Background: Both technical and nontechnical skills are important factors in cardiac emergency incident. The effects of structured framework on these skills have not been thoroughly studied. We hypothesized that struct...Background: Both technical and nontechnical skills are important factors in cardiac emergency incident. The effects of structured framework on these skills have not been thoroughly studied. We hypothesized that structured framework can improve the clinical performance and reduce errors to improve patients’ safety. Methodology: A total of 24 teams composed of cardiac residents, attending surgeons and ICU nurses performed simulated emergency incident tasks in cardiopulmonary resuscitation (CPR) and tracheal intubation (TI) scenarios. Framework education was introduced to the assigned groups in two separate semesters. All the scenarios were recorded by video for further evaluation by cardiologist and emergency medicine specialist. Clinical performance, time consumption in simulated scenarios, correlation between framework training and nontechnical skills performance were assessed. Results: The average percentages of CPR completed in the Group 1 (G1) with framework education and the Group 2 (G2) were 85% (SEM: 6.20%) and 53% (SEM: 5.77%) respectively (P < 0.001). And the average percentages of TI completed in G2 with framework education was 87% (SEM: 3.96%), higher than G1 (50%, SEM: 5.64%) (P < 0.001). As for time consumption, the mean time to complete CPR in groups with framework education was shorter than in groups without framework education (P o complete TI in groups with framework education was shorter than in groups without framework education (P < 0.005). Further, there was a significant correlation between framework training and communication in simulated scenarios. Conclusion: The framework provides the whole procedure of the task to every participant. Structured framework education can improve nontechnical skills as well as technical skills of doctors and nurses. Further, researches should be conducted to evaluate the clinical performance and correlation between technical skills and nontechnical skills in cardiothoracic training.展开更多
AIM: To investigate the value of magnetic resonance elastography(MRE) with regard to assessing liver functional reserve.METHODS: Data from inpatients diagnosed with a liver tumor at an interventional radiology departm...AIM: To investigate the value of magnetic resonance elastography(MRE) with regard to assessing liver functional reserve.METHODS: Data from inpatients diagnosed with a liver tumor at an interventional radiology department from July 2013 to June 2014 were analyzed. A 3.0 Tesla magnetic resonance unit was used to scan 32 patients with confirmed diagnoses of hepatocellular carcinoma(HCC); an MRE sequence was added to the protocol, and the data were reconstructed and analyzed by two attending radiologists. Regions of interest were identified in different slices of the non-tumor liver parenchyma to measure average stiffness. In addition, the indocyanine green(ICG) test was performed no more than 1 wk before or after the magnetic resonance examination for all 32 patients; the ICG retention rate at 15 min(ICGR-15) and the ICG plasma clearance rate(ICG-K) were recorded. Correlational analyses were performed between the liver stiffness values and the ICGR-15 as well as between the liver stiffness values and the ICG-K.RESULTS: Magnetic resonance imaging, including an MRE sequence and the ICG test, was performed successfully in all 32 enrolled patients. None of the patients developed complications. The mean ± SD of the elasticity values measured by the two attending radiologists were 4.7 ± 2.2 k Pa and 4.7 ± 2.1 k Pa, respectively. The average liver stiffness value of the non-tumor parenchyma measured using MRE in HCC patients was 4.7 ± 2.2 k Pa. The average ICGR-15 was 0.089 ± 0.077, and the average ICG-K was 0.19 ± 0.07. We found that the liver stiffness value of the non-tumor parenchyma was significantly and positively related to the ICGR-15(r = 0.746, P < 0.01) as well as significantly and negatively related to the ICG-K(r =-0.599, P < 0.01). The ICGR-15 was significantly and negatively related to the ICG-K(r =-0.852, P < 0.01).CONCLUSION: MRE is accurate and non-invasive; furthermore, it can be used to effectively assess the liver functional reserve of HCC patients.展开更多
