rich structural design, patterning, and device integration through mature textile techniques. Here, a stretchable functional fiber with robust mechanical and electrical performances is fabricated based on semi-solid metal and ionic polymer, which provided a high stretchability and good electrical conductivity, enabling seamless integration with textiles. Consequently, high-performance stretchable fiber sensors are developed through different device architecture designs, including pressure sensors with high sensitivity (7.21kPa-1), fast response (60ms/30ms), and excellent stability, as well as strain sensors with high sensitivity (GF = 1.05), wide detection range (0-300% strain), and excellent sensing stability under dynamic deformations.

High-precision ethanol concentration microsensor with global spectra aided by the multi-layer perceptron

Whispering gallery mode (WGM) resonators can be used for precision measurement thanks to their high sensitivity, small size, and fast response time. Nevertheless, the design of such sensors is usually achieved by selecting a typical single-mode tracking method, which leads to low utilization of a great deal of information in the resonance spectrum and affects the precision. Here, we use the multi-layer perceptron (MLP) deep learning algorithm to train the global spectra and realize the high-precision measurement of ethanol concentration. Firstly, a large number of transmission spectra of different ethanol concentrations are collected and directly used as the original data sets. Secondly, the MLP algorithm is used for training and testing. Finally, the local feature dimension is extracted from the global features of the spectrum for prediction. The results show that the prediction accuracy of the global spectra sensing is 99.81%, which is 13.02% higher than that of extracting 10 local features. In addition, the prediction accuracy of the MLP is compared with four other commonly used machine learning (ML) algorithms, and the results show that the MLP algorithm has the highest prediction accuracy. Therefore, the high-precision ethanol concentration sensor proposed in this paper opens a new way for intelligent optical micro-resonator sensing.

Modelling and experimentation of failure modes to obtain safe operating range for improved dielectric elastomer actuation performance

Abstract Dielectric elastomers (DEs) possess high energy density, lightweight, and low response time making them suitable material candidatures for electromechanical transducers (ET). Performance enhancement of ET necessitates escalated electrical load making prone to failure and subsequently hindering reliability and life cycle. Existing models towards failure mitigation focus on mechanical and electrical loads individually with constant relative permittivity, whereas DEs undergoes combined loading and stretch-electrostriction in real-time application. This study aims to identify safe design and operating parameters by addressing various modes of failures under combined loads and stretch-electrostriction. Under combined load, pre-strain emerges as a crucial parameter to reduce EMI, while extensive pre-strain leads to diminish thickness which in turn promotes electrical breakdown of elastomer. The optimized design for DEs exhibit substantial failure suppression at a pre-strain value of 1.7 ( λ pre ) under maximum electrical load of 37.66 MV / m ( E max ). The efficacy of optimized parameters for the failure suppression is verified through an in-house fabricated planar actuator. Operation within the identified range of parameters is observed to enhance the reliability and lifespan of DE-actuators, marking a noteworthy advancement in the field of soft robotics.

Rituximab Treatment in Adult Patients With Idiopathic Inflammatory Myositis: A Systematic Review and Meta-analysis.

This systematic review and meta-analysis assess the efficacy and safety of rituximab (RTX) in treating idiopathic inflammatory myositis (IIM). PubMed and Embase were systematically searched for trials and observational studies involving RTX use in IIM. Data were analyzed using a random-effects model to generate pooled estimates for overall response, complete remission, partial response, and adverse events, with subgroup analyses by myositis type and RTX dosage (PROSPERO registered number CRD42022353740). Risk of bias assessments were done using the Newcastle-Ottawa Scale for observational studies and risk of bias 1 tool for trials. Seventeen studies (1 randomized controlled trial and 16 observational studies), encompassing 362 patients, were included. The overall pooled response rate was 70% (95% confidence interval [CI]: 57%-82%; I2 = 74%, p < 0.001). Complete remission occurred in 13% (95% CI: 3%-25%; I2 = 79%, p < 0.001) and partial response in 48% (95% CI: 30%-67%; I2 = 87%, p < 0.001), both with significant heterogeneity. Subgroup analysis revealed high response rates across all myositis types: polymyositis 69%, dermatomyositis 67%, antisynthetase syndrome 70%, juvenile dermatomyositis 60%, and immune-mediated necrotizing myopathy 86%. Response rates were similar between RTX induction doses of 1 g IV on days 0 and 14 (68%) and 375 mg/m2 weekly for 4 weeks (71%). Reported adverse events totaled 120, including infusion reactions (18.5%) and infections (12.4%). RTX shows a favorable clinical response in IIM treatment, though response rates vary. There was a significant heterogeneity in treatment effect estimates that are based on a small number of patients. The incidence of infusion reactions and infections highlights the need for careful monitoring. Further controlled trials are essential to refine treatment protocols and evaluate long-term outcomes for RTX's role in IIM.

