Description of IDF disaster relief missions.
\r\n\tThe challenges of scale-up and commercialization of energy conversion systems depends on the optimal choice of material as well as on the development of cost effective methods. One approach for development of more cost-effective cathode and anode materials for fuel cells is the use of chalcogenides, which also have the great advantages of electroactivity enhancement and tolerance to poisoning. Different types of nanomaterials are successfully integrated into fundamental scientific research and development of new manufacturing technologies. Nanomaterials are seen in many sectors including public health, employment and occupational safety, industry, innovation, environment, transport, security and space. Nevertheless the fabrication of materials for energy conversion in nanoscale range is under great interest of scientific research and application. The purpose of this book is to publish high-quality research chapters as well as reviews at the forefront of metal chalcogenides and their relationship with nanoscale science and technology, bringing together the science and applications of material design with an emphasis on the synthesis, processing and characterization that enable novel enhanced properties or functions. The highlights of the book are growth and new challenges in the metal chalcogenides field, including applications, development and basic research.
",isbn:null,printIsbn:"979-953-307-X-X",pdfIsbn:null,doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,hash:"76fab4ee1e0735306f25751b7470a76a",bookSignature:"Dr. Yadira Gochi Ponce",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/8719.jpg",keywords:"Sulphides and selenides, Nanostructured electrocatalysts, PEM Fuel cells, Bifuncional materials, HER/HOR, ORR/HER, Cathodic and anodic electrodes, Solid electrolytes preparation, Liquid electrolytes, Hybrid nanostructured metals, Facile synthesis, Exfoliation",numberOfDownloads:null,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfDimensionsCitations:null,numberOfTotalCitations:null,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"January 28th 2019",dateEndSecondStepPublish:"April 29th 2019",dateEndThirdStepPublish:"June 28th 2019",dateEndFourthStepPublish:"September 16th 2019",dateEndFifthStepPublish:"November 15th 2019",remainingDaysToSecondStep:"2 years",secondStepPassed:!0,currentStepOfPublishingProcess:5,editedByType:null,kuFlag:!1,biosketch:null,coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"211953",title:"Dr.",name:"Yadira",middleName:null,surname:"Gochi Ponce",slug:"yadira-gochi-ponce",fullName:"Yadira Gochi Ponce",profilePictureURL:"https://mts.intechopen.com/storage/users/211953/images/system/211953.jpg",biography:"Y. Gochi-Ponce received her degree as Chemical Engineer at Michoacan University of St. Nicholas of Hidalgo. Following her graduate studies, she obtained a Master Degree and after her PhD in material science at Advanced Materials Research Center, S. C., in Chihuahua, Mexico. She received a scholarship to study electrocatalysis at Universitè of Poitiers, France and after at University of Texas at Austin for learning electrochemical methods. She worked at Technological Institute of Oaxaca until 2015. Actually, she is a researcher at Technological Institute of Tijuana. Her research focuses on the development of novel energy materials and devices, on synthesis and characterization of carbon nanostructures and metallic nanoparticles as catalysts in specific chemical reactions and cathodic electrocatalysts of fuel cells, as well as the study of composite materials.",institutionString:"National Institute of Technology of Mexico",position:null,outsideEditionCount:0,totalCites:0,totalAuthoredChapters:"1",totalChapterViews:"0",totalEditedBooks:"0",institution:{name:"Instituto Tecnológico de Tijuana",institutionURL:null,country:{name:"Mexico"}}}],coeditorOne:null,coeditorTwo:null,coeditorThree:null,coeditorFour:null,coeditorFive:null,topics:[{id:"8",title:"Chemistry",slug:"chemistry"}],chapters:null,productType:{id:"1",title:"Edited Volume",chapterContentType:"chapter",authoredCaption:"Edited by"},personalPublishingAssistant:{id:"177730",firstName:"Edi",lastName:"Lipovic",middleName:null,title:"Mr.",imageUrl:"https://mts.intechopen.com/storage/users/177730/images/4741_n.jpg",email:"edi@intechopen.com",biography:"As an Author Service Manager my responsibilities include monitoring and facilitating all publishing activities for authors and editors. 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Disasters can lead to great loss of life especially if they hit densely populated regions with limited resources and poorly constructed habitation. Furthermore, damage to roads and transportation systems and difficulties in the rescue and evacuation process can impede accessibility to care [2].
\nMany countries and organizations around the world developed logistic and medical systems designed to cope with disasters. Dispatched foreign field hospital (FFH) is one type of medical relief system. The World Health Organization/Pan-American Health Organization defines a field hospital as “a mobile, self-contained, self-sufficient healthcare facility capable of rapid deployment and expansion or contraction to meet emergency requirement for a specified period of time [3].”
\nThe Israeli Defense Force (IDF) Medical Corps developed a model of airborne FFH [4]. This model was structured to deal with disaster settings, requiring self-sufficiency, innovation and flexible operative mode in the setup of large margins of uncertainty regarding the disaster environment. The current study is aimed to critically analyze the experience, gathered in ten such missions deployed in nine countries (Armenia, Rwanda, Kosovo, Turkey, India, Haiti, Japan, Philippines, and Nepal).
\nThe rest of the study is organized as follows. We provide a literature review of healthcare humanitarian aid to disaster areas and a formal definition of a foreign field hospital. The methodology being used is case study. Data was collected by interviews conducted in Israel with senior military staff who actively commanded the humanitarian missions in the disaster areas. Supplemental information was gathered from secondary sources cited in paper. We analyze a series of ten case studies over time period of three decades that provide insights in regards to FFHs deployed by the Israel Defense Forces (IDF) to assist in different types of disasters around the world such as Haiti, Turkey, India, Rwanda, Armenia, and the Philippines. We conclude by sketching future research opportunities that can further develop this field of study.
\nA field hospital is an independent health care facility, which is deployed rapidly for emergency purposes, following the request of the affected country. It is important that delegation and recipient countries clarify in advance the details on responsibilities, chain of command, working protocol with authorities and law enforcement agencies, facilities, installation, and operational process of the FFH in order to avoid any misunderstanding. Both parties need to know the details on the date when the FFH will be operational on site, the FFH equipment and services to be provided, the number of medical staff and their qualifications and experiences, the location of the FFH, and its duration of stay. Next, the components of field hospital deployment are described.
\nDisasters around the world with the potential for the need of international medical assistance are assessed by Israeli governmental bureaus (Ministries of Foreign Affairs, Health, National Security and others), as well as by military offices and local non-governmental organizations. Sending a preliminary assessment team is important. This was the case, for instance, in the pre-FFH era, during the ongoing Cambodian disaster in 1979, were prior assessment of needs, combined with fund raising, led to an incorporation of a drafted team into a Red Cross field hospital in Sakeo, Thailand. More recently, for example, a special assessment team was en route to Haiti 11 h after news of the earthquake reached Israel [5]. An assessing advancing team to Japan evaluated the need for a full scale functional FFH, given the damage to local healthcare system and the medical needs at the disaster zone, coordinated the efforts with the local authorities and regional healthcare providers, defined the required location of the operation, and assessed specific irradiation risks [6].
\nAcute disaster settings often require immediate assistance, precluding time consuming prior assessment. Furthermore, by the time relief operation arrives, conditions and needs might change substantially, especially if the time required for deployment is extended. Therefore, the Israeli FFH was often one of the first international humanitarian missions active on ground, adopting the principal of “just on time and just in place”, at the price of incomplete assessment and a large margin of uncertainty. To compensate for that, the FFH was designed in a way to meet unexpected situations, first by being composed of a multidisciplinary team, and second, by being self-sufficient and independent. Lastly, initiative with numerous improvisations with the help of local agencies and manpower helped coping with unexpected situations. For example, the Armenian mission, operated within a roofed stadium, transformed into a city hospital with the use of plastic sheets stretched on cables, which divided the space into functioning departments. This obviously required a substantial aid provided by local authorities and medical staff [7].
\nSince swift air deployment is essential to operate expeditiously, missions were airborne, deployed usually in military Hercules airplanes (that enable transportation of vehicles) and occasionally in commercial aircrafts for long-distance missions such as in Haiti/Japan/Nepal. Location of the medical relief operation was usually decided before arrival, and coordinated by pre-assessment team based on dialogs with local health care system and logistic headquarters. Issues taken into account were accessibility to patients, safety (regarding aftershocks in earthquake scenarios, or appropriate safe surroundings in a war zone), and proximity to air fields (for supplies and evacuation in case of emergency). For instance, an intact, roofed municipal sports center provided an adequate shelter and convenient location for the FFH in the snowy Kirovakan. The gymnastic stadium was divided into four functional areas by stretched cables from which black polyethylene sheets were hung, while supplies and surgical rooms were placed on the podium. In Zaire, sleeping quarters were located within an unfinished, fenced, and easily protected private house adjacent to the field hospital. In the missions to Bhuj, India and to Port-Au-Prince, Haiti, soccer fields were chosen as the operation site, because it’s a well confined area, usually with one/two entrances, has walls (protection), and its size is adequate [8, 9].
\nIn a chaotic post-disaster environment, there is a need to utilize both long-range systems to communicate with the delegation’s country of origin, and short-range systems to enable communication between site of field hospital home base and local authorities, ambulances, helicopters, as well as delegations from other countries deployed in disaster area. It includes standard walkie-talkie (130–170 MHz), loudspeakers, telephony, fax, internet, email and video conference. Range, spectrum of radio frequencies, bandwidth, weight, size, ease of usage, reliability, batteries life, and cost are important factors in determining which systems the delegation should bring to disaster area. Caution should be taken when patrolling in disaster area with long antenna near collapsed wiring in an earthquake setting. Standard military VHF radio (30–75 MHz) that are non-dependent on local network, proved to be useful in IDF missions for communication with neighboring military units from various countries.