Spray-drying was used to produce the high emissivity NiCr2O4 powders with a spinel structure. Preliminary investigations focused on fabricating the high emissivity powders for infrared radiation coatings and finding t...Spray-drying was used to produce the high emissivity NiCr2O4 powders with a spinel structure. Preliminary investigations focused on fabricating the high emissivity powders for infrared radiation coatings and finding the relationship between microstructure and emissivity. The NiCr2O4 powders were characterized for composition, microstructure, and infrared emissivity by X-ray diffraction (XRD), scanning electron microscopy (SEM), infrared radiant instrument, and Fourier transform infrared spectra (FT-IR). Thermogravimetry and differential thermal analysis show that the appropriate baking temperature for NiCr2O4 powder preparation is about 1200?C. The emissivity measurement and FT-IR spectra show that, because of the special spinel structure, the NiCr2O4 powders have a high emissivity about 0.91. Spray-drying is a suitable method to produce the high emissivity ceramic powders.展开更多
Air plasma spraying (APS) was used to produce high emissivity coatings with a NiCr204 spinel structure. The relationship between the emissivity and the crystal structure was investigated. X-ray diffraction (XRD) a...Air plasma spraying (APS) was used to produce high emissivity coatings with a NiCr204 spinel structure. The relationship between the emissivity and the crystal structure was investigated. X-ray diffraction (XRD) analyses show that NiCr204 spinel has been fabri- cated with the space group Fd3m. Scanning electron microscope (SEM) photographs show that the coating consists of a laminated structure with homogeneous grains and high porosity because of the unique feature of plasma spraying. The emissivity measurement and Fourier transformation infrared radiation (FT-IR) spectra show that NiCr204 has a high emissivity of about 0.91 because of its special spinel structure APS is a suitable method to produce high emissivity coatings.展开更多
The present study focuses on interface microstructure and joint formation.AA6061 aluminum alloy(Al)and commercial pure titanium(Ti)joints were welded by ultrasonic spot welding(USW).The welding energy was 1100-3200 J....The present study focuses on interface microstructure and joint formation.AA6061 aluminum alloy(Al)and commercial pure titanium(Ti)joints were welded by ultrasonic spot welding(USW).The welding energy was 1100-3200 J.The Al-Ti joint appearance and interface microstructure were observed mainly via optical microscopy and field emission scanning electron microscopy.Results indicated that a good joint can be achieved only with proper welding energy of 2150 J.No significant intermetallic compound(IMC)was found under all conditions.The high energy barriers of Al-Ti and difficulties in diffusion were the main reasons for the absence of IMC according to kinetic analysis.The heat input is crucial for the material plastic flow and bonding area,which plays an important role in the joint formation.展开更多
Anaplastic lymphoma kinase(ALK)rearrangements are present in about 5–6%of non-small cell lung cancer(NSCLC)cases and associated with increased risks of central nervous system(CNS)involvement.Envonalkib,a novel ALK in...Anaplastic lymphoma kinase(ALK)rearrangements are present in about 5–6%of non-small cell lung cancer(NSCLC)cases and associated with increased risks of central nervous system(CNS)involvement.Envonalkib,a novel ALK inhibitor,demonstrated promising anti-tumor activity and safety in advanced ALK-positive NSCLC in the first-in-human phase I study.This phase III trial(ClinicalTrials.gov NCT04009317)investigated the efficacy and safety of first-line envonalkib in advanced ALK-positive NSCLC cases.Totally 264 participants were randomized 1:1 to receive envonalkib(n=131)or crizotinib(n=133).Median independent review committee(IRC)-assessed progression-free survival(PFS)times were 24.87(95%confidence interval[CI]:15.64–30.36)and 11.60(95%CI:8.28–13.73)months in the envonalkib and crizotinib groups,respectively(hazard ratio[HR]=0.47,95%CI:0.34–0.64,p<0.0001).IRC-assessed confirmed objective response rate(ORR)was higher(81.68%vs.70.68%,p=0.056)and duration of response was longer(median,25.79[95%CI,16.53–29.47]vs.11.14[95%CI,9.23–16.59]months,p=0.0003)in the envonalkib group compared with the crizotinib group.In participants with baseline brain target lesions,IRC-assessed CNS-ORR was improved with envonalkib compared with crizotinib(78.95%vs.23.81%).Overall survival(OS)data were immature,and median OS was not reached in either group(HR=0.84,95%CI:0.48–1.47,p=0.5741).The 12-month OS rates were 90.6%(95%CI,84.0%–94.5%)and 89.4%(95%CI,82.8%–93.6%)in the envonalkib and crizotinib groups,respectively.Grade≥3 treatment-related adverse events were observed in 55.73%and 42.86%of participants in the envonalkib and crizotinib groups,respectively.Envonalkib significantly improved PFS and delayed brain metastasis progression in advanced ALK-positive NSCLC.展开更多
