Paper-Based Electrical Respiration Sensor

Physical stimuli-responsive polymeric patches for healthcare

Many chronic diseases have become severe public health problems with the development of society. A safe and efficient healthcare method is to utilize physical stimulus-responsive polymer patches, which may respond to physical stimuli, including light, electric current, temperature, magnetic field, mechanical force, and ultrasound. Under certain physical stimuli, these patches have been widely used in therapy for diabetes, cancer, wounds, hair loss, obesity, and heart diseases since they could realize controllable treatment and reduce the risks of side effects. This review sketches the design principles of polymer patches, including composition, properties, and performances. Besides, control methods of using different kinds of physical stimuli were introduced. Then, the fabrication methods and characterization of patches were explored. Furthermore, recent applications of these patches in the biomedical field were demonstrated. Finally, we discussed the challenges and prospects for its clinical translation. We anticipate that physical stimulus-responsive polymer patches will open up new avenues for healthcare by acting as a platform with multiple functions.

Quantum Confinement and End-Sealing Effects for Highly Sensitive and Stable Nitrogen Dioxide Detection: Homogeneous Integration of Ti3C2Tx-Based Flexible Gas Sensors

The real-time and room-temperature detection of nitrogen dioxide (NO2) holds significant importance for environmental monitoring. However, the performance of NO2 sensors has been hampered by the trade-off between the high sensitivity and stability of conventional sensitive materials. Here, we present a novel fully flexible paper-based gas sensing structure by combining a homogeneous screen-printed titanium carbide (Ti3C2Tx) MXene-based nonmetallic electrode with a MoS2 quantum dots/Ti3C2Tx (MoS2 QDs/Ti3C2Tx) gas-sensing film. These precisely designed gas sensors demonstrate an improved response value (16.3% at 5 ppm) and a low theoretical detection limit of 12.1 ppb toward NO2, which exhibit a remarkable 3.5-fold increase in sensitivity compared to conventional Au interdigital electrodes. The outstanding performance can be attributed to the integration of the quantum confinement effect of MoS2 QDs and the conductivity of Ti3C2Tx, establishing the main active adsorption sites and enhanced charge transport pathways. Furthermore, an end-sealing effect strategy was applied to decorate the defect sites with naturally oxygen-rich tannic acid and conductive polymer, and the formed hydrogen bonding network at the interface effectively mitigated the oxidative degradation of the Ti3C2Tx-based gas sensors. The exceptional stability has been achieved with only a 1.8% decrease in response over 4 weeks. This work highlights the innovative design of high-performance gas sensing materials and homogeneous gas sensor techniques.

Hybrid Integration of Wearable Devices for Physiological Monitoring

Wearable devices can provide timely, user-friendly, non- or minimally invasive, and continuous monitoring of human health. Recently, multidisciplinary scientific communities have made significant progress regarding fully integrated wearable devices such as sweat wearable sensors, saliva sensors, and wound sensors. However, the translation of these wearables into markets has been slow due to several reasons associated with the poor system-level performance of integrated wearables. The wearability consideration for wearable devices compromises many properties of the wearables. Besides, the limited power capacity of wearables hinders continuous monitoring for extended duration. Furthermore, peak-power operations for intensive computations can quickly create thermal issues in the compact form factor that interfere with wearability and sensor operations. Moreover, wearable devices are constantly subjected to environmental, mechanical, chemical, and electrical interferences and variables that can invalidate the collected data. This generates the need for sophisticated data analytics to contextually identify, include, and exclude data points per multisensor fusion to enable accurate data interpretation. This review synthesizes the challenges surrounding the wearable device integration from three aspects in terms of hardware, energy, and data, focuses on a discussion about hybrid integration of wearable devices, and seeks to provide comprehensive guidance for designing fully functional and stable wearable devices.