\nIn IDF mission to Rwanda, military VHF systems were utilized for communication with vehicles moving at the range of up to 30 km from the headquarters at the field hospital, which also covered mobile short-distance communication between the hospital and the sleeping quarters. In 1999, at Adapazri, Turkey, short wave communication (telephone and Internet) relied on a high frequency (HF) radio transceiver in the range of 3–30 MHz; in 2010 at Port-Au-Prince, Haiti, a direct satellite channel was established with an 8 GB bandwidth; and in 2011, at Minanisanriku, Japan, broadband global area satellite internet network (BGAN inmarsat) enabled Wi-Fi communication [6].
\nA computerized hospital administration information system has capability to gather rapidly information, analyze it, and present it to medical team. It can also give pharmacist in charge data control over release of medical supplies and provide alerts regarding need to replenish developing shortages of critical items. The IDF designed and used in Haiti such an information system which included: identification and demographic information, photo album, admission notes and status, survey of injuries by body system, laboratory and imaging studies, surgical reports, diagnoses, and discharge summary [10]. The usage of such an electronic medical record in mega-disaster scenario ensures medical accuracy, and lowers risk of losing information in chaotic environment when patients are transferred between FFHs from different countries, or when delegation returns back to home country and give control over FFH facility to local healthcare authorities as occurred in most missions. For instance, in Haiti, bar-code readers were used to facilitate patient’s registration upon entry to a specific department within FFH and to minimize manual data entry errors. The database of passport-like photographs was useful for family members to locate their relatives and it was suggested for future designing customized radio frequency identification (RFID) technology in order to track patients in disaster area [11]. Such technologies are developed in Israel as part of a national system for disseminating information on victims during mass casualty events [12].
\nThis article synthesizes ten medical relief operations in disaster settings, carried out during the last three decades in the form of deployed FFH, in a particular pattern designed and executed by the IDF Medical Corps. We interviewed over period of four years (2011–2015) physicians who actively participated in the IDF disaster relief missions from 1988 until 2015, as chief medical officers and other personnel who have vast experience in the logistics, policy, and health ministry aspects involved in this humanitarian domain from their service in the Israel Home Front Command. Several of them were also highly ranked in United Nations Disaster Assessment and Coordination [UNDAC] and the Department of Peacekeeping Operations at the United Nations Headquarters in New York. Therefore, they have expert-knowledge about the administrative aspects of collaboration between countries during relief missions. Each interview lasted about 2 h and was recorded and transcribed with permission from key informant. Interview questionnaire guide can be provided as appendix. After conduction exhaustive literature review of principal medical and auxiliary publications, we integrated information detailing the assembly of the missions, (manpower selection and training), their operative modes (supplies and equipment, medical data storage and handling, communication systems), capacity (number of beds, collaboration with other delegations), and termination protocol in order to ensure continuity of care by local medical staff their operative modes and outcome.
\nA body of knowledge was accumulated over the years by the IDF Medical Corps from deploying numerous relief missions to both natural (earthquake, typhoon, and tsunami), and man-made disasters, occurring at nine countries in different regions of the globe (Africa, Asia, Caribbean, Europe, and Middle East). Longitudinal studies of this sort which juxtapose different humanitarian missions can be helpful in learning and making better decisions in the case of future disasters. Indeed, our study shows an evolutionary pattern with improvements implemented from one mission to the other, with special adaptations to address specific requirements and to accommodate to language and national culture barriers [13].
\nAn important trait of the Israeli FFH pertains to the medical staff selection and training: the staff of the FFH (physicians, nurses, pharmacists, etc.) is recruited in a very selective process [14]. It is composed from mixture of reservists and actual duty soldiers drafted for the voluntary mission. Knowledge of local languages at the disaster area (Russian, French, etc.) is an important criterion for staff selection. Missions to war regions such as Goma, Zaire, were complemented by armed soldiers that also served as stretcher carriers. Additional personnel included laboratory, logistic and communication technicians. For risk assessment two members of Israel national committee for nuclear energy joined the mission to Japan, equipped with dosimeters for continuous monitoring of irradiation [15].
\nImportantly, the chosen personnel are composed roughly 2/3 of people who participated in past missions and 1/3 new recruits, in order to transfer knowledge gathered between missions and to create an organizational body of experience pertaining to humanitarian aid. This experience has often been enriched by previous practice gained in military medical units in combat regions, unfortunately prevalent in Israel and surrounding countries.
\nBased on IDF experience at Adapazari, Turkey, it is recommended, a (nurse):(physician) ratio of (1–1.5):(1), as opposed to a (2.5–3):1 ratio in regular civilian hospitals because paramedics and medics are available for active assistance [16]. These nurses have to be specialized, work longer and more intensive shifts than in a regular hospital. Consequently, physicians need to assist in classic nursing issues.
\nAdjustments in hospital structure were made during missions. Thus, IDF FFHs functions ranged from primary care and first aid clinics as in the Kosovo and Japan missions, to regional first echelon for patients released from ruins in Turkey, to municipal hospitals, as happened in India or Armenia, and to a medical referral center, as happened in Haiti, Nepal and the Rwandan disasters. In this last example, the operative mode and structure changed over time, in parallel with needs. This mission served initially as a regional cholera camp, but with the recognition of its capabilities, it became a referral center for trauma and other surgical cases, for patients with meningitis and other complicated medical conditions, as well as for critically ill babies requiring intensive care settings.
\nThe functional structure of the FFHs changed accordingly. In Rwanda, a triage and rehydration facility changed into adult and pediatric wards, with a latter addition of expanding departments for surgical/orthopedic/obstetric patients and for those with non-diarrheal critical infections, such as meningitis [17, 18]. The FFH in India was setup in a fully self-sufficient tent encampment. It provided variety of surgical and diagnostic procedures such as: orthopedics (soft tissues, amputations, fracture reduction, external fixation), plastic surgery, skin grafts, debridement/reconstruction, appendectomy, caesarian section, pediatric neonatal intensive care unit, and deliveries. The FFH in Adapazari, Turkey (1999) served for few days as a first level facility for injured population rescued from wreckage, principally providing surgical and orthopedic surgical facilities and managing patients with crush syndrome and associated renal failure [19]. At later stage, beyond the salvageable rescue period, the hospital principally provided first aid and primary care for the nearby population, as the number of patients with acute and chronic medical, pediatric and neonatal conditions exceeded that of traumatic cases [20]. The heterogeneous mixture of medical staff enabled the transformations that took place in the operative mode of the FFH.
\nIn the same way, the Haiti mission coped in the first days with injuries caused directly by the earthquake, with very busy orthopedic and surgical units, doubling the surgical capacity by cross-over mixed teams concomitantly addressing needs for various surgical disciplines. A few days later, when patients with less urgent medical needs arrived, staff assignments, organization of unites, and hospitalization policy were readjusted.
\nOur case studies cover a variety of field hospitals deployed by the IDF. Descriptive information of the missions is described in Table 1 and statistics is presented in Table 2. The studied disasters vary in their type, size, and number of casualties, addressing different types of required medical services.
\nCountry | \nDescription of FFH | \n
---|---|
Armenia | \nIn December 1988, a 7.1 magnitude earthquake occurred in Kirovakan, Soviet Armenia. The IDF medical corps deployed a field hospital to Kirovakan. The FFH team included general and orthopedic surgeons, anesthesiologists, experts in rehabilitation, internal and emergency medicine, nephrology, and pediatrics. The medical relief operation was originally designed to serve as a pediatric rehabilitation center combined with dialysis facilities, as requested by the Soviet authorities but eventually provided primary care. The majority of patients received ambulatory treatment, but there were additional trauma cases, gynecology-obstetrics, and a few acute general surgical cases. Sources: [7, 18, 17]. | \n
Rwanda | \nIn July 1994, IDF deployed 3 teams sequentially for 6 weeks to Goma, Zaire, following a tribal strife in Rwanda with consequently displaced population subjected to large scale epidemics (principally cholera and dysentery) and famine. The length of the operation requiring team substitution every 2 weeks, with replacements and supplies arriving by subsequent cargo airplanes, enabling continuous prolonged operation. In each team there were experts in internal medicine and pediatrics with subspecialties, clinical microbiology/tropical medicine, critical care, anesthesiology and neonatology, general and orthopedic surgeons, and gynecologists. The FFH comprehensive multi-disciplinary facilities provided primary and secondary care. The FFH composed of a triage unit, pediatric, medical and surgical wards, and diagnostic facilities. Sources: [7, 18, 25, 36]. | \n
Kosovo | \nThe conflict in Kosovo in the 90s escalated in 1999, causing more than one million people from Kosovo to flee from their country to the neighboring countries of Macedonia and Albania. In April 1999, the IDF provided medical services to the refugees. The structure of the hospital was composed of several wards: emergency room, internal medicine, obstetrics and gynecology, pediatric and neonatology, delivery, pharmacy, laboratory x-ray, and security. Twenty hours after arriving in Macedonia, the FFH became functional in the Brazda camp. The IDF field hospital became the referral center for all others primary medical teams. Most of the patients were treated for infections (because of poor sanitary conditions in the refugee camps), exhaustion, and chronic illness (heart disease, diabetes, etc.). Sources: [26]. | \n