The performance of organic solar cells(OSCs)is mainly related to the bulk heterojunction(BHJ)microstructure of specific active layer systems,which is often in a metastable state.A promising strategy to address the abo...The performance of organic solar cells(OSCs)is mainly related to the bulk heterojunction(BHJ)microstructure of specific active layer systems,which is often in a metastable state.A promising strategy to address the abovementioned shortcomings of BHJs is to develop single-component active layer materials.Owing to the single-component small molecule materials with defined chemical structures generally exhibit poor absorption spectra,herein we first introduced narrow bandgap Y-series acceptors into the molecular skeleton of single-component materials,and designed two molecular dyads,SM-Et-1Y and SM-Et-2Y.The optical bandgaps(E_g~(opt)s)of the two dyads are 1.364 and 1.361 eV,respectively,which are much smaller than those of previously reported single-component molecules.Consequently,the SM-Et-2Y-based single-component OSCs(SCOSCs)showed a power conversion efficiency(PCE)of 5.07%,superior to SM-Et-1Y(2.53%),which is one of the highest PCEs reported for SCOSCs to date.Moreover,both SM-Et-1Y-and SM-Et-2Y-based devices exhibited excellent photo-stability,retaining over 90%of their initial performance after 250 h of continuous illumination.Our results provide a deeper understanding of the molecular backbone and a guiding principle for the rational design or selection of non-fullerene single-component materials with suitable donor/acceptor ratios.展开更多
Benefitting from low cost and simple synthesis,simple structured non-fused ring acceptors(NFRAs)and polymer donors are crucial for the application of organic solar cells(OSCs).Herein,two isomerized NFRAs,namely 4T-FCl...Benefitting from low cost and simple synthesis,simple structured non-fused ring acceptors(NFRAs)and polymer donors are crucial for the application of organic solar cells(OSCs).Herein,two isomerized NFRAs,namely 4T-FCl FCl and 4T-2F2Cl,are designed with end-group engineering,which modulates the electrostatic potential distributions and crystallinity of acceptors,and accordingly,the A/A and D/A intermolecular interactions.The OSC based on 4T-2F2Cl with strong D/A interactions shows a record-high efficiency of 16.31%in blending with a low-cost polymer donor PTQ10,which shapes obviously improved bulkheterojunction(BHJ)networks blade-coated by non-halogenated solvent o-xylene,and thus significantly diminishes nonradiative recombination loss.A higher industrial figure of merit(i-FOM)of 0.46 for PTQ10:4T-2F2Cl in comparison with PTQ10:4T-FCl FCl(i-FOM=0.29)is demonstrated owing to its superior device efficiency and operational stability.Note that the i-FOM of PTQ10:4T-2F2Cl is the highest value for OSCs reported so far.This work deepens the synergistic effect of the A/A and D/A interactions on achieving desired bulk heterojunction morphology and demonstrates a printable photovoltaic system for low-cost,high-efficiency,stable,and eco-friendly OSCs.展开更多
Transfer printing of small-molecular organic semiconductors often faces challenges due to surface adhesion mismatch.Here,we developed a sacrificing-layer-assisted transfer printing technique for the deposition of smal...Transfer printing of small-molecular organic semiconductors often faces challenges due to surface adhesion mismatch.Here,we developed a sacrificing-layer-assisted transfer printing technique for the deposition of smallmolecular thin films.High-boiling-point ethylene glycol(EG)was doped in aqueous solution poly(3,4-ethylenedioxythiophene)polystyrene sulfonate(PEDOT:PSS)as the sacrificing layer to manipulate residual water in film,which allowed chlorobenzene solution to spontaneously spread and form uniform film.展开更多
The emergence of the latest generation of small-molecule acceptor(SMA)materials,with Y6 as a typical example,accounts for the surge in device performance for organic solar cells(OSCs).This study proposes two new accep...The emergence of the latest generation of small-molecule acceptor(SMA)materials,with Y6 as a typical example,accounts for the surge in device performance for organic solar cells(OSCs).This study proposes two new acceptors named Y6-C2 and Y6-C3,from judicious alteration of alkyl-chains branching positions away from the Y6 backbone.Compared to the Y6,the Y6-C2 exhibits similar optical and electrochemical properties,but better molecular packing and enhanced crystallinity.In contrast,the Y6-C3 shows a significant blue-shift absorption in the solid state relative to the Y6 and Y6-C2.The as-cast PM6:Y6-C2-based OSC yields a higher power conversion efficiency(PCE)of 15.89%than those based on the Y6(15.24%)and Y6-C3(13.76%),representing the highest known value for as-cast nonfullerene OSCs.Prominently,the Y6-C2 displays a good compatibility with the PC71BM.Therefore,a ternary OSC device based on PM6:Y6-C2:PC71BM(1.0:1.0:0.2)was produced,and it exhibits an outstanding PCE of 17.06%and an impressive fill factor(FF)of 0.772.Our results improve understanding of the structureproperty relationship for state-of-the-art SMAs and demonstrate that modulating the structure of SMAs via fine-tuning of alkylchains branching positions is an effective method to enhance their performance.展开更多