Versatile Papertronics: Photo-Induced Synapse and Security Applications on Papers

Paper is a readily available material in nature. Its recyclability, eco-friendliness, portability, flexibility, and affordability make it a favored substrate for researchers seeking cost-effective solutions. Electronic devices based on solution process are fabricated on paper and banknotes using PVK and SnO2 nanoparticles. The devices manufactured on paper substrates exhibit photosynaptic behavior under ultraviolet pulse illumination, stemming from numerous interactions on the surface of the SnO2 nanoparticles. A light-modulated artificial synapse device is realized on a paper at a low voltage bias of -0.01 V, with an average recognition rate of 91.7% based on the Yale Face Database. As a security device on a banknote, 400 devices in a 20 × 20 array configuration exhibited random electrical characteristics owing to the local morphology of the SnO2 nanoparticles and differences in the depletion layer width at the SnO2/PVK interface. The security Physically Unclonable Functions (PUF) key based on the current distribution extracted at -1 V show unpredictable reproducibility with 50% uniformity, 48.7% inter-Hamming distance, and 50.1% bit-aliasing rates. Moreover, the device maintained its properties for more than 210 days under a curvature radius of 8.75 mm and bias and UV irradiation stress conditions.

Ionic Covalent Organic Framework as a Dual Functional Sensor for Temperature and Humidity

Visual sensing of humidity and temperature by solids plays an important role in the everyday life and in industrial processes. Due to their hydrophobic nature, most covalent organic framework (COF) sensors often exhibit poor optical response when exposed to moisture. To overcome this challenge, the optical response is set out to improve, to moisture by incorporating H-bonding ionic functionalities into the COF network. A highly sensitive COF, consisting of guanidinium and diformylpyridine linkers (TG-DFP), capable of detecting changes in temperature and moisture content is fabricated. The hydrophilic nature of the framework enables enhanced water uptake, allowing the trapped water molecules to form a large number of hydrogen bonds. Despite the presence of non-emissive building blocks, the H-bonds restrict internal bond rotation within the COF, leading to reversible fluorescence and solid-state optical hydrochromism in response to relative humidity and temperature.

Meshed, Flexible, and Self-Supported Humidity Sensors by Direct-Writing with Multifunctional Applications

Flexibility endows humidity sensors with new applications in human health monitoring except for traditionally known environmental humidity detection in recent years. In this study, a flexible, mesh-structured, and self-supported humidity sensor was designed and manufactured by direct writing in a homemade two-dimensional stepping numerical control workstation. Bacterial cellulose with humidity sensitivity and good film-forming properties was applied as the self-supporting substrate, in which conductive activated carbon and water-absorptive magnesium chloride (MgCl2) were incorporated. The humidity sensing performance of the printed sensor was measured and optimized. Besides, the fundamental insight into the sensing mechanism of the printed humidity sensor was analyzed by a complex impedance spectrum. The multifunctional applications of the self-supported humidity sensor were demonstrated by human breathing detection, noncontact distance sensing, and speaking recognition. The simple self-supported structure combined with the meshed attribute of the flexible sensor showed large use potential in real-time monitoring of human respiration, voice detection, environmental humidity monitoring, and noncontact switches.

Ammonia detection: A pathway towards potential point-of-care diagnostics

Invasive methods such as blood collection and biopsy are commonly used for testing liver and kidney function, which are painful, time-consuming, require trained personnel, and may not be easily accessible to people for their routine checkup. Early diagnosis of liver and kidney diseases can prevent severe symptoms and ensure better management of these patients. Emerging approaches such as breath and sweat analysis have shown potential as non-invasive methods for disease diagnosis. Among the many markers, ammonia is often used as a biomarker for the monitoring of liver and kidney functions. In this review we provide an insight into the production and expulsion of ammonia gas in the human body, the different diseases that could potentially use ammonia as biomarker and analytical devices such as chemiresistive gas sensors for non-invasive monitoring of this gas. The review also provides an understanding into the different materials, doping agents and substrates used to develop such multifunctional sensors. Finally, the current challenges and the possible future trends have been discussed.