Adapazari, Turkey | \nOn August 17, 1999, a major earthquake (7.4 Richter) occurred in western Turkey. The city of Adapazari was severely hit. The Israeli field hospital was sent by the Israel Defense Force (IDF) command. The IDF field hospital located in Adapazari provided advanced surgical and medical services; it included trauma care and life saving surgeries and was ready to accept patients in 24 h after arrival on site. The site included 5 beds for intensive care treatment and 80 beds for general hospital admission including internal medicine, obstetrics and gynecology, and surgery. The hospital staff was overall composed of 102 personnel acting as a secondary referral center. Sources: [6, 16, 19, 20, 23, 28] | \n
Duzce, Turkey | \nIn Nov 1999, an earthquake of 7.2 magnitude struck Turkey, this time in the region of Duzce. The IDF medical corps Field hospital was sent 3 days after the disaster. It functioned for 9 days, aiming to substitute for a part of the damaged medical facilities. It acted as a secondary referral center providing specialized and surgical care The hospital structure included seven clinical branches: emergency room (triage), operation room (OR), surgical intensive care unit, internal medicine, orthopedics, pediatrics, obstetrics, and gynecology. The Israeli Field hospital managed to fill the gap in the local medical system, and during its peak operation, its capacity was 300 patients per day. The field hospital focus was on secondary medical care rather than primary and urgent care. Sources: [24]. | \n
Bhuj, India | \nOn January 26, 2001, a 7.7 Richter earthquake occurred in India, with the epicenter located in the city of Bhuj. The IDF-led relief activity in India departed within 84 h after recruiting personnel from both regular army and reserve units and initiated hospital activity at site on day six. The field hospital had a fully self-sufficient tent enactment with 30 beds and included auxiliary services units such as radiology, laboratory and medical supplies, and a logistical support unit. The total number of personnel deployed for the India operations was 97. Sources: [8]. | \n
Port au Prince, Haiti | \nA 7.2 Richter magnitude earthquake struck Haiti on January 2010. The Israel Defense Medical Corps Field Hospital was on site and operational 89 h after the earthquake and provided medical care to many patients during its 10 days of operation. The hospital brought all required supplies in order to stay independent and provide fast deployment, including medical requirements such as antibiotics, imaging machines and lab facilities, and energy sources and accommodations. The Field Hospital consisted on 121 hospital staff members, divided in different units, including medical, surgical, pediatric, orthopedic, gynecologic, ambulatory and auxiliary. The capacity of the Field hospital was 60 inpatient beds, which could be expanded to 72. Sources: [5, 6, 9, 10, 21, 22, 35, 42] | \n
Japan | \nAn earthquake of 9.0 on the Richter scale struck Japan on March 11, 2011. It caused a Tsunami that washed away 250 miles at northeast Honshu. The IDF send a delegation to build a small scale FFH in the format of clinic. Its clinic was located on the east coast in the town of Minami-Sanriku. It served mainly as a referral unit for diagnostic and medical treatment. It was staffed with 55 personnel. The structure of the FFH consisted of several wards: registration-triage and discharge, gynecology, internal medicine, laboratory, surgery, pediatrics, surgery, pharmacy, laboratory and imaging, and a logistics command center. Also, a team of 8 translators helped the FFH crew. In addition, there were an imaging crew equipped with ultrasound and X-ray, a hematology-microbiology-chemistry laboratory, and wireless services. Sources: [6, 15, 42] | \n
Philippines | \nThe typhoon Haiyan struck the Philippines on November 8, 2013. Five days after the event, an IDF team from Israel was assigned by the Philippines government to provide medical assistance to the city of Bogo, where a local hospital that serves more than 250,000 people was operating at partial capacity. The FFH team in the Philippines decided to combine its physical setup with the local structure and support the local medical staff with its experienced medical group, to provide maximum benefit and thereby create one integrated medical infrastructure. Although the IDF team had 25 physicians representing most medical subspecialties and first-class logistics support, they decided to relinquish sole decision-making authority and improvised to establish a model of cooperation with the local health care administrators. Sources: [31, 32, 37, 38] | \n
Nepal | \nA 7.8 Richter magnitude earthquake struck Nepal on April 25, 2015. The IDF mission that established a field hospital in Kathmandu on April 29 consisted of 126 personnel including 45 physicians. They arrived with 100 tons of equipment and supplies, and capacity to treat 200 patients per day. It was largest IDF mission deployed overseas. Its wards included 2 operating rooms, 8-bed intensive care unit, trauma, obstetrics, gynecology, surgical, orthopedic, and imaging facility. Sources: [29, 30, 43] | \n
Description of IDF disaster relief missions.
Country | \nArmenia | \nRwanda | \nKosovo | \nTurkey (Adapazari) | \nTurkey (Duzce) | \nIndia | \nHaiti | \nJapan | \nPhilippines | \nNepal | \n
---|---|---|---|---|---|---|---|---|---|---|
Date (month, year) | \nDec-88 | \nJul-94 | \nApr-99 | \nAug-99 | \nNov-99 | \nJan-01 | \nJan-10 | \nMar-11 | \nNov-13 | \nApr-15 | \n
Type of disaster | \n6.8 Richter earthquake | \nRwandan refugees | \nAlbanian refugees | \n7.6 Richter earthquake | \n7.2 Richter earthquake | \n7.7 Richter earthquake | \n7 Richter earthquake | \n9.0 Richter earthquake | \nTyphoon | \n7.8 Richter earthquake | \n
Time until initiation of FFH | \n12 days | \n\n | 4 days | \n24–36 h | \n63 h | \n6 days | \n89 h | \n2 weeks | \n5 days | \n82 h | \n
Duration of deployment | \n13 days | \n6 weeks | \n16 days | \n1 week | \n9 days | \n10 days | \n10 days | \n2 weeks | \n10 days | \n11 days | \n
Number of casualties | \n25,000 | \nHundreds of thousands | \n\n | 2627 | \n705 | \n20,005 | \n230,000 | \n28,000 | \n6300 | \n9000 | \n
Number of injured | \n19,000 | \nHundreds of thousands | \n\n | 5084 | \n3500 | \n166,812 | \n250,000 | \n2800 | \n28,000 | \n23,000 | \n
Number of beds in FFH | \n25 | \n50 | \n35 | \n80 | \n\n | 30 | \n72 | \n\n | 80 | \n60 | \n
Total number of patients | \n2400 | \n6000 | \n1560 | \n1205 | \n2230 | \n1223 | \n1111 | \n400 | \n2686 | \n1668 | \n
Total personnel | \n34 | \n110 | \n76 | \n102 | \n100 | \n97 | \n100 | \n55 | \n147 | \n126 | \n
Physicians | \n20 | \n18 | \n15 | \n21 | \n21 | \n\n | 45 | \n14 | \n25 | \n45 | \n
Nurses | \n3 | \n21 | \n7 | \n10 | \n13 | \n\n | 27 | \n7 | \n\n | 29 | \n
Paramedics and medics | \n7 | \n4 | \n2 | \n18 | \n19 | \n\n | 21 | \n\n | \n | \n |
Pharmacists | \n1 | \n2 | \n1 | \n1 | \n\n | \n | 2 | \n1 | \n1 | \n1 | \n
Radiology technicians | \n1 | \n1 | \n1 | \n1 | \n1 | \n\n | 2 | \n1 | \n1 | \n1 | \n
Laboratory technicians | \n1 | \n1 | \n1 | \n1 | \n1 | \n\n | 3 | \n2 | \n1 | \n1 | \n
Data on relief missions.
All earthquakes in our case studies had a magnitude of higher than 7 on the Richter scale, associated with mass casualties and damage to local health facilities, requiring foreign assistance. FFH can confront various levels of acuity. If the number of casualties is extremely high (Haiti), one may expect confronting severely wounded patients. If the damage is mainly to the infrastructure (Nepal), one will confront more chronic conditions. It depends on the number of injured people seeking medical care, number of other FFH, how fast the team arrives, the baseline standard of care, damage to local facilities, etc.
\nFor example, in the missions to Armenia or India, most treated casualties in the FFH were principally survivors with minor or intermediate injuries and patients with a variety of acute and chronic medical conditions seeking substitute for the non-functioning local health systems. In some cases, as in Haiti, the FFH served as a tertiary medical center, in the absence of domestic alternatives until the establishment of an appropriate substitute, in this case the floating hospital USNS Comfort [21, 22]. In the two missions to Turkey, the FFH served as a buffer and regional second echelon, relieving pressure from nearby functional local health systems [23, 24]. In Japan, due to the rather late arrival and efficient local medical and evacuation systems, the team work took the form of a primary care service.
\nOur study also reviews missions addressing medical needs of displaced and crowded refugees in two other countries: Kosovo, and Rwanda [25]. While the Kosovo mission addressed anticipated ongoing medical needs of such a population, the relief operation to Goma, one of many heterogeneous medical relief missions orchestrated by the UNHCR, faced overwhelming outbreak of lethal diarrheal epidemics that exceeded any reasonable capacity [26]. In addition to treating such patients this mission became a referral center for complicated patients transferred from other health facilities.
\nThe evolution of IDF humanitarian operations started by deploying mobile clinics to disaster areas, the first time in Kefalonia (1953), and subsequently in Skopje (1963), or by joining international relief operations such as a Red Cross hospital for Cambodian refugees in Thailand in 1979 [27]. Later, it developed into the adaptable structure of FFHs where the scale was tailored to the disaster arena. The first full scale FFH was in Armenia and later in Turkey, and subsequent missions.
\nAll missions were self-sufficient in terms of means of transportation, fuel, drinking water and food supplies, generators and electrical supply, communication systems, tents, kitchen and laundry accessories, and equipment for mechanical maintenance, as well as with means of physical security and preventive medicine. Medical equipment and supplies were based on standard gear of field hospitals stored in military warehouses, supplemented with specific items, medications and supplies tailored for specific mission characteristics [28]. All missions were equipped with standard units for field operations, with ventilators, monitors, and defibrillators, with oxygen supply, with X-ray and ultrasound machines and with a basic diagnostic laboratory (for blood counts, urinary chemistry analysis, microbiology cultures, blood smear staining, coagulation profile, blood gases analysis, serology, and with complementary facilities as needed, such as kits for HIV detection following accidental needle sticks by personnel. There was a limited supply and storage capacity for blood products and with the means for on-site collection, and screening of blood products. Powered plasma, used for instance in Nepal, helped compensating for the limited storage capacity for blood products [29], and the use of ultrasound-guided nerve blocks for limb surgery saved turnover time and recovery from anesthesia [30].