文摘Background: Both technical and nontechnical skills are important factors in cardiac emergency incident. The effects of structured framework on these skills have not been thoroughly studied. We hypothesized that structured framework can improve the clinical performance and reduce errors to improve patients’ safety. Methodology: A total of 24 teams composed of cardiac residents, attending surgeons and ICU nurses performed simulated emergency incident tasks in cardiopulmonary resuscitation (CPR) and tracheal intubation (TI) scenarios. Framework education was introduced to the assigned groups in two separate semesters. All the scenarios were recorded by video for further evaluation by cardiologist and emergency medicine specialist. Clinical performance, time consumption in simulated scenarios, correlation between framework training and nontechnical skills performance were assessed. Results: The average percentages of CPR completed in the Group 1 (G1) with framework education and the Group 2 (G2) were 85% (SEM: 6.20%) and 53% (SEM: 5.77%) respectively (P < 0.001). And the average percentages of TI completed in G2 with framework education was 87% (SEM: 3.96%), higher than G1 (50%, SEM: 5.64%) (P < 0.001). As for time consumption, the mean time to complete CPR in groups with framework education was shorter than in groups without framework education (P o complete TI in groups with framework education was shorter than in groups without framework education (P < 0.005). Further, there was a significant correlation between framework training and communication in simulated scenarios. Conclusion: The framework provides the whole procedure of the task to every participant. Structured framework education can improve nontechnical skills as well as technical skills of doctors and nurses. Further, researches should be conducted to evaluate the clinical performance and correlation between technical skills and nontechnical skills in cardiothoracic training.
基金Supported by Health and Family Planning Commission of Zhejiang Province in China(partly)
文摘AIM: To investigate the value of magnetic resonance elastography(MRE) with regard to assessing liver functional reserve.METHODS: Data from inpatients diagnosed with a liver tumor at an interventional radiology department from July 2013 to June 2014 were analyzed. A 3.0 Tesla magnetic resonance unit was used to scan 32 patients with confirmed diagnoses of hepatocellular carcinoma(HCC); an MRE sequence was added to the protocol, and the data were reconstructed and analyzed by two attending radiologists. Regions of interest were identified in different slices of the non-tumor liver parenchyma to measure average stiffness. In addition, the indocyanine green(ICG) test was performed no more than 1 wk before or after the magnetic resonance examination for all 32 patients; the ICG retention rate at 15 min(ICGR-15) and the ICG plasma clearance rate(ICG-K) were recorded. Correlational analyses were performed between the liver stiffness values and the ICGR-15 as well as between the liver stiffness values and the ICG-K.RESULTS: Magnetic resonance imaging, including an MRE sequence and the ICG test, was performed successfully in all 32 enrolled patients. None of the patients developed complications. The mean ± SD of the elasticity values measured by the two attending radiologists were 4.7 ± 2.2 k Pa and 4.7 ± 2.1 k Pa, respectively. The average liver stiffness value of the non-tumor parenchyma measured using MRE in HCC patients was 4.7 ± 2.2 k Pa. The average ICGR-15 was 0.089 ± 0.077, and the average ICG-K was 0.19 ± 0.07. We found that the liver stiffness value of the non-tumor parenchyma was significantly and positively related to the ICGR-15(r = 0.746, P < 0.01) as well as significantly and negatively related to the ICG-K(r =-0.599, P < 0.01). The ICGR-15 was significantly and negatively related to the ICG-K(r =-0.852, P < 0.01).CONCLUSION: MRE is accurate and non-invasive; furthermore, it can be used to effectively assess the liver functional reserve of HCC patients.
文摘Spray-drying was used to produce the high emissivity NiCr2O4 powders with a spinel structure. Preliminary investigations focused on fabricating the high emissivity powders for infrared radiation coatings and finding the relationship between microstructure and emissivity. The NiCr2O4 powders were characterized for composition, microstructure, and infrared emissivity by X-ray diffraction (XRD), scanning electron microscopy (SEM), infrared radiant instrument, and Fourier transform infrared spectra (FT-IR). Thermogravimetry and differential thermal analysis show that the appropriate baking temperature for NiCr2O4 powder preparation is about 1200?C. The emissivity measurement and FT-IR spectra show that, because of the special spinel structure, the NiCr2O4 powders have a high emissivity about 0.91. Spray-drying is a suitable method to produce the high emissivity ceramic powders.