Progress of Research on Conductive Hydrogels in Flexible Wearable Sensors

Conductive hydrogels, characterized by their excellent conductivity and flexibility, have attracted widespread attention and research in the field of flexible wearable sensors. This paper reviews the application progress, related challenges, and future prospects of conductive hydrogels in flexible wearable sensors. Initially, the basic properties and classifications of conductive hydrogels are introduced. Subsequently, this paper discusses in detail the specific applications of conductive hydrogels in different sensor applications, such as motion detection, medical diagnostics, electronic skin, and human-computer interactions. Finally, the application prospects and challenges are summarized. Overall, the exceptional performance and multifunctionality of conductive hydrogels make them one of the most important materials for future wearable technologies. However, further research and innovation are needed to overcome the challenges faced and to realize the wider application of conductive hydrogels in flexible sensors.

Advances in Respiratory Monitoring: A Comprehensive Review of Wearable and Remote Technologies

This article explores the importance of wearable and remote technologies in healthcare. The focus highlights its potential in continuous monitoring, examines the specificity of the issue, and offers a view of proactive healthcare. Our research describes a wide range of device types and scientific methodologies, starting from traditional chest belts to their modern alternatives and cutting-edge bioamplifiers that distinguish breathing from chest impedance variations. We also investigated innovative technologies such as the monitoring of thorax micromovements based on the principles of seismocardiography, ballistocardiography, remote camera recordings, deployment of integrated optical fibers, or extraction of respiration from cardiovascular variables. Our review is extended to include acoustic methods and breath and blood gas analysis, providing a comprehensive overview of different approaches to respiratory monitoring. The topic of monitoring respiration with wearable and remote electronics is currently the center of attention of researchers, which is also reflected by the growing number of publications. In our manuscript, we offer an overview of the most interesting ones.

Materials-Driven Soft Wearable Bioelectronics for Connected Healthcare

In the era of Internet-of-things, many things can stay connected; however, biological systems, including those necessary for human health, remain unable to stay connected to the global Internet due to the lack of soft conformal biosensors. The fundamental challenge lies in the fact that electronics and biology are distinct and incompatible, as they are based on different materials via different functioning principles. In particular, the human body is soft and curvilinear, yet electronics are typically rigid and planar. Recent advances in materials and materials design have generated tremendous opportunities to design soft wearable bioelectronics, which may bridge the gap, enabling the ultimate dream of connected healthcare for anyone, anytime, and anywhere. We begin with a review of the historical development of healthcare, indicating the significant trend of connected healthcare. This is followed by the focal point of discussion about new materials and materials design, particularly low-dimensional nanomaterials. We summarize material types and their attributes for designing soft bioelectronic sensors; we also cover their synthesis and fabrication methods, including top-down, bottom-up, and their combined approaches. Next, we discuss the wearable energy challenges and progress made to date. In addition to front-end wearable devices, we also describe back-end machine learning algorithms, artificial intelligence, telecommunication, and software. Afterward, we describe the integration of soft wearable bioelectronic systems which have been applied in various testbeds in real-world settings, including laboratories that are preclinical and clinical environments. Finally, we narrate the remaining challenges and opportunities in conjunction with our perspectives.

Smart Home Sleep Respiratory Monitoring System Based on a Breath-Responsive Covalent Organic Framework