\nAn important result highlighted during the analysis was the ingredient of creativity needed in all missions with the variety of injuries and diseases they faced (disaster and non-disaster related). Crush injuries and traumatology in missions deployed to earthquake scenarios, epidemics in Rwanda, and later in Haiti, malnutrition and endemic diseases in both missions and in Kosovo, etc. In the mission to Philippines surgical interventions were considered in FFH for therapeutic, palliative, and diagnostic purposes of head and neck tumors [31]. Similarly, another example of improvisation during IDF mission to Philippines occurred when a child with a suspected brain abscess was successfully diagnosed and properly treated [32]. This complex heterogeneity required adaptations in equipment and supplies, not always foreseen, especially with altering clinical challenges. Other improvisations were the extended use of local or regional anesthesia over general anesthesia to shorten recovery periods, the primary abdominal closure with plastic infusion bags due to inflamed Shigella-related necrotizing enterocolitis requiring intestinal resection, blood donation by medical personnel to avoid HIV transmission to recipients in hyperendemic population in Rwanda and Haiti, or the use of protracted (days) ventilation with Ambu bag by hired personnel, in the case of continuous use of all available respirators. Another example of creativity is the self-production of orthopedic hardware, for instance the conversion of Steinman pins into Scentz screws with the aid of a local blacksmith and an engraving machine [33]. These screws underwent standard autoclave sterilization and proved effective in open fractures fixation in the Haiti mission.
\nAlthough each and every disaster presents unique challenges for aid teams, numerous lessons can be derived from the ten IDF missions over the last three decades. After each mission, a rigorous post-mission comprehensive review was held in order to derive lessons about decisions regarding how to improve cooperation with local healthcare providers and foreign delegations.
\nIn general, Israel policy has been to send a large delegation and allow both local and foreign medical personal to join its team [34, 35]. For example, in the IDF field hospital in Armenia, local medical staff that could not operate the destroyed local medical facilities was incorporated in the IDF FFH, enhancing efficacy, translating, utilizing available local facilities, such as sonography and laboratory equipment, and particularly by bridging cultural and professional gaps. Local logistic systems provided warmed housing, transportation and technical aid at the site of action. In Kosovo (1999), young Albanian students volunteered to provide translations, while in Haiti (2010) eight Columbian doctors and nurses joined the surgical teams, enabling around the clock surgeries at 3–4 operating tables.
\nAt the IDF hospital in Rwanda [36], hired locals were used as translators, in preparing local food and in feeding patients, in the preparation of oral rehydration solutions, and in additional maintenance and logistic tasks. Locals were hired in Haiti, Nepal, and the Philippines as well. This help was especially important as the numbers of hospitalized patients increased over time. Incorporating a Dutch Medical Corps company that operated a rehabilitation/convalescence department for severely debilitated patients further expanded overall capacity to about 200 beds. In meetings held at the UNHCR headquarters, representatives of the various medical relief missions were briefed by CDC experts regarding epidemiology and susceptibility of prominent pathogens, exchanged clinical data and developed a working network of collaboration. Few examples are the conversion of the IDF FFH into a referral center for other medical facilities, the creation of an outflow tract for convalescing children without families in orphanages, a major contribution of a French Army Microbiology laboratory in the diagnosis and management of infectious diseases such as meningitis, and a help by various agencies in supplementing medical supplies and equipment at shortage.
\nIntact domestic third level medical facilities at the perimeter of the disaster settings enabled transfer of treated patients. This option occasionally offered stabilized critically wounded patients better critical care than in the field conditions. For instance, in Armenia (1988), a patient with ruptured viscera, shock and hypothermia was transported by a Russian Army helicopter, escorted by Israeli and local anesthesiologists to Yerevan, following a lifesaving urgent control of internal bleeding. Air transport of treated and stabilized patients to Macedonian hospitals in the Kosovo mission (1999), and to major hospitals in Ankara and Istanbul in the Turkish earthquake disasters (1999) helped maintaining the operating capacity of the FFH at the disaster settings. Similar cooperative pattern was adopted following the disaster in Nepal (2015), with the IDF FFH in Kathmandu working in collaboration with the Nepalese Birenda Army Hospital. In Bhuj, India (2001), an IDF Hercules airplane remained at hand, providing airlift of treated casualties to remote hospitals in India. In Haiti (2010), such patients were transferred to local primary care facilities to continue with postoperative care, facilitating coping with the never-ending stream of newly admitted patients. The best way to facilitate such cooperation among medical centers is through a centralized system such as the United Nations Disaster Assessment in this event, or the UNHCR headquarters in humanitarian aid to refugees.
\nA totally different type of collaboration might be the incorporation of the FFH medical staff within an overwhelmed and injured local medical facility. This approach was adopted in the FFH mission to the Philippines (2013) where it was decided to combine efforts with the local facility, creating one integrated medical infrastructure [37]. The IDF delegation was integrated with the Severo Verallo memorial district hospital, an urban healthcare facility with approximately 80 beds, which was understaffed and had limited resources. The IDF 25 physicians representing most medical subspecialties, with the additional medical personnel worked under the medical and administrative direction of the local health care directors, while the logistic staff assisted the repair of the local hospital, restoring electricity, and providing much-needed supplies and equipment such as a mobile X-ray machine and an autoclave. Open discussions, held to establish clear lines of responsibility and co-sharing of tasks, helped in building trust and cooperation [38].
\nThe mission’s termination timing depended on the resolution of the disastrous event, for instance the termination of influx of patients removed from ruins in earthquake Turkish disasters, or the control of diarrheal epidemics among Rwandan refugees by the installation of appropriate water and food supplies and sanitation. Another important factor is the restoration of local health systems, as occurred in Armenia or the Philippines, or the establishment of appropriate long-lasting substitute services such as a Norwegian field hospital that settled at Goma, Zair, or the arrival of the USNS Comfort floating hospital, and other medical facilities operated by the Red cross and the University of Miami in the Haitian disaster. In such settings a handing over procedure of hospitalized patients was carried out, with their available medical data. Some convalescing but fully incapacitated patients were handed over to other non-medical local humanitarian facilities such as monasteries and orphanages. The termination of mission was coordinated with and orchestrated by the local health authorities in order to ensure continuity of operations by local medical staff or newly arrived substitutes. In most cases, supplies and equipment were handed over to local health systems under the direction of local authorities.
\nWhile the selection and incorporation of drafted highly qualified medical personnel within the military framework, characteristic for the Israeli FFH model, provides excellent medical performance customized for the specific mission, this restricts the longevity of the mission, as drafted personnel are expected to resume their civil work within a relatively short period of time. Thus, most missions lasted 2–3 weeks, only. Nevertheless, as happened in the Rwandan disaster, and in other missions addressing disasters in Cambodia and in Ethiopia, substituting teams of medical experts and additional personnel were created with changing operative shifts at 2–4 weeks intervals [39]. This enabled protracted mission activity, as required.
\nIn conclusion, our study provides comprehensive review of ten missions conducted by the IDF over the last three decades. Table 3 summarizes insights emerging from our research for future relief missions. The uniqueness of our study is that we investigated the response to different types of disasters, with some of the humanitarian missions sent in response to natural disasters (earthquake, tsunami, or typhoon) while others were delivered to war zones and ethnic clash terrains. More specifically, the cases we describe in Rwanda and Kosovo contribute to the literature because they demonstrate the usefulness of FFHs not only for natural disasters but also in situations of civil war. The ten missions varied also in their geographical distance from the home base in Israel, which impacted arrival time. While some of the disasters where located in developing countries such as Haiti, others occurred in highly developed countries such as Japan. The objective of the missions determined the duration of stay. For example, in the earthquake disasters in Turkey, FFHs were designed to assist in the acute care of casualties for a few days, only, within the period of time of recovering survivors trapped under the ruble of collapsed buildings, while at Rwanda, the goal was to participate in protracted, large scale lethal epidemics among displaced population fleeing a civil war.
\n1. | \nAn advanced team is crucial for defining needs, expectations, priorities, and identifying risks, as well as facilitating legal details with local authorities | \n
2. | \nSwift deployment providing adaptive operative flexibility is maintained by delegation’s multi-disciplinary heterogeneity of personnel, and readiness for improvisations | \n
3. | \nCoordination with both the local health system and other aid organizations operations in disaster area is essential | \n
4. | \nIt is imperative to be aware and respect the national culture differences between an aid mission and the affected country | \n
5. | \nField hospital must be entirely self-sufficient (transportation, energy, food, water, equipment and supplies) | \n
6. | \nProviding security to field hospital may be necessary in conflict areas | \n
7. | \nThe contribution of translators and local health employees is significant | \n
8. | \nIntegration of volunteer teams from other countries into field hospital can fill lack of human resource and improve operations | \n
9. | \nThe optimal operative period is 2–3 weeks. Substitutions and supplementary airborne logistics are required for longer missions | \n
10. | \nStandardization of procedures is essential in order to optimize medical response | \n
11. | \nAfter few days, most of medical activity becomes non-urgent treatment of population | \n
12. | \nCommunication devices, Information systems, and electronic medical data storage and handling records improve efficiency of field hospital | \n
13. | \nBefore departure back to home country, the delegation should coordinate with local authorities the transfer of authority over the FFH facility, equipment, and supplies in order to ensure continuity of operations by local medical staff | \n
14. | \nEthical issues pertaining to treatment of patients and their families in disaster area must be taken into consideration before mission deployment | \n
Insights emerging from our study for future relief missions.
A crucial avenue of research concerns the ethical issues humanitarian operations face, such as which patients to admit, given the limited capacity of hospital beds and other resources [40, 41]. For instance, it was noted based on experience in Japan and Haiti that premature deliveries, low-birth-weight neonates, and other complications with increased risk of infection and blood-loss increase at disaster areas. Because survival rates of low-birth weight neonates delivered in a disaster environment are diminished, the dilemma of whether to impose a minimum weight threshold for preterm neonates to receive treatment is an ethical issue, which obstetrics and gynecology teams should be prepared to deal with [42]. Another example, during Nepal mission it was found that procedural sedation and analgesia (PSA) should be a priority when treating pediatric victims of disaster since they are prone to psychological distress secondary to the traumatic event [43].