文摘Air plasma spraying (APS) was used to produce high emissivity coatings with a NiCr204 spinel structure. The relationship between the emissivity and the crystal structure was investigated. X-ray diffraction (XRD) analyses show that NiCr204 spinel has been fabri- cated with the space group Fd3m. Scanning electron microscope (SEM) photographs show that the coating consists of a laminated structure with homogeneous grains and high porosity because of the unique feature of plasma spraying. The emissivity measurement and Fourier transformation infrared radiation (FT-IR) spectra show that NiCr204 has a high emissivity of about 0.91 because of its special spinel structure APS is a suitable method to produce high emissivity coatings.
基金We are grateful for the financial support provided by the National Natural Science Foundation of China(Nos.51974100 and 51605117).
文摘The present study focuses on interface microstructure and joint formation.AA6061 aluminum alloy(Al)and commercial pure titanium(Ti)joints were welded by ultrasonic spot welding(USW).The welding energy was 1100-3200 J.The Al-Ti joint appearance and interface microstructure were observed mainly via optical microscopy and field emission scanning electron microscopy.Results indicated that a good joint can be achieved only with proper welding energy of 2150 J.No significant intermetallic compound(IMC)was found under all conditions.The high energy barriers of Al-Ti and difficulties in diffusion were the main reasons for the absence of IMC according to kinetic analysis.The heat input is crucial for the material plastic flow and bonding area,which plays an important role in the joint formation.
基金This study was funded by the National Natural Science Foundation Project of China(Grant No.82072558).
文摘Anaplastic lymphoma kinase(ALK)rearrangements are present in about 5–6%of non-small cell lung cancer(NSCLC)cases and associated with increased risks of central nervous system(CNS)involvement.Envonalkib,a novel ALK inhibitor,demonstrated promising anti-tumor activity and safety in advanced ALK-positive NSCLC in the first-in-human phase I study.This phase III trial(ClinicalTrials.gov NCT04009317)investigated the efficacy and safety of first-line envonalkib in advanced ALK-positive NSCLC cases.Totally 264 participants were randomized 1:1 to receive envonalkib(n=131)or crizotinib(n=133).Median independent review committee(IRC)-assessed progression-free survival(PFS)times were 24.87(95%confidence interval[CI]:15.64–30.36)and 11.60(95%CI:8.28–13.73)months in the envonalkib and crizotinib groups,respectively(hazard ratio[HR]=0.47,95%CI:0.34–0.64,p<0.0001).IRC-assessed confirmed objective response rate(ORR)was higher(81.68%vs.70.68%,p=0.056)and duration of response was longer(median,25.79[95%CI,16.53–29.47]vs.11.14[95%CI,9.23–16.59]months,p=0.0003)in the envonalkib group compared with the crizotinib group.In participants with baseline brain target lesions,IRC-assessed CNS-ORR was improved with envonalkib compared with crizotinib(78.95%vs.23.81%).Overall survival(OS)data were immature,and median OS was not reached in either group(HR=0.84,95%CI:0.48–1.47,p=0.5741).The 12-month OS rates were 90.6%(95%CI,84.0%–94.5%)and 89.4%(95%CI,82.8%–93.6%)in the envonalkib and crizotinib groups,respectively.Grade≥3 treatment-related adverse events were observed in 55.73%and 42.86%of participants in the envonalkib and crizotinib groups,respectively.Envonalkib significantly improved PFS and delayed brain metastasis progression in advanced ALK-positive NSCLC.
基金supported by the National Natural Science Foundation of China(52061135206,22279094)the Fundamental Research Funds for the Central Universities。
文摘The performance of organic solar cells(OSCs)is mainly related to the bulk heterojunction(BHJ)microstructure of specific active layer systems,which is often in a metastable state.A promising strategy to address the abovementioned shortcomings of BHJs is to develop single-component active layer materials.Owing to the single-component small molecule materials with defined chemical structures generally exhibit poor absorption spectra,herein we first introduced narrow bandgap Y-series acceptors into the molecular skeleton of single-component materials,and designed two molecular dyads,SM-Et-1Y and SM-Et-2Y.The optical bandgaps(E_g~(opt)s)of the two dyads are 1.364 and 1.361 eV,respectively,which are much smaller than those of previously reported single-component molecules.Consequently,the SM-Et-2Y-based single-component OSCs(SCOSCs)showed a power conversion efficiency(PCE)of 5.07%,superior to SM-Et-1Y(2.53%),which is one of the highest PCEs reported for SCOSCs to date.Moreover,both SM-Et-1Y-and SM-Et-2Y-based devices exhibited excellent photo-stability,retaining over 90%of their initial performance after 250 h of continuous illumination.Our results provide a deeper understanding of the molecular backbone and a guiding principle for the rational design or selection of non-fullerene single-component materials with suitable donor/acceptor ratios.