A smart home sleep respiratory monitoring system based on a breath-responsive covalent organic framework (COF) was developed and utilized to monitor the sleep respiratory behavior of real sleep apnea patients in this work. The capacitance of the interdigital electrode chip coated with COFTPDA-TFPy exhibits thousands-level reversible responses to breath humidity gases, with subsecond response time and robustness against environmental humidity. A miniaturized printed circuit board, an open-face-mask-based respiratory sensor, and a smartphone app were constructed for the wearable wireless smart home sleep respiratory monitoring system. Leveraging the sensitive and rapid reversible response of COFs, the COF-based respiratory monitoring system can effectively record normal breath, rapid breath, and breath apnea, enabling over a thousand cycles of hour-level continuous monitoring during daily wear. Next, we took the groundbreaking step of advancing the humidity sensor to the clinical trial stage. In clinical experiments on real sleep apnea patients, the COF-based respiratory monitoring system successfully recorded hour-level sleep respiratory data and differentiated the breathing behavior characteristics and severity of sleep apnea patients and subjects with normal sleep function and primary snoring patients. This work successfully advanced humidity sensors into clinical research for real patients and demonstrated the enormous application potential of COF materials in clinical diagnosis.

Ultrathin hierarchical hydrogel-carbon nanocomposite for highly stretchable fast-response water-proof wearable humidity sensors

Wearable humidity sensors play an important role in human health monitoring. However, challenges persist in realizing high performance wearable humidity sensors with fast response and good stretchability and durability. Here we report wearable humidity sensors employing an ultrathin micro-nano hierarchical hydrogel-carbon nanocomposite. The nanocomposite is synthesized on polydimethylsiloxane (PDMS) films via a facile two-step solvent-free approach, which creates a hierarchical architecture consisting of periodic microscale wrinkles and vapor-deposited nanoporous hydrogel-candle-soot nanocoating. The hierarchical surface topography results in a significantly enlarged specific surface area (>107 times that of planar hydrogel), which along with the ultrathin hydrogel endow the sensor with high sensitivity and a fast response/recovery (13/0.48 s) over a wide humidity range (11-96%). Owing to the wrinkle structure and interpenetrating network between the hydrogel and PDMS, the sensor is stable and durable against repeated 180° bending, 100% strain, and even scratching. Furthermore, encapsulation of the sensor imparts excellent resistance to water, sweat, and bacteria without influencing its performance. The sensor is then successfully used to monitor different human respiratory behaviors and skin humidity in real time. The reported method is convenient and cost-effective, which could bring exciting new opportunities in the fabrication of next-generation wearable humidity sensors.

Recent progress and applications of cellulose and its derivatives-based humidity sensors: A review

Cellulose and its derivatives, which are low-cost, degradable, reproducible and highly hydrophilic, can serve as both substrate and humidity sensitive materials, making them more and more popular as ideal biomimetic materials for humidity sensors. Benefiting from these characteristics, cellulose-based humidity sensors cannot only exhibit high sensitivity, excellent mechanical performance, wide humidity response range, etc., but also can be applied to fields such as human health, medical care and agricultural product safety monitoring. Herein, cellulose-based humidity sensors are first classified according to the different conductive active materials, such as carbon nanotubes, graphene, electrolytes, metal compounds, and polymer materials, based on which the latest research progress is introduced, and the roles of different types of conductive materials in cellulose-based humidity sensors are analyzed and summarized. Besides, the similarities and differences in their working mechanisms are expounded. Finally, the application scenarios of cellulose-based humidity sensors in human movement respiration and skin surface humidity monitoring are discussed, which can make readers quickly familiarize the current preparation method, working mechanism and subsequent development trend of cellulose-based humidity sensors more effectively.

Tracing the Flu Symptom Progression via a Smart Face Mask

Respiration and body temperature are largely influenced by the highly contagious influenza virus, which poses persistent global public health challenges. Here, we present a wireless all-in-one sensory face mask (WISE mask) made of ultrasensitive fibrous temperature sensors. The WISE mask shows exceptional thermosensitivity, excellent breathability, and wearing comfort. It offers highly sensitive body temperature monitoring and respiratory detection capabilities. Capitalizing on the advances in the Internet of Things and artificial intelligence, the WISE mask is further demonstrated by customized flexible circuitry, deep learning algorithms, and a user-friendly interface to continuously recognize the abnormalities of both the respiration and body temperature. The WISE mask represents a compelling approach to tracing flu symptom progression in a cost-effective and convenient manner, serving as a powerful solution for personalized health monitoring and point-of-care systems in the face of ongoing influenza-related public health concerns.