\nIn sum, this study has highlighted the importance of studying the fruitful collaboration between military and civilian organizations in the establishment of field hospitals. We hope that the future research avenues we sketched will motivate other scholars to engage in this field to prepare the global community to deal with major disaster relief operations.
\nPerovskite-structured materials have received increasing attention, since being discovered in the 1830s, because of their rich physical properties [1]. As shown in Figure 1a [2], the general chemical formula for such compounds is ABX3, in which A and B are different cations, and X is an anion that bonds to both the A and B cations. Owing to the flexibility of bond angles inherent in the perovskite structure, there are many different distortions that can occur from the ideal structure. Importantly, A can be organic cations, like methylammonium (MA+) or formamidinium (FA+) [4, 5, 6, 7, 8], B can be metal ions, such as Pb2+ and Sn2+ [9, 10, 11, 12], and X is usually halide ions [13], and such a class of materials is known as organic–inorganic hybrid perovskites. It was reported that a stable structure of hybrid perovskites can form where 0.81 < T.F. (tolerance factor) < 1.1 and 0.44 < O.F. (octahedral factor) < 0.90 [14]. X-ray diffraction (XRD) measurements were widely used to characterize their structures. As for MAPbBr3 and MAPbI3 crystals, XRD measurements displayed the excellent single crystal properties [15]. Transmission electron microscopy (TEM) measurements were performed to provide a more intuitive picture of perovskite crystals structures (Figure 1b), via using contrast-transfer-function corrected method to overcome their electron beam-sensitive property [3]. After the first attempt to employ hybrid perovskite films as active sensitizers into photovoltaic devices [16], hybrid perovskite solar cells have continued to set new efficiency benchmarks [17, 18, 19, 20, 21, 22, 23], due to the excellent properties, such as ease of processing, tunable optical band gaps [24, 25], long carrier diffusion length [26], and low trap density [15], as well as large absorption coefficients and high photoluminescence (PL) efficiency [27, 28], and their relatively high power conversion efficiency (PCE) has been increased to as high as 25.2% [29]. Moreover, Leveraging their promising features, hybrid perovskites also have the potential for employment in other optoelectronic applications, including photodetectors [30], transistors [31], phototransistors [32], light-emitting diodes (LEDs) [33], and lasers [34].
1a, perovskite crystal structure. Nature Photonics [2], copyright 2014. 2b, CTF-corrected high-revolution TEM image. Science [3], copyright 2018.
However, a vast array of prior research on perovskite optoelectronic devices has been centered on polycrystalline films. The polycrystalline samples usually suffer from grain boundaries, relatively higher trap densities and defects, and low stability, which would obviously obscure their potential in applications [35, 36, 37]. More recently, researchers have paid more attention to perovskite single crystals, which possess promising characteristics of no grain boundaries [15], relatively low trap density [38], large charge carrier mobility, and long carrier diffusion length [39, 40, 41]. In this regard, extensive efforts are being devoted to developing effective methods to improve the perovskite crystal quality and optimize the device performance. Existing in the forms of bulk or thin crystals, perovskite crystal samples have been widely applied in various optoelectronic applications [39, 42], and have made rapid and great strides in research progress [43, 44, 45, 46].
In this chapter, we aim to summarize the recent achievements, ongoing progress, and the challenges to date in the area of hybrid perovskite single crystals, practically MA-based ones (MAPbX3, X = Cl, Br, and I), from the perspective of both materials and devices with an emphasis placed on the optimization of crystal quality, and provide an outlook on the opportunities offered by this emerging family of materials in field of optoelectronic applications.
According to the lower solubility of MAPbX3 in HX (X = Cl, Br, and I) solution as the temperature decreases, Tao’s group introduced the STL method to synthesize a MAPbI3 bulk single crystal (Figure 2a) [47]. After the reaction between methylamine (CH3NH2) and hydro-iodic acid (HI) in a cold atmosphere, the obtained white microcrystal MAI was reacted with Pb(CH3COOH)2∙3H2O in aqueous HI, and the solution was then cooled to 40°C. A 10 mm × 10 mm × 8 mm black MAPbI3 single crystal was grown in about one month (Figure 2b). Lin’s group discovered a more efficient way, and they synthesized the single crystals with a size of 5 mm in just around 10 days [48]. Lin et al. selected high-quality seeds and dropped them back into fresh solution and obtained single crystals sized up to 1 cm (Figure 2c). Furthermore, MAPbBr3 − xClx and MAPbI3 − xBrx mixed-halide perovskite crystals were studied using such method [49]. Hydro-bromic acid with hydrochloric acid or hydro-iodic acid were mixed in different molar ratios into methylamine and lead (II) acetate solution to fabricate single-halide and mixed-halide perovskite crystals (Figure 2d). The time-consuming factor is the biggest drawback of this method, which has indirectly led to the domination of other crystallization methods.
2a, schematic of STL method. 2b, image of MAPbI3 with {100} and {112} facets. CrystEngComm [47], copyright 2015. 2c, MAPbBr3 crystals from STL method. J. Cryst. Growth [48], copyright 2015. 2d, photographs of perovskite crystals with different halide ratio. Nature Photonics [49], copyright 2015. 2e, MAPbI3 and MAPbBr3 crystals growth at different time intervals. Nature Commun. [50], Copyright 2015. 2f, schematic of crystals growth. J. Mater. Chem. C [51], copyright 2016. 2 g, schematic of AVC method. Science [15], copyright 2015.
As a radically faster perovskite crystal synthesis approach, the ITC method has widely been applied in recent years. It was observed that the exhibited crystals from such method can be shape-controlled, higher quality, and obtained quicker compared with other growth techniques. Bakr et al. introduced this method to rapidly grow high-quality bulk crystals [50]. As shown in Figure 2e, an orange MAPbBr3 crystal and a black MAPbI3 crystal were grown within 3 hours. Chen’s group further studied the effect of molar ratio of MAX and PbX2 in the precursor solutions on the crystal quality [52], e.g., perovskite crystals with different sizes and shapes were obtained after a 6-hour ITC crystallization process when changing the MAX: PbX2 ratios from 1:1 to 2:1.
With an aim of growing a large-sized bulk perovskite crystal, such ITC method was further modified. Using such technique, the strategy of incorporation of seed crystal growth has been proven to be favorable for single crystals as large as convenient. Liu’s group reported various large-sized perovskite crystals via using the modified ITC method, from which a number of larger-sized crystal (7 mm) were obtained through choosing good-quality seed crystals and repeating and carefully controlling the ITC process several times (Figure 2f). Moreover, Liu’s group also successfully grew MAPb(BrxI1 − x)3 single crystals with a finely-tuned bandgap [51]. The application of the different solubility of different perovskite single crystals at varying temperatures contributes to the time-saving feature of such ITC method.
Another main method to grow perovskite crystals is the AVC method (Figure 2g), which was first introduced from Bakr’s group [15]. In this method, the solvent plays a significant role because two or more solvents should be selected, of which one should be a good solvent that is less volatile, and the other is a bad solvent that is more volatile. The principle of this method can be described as follows: when the bad solvent slowly diffuses into the precursor solution, the proficiency of the crystal formation increases at the bottom of the sample vial owing to the insolubility of the material in the bad solvent. Other groups, like Loi’s group and Cao’s group, also applied this method to obtain the high-quality crystals [38, 53]. Although the AVC method costs more time than the ITC method, its temperature-irrelevant characteristic is appealing to its widespread use.
Bulk perovskite single crystals with thick sizes may cause the increase of charge recombination, which would lead to the degradation of their device performance and impede the practical applications. In this regard, growing thin perovskite crystals with a large area represents an effective approach to overcome the above obstacle and thus advances the further practical applications. Bakr et al. introduced a cavitation-triggered asymmetrical crystallization strategy, in which a very short ultrasonic pulse (≈1 s) was applied in the solution to reach a low supersaturation level with anti-solvent vapor diffusion and a thin crystal with several-micrometers grew on the substrates within hours (Figure 3a) [54]. Liu’s group synthesized perovskite crystal wafers with a much thinner thickness using a dynamic flow micro-reactor system [55]. They put two thin glass slides in parallel into a container with a predefined separation to grow single crystals within the slit channel, as shown in Figure 3b. Su’s group further used a space-limited ITC method and grew a 120-cm2 single crystal on fluorine-doped tin oxide (FTO)-coated glass, of which the operation and the obtained 0.4-mm-thin single crystal are shown in Figure 3c [56]. Meanwhile, Wan et al. reported a space-confined solution-processed method to grow the perovskite single-crystalline films with adjustable thickness from nanometers to micrometers (Figure 3d) [57]. Benefitting from the capillary pressure, the perovskite precursor solution filled the whole space between two clean flat substrates, which were clipped together and dipped in the solution.
3a, schematic of cavitation-triggered asymmetrical method. Adv. Mater. [54], Copyright 2016. 3b, schematic of ultrathin crystal wafer growth. Adv. Mater. [55], Copyright 2016. 3c, schematic of the laminar MAPbBr3 crystal films preparation. Adv. Mater. [56], Copyright 2017. 3d, schematic for the growth of perovskite thin crystals. J. Am. Chem. Soc. [57], copyright 2016. 3e, schematic of geometrically-confined lateral crystal growth method. Nature Commun. [58], Copyright 2017. 3f, schematic of the scalable growth for perovskite crystal films using an inkjet printing method. Sci. Adv. [59], Copyright 2018.
Currently, more promising approaches have been employed to grow thin single crystals with high quality and large scale. A one-step printing geometrically-confined lateral crystal growth method (Figure 3e) was introduced by Sung’s group to obtain a large-scaled single crystal [58]. During the process, a cylindrical metal roller with a flexible poly-(dimethyl-siloxane) (PDMS) mold was wrapped and then rolled on a preheated SiO2 substrate (180°C) with an ink supplier filled with the precursor solution. Alternatively, millimeter-sized single crystals were synthesized by Song’s group by a facile seed-inkjet-printing approach (Figure 3f) [59]. Perovskite precursor solution was injected onto a silicon wafer, and then the ordered seeds were formed on the substrate with the evaporation of the droplets. Thereafter, the substrate with a saturated perovskite solution was covered and the single crystals can be grew as the solvent dried at room temperature. Seeds were used to inhibit the random nucleation and trigger the growth of single crystals.