Current global vitamin and cofactor prescribing practices for primary mitochondrial diseases: Results of a European reference network survey.

Primary mitochondrial diseases (PMD) account for a group of approximately 400 different genetic disorders with diverse clinical presentations and pathomechanisms. Although each individual disorder is rare, collectively they represent one of the largest groups in the field of inherited metabolic disorders. The complexity of PMD results in a continued lack of therapeutic options, necessitating a predominantly symptomatic treatment approach for affected patients. While a subset of diseases responds exceptionally well to treatment with specific vitamins or cofactors, for most PMD systematic reviews were not able to show significant benefit. This is in discrepancy to their continued frequent use among specialists. To gain further insight into the current clinical practice of vitamin and cofactor supplementation among clinicians treating children and adults affected by PMD, we conducted a worldwide cross-sectional questionnaire study exploring the choice of substances and the specific diseases where they are applied. To our knowledge, this is the first global study exploring this topic and featuring a high response rate from paediatricians. The vast majority (95%, 106/112) of responding specialists recommended the use of vitamins and cofactors, either in an agnostic approach irrespective of the specific PMD or directed to the treatment of specific diseases or phenotypes. Our study highlights significant regional and specialty-specific differences in supplementation practices. We provide some preliminary insights into specialist-based opinions regarding the use of vitamins and cofactors in PMD and highlight the need for more rigorous clinical and preclinical investigations and/or clear consensus statements.

Improved hydrogen detection in SnO2-based materials using CuxPd bimetallic catalyst

Hydrogen (H2) holds promise as a replacement for conventional fossil fuels in future energy systems. However, developing a rapid, highly sensitive, and cost-effective H₂ sensor remains a significant challenge. This study first uses a low-cost-oriented CuxPd binary alloy for SnO2 for H2 sensing, and the corresponding properties are evaluated comprehensively. The results of H2 sensitivity demonstrate that our bimetallic CuxPd significantly enhances the sensitivity of SnO2, which is attributed to the synergistic effect of CuxPd bimetallic catalysts Our CuxPd/SnO2 nanocomposite materials not only exhibit high response (401 @ 1000 ppm at 100 °C), rapid response/recovery time (1/12 s @ 1000 ppm at 100 °C) and still maintains good response (1.42) to 1 ppm H2 gas. The introduction of Cu effectively stabilizes Pd and creates more oxygen vacancies, which provides a more catalytic effect than monometallic Pd. Therefore, this work provides a scenario for low-cost catalysis of H2 detection.

Increased memory confidence and delusions in Alzheimer’s disease: a preliminary study

ABSTRACT There is uncertainty about whether delusion formation in Alzheimer’s disease (AD) can be explained by false memories. “Metamemory,” the ability to self-evaluate memory and identify memory errors, is impaired in people with delusions in schizophrenia. Our objective was to investigate whether false memory and metamemory were associated with delusions in AD. Participants with mild AD, with and without delusions, completed a computerized word recognition task and a metamemory measure. Group differences were compared using independent-samples t-tests or Mann Whitney tests. Significant findings were explored through binary logistic regression modeling. Participants with delusions (n = 10) gave more high confidence responses, significantly so for correct responses; percentage of high confidence correct responses for those with delusions (mean (SD)) was 69.7% (31.0%) and for those without (n = 14) was 43.5% (29.9%); t 22 = -2.09, p = .049. This remained significant when sex was included in regression modeling; for each 1.0% increase in high confidence correct responses, participants were 5.4% more likely to have delusions (Exp(β) 1.054, 95% CI 1.007–1.105, p = .025). Findings provide tentative support for a link between metamemory and delusions in AD. This should be explored in a larger sample as it has potential implications for treatment.

Automatic Obstacle Avoidance Trolley System Based on Two-Dimensional ReS2/WSe2 Heterojunction Photodetector.