High-performance paper-based humidity sensors with Nafion/AgNWs hybrid electrodes

In the past decade, the development of medical health and human-computer interfaces has put forward requirements for the non-contact application of flexible electronics. Among them, flexible humidity sensors play an important role in the field of non-contact sensing by virtue of their rapid response to humidity changes. In this paper, a flexible paper-based humidity sensor with high performance was fabricated by embedded Au@AgNWs electrodes on filter paper through spraying and electroplating (EP) methods. Benefitting from the moisture-sensitive properties of the paper and the tight integration of the electrodes into the filter paper, the sensor shows the humidity monitoring range of 33-100% RH, large response value of I/I0 = 1958, excellent linearity of R2 = 0.99662 and hysteresis performance under the low excitation voltage of only DC 1 V. In addition, the good biocompatibility of the paper-based humidity sensor endows it with multifunctional applications for breath detection, non-contact applications and food security monitoring. Easy access to raw materials and convenient preparation methods of this work provide new ideas for the development and commercialization of flexible humidity sensors.

Paper-based colorimetric sensors for point-of-care testing

By eliminating the need for sample transportation and centralized laboratory analysis, point-of-care testing (POCT) enables on-the-spot testing, with results available within minutes, leading to improved patient management and overall healthcare efficiency. Motivated by the rapid development of POCT, paper-based colorimetric sensing, a powerful analytical technique that exploits the changes in color or absorbance of a chemical species to detect and quantify analytes of interest, has garnered increasing attention. In this review, we strive to provide a bird's eye view of the development landscape of paper-based colorimetric sensors that harness the unique properties of paper to create low-cost, easy-to-use, and disposable analytical devices, thematically covering both fundamental aspects and categorized applications. In the end, we authors summarized the review with the remaining challenges and emerging opportunities. Hopefully, this review will ignite new research endeavors in the realm of paper-based colorimetric sensors.

Non-contact cardiopulmonary signal monitoring based on magnetic eddy current induction

The magnetic eddy current induction method has become an excellent solution for building home cardiopulmonary monitoring systems because of its non-contact and unobtrusive characteristics, but it has problems such as low precision and complex extraction of cardiopulmonary signals. Therefore, this paper designs a magnetic eddy current sensing system based on a Field Programmable Gate Array that can realize simultaneous real-time monitoring of cardiopulmonary signals. This system adopts a magnetic eddy current sensor design scheme that can improve the amount of cardiopulmonary information in the sensing signal. In addition, it uses a signal acquisition scheme that combines an inductance-to-digital converter (LDC) and oversampling technology to improve the resolution and signal-to-noise ratio of the sensing signal. Moreover, an optimized adaptive discrete wavelet transform algorithm is proposed in this system, which can realize the effective separation and extraction of cardiopulmonary signals in different respiration states. Comparing this system with the medical monitor, the cardiopulmonary signals obtained by the two have good consistency in the time-frequency domain. Under low motion, respiration rate and heart rate detected by this system are within the confidence interval of the 95% limit of agreement; the relative errors are less than 2.63% and 1.37%, respectively; and the accuracy rates are greater than 99.30% and 99.60%, respectively. In addition, an experiment with an asthmatic patient showed that the system still has good detection performance under pathological conditions and can monitor abnormal conditions such as coughing.