As discussed above, some optimized space-limited approaches have been introduced and developed to synthesize perovskite thin crystals in recent years. Especially, size−/thickness-controlled thin crystals have also been widely used in various optoelectronic devices. With the aim to growing large-scaled and thickness-controlled thin crystals with longer carrier diffusion lengths, fewer defects, and higher efficiency, more promising strategies will be rewarding in the future.
There are two normal ways to study the optical properties of hybrid perovskite crystals: absorption and PL measurements. Bakr et al. characterized the steady-state absorption and PL properties for MAPbBr3 and MAPbI3 crystals, as shown in Figure 4a and b [50]. Sharp band edges were observed in the absorption plots and the band gap values were determined to be 2.18 eV for MAPbBr3 crystals and 1.51 eV for MAPbI3 crystals; while the PL intensity peaks are located at 574 nm for MAPbBr3 and 820 nm for MAPbI3. As for the MAPbCl3 one, absorption measurement result revealed an edge at 435 nm (Figure 4c) [60]. Clearly, the optical absorption of perovskite crystals exhibited a clear-cut sharp band edge, which indicated that the single crystals are predominantly free from grain boundaries and have relatively low structural defects and trap densities.
Steady-state absorption (4a) and PL spectra (4b) of MAPbBr3 and MAPbI3 crystals, respectively. Nature Commun. [50], Copyright 2015. 4c, steady-state absorption and PL spectra of MAPbCl3 crystal. Insets: Band gap for the above single crystals. J. Phys. Chem. Lett. [60], Copyright 2015, 4d, normalized PL decays for MAPbBr3 film (red) and crystal (blue) excited at 447 nm. Inset shows the zoom on the shorter time scale. Nature Commun. [61], Copyright 2017.
More recently, there have been more broad publications on the apparent disparity in optical properties (i.e., absorption and PL) between perovskite single crystals and thin films, which can be attributed to the incorrect measurements as a result of reabsorption effects. Snaith’s group performed a detailed investigation of the optical properties of MAPbBr3 crystals as compared to those of the polycrystalline films by employing light transmission spectroscopy, ellipsometry, and spatially resolved and time-resolved PL spectroscopy [61]. They showed that the optical properties of the perovskite crystals were almost identical to those of polycrystalline films, and their observations indicated that the perovskite polycrystalline films were much closer to possessing ‘single-crystal-like’ optoelectronic properties than previously thought, and also highlighted the discrepancies in the estimation of trap densities from the electronic and optical methods (Figure 4d). For the further development of perovskite crystals, more detailed experimental investigations combined with theoretical calculations that focus on the optical features are required, which would assist in the preparation of the high-quality perovskite single crystals and the development of the high-performance device applications.
As for hybrid perovskite crystals, in addition to the remarkable optical properties, their promising electrical properties have caught the great attention. In general, there are five common methods to measure the transport mobilities in perovskite crystals, including the space charge limited current (SCLC), time-of-flight (TOF), Hall Effect, THz pulse and field-effect transistor (FET) measurement methods. Among these methods, the SCLC method is widely employed to determine the carrier mobility and trap density of perovskite crystals. The current–voltage (I-V) curve can be divided into three parts: the first region, where an Ohmic contact exists, hence the conductivity can be estimated; the second region is the trap-filling region, which is increased sharply at trap-filled limit voltage (VTFL); and the third region, known as the child region. Trap density (ntrap) can be obtained by following the relation: ntrap = (2VTFLεε0)/(eL2), where ε0 is the vacuum permittivity, ε is the relative dielectric constant, L is the crystal thickness, and e is the electron charge. Moreover, the mobility (μ) is determined by fitting the I-V curve with Mott-Gurney’s law: μ = (8JL3)/(9εε0V2), where J is the current density. Liu’s group designed the hole-only device (Figure 5a), and a large hole mobility of 67.27 cm2/Vs was estimated [62]. An SCLC method was also applied on MAPbBr3 crystals, with an ntrap of 5.8 × 109 cm−3 and a μ of 38 cm2/Vs [15]. I-V response of a MAPbCl3 crystal was measured by Bakr’s group with ntrap = 3.1 × 1010 cm−3 and μ = 42 cm2/Vs [60]. Another method to measure the μ is the TOF method. Bakr’s group obtained the μ via using the TOF method (Figure 5b) [15], from which μ can be defined by the equation: μ = d2/(Vτt), where d is the sample thickness, V is the applied voltage, and τt is the transit time that be provided by the transient current under different driving voltages [67, 68]. The same method was also applied by Huang’s group and the electron μ was verified to be 24.0 ± 6.8 cm2/Vs (Figure 5c) [63]. Apart from the above two methods, Bakr et al. also carried out the complementary Hall Effect measurements on perovskite crystals, confirming the μ ranging from 20 to 60 cm2/Vs [15]. Meanwhile, Huang’s group applies the Hall Effect measurement [68], and they showed the crystals were slightly p-doped with a low free holes concentration. Thereafter, Podzorov’s group increased the conductivity of MAPbBr3 single crystals by sputtering Ti on the flat-faceted single crystal to form Hall bars (Figure 5d) [64], from which the Hall mobility was calculated to be 10 cm2/Vs.
5a, dark I-V curve of hole-only MAPbI3 crystal device. J. Energy Chem. [62], Copyright 2018. 5b, ToF traces of MAPbBr3 crystal. Science [15], copyright 2015. 5c, transient current curves of perovskite crystal devices. Science [63], copyright 2015. 5d, schematic of hall effect measurement. Adv. Mater. [64], Copyright 2016. 5e, schematic of time-resolved multi-THz spectroscopy experiment. 5f, incident (black), transmitted (blue) and reflected (red) multi-THz pulses after interaction with the crystal. Energy Environ. Sci. [65], Copyright 2015. 5 g, schematic of bottom-gate, top-contact perovskite crystal FET. 5 h, transfer characteristics of a MAPbCl3 device. Nature Commun. [66], Copyright 2018. 5i, PL time decay trace of a MAPbBr3 crystal. Science [15], copyright 2015.
Although the above measurement approaches have been widely used in the perovskite crystals, the obtained results from different groups are sometimes different. Sargent et al. demonstrated that one main challenge that may explain these order-of-magnitude discrepancies is that the Hall Effect, TOF, and SCLC methods all probe the mobilities near the respective Fermi levels during the experiments, and the (non-equilibrium, high-injection-level) Fermi level is widely different in each experiment [64]. In this regard, they developed a contactless method to measure the mobility of a perovskite crystal directly [64]. Plus, THz pulse measurement was also used to estimate μ. David et al. used a two-color laser plasma in dry air to generate multi-THz pulses and excited the large MAPbI3 single crystals and detected the electric field by an air-biased coherent detection scheme with 1–30 THz ultra-bandwidth after normal incidence reflection off the crystal facet (Figure 5e, f) [65]. Such spectra measurements indicate the ultrafast dynamics and efficiencies of free charge creation and remarkably high μ as high as 500–800 cm2/Vs. Furthermore, FETs are the fundamental components to realize digital integrated circuits, which are also often used as a platform to evaluate charge transport mechanism in the active materials. In this regard, bottom-gate, top-contact FETs were fabricated via using micrometer-thin MAPbX3 (X = Cl, Br, and I) crystals as active layer (Figure 4g)[66], from which the field-effect μ values are up to 4.7 and 1.5 cm2/Vs in p- and n-channel devices, respectively (Figure 5h).
Carrier lifetime (τ) is an important parameter that should be considered when designing an optoelectronic device. Upon excitation by photons, the active materials will be in an excited state. After that, the photo-induced holes and electrons will recombine back to the ground state. Usually, if this recombination process, that is, the carrier lifetime of carriers, is sufficiently long, a high performance device will be expected. The τ of semiconductors strongly depends on the nature, dimension, and purity of the materials. Generally, τ can be obtained from the PL decay, transient absorption, as well as the transient photo-voltage decay and impedance methods [69]. Among these methods, the PL decay approach has been widely applied. The superposition of fast and slow components of carrier dynamics from the PL spectra measurement result yield τ ≈ 41 and 357 ns for MAPbBr3 (Figure 5i) [15, 70, 71]. Transient absorption (TA) also suggests the recombination property of excitons which is used to determine the carrier lifetime through a bi-exponential fitting [60]. The carrier diffusion length LD can be further estimated based on the equation: LD = [((kBT)/eμτ)]1/2, where kB is Boltzmann’s constant and T is the sample temperature. From the above-examined values of μ and τ, LD was calculated [63, 64].
The widely studied hybrid perovskite solar cells with high performance are usually made from polycrystalline films; however, the current studies have also focused on the developments and optimization of single crystal perovskite solar cells, owing to their significant advantages. Huang et al. fabricated photovoltaic devices based on MAPbI3 bulk crystals by depositing gold (Au) as anodes and gallium (Ga) as cathodes (Figure 6a) [63]. A red-shift of 50 nm of the EQE cutoff to 850 nm showed that MAPbI3 crystals increased the upper limit of short-circuit current density (JSC) compared with the polycrystalline solar cells from 27.5 mA/cm2 to 33.0 mA/cm2. Notably, as compared with the perovskite polycrystalline solar cells, the bulk crystal devices showed much lower efficiency, which was attributed to the fact that photo-generated carriers could not be fully collected in a thick active layer. Much thinner MAPbBr3 monocrystalline films grown on indium tin oxide (ITO)-coated glass were applied into the solar cells, and the devices showed the best cell performance with a fill factor (FF) of 0.58, a JSC of 7.42 mA/cm2, an open-circuit voltage (VOC) of 1.24 V, and a PCE of 5.37% (Figure 6b) [54]. To enhance the device performance, Huang’s group further fabricated crystal solar cells through interface engineering (Figure 6c), of which the best device showed a JSC of 20.5 mA/cm2, a VOC of 1.06 V, a FF of 74.1%, and a PCE of 16.1% [72]. The single crystal solar cell also displayed the better device stability of remaining nearly unchanged after storage in air for 30 days.