With the continuous advancement of intelligent vehicle technology, automatic obstacle avoidance (AOA) has become a crucial component of in-vehicle systems. This study introduces an AOA trolley system based on ReS2/WSe2 heterojunction photodetectors. The device with type-II band alignment exhibits an impressive on/off current ratio of 7.14 × 104, along with a rapid impulse response time of 32.3/24.4 μs, a detectivity of 2.0 × 1013 Jones, and an anisotropic ratio of 4.2 under 532 nm illumination. Additionally, the device is electrically tunable under an appropriate gate bias. These characteristics are ascribed to the engineering of the heterojunction interface between ReS2 and WSe2. Furthermore, this device was successfully integrated into an AOA system for autonomous vehicles. The system utilizes the high sensitivity and fast response features of two-dimensional materials, allowing it to effectively identify and avoid obstacles in real time, thereby enhancing driving safety.

Comparative Effectiveness of Biologic Classes in Clinical Practice: Month 12 Outcomes from the International Observational Psoriasis Study of Health Outcomes (PSoHO).

Studies directly comparing the effectiveness of different biologics over long observation periods are lacking. As many treatment guidelines are formulated based on drug class, there is a particular need to compare drug classes rather than specific biologic agents. This post hoc analysis compares the effectiveness and durability of biologics that target the interleukin (IL)-17 A ligands or the IL-17 receptor A (IL-17RA) relative to other approved drug classes in patients with moderate-to-severe plaque psoriasis, through 12months in a real-world setting. In the Psoriasis Study of Health Outcomes (PSoHO) (N=1981), patients treated with anti-IL-17A/RA resulted in a higher proportion of patients who achieved the primary outcome [proportion of patients who had at least a 90% improvement in Psoriasis Area and Severity Index score (PASI90) and/or a score of 0 or 1 in static Physician Global Assessment (sPGA)] compared to anti-IL-23-, anti-IL-12/23-, and tumor necrosis factor (TNF)-α-treated patients at week 12, month 6, and month 12, except versus anti-IL-23 at month 12. Similar trends were observed for a 100% improvement in PASI score (PASI100), PASI90, and Dermatology Life Quality Index score of 0 or 1 [DLQI (0,1)]. At month 12, the unadjusted response rates across the drug classes were 53.5-69.1% for the primary outcome, 27.6-40.8% for PASI100, 41.7-55.9% for PASI90, and 31.8-33.0% for DLQI (0,1). Regarding the durability of effectiveness, anti-IL-17A/RA patients had the highest response rate, and for the adjusted analysis, using Frequentist Model Averaging (FMA), patients had 1.4-2.6 times higher odds of achieving the primary durability outcome compared to patients treated with any other drug class. Overall, anti-IL-17A/RA had the highest effectiveness of achieving early response to treatment and maintaining that response through 12months compared to other drug classes. The study was registered at the European Network of Centers for Pharmacoepidemiology and Pharmacovigilance (ENCEPP24207).

A Study of High Transient Response Low Dropout Linear Regulator Chips

Abstract. With the rapid development of the microelectronics industry in the world, electronic products are being updated more and more quickly. This has created a growing large market demand for power management chips. Low drop-out linear regulators have become one of the most widely used types of power management chips due to their advantages of high stability, low drop-out voltage, and fast response. This paper is a data collection study and comparison of improvement methods based on high transient response low drop-out linear regulators. It describes the basic principles of LDOs as well as the principles, advantages and disadvantages of different improvement methods. It was found that the method of shortening the overshoot and undershoot durations by constructing transient enhancement circuits was the best in terms of performance among the following research methods. The stability of capacitor-less LDO is harder to control. Using compensation circuits to improve stability will increase circuit complexity. The capacitor-coupled current mirror method has a longer startup time, because it takes some time for it to reach homeostasis. The high complexity and energy consumption of the dual feedback loop structure makes the circuit costly.

Excellent Wavelength Selectivity of p-AlGaN/n-Ga2O3 Solar-Blind UVC PD.

Due to the advantages of ultrawide bandgap, chemical stability, self-powered, and low cost, gallium oxide (Ga2O3) based photodetectors (PDs) are considered as one of the most promising solar-blind ultraviolet PDs, having garnered significant attention in fields such as missile warning and flame arc detection. High selective ratios and excellent responsivity are important to reduce the false alarm rate in solar-blind detection. However, due to the lack of p-type Ga2O3, existing Ga2O3-based PN PDs utilized heterostructures with narrower bandgap p-type semiconductors (e.g., p-GaN, p-SiC, etc.), inducing poor selective ratios with visible light and ultraviolet-A/B (UVA/B). Therefore, a high Al content AlGaN was used in this study to form a p-AlGaN/n-Ga2O3 solar-blind ultraviolet-C (UVC) PD. Since the bandgap of p-AlGaN aligned with the UVC region, the device exhibited exceptionally high selective ratios with R247nm/R360nm = 3.71 × 105 and R247nm/R300nm = 1.47 × 105 at 0 V, which surpassed the reported Ga2O3-based PN PDs. The formation of the type-II heterojunction facilitated the effective separation and transport of photogenerated carriers, resulting in high responsivity (0.36 A/W) under zero bias. Overall, the high selective ratios and high responsivity of the p-AlGaN/n-Ga2O3 PD in this paper provided a reliable pathway for self-powered solar-blind PDs with a low false alarm rate.