Functionalized Hydrogel-Based Wearable Gas and Humidity Sensors

Breathing is an inherent human activity; however, the composition of the air we inhale and gas exhale remains unknown to us. To address this, wearable vapor sensors can help people monitor air composition in real time to avoid underlying risks, and for the early detection and treatment of diseases for home healthcare. Hydrogels with three-dimensional polymer networks and large amounts of water molecules are naturally flexible and stretchable. Functionalized hydrogels are intrinsically conductive, self-healing, self-adhesive, biocompatible, and room-temperature sensitive. Compared with traditional rigid vapor sensors, hydrogel-based gas and humidity sensors can directly fit human skin or clothing, and are more suitable for real-time monitoring of personal health and safety. In this review, current studies on hydrogel-based vapor sensors are investigated. The required properties and optimization methods of wearable hydrogel-based sensors are introduced. Subsequently, existing reports on the response mechanisms of hydrogel-based gas and humidity sensors are summarized. Related works on hydrogel-based vapor sensors for their application in personal health and safety monitoring are presented. Moreover, the potential of hydrogels in the field of vapor sensing is elucidated. Finally, the current research status, challenges, and future trends of hydrogel gas/humidity sensing are discussed.

Paper-Based Humidity Sensors as Promising Flexible Devices, State of the Art, Part 2: Humidity-Sensor Performances

This review article covers all types of paper-based humidity sensor, such as capacitive, resistive, impedance, fiber-optic, mass-sensitive, microwave, and RFID (radio-frequency identification) humidity sensors. The parameters of these sensors and the materials involved in their research and development, such as carbon nanotubes, graphene, semiconductors, and polymers, are comprehensively detailed, with a special focus on the advantages/disadvantages from an application perspective. Numerous technological/design approaches to the optimization of the performances of the sensors are considered, along with some non-conventional approaches. The review ends with a detailed analysis of the current problems encountered in the development of paper-based humidity sensors, supported by some solutions.

A Flexible Humidity Sensor with Wide Range, High Linearity, and Fast Response Based on Ultralong Na2Ti3O7 Nanowires

A flexible humidity sensor with wide sensing range, superior sensitivity, high linearity, and advanced response/recovery capabilities is extremely desirable for practical applications in human body-related (HBR) monitoring and human-machine interaction (HMI). However, the practical sensor lacks a versatile nanomaterial integrated with sensing capabilities and mechanical flexibility to meet the criteria. Herein, a comprehensive flexible humidity sensor with ultralong Na₂Ti₃O₇ nanowires (>120 μm) is subtly constructed for the first time. Owing to the distinguish nanowires network structure, the sensor exhibits wide sensing range (11-95% RH), high sensitivity (>10³), high linearity (R² > 0.98), and fast response/recovery capability (8.9/2.1 s), as well as excellent respiratory stability (>5000 s). In addition, the Na₂Ti₃O₇-based humidity sensor demonstrates superior flexibility and antibacteria capabilities, and exhibits diverse applications in respiration monitoring, noncontact detection, as well as dynamic interactive display. This work provides a multifunctional humidity sensor with excellent practicability, suggesting the great potential in next-generation human-related flexible/wearable devices.

Recent advances in inkjet-printing technologies for flexible/wearable electronics

The rapid development of flexible/wearable electronics requires novel fabricating strategies. Among the state-of-the-art techniques, inkjet printing has aroused considerable interest due to the possibility of large-scale fabricating flexible electronic devices with good reliability, high time efficiency, a low manufacturing cost, and so on. In this review, based on the working principle, recent advances in the inkjet printing technology in the field of flexible/wearable electronics are summarized, including flexible supercapacitors, transistors, sensors, thermoelectric generators, wearable fabric, and for radio frequency identification. In addition, some current challenges and future opportunities in this area are also addressed. We hope this review article can give positive suggestions to the researchers in the area of flexible electronics.

Paper-Based Humidity Sensors as Promising Flexible Devices: State of the Art: Part 1. General Consideration

In the first part of the review article "General considerations" we give information about conventional flexible platforms and consider the advantages and disadvantages of paper when used in humidity sensors, both as a substrate and as a humidity-sensitive material. This consideration shows that paper, especially nanopaper, is a very promising material for the development of low-cost flexible humidity sensors suitable for a wide range of applications. Various humidity-sensitive materials suitable for use in paper-based sensors are analyzed and the humidity-sensitive characteristics of paper and other humidity-sensitive materials are compared. Various configurations of humidity sensors that can be developed on the basis of paper are considered, and a description of the mechanisms of their operation is given. Next, we discuss the manufacturing features of paper-based humidity sensors. The main attention is paid to the consideration of such problems as patterning and electrode formation. It is shown that printing technologies are the most suitable for mass production of paper-based flexible humidity sensors. At the same time, these technologies are effective both in the formation of a humidity-sensitive layer and in the manufacture of electrodes.