6a, schematic of MAPbI3 crystal solar cell. Science [63], copyright 2015. 6b, dark and illuminated J-V curves of MAPbBr3 crystal solar cells with a device illustration in the inset. Adv. Mater. [54], Copyright 2016. 6c, device structure of single-crystal solar cells. Nature Commun. [72], Copyright 2017. 6d, schematic of MAPbI3 crystal solar cells with lateral structure. Adv. Mater. [73], Copyright 2016. 6e, cross-sectional SEM image of a MAPbI3 crystal device. 6f, statistical summary of photovoltaic parameters from 12 devices. ACS Energy Lett. [74], Copyright 2019.
In addition to the vertical-structured solar cells, Huang’s group also fabricated the lateral structure perovskite crystal device (Figure 6d) [73], which showed a VOC of 0.82 V and the highest PCE of 5.36% at 170 K. More recently, a 20-μm MAPbI3 single crystal inverted p-i-n solar cell with a PCE as high as 21.09% and a FF up to 84.3% was fabricated [74], of which the cross-sectional SEM image and photovoltaic performance are shown in Figure 6e and f. To further realize the optimized performance of perovskite crystal solar cells, more efforts will be performed to enhance the sample quality and to design promising device structures.
Photodetectors which can convert incident light into electrical signals are critical for various industrial and scientific applications. To evaluate the photodetector performance, several parameters are important, including responsivity (R), detectivity (D*), Gain (G), and linear dynamic range (LDR), which are listed and are explained in Table 1 briefly.
Quantity | Unit | Definition |
---|---|---|
Photocurrent (Ilight) | A | Current through a photodetector resulting from illumination. |
Dark-current (Idark) | A | Current through a device in the absence of illumination. |
Photoresponsivity (R) | A/W | R is calculated according to: R = (Ilight – Idark)/Plight, where Plight is power of the incident light. |
Detectivity (D*) | Jones | D* can be calculated as R/(2eJd)1/2, where e is elementary charge and Jd is dark current density. |
Gain (G) | — | G can be calculated as [(Jlight – Jdark)/e]/(Plight/hν), where hν is the incident photon energy. |
Linear dynamic range (LDR) | dB | LDR is calculated by LDR = 20log(Psat/Plow), where Psat (Plow) is the light intensity when the incident light intensity stronger (weaker) than which the photocurrent begins to deviate from linearity. |
External quantum efficiency (EQE) | % | Carrier number divided by the number of incident photons. |
Internal quantum efficiency (IQE) | % | It is the ratio of carrier number to the number of incident photons that are absorbed by the device. |
Parameters for evaluating the perovskite single crystal photodetectors.
Huang’s group fabricated perovskite crystal photodetectors that exhibited a high sensitivity capacity, which led to a narrow-band photo-response with a full width at half maximum (FWHM) of less than 20 nm under V = −1 V (Figure 7a) [49]. EQE spectra of the single crystals showed a narrow peak near the absorption edge, which promised a detection application at a specific wavelength, with a peak D* over 2 × 1010 Jones at 570 nm under V = −4 V (Figure 7b). Also, Huang et al. further fabricated vertical structured perovskite crystal photodetectors by using the non-wetting hole transport layer-coating substrates [75]. The noise currents are as low as 1.4 and 1.8 fA/Hz1/2 at an 8-Hz frequency for the devices based on MAPbBr3and MAPbI3, respectively. Additionally, the photocurrent responses of both the MAPbBr3 and MAPbI3 devices were linear, and their LDRs are up to 256 and 222 dB, respectively. Sun’s group introduced a planar-type photodetector on the MAPbI3 crystal (001) facet with a highest R value of 953 A/W and EQE of 2.22 × 105% at a light power density of 2.12 nW/cm2 [76]. Wei’s group used a two-step method to fabricate a self-powered photodetector based on a MAPbBr3 crystal core-shell heterojunction [77]. The device showed a broad photo-response ranging from 350 to 800 nm and a peak R up to 11.5 mA/W. Hu’s group fabricated photodetectors based on MAPbI3 single crystal nanowires and nanoplates by transferring them to SiO2/Si slides [78]. The highest On/Off ratio approached 103 under a light illumination of 73.7 mW/cm2.
7a, schematic of device structure. 7b, D* spectrum and total noise at −4 V. Nature Photonics [49], copyright 2015. 7c, illustration of planar-integrated MAPbBr3 photodetector. Nature Commun. [42], Copyright 2015. Photograph of ≈100 photodetectors on a perovskite crystal wafer (7d) and the R values (7e). Adv. Mater. [55], Copyright 2016.
Although perovskite crystal photodetectors have shown better performance, macroscopic crystals cannot be grown on a planar substrate, restricting their potential for device integration. To overcome this shortcoming, Bakr et al. grew large-area planar-integrated crystal films onto the ITO-patterned substrates (Figure 7c) [42], and the fabricated photodetector possessed a high G (above 104) and a high gain-bandwidth product (above 108 Hz) relative to other perovskite devices. Furthermore, Liu’s group fabricated a photodetector based on a thin perovskite crystal wafer by the space-limited crystallization method, which has about 100 pairs of interdigitated Au wire electrodes (Figure 7d) [55], and the R increased linearly as the radiance intensity decreased (Figure 7e). Moreover, Su’s group sputtered the thin Au electrodes on a large-area MAPbBr3 thin crystal to fabricate a narrowband photodetector [56]. Furthermore, Ma’s group reported the superior-performance photodetectors based on MAPbBr3 thin crystals [79], which displayed the R as high as 1.6 × 107 A/W and the highest G up to 5 × 107.
UV detection is a key technology in the fields of flame detection [80], remote security monitoring [81], environmental monitoring [82], and so forth. Researchers have endeavored to develop UV photodetectors based on perovskite crystals considering their excellent UV absorption properties. Visible-blind UV photodetectors based on MAPbCl3 crystals a suitable bandgap of about 3.11 eV were fabricated (Figure 8a) [60], and the device showed the dark current as low as 4.15 × 10−7 A at 15 V and a drastically high stability (Figure 8b). Planar-integrated MAPbCl3 crystal UV photodetectors on ITO-deposited glass substrate were reported by Sargent et al. (Figure 8c) [83], which showed decreased R and G values as increased power density of a 385-nm laser (Figure 8d) [85].
8a, device architecture of MAPbCl3 crystal photodetector. 8b, I-V curves of the photodetector under UV light (λ = 365 nm) and in the dark. J. Phys. Chem. Lett. [60], Copyright 2015. 8c, schematic of planar-integrated MAPbCl3 UV-detectors. 8d, R and G values vs. incident light power. Adv. Mater. [83], Copyright 2016. 8e, sub-gap electron trap state absorptions. 8f, R values of MAPbI3 photo-resistors under the illumination above the gap (visible, 600 nm) and below the gap (NIR, 900 nm). Laser Photonics Rev. [84], copyright 2016.
NIR photodetectors have widespread uses in telecommunications [86], as well as thermal and biological imaging [87, 88, 89, 90]. Meredith’s group demonstrated the perovskite crystal that overcame the large bandgap and presented photodetectors with performance metrics appropriate for NIR detection by using the trap-related linear sub-gap absorption (Figure 8e) [84]. A strong NIR photo-response was achieved in photodiodes based on MAPbI3 crystals illuminated by a continuous 808-nm laser (∼10 mW/cm2). The photodiodes could also respond to a laser with a wavelength as long as 1064 nm (Figure 8f).
In addition to the common light detections from UV to IR, perovskite crystals have been employed for the detection of X-rays, which have important applications in medical diagnostics, clinical treatment, and the non-destructive testing of products [53]. Huang et al. fabricated a sensitive MAPbBr3 crystal X-ray detector with the structure of Au/MAPbBr3/crystal/C60/BCP/Ag or Au (Figure 9a) [53]. Through reducing the bulk defects and passivating surface traps, the devices showed a detection efficiency of 16.4% at a near zero bias under irradiation with continuum X-ray energy up to 50 keV. The lowest detectable X-ray dose rate was 0.5 μGyair/s with a sensitivity of 80 μC/Gyaircm2, which is four times higher than the sensitivity achieved in α-Se-based X-ray detectors (Figure 9b). An X-ray detector based on p-i-n diode array made of a thick MAPbBr3 single crystal was introduced by Chen’s group [94], which displayed the highest sensitivity of 23.6 μC/mGyaircm2, indicating high potential for practical applications.
9a, structure of MAPbBr3 crystal X-ray detector. 9b, X-ray-generated photocurrent at various dose rates. Nature Photonics [53], copyright 2016. 9c, attenuation coefficient and penetration depth of MAPbI3 and CdTe. 9d, photocurrent and a fit with Hecht model generated by Cu Kα X-ray radiation (8 keV) in a MAPbI3 crystal. Nature Photonics [91], copyright 2016. 9e, pictures of guard ring electrode side, anode side and side view of a MAPbBr2.94Cl0.06 crystal detector. 9f, 137Cs energy spectrum obtained by crystal, CZT and NaI (Tl) detectors. Nature Mater. [92], Copyright 2017. 9 g, schematic of a Schottky-type MAPbI3 detector with asymmetrical electrode and the energy level diagram. Energy-resolved spectrum by Schottky-type MAPbI3 detector (9 h) under 241Am 59.5 keV γ-ray under −50 V and (9i) under 57Co 122 keV γ-ray under −70 V. ACS Photonics [93], copyright 2018.
