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Anode‐less all‐solid‐state batteries (ASSBs) are being targeted for next‐generation electric mobility owing to their superior energy density and safety as well as the affordability of their materials. However, because of the anode‐less configuration, it is nontrivial to simultaneously operate the cell at room temperature and low pressure as a result of the sluggish reaction kinetics of lithium (de)plating and the formation of interfacial voids. This study overcomes these intrinsic challenges of anode‐less ASSBs by introducing a dual thin film consisting of a magnesium upper layer with a Ti3C2Tx MXene buffer layer underneath. The Mg layer enables reversible Li plating and stripping at room temperature by reacting with Li via a (de)alloying reaction with a low reaction barrier. The MXene buffer layer maintains the electrolyte‐electrode interface by inhibiting the formation of voids even at low pressure of 2 MPa owing to the high ductility of MXene. This study highlights the importance of a combined chemical and mechanical approach when designing anode‐less electrodes for practical adaptation for anode‐less ASSBs. [ABSTRACT FROM AUTHOR]

To the Editor, Therapeutic plasma exchange (TPE) is a procedure for removing antibodies and toxic metabolites from the plasma.[1] Although TPE is generally regarded as a safe procedure, TPE-related allergic reactions (ARs) occur commonly, at a frequency of 1.4%-12.0%.[[2]] TPE-related ARs vary from mild discomfort to severe and lethal events such as anaphylaxis.[[1]] Nevertheless, the need for a TPE-related AR prophylaxis has not been well studied, and pretreatments for preventing these complications are not routinely recommended.[4] In this study, we aimed to identify the risk factors for TPE-related ARs and to determine whether pretreatments targeting these risk factors could reduce the incidence of these adverse events. This was based on previous evidence that TPE-related ARs occur more frequently when FFP, rather than albumin, is used as the replacement fluid.[2] Risk factor analysis for TPE-related ARs was conducted using logistic regression. Because the allergy history of the patient was a newly identified risk factor, pretreatment for AR prevention was initiated at our hospital from May 1, 2017, for any TPE patients with a history of allergy or in whom FFP was used as the replacement fluid (Figure S1). In conclusion, selective pretreatment of patients undergoing TPE after the identification of risk factors for TPE-related ARs is effective in reducing these complications, in contrast to previous beliefs that pretreatment is unnecessary. [Extracted from the article]

All‐solid‐state batteries (ASSBs) are emerging as promising candidates for next‐generation energy storage systems. However, their practical implementation faces significant challenges, particularly their requirement for an impractically high stack pressure. This issue is especially critical in high‐energy density systems with limited negative‐to‐positive electrode capacity ratios (N/P ratios), where uneven lithium (Li) stripping induces the formation of interfacial voids. This study addresses these challenges by introducing an anode with a novel structural design that operates effectively under practically viable conditions while significantly reducing the N/P ratio to less than one. The approach entails the integration of a lithiophilic magnesium (Mg) film beneath a thin layer of the silicon‐graphite (SiGr) active materials. This structure facilitates the deposition of excess Li beneath the SiGr layer during overcharging, which enables stable cycling even at room temperature and at a low stack pressure of 3 MPa. By mitigating the poor contact that is characteristic of ASSBs with a low stack pressure, and simultaneously increasing the energy density by lowering the N/P ratio, the design significantly advances the key electrochemical properties of ASSBs. [ABSTRACT FROM AUTHOR]

Background: Light-chain amyloidosis (AL) is the most common form of systemic amyloidosis. This study aimed to evaluate the usefulness of laboratory tests for light-chain clonality and bone marrow (BM) findings in AL amyloidosis., Methods: We retrospectively enrolled patients newly diagnosed with AL amyloidosis on pathological examination who underwent a BM biopsy. Laboratory test data for light-chain clonality were collected and compared. Amyloid deposits were identified with H&E, Congo red, and PAS stains., Results: We reviewed 98 patients with AL amyloidosis. Light chain clonality (λ, 64 cases; κ, 34 cases) was detected by serum immunofixation electrophoresis (IFE) (63.3%), urine IFE (70.8%), serum protein electrophoresis (PEP) (44.9%), urine PEP (44.8%), serum free light chain (SFLC) ratio (79.5%), and BM immunohistochemistry (IHC) (85.7%). Flow cytometric (FCM) assay identified aberrant BM plasma cells in 92.9% of cases. BM amyloid deposits were identified in 35 of the 98 cases (35.7%); 71.4% (25/35) were Congo red-positive, and 100.0% (35/35) were PAS-positive., Conclusion: Laboratory tests for detecting light-chain clonality in AL amyloidosis in order of sensitivity include FCM assay for aberrant plasma cells, IHC for light chains on BM biopsy or clot section, SFLC ratio, and serum and urine IFE. Congo red staining of BM samples remains an important tool for identifying amyloid deposits in BM. Periodic acid-Schiff (PAS) staining can be useful in diagnosing some cases of Congo red-negative amyloidosis.

ConspectusAll-solid-state batteries (ASSBs) are considered to be a next-generation energy storage concept that offers enhanced safety and potentially high energy density. The identification of solid electrolytes (SEs) with high ionic conductivity was the stepping-stone that enabled the recent surge in activity in this research area. Among the various types of SEs, including those based on oxides, sulfides, polymers, and hybrids thereof, sulfide-based SEs have gained discernible attention owing to their exceptional room temperature ionic conductivity comparable even to those of their liquid electrolyte counterparts. Moreover, the good deformability of sulfide SEs renders them suitable for reducing the interfacial resistance between particles, thereby obviating the need for high-temperature sintering. Nevertheless, sulfide-based ASSB technology still remains at the research stage without any manufacturing schemes having been established. This state of affairs originates from the complex challenges presented by various aspects of these SEs: their weak stability in air, questions surrounding the exact combination of slurry solvent and polymeric binder for solution-based electrode fabrication, their high interfacial resistance resulting from solid particle contacts, and limited scalability with respect to electrode fabrication and cell assembly. In this Account, we review recent developments in which these issues were addressed by starting with the materials and moving on to processing, focusing on new trials. As for enhancing the air stability of sulfide SEs, strengthening the metal-sulfur bond based on the hard-soft acid-base (HSAB) theory has yielded the most notable results, although the resulting sacrificed energy density and weakened anode interface stability would need to be resolved. Novel electrode fabrication techniques that endeavor to overcome the critical issues originating from the use of sulfide SEs are subsequently introduced. The wet chemical coating process can take advantage of the know-how and facilities inherited from the more established lithium-ion batteries (LIBs). However, the dilemmatic matter of contention relating to the polarity mismatch among the slurry solvent, SE, and binder requires attention. Recent solutions to these problems involved the exploration of various emerging concepts, such as polarity switching during electrode fabrication, fine polarity tuning by accurate grafting, and infiltration of the electrode voids by a solution of the SE. The process of using a dry film with a fibrous binder has also raised interest, motivated by lowering the manufacturing cost, maintaining the environment, and boosting the volumetric energy density. Finally, optimization of the cell assembly and operation is reviewed. In particular, the application of external pressure to each unit cell has been universally adopted both in the fabrication step and during cell operation to realize high cell performance. The effect of pressurization is discussed by correlating it with the interface stability and robust interparticle contacts. Based on the significant progress that has been made thus far, we aim to encourage the battery community to engage their wide-ranging expertise toward advancing sulfide-based ASSBs that are practically feasible.