Performance enhancement of a magnetoactive elastomer actuator through a coupled magnetoelastic topology optimization scheme

Abstract We have found that considering local magnetic fields, large deformations, and magnetoelastic coupling simultaneously significantly affect the resulting shape in magnetoelastic topology optimization in a uniaxial actuator case. In contrast to the work presented here, other works incorporate magnetoelastic formulations that include simplifying assumptions on the local field, and subsequent effects on the magnetization response of the material, or the absence of large deformation mechanics, or both. These assumptions were shown to produce solutions that differ substantively from cases where local fields and large deformations are addressed concurrently. Magnetoelastic topology optimization schemes are needed to optimize magnetoactive elastomer (MAE) devices. MAE devices are magnetic particle-filled polymer matrices designed for specific actuations and controlled remotely by an external magnetic field. They garner considerable research interest as an emerging technology for actuators in soft robots or in applications requiring untethered actuation. The material properties of MAEs are dependent on the volume fraction of particles in the elastomer matrix, where a high-volume fraction increases relative permeability (for soft magnetic particles) but also increases elastic modulus. For optimal actuation, a tradeoff between low stiffness and high magnetic response must be made by adjusting volume fraction and controlling material placement. Using a topology optimization scheme that considers both the magnetic and mechanical properties of the material, the shape and material composition of the device can be tuned to best achieve the desired actuation displacement. In this work, a density-based magnetoelastic multimaterial topology optimization scheme for soft magnetic material is developed in COMSOL Multiphysics. The optimization scheme uses multiphysics coupling that considers local magnetic fields and large deformations at each iteration through a Maxwell stress tensor formulation. A simulated example is then considered to demonstrate the effectiveness and necessity of a coupled optimization. The effect of considering large deformations during optimization is also investigated. It was found that a coupled topology optimization scheme with large deformations produced shapes with modes of actuation not captured by schemes with simplifying assumptions, leading to better performance at lower material cost. Considering large deformations in the coupled scheme offered significantly better performance, with an increase of 81.3% in a side-by-side performance simulation when compared to uncoupled cases.&amp;#xD;

Deficiency of muscle-generated brain-derived neurotrophic factor causes inflammatory myopathy through reactive oxygen species-mediated necroptosis and pyroptosis

Idiopathic inflammatory myopathy (commonly known as myositis) is a group of immune-related diseases characterized by muscle damage, weakness, and fatigue with unknown causes. Although overactivated innate immunity is a widely believed cause of myositis onset, the mechanism that provokes and maintains a high immune response in myositis patients is still unclear. This study aims to test if brain-derived neurotrophic factor (BDNF) deficiency per se is sufficient to cause myositis and determine its underlying mechanism. We found that ablating BDNF production in skeletal muscle is sufficient to trigger myositis development in mice. Muscle-specific Bdnf knockout (MBKO) mice displayed extensive myocyte necrosis, mononuclear cell infiltration, and myophagocytosis. In association with these damages, elevated production of pro-inflammatory cytokines such as interleukin (IL) 23, IL-1β, IL-18, and tumor necrosis factor α (TNFα) was found in the muscle of MBKO mice. Disruption of sarcolemma integrity was also detected in MBKO mice, which is a result of necroptosis executioner Mixed lineage kinase domain-like protein (MLKL) and pyroptosis executioner Gasdermin D (GSDMD) activation. Mechanistically, diminishing BDNF synthesis in myotubes enhances the accumulation of mitochondrial reactive oxygen species (mtROS), which sensitizes the cells towards TNFα-induced receptor-interacting protein kinase (RIPs) activation and promotes the formation of NLR family pyrin domain containing 3 (NLRP3)-containing inflammasome. BDNF deficiency-induced cell death could be alleviated by scavenging mtROS, suppressing the activity of GSDMD, or inhibiting receptor-interacting kinase 3 (RIP3). Similarly, supplementation of BDNF mimetics, suppression of RIP3 activity, increasing the intramyocellular antioxidant, or enhancing mitophagy ameliorated the myopathies of MBKO mice and improved their muscle strength. Together, our study demonstrates that insufficient BDNF production in mouse muscle causes the development of pathological features of myositis via enhancing oxidative stress, necroptosis, and pyroptosis in myofibers.