基金supported by the National Natural Science Foundation of China(52061135206,22279094)the Fundamental Research Funds for the Central Universities。
文摘Benefitting from low cost and simple synthesis,simple structured non-fused ring acceptors(NFRAs)and polymer donors are crucial for the application of organic solar cells(OSCs).Herein,two isomerized NFRAs,namely 4T-FCl FCl and 4T-2F2Cl,are designed with end-group engineering,which modulates the electrostatic potential distributions and crystallinity of acceptors,and accordingly,the A/A and D/A intermolecular interactions.The OSC based on 4T-2F2Cl with strong D/A interactions shows a record-high efficiency of 16.31%in blending with a low-cost polymer donor PTQ10,which shapes obviously improved bulkheterojunction(BHJ)networks blade-coated by non-halogenated solvent o-xylene,and thus significantly diminishes nonradiative recombination loss.A higher industrial figure of merit(i-FOM)of 0.46 for PTQ10:4T-2F2Cl in comparison with PTQ10:4T-FCl FCl(i-FOM=0.29)is demonstrated owing to its superior device efficiency and operational stability.Note that the i-FOM of PTQ10:4T-2F2Cl is the highest value for OSCs reported so far.This work deepens the synergistic effect of the A/A and D/A interactions on achieving desired bulk heterojunction morphology and demonstrates a printable photovoltaic system for low-cost,high-efficiency,stable,and eco-friendly OSCs.
基金financially supported by the National Natural Science Foundation of China(No.62175189)the Shenzhen Science and Technology Program(KQTD20170330110107046)+1 种基金funding support from the Program for Promoting Academic Collaboration and Senior Talent Fostering between China and Canada,Australia,NewZealand,and Latin America(2021-109)the Joint China-SwedenMobility Programme(No.52211530052).
文摘Transfer printing of small-molecular organic semiconductors often faces challenges due to surface adhesion mismatch.Here,we developed a sacrificing-layer-assisted transfer printing technique for the deposition of smallmolecular thin films.High-boiling-point ethylene glycol(EG)was doped in aqueous solution poly(3,4-ethylenedioxythiophene)polystyrene sulfonate(PEDOT:PSS)as the sacrificing layer to manipulate residual water in film,which allowed chlorobenzene solution to spontaneously spread and form uniform film.
基金supported by the National Natural Science Foundation of China(21572171,21702154,51773157,51873160)the National Basic Research Program of China(2013CB834805)+1 种基金Shenzhen Peacock Plan(KQTD2017033011-0107046)Beijing National Laboratory for Molecular Sciences(BNLMS201905).
文摘The emergence of the latest generation of small-molecule acceptor(SMA)materials,with Y6 as a typical example,accounts for the surge in device performance for organic solar cells(OSCs).This study proposes two new acceptors named Y6-C2 and Y6-C3,from judicious alteration of alkyl-chains branching positions away from the Y6 backbone.Compared to the Y6,the Y6-C2 exhibits similar optical and electrochemical properties,but better molecular packing and enhanced crystallinity.In contrast,the Y6-C3 shows a significant blue-shift absorption in the solid state relative to the Y6 and Y6-C2.The as-cast PM6:Y6-C2-based OSC yields a higher power conversion efficiency(PCE)of 15.89%than those based on the Y6(15.24%)and Y6-C3(13.76%),representing the highest known value for as-cast nonfullerene OSCs.Prominently,the Y6-C2 displays a good compatibility with the PC71BM.Therefore,a ternary OSC device based on PM6:Y6-C2:PC71BM(1.0:1.0:0.2)was produced,and it exhibits an outstanding PCE of 17.06%and an impressive fill factor(FF)of 0.772.Our results improve understanding of the structureproperty relationship for state-of-the-art SMAs and demonstrate that modulating the structure of SMAs via fine-tuning of alkylchains branching positions is an effective method to enhance their performance.