Similar to X-ray detectors, the γ-ray detectors are also widely used in many fields, owing to the non-invasive detections. However, γ-ray detectors need to work in a weak radiation field pulse mode and perform event-by-event detections to sort out the intensity vs. the energy of the radiation quanta. Large and balanced μ and τ are needed for high-energy detection. Huang et al. reported high-quality MAPbI3 crystals that were applied to γ-ray detection with a 4% efficiency when operating in the γ-voltaic mode [63]. Kovalenko et al. demonstrated MAPbI3 crystals for γ-ray detection (Figure 9c), and a 59.6 keV 241Am energy spectrum was acquired [91]. A fit of bias dependence of photocurrent with Hecht model indicated a high μτ product of ∼10−2 cm2/V (Figure 9d) [95, 96].
Huang’s group further reported a Cl− dopant compensation of MAPbBr3 single crystal process to fabricate a low-cost γ-ray detector [92]. MAPbBr2.94Cl0.06 crystals with a larger μτ product were equipped with a guard ring electrode to mitigate their leakage current (Figure 9e). The 137Cs energy spectrum obtained by such crystals with a full-energy peak resolution of 6.50% is compared with the spectrum obtained by CZT and NaI(Tl) detectors (Figure 9f). A high-performance MAPbI3 crystal γ-ray spectrometer was designed by Kanatzidis et al. [93], and the asymmetrical electrodes (Schottky-type) were applied to prohibit the hole injection from the anode or to reduce the leakage current (Figure 9g). The best energy resolution of the device for 241Am 59.5 keV γ-rays was ∼12%; while the best energy resolution achieved for 57Co 122 keV was 6.8% (Figure 9h and i).
With the exceptional PL efficiency and high color purity, perovskite crystals can also perform as high-performance LEDs [97]. Most of the existing perovskite LEDs employ a polycrystalline film with sizes of nanometers to micrometers, and coherent light emission is a challenge [98]. In Yu’s work, the LEDs with the structure of ITO/MAPbBr3 micro-platelet/Au cathode had the turn-on voltage of about 1.8 V and could last for at least 54 h with a luminance of ∼5000 cd/m2 (Figure 10a) [99].
10a, light emission intensity vs. time of a perovskite LED at −193°C. inset: A microscopic image at t = 12 h. ACS Nano [99], copyright 2018. 10b, schematic for optical setup of a CH3NH3PbI3 nanoplatelet. 10c, evolution from spontaneous emission to lasing in a typical CH3NH3PbI3 nanoplatelet. Inset left: Optical image of a nanoplate and plot of integrated Pout. Inset right: PL decay curve below (pink) and above (dark green) the threshold. Nano Lett. [100], Copyright 2014. 10d, nanowire emission spectra. Inset: Integrated emission intensity and FWHM vs. P. Nature Mater. [101], Copyright 2015. 10e, integrated PL intensity as a function of excitation density. Adv. Mater. [102], Copyright 2015. 10f, emission spectra of perovskite microplates excited by different pump densities. Inset: Integrated PL intensity vs. pump density. Adv. Mater. [103], Copyright 2016.
The excellent properties, including a small trap density, long lifetime and electron–hole diffusion length, and large carrier mobility, also make perovskite crystals suitable for laser devices with low lasing thresholds and high qualities. Xiong’s group grew typical MAPbI3 triangular nano-platelets and optically pumped them by a femtosecond-pulsed laser (Figure 10b) [100], and the peaks centered at λ = 776.7, 779.2, 781.9, 784.3, and 786.8 nm appeared over the spontaneous emission band with a FWHM of ∼1.2 nm (Figure 10c), when the pump fluence was increased to 40.6 μJ/cm2. Zhu et al. demonstrated room-temperature lasing via using MAPbI3 crystal nanowire, which had a broad tenability covering the NIR to visible region [101]. From Figure 10d, a sharp peak appeared at 787 nm in the representative emission spectra and grew rapidly with increasing the pump laser fluence (P) with the lasing threshold PTh of ∼595 nJ/cm2. Additionally, MAPbBr3 crystal square micro-disks were synthesized into a 557-nm single-mode laser based on a built-in whispering gallery mode micro-resonator by Fu’s group [102], from which a PTh = 3.6 μJ/cm2 was observed, and a sublinear regime was observed below the threshold (Figure 10e). Uniform-sized MAPbBr3 microplates were also created by Jiang et al. by using “liquid knife” and were made into lasers [103]. A 400-nm pulsed laser beam was used as a pump source to excite microplates, and a spontaneous emission peak centered at 550 nm with a FWHM of 20 nm was observed (Figure 10f).
Hybrid perovskite single crystals have shown great potential in high-performance optoelectronic devices; however, several challenges and issues still remain in terms of their practical applications. They mainly include (1) the effects of surface defects, (2) the large-area fabrication, as well as (3) the stability of the perovskite single crystal devices and (4) the health and environmental concerns.
The absence of grain boundaries makes perovskite crystals acquire better optical and charge transport properties than their polycrystalline counterparts. However, the surface of crystals usually possesses lots of chemical impurities, dangling bonds, surface dislocations, and under-coordinated atoms, and becomes disordered owing to hydration, thus decreasing the carrier mobility and carrier diffusion length and promote the recombination of carriers near the crystal surface [76, 104, 105, 106]. Thus, the further decrease of defects, especially the surface defects, is required, aiming to gain high-quality perovskite crystals. To realize high-performance optoelectronic devices based on perovskite crystals with low-level surface defects, more research should be carried out on the surface passivation.
Hybrid perovskite thin crystals are freer of grain boundaries and exhibit better transport properties than those of the polycrystalline candidates, so their large-area fabrication will ensure a promising future. However, the embedding of volatile and vulnerable organic components on fragile inorganic framework makes them difficult to be fabricated with a large area by deposition techniques or solution-based methods [42, 54]. Furthermore, thin crystals were grown directly on conductive substrates like FTO- or ITO-glass [42, 56], and tailored substrates, such as SiO2/Si [97], which provide in-situ growth for thin crystals and be directly made into devices. Nevertheless, these large-area thin crystals have rough surfaces and a great number of surface defects, and thus their optoelectronic properties remain inferior to the bulk counterparts. Further optimization of growth methods for large-area thin crystals is needed for industry productions in future.
Low stability of the current hybrid perovskite crystal devices hinders their broad practical application. Several factors that affect the device stability, like ion migration [107, 108], can cause hysteresis and photo-induced phase separation, and the interaction between single crystals and their surroundings lies in the degradation of perovskite by humidity and light [109, 110, 111]. Therefore, to further enhance the stability of single crystal devices, optimized device structures should be designed to control the ion migrations. Meanwhile, various compositions and interface engineering approaches are also intensively investigated to confront this critical issue. In addition, encapsulation has been demonstrated to be a valid method to protect hybrid perovskite devices.
The growth of hybrid perovskite crystals adopt heavy metal ions, like lead (Pb) or tin (Sn), and organic functional groups, which can impact both the environment and human health. This critical issue needs to be overcome, aiming for further commercialization. As for the common MAPbI3 perovskite crystal, the Pb-ion is toxic to both the human health and natural environment; while the organic solvents used during the growth process of crystals are also toxic and easily penetrate into the human body [112]. To solve these problems, capsulation and recycling are needed in the use of crystal materials and organic solvents. Furthermore, other alternative metals to Pb, with a lower toxicity, are also being studied, such as bismuth and antimony [113, 114], and thus, the optoelectronic properties of these Pb-free perovskite crystals need to be explored further for device applications.
More recently, hybrid perovskite crystals, having different dimensional forms: bulk and thin crystals, and micro−/nano-plates, have been widely explored as functional layers for optoelectronic devices owing to their excellent physical properties combined with the advantage of ease of processing. Although these types of devices are still in the early stages of development, a strong potential for a variety of technological and commercial applications clearly remains. Here, we presented a comprehensive overview of the recent advances in hybrid perovskite crystals with respect to the background knowledge on the optoelectronic properties and charge transport dynamics of crystals, and their applications in the area of optoelectronic devices, and a fundamental understanding of the device performance. We summarized the main growth methods for the bulk crystals and also some modified and optimized approaches to synthesize thin crystals. The detailed discussions are focused on charge transport characteristics, operation mechanisms, and challenges, aiming to provide a critical understanding of further advance in materials design and device engineering in a variety of optoelectronic technologies.
In conclusion, the research progress achieved to date in the area of perovskite crystal optoelectronic devices, with the emphasis placed on challenges faced by the research community, has been summarized systematically, and finally perspective on the opportunities offered by this emerging family to photoactive materials in practical and commercial technologies is also proposed. Further exploration of high-quality perovskite crystals, combined with an in-depth understandings of working mechanism of devices, indicates a promising future for wide applications with markedly-enhanced performance.
The author acknowledges support from Discovery Early Career Researcher Award (DECRA) (DE180100167) from the Australian Research Council (ARC).
There are no conflicts to declare.
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\n\nA published Erratum will adhere to the Retraction Notice publishing guidelines outlined above.
\n\n3.2. CORRIGENDUM
\n\nA Corrigendum will be issued by the Academic Editor when it is determined that a mistake in a Chapter is a result of an Author’s miscalculation or oversight. A published Corrigendum will adhere to the Retraction Notice publishing guidelines outlined above.
\n\n4. FINAL REMARKS
\n\nIntechOpen wishes to emphasize that the final decision on whether a Retraction, Statement of Concern, or a Correction will be issued rests with the Academic Editor. The publisher is obliged to act upon any reports of scientific misconduct in its publications and to make a reasonable effort to facilitate any subsequent investigation of such claims.
\n\nIn the case of Retraction or removal of the Work, the publisher will be under no obligation to refund the APC.
\n\nThe general principles set out above apply to Retractions and Corrections issued in all IntechOpen publications.
\n\nAny suggestions or comments on this Policy are welcome and may be sent to permissions@intechopen.com.
\n\nPolicy last updated: 2017-09-11
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