Structure Engineering of Ga2O3 photodetectors: A Review

Abstract Deep ultraviolet (DUV) photodetectors play important roles in the modern semiconductor industry due to their diverse applications in critical fields. Wide bandgap semiconductor Ga2O3 is considered as one promising material for highly sensitive DUV photodetectors. However, the high responsivity of Ga2O3 DUV photodetectors always comes at the expense of its response speed. Material engineering for high-quality Ga2O3 materials can optimize the photoresponse performance but at the cost of much more complex process. Structure engineering can efficiently improve the performance of Ga2O3 photodetectors based on various physical mechanisms. Owing to the increased modulation probabilities, part schemes of structure engineering even alleviate the tough requirements on Ga2O3 material quality for high-performance DUV photodetectors. This article reviews the recent efforts in optimizing the performance of Ga2O3 photodetectors through structure engineering. Firstly, photodetectors based on Ga2O3 nanostructures and metasurface structures with nanometer size effect are discussed. In addition, junction structures of Ga2O3 photodetectors, which effectively promote carrier separation in the depletion region, are summarized based on a classification of Schottky junction, heterojunction, phase junction, etc. Besides, Ga2O3 avalanche photodiodes, offering ultra-high gain and responsivity, are focused as a promising prototype for commercialization. Furthermore, field effect phototransistors, based on which the scalability and low power performance of Ga2O3 photodetectors have been well proven, are analyzed in detail. Moreover, auxiliary-field configurations with extra tunable dimensions for Ga2O3 photodetectors are introduced. Finally, we conclude this review and discuss the main challenges of Ga2O3 DUV photodetectors from our perspective.

Complete response to immunotherapy in a metastatic lymphoepithelioma-like bladder carcinoma: a case report

BackgroundLymphoepithelioma-like carcinoma of the bladder (LELC-B) is a very rare variant of bladder carcinoma, has a good prognosis, and possibly a high response to platinum-based chemotherapy (ChT) and immune-checkpoint inhibitors (ICI).Case presentationThis is the case of a male patient that presented a metastatic relapse of a LELC-B, the disease progressed after platinum based first line ChT. Second line with atezolizumab was initiated with progressive tumor shrinking until complete response was achieved. Final atezolizumab discontinuation was decided in agreement with the patient after 3 years of maintenance of complete response.ConclusionAfter the experience of this case and the few cases of neoadjuvant treatment with pembrolizumab of localized disease, it seems that immunotherapy may play a main role in the treatment of this variant of bladder carcinoma.

High response H2S chemiresistive gas sensor based on multidimensional CuO/CeO2: The application for real-time portable alarm device

Real-time monitoring of toxic and harmful hydrogen sulfide (H2S) is crucial in the extraction process of fossil fuels. However, in the process of detecting H2S, there will be difficulties in desorption, low response, poor anti-interference ability, and poor long-term stability. The multidimensional copper oxide (CuO) composite cerium oxide (CeO2) was synthesized by hydrothermal method and calcination techniques, and a gas sensor with easy desorption, high response, strong anti-interference ability, and excellent long-term stability for monitoring H2S was effectively prepared. Through various characterization tests such as X-ray diffraction (XRD) and scanning electron microscope (SEM), it was found that the composite material has multidimensional characteristics. When detecting 100 parts per million (ppm) of H2S at the optimal operating temperature of 180℃, the CuO/CeO2 gas sensor with the optimal ratio (nCu: nCe=1:1) showed an extremely high response (2010). At the same time, the gas sensor has extremely strong anti-interference ability and excellent long-term stability. In addition, these excellent H2S sensing properties are attributed to the excellent oxygen storage characteristics of CeO2 and the synergistic effect of CuO and CeO2. This provides more active sites for the absorption of H2S. Finally, to achieve real-time monitoring and alarm of H2S, a portable real-time monitoring and alarm device was made. When detecting different concentrations of H2S, it will flash corresponding color lights and give an alarm to achieve the monitoring function and ensure the safety and health of workers. The multi-dimensional CuO/CeO2 prepared has excellent gas sensing performance, providing a new method for H2S detection.