Smart Wearable Systems for Health Monitoring

Smart wearable systems for health monitoring are highly desired in personal wisdom medicine and telemedicine. These systems make the detecting, monitoring, and recording of biosignals portable, long-term, and comfortable. The development and optimization of wearable health-monitoring systems have focused on advanced materials and system integration, and the number of high-performance wearable systems has been gradually increasing in recent years. However, there are still many challenges in these fields, such as balancing the trade-off between flexibility/stretchability, sensing performance, and the robustness of systems. For this reason, more evolution is required to promote the development of wearable health-monitoring systems. In this regard, this review summarizes some representative achievements and recent progress of wearable systems for health monitoring. Meanwhile, a strategy overview is presented about selecting materials, integrating systems, and monitoring biosignals. The next generation of wearable systems for accurate, portable, continuous, and long-term health monitoring will offer more opportunities for disease diagnosis and treatment.

Pencil-on-Paper Humidity Sensor Treated with NaCl Solution for Health Monitoring and Skin Characterization

Although flexible humidity sensors are essential for human health monitoring, it is still challenging to achieve high sensitivity and easy disposal with simple, low-cost fabrication processes. This study presents the design and fabrication of highly reliable hand-drawn interdigital electrodes from pencil-on-paper treated with NaCl solution for highly sensitive hydration sensors working over a wide range of relative humidity (RH) levels from 5.6% to 90%. The applications of the resulting flexible humidity sensor go beyond the monitoring of respiratory rate and proximity to characterizations of human skin types and evaluations of skin barrier functions through insensible sweat measurements. The sensor array can also be integrated with a diaper to result in smart diapers to alert for an early diaper change. The design and fabrication strategies presented in this work could also be leveraged for the development of wearable, self-powered, and recyclable sensors and actuators in the future.

Smart Mask as Wearable for Post-Pandemic Personal Healthcare

A mask serves as a simple external barrier that protects humans from infectious particles from poor air conditions in the surrounding environment. As an important personal protective equipment (PPE) to protect our respiratory system, masks are able not only to filter pathogens and dust particles but also to sense, reflect or even respond to environmental conditions. This smartness is of particular interest among academia and industries due to its potential in disease detection, health monitoring and caring aspects. In this review, we provide an overlook of the current air filtration strategies used in masks, from structural designs to integrated functional modules that empower the mask's ability to sense and transfer physiological or environmental information to become smart. Specifically, we discussed recent developments in masks designed to detect macroscopic physiological signals from the wearer and mask-based disease diagnoses, such as COVID-19. Further, we propose the concept of next-generation smart masks and the requirements from material selection and function design perspectives that enable masks to interact and play crucial roles in health-caring wearables.

Toward Continuous Breath Monitoring on a Mobile Phone Using a Frugal Conducting Cloth-Based Smart Mask

A frugal humidity sensor that can detect changes in the humidity of exhaled breath of individuals has been fabricated. The sensor comprises a humidity-sensitive conducting polymer that is in situ formed on a cloth that acts as a substrate. Interdigitated silver electrodes were screen-printed on the modified cloth, and conducting threads connected the electrodes to the measurement circuit. The sensor's response to changing humidity was measured as a voltage drop across the sensor using a microcontroller. The sensor was capable of discerning between fast, normal, and slow breathing based on the response time. A response time of ∼1.3 s was observed for fast breathing. An Android-based mobile application was designed to collect sensor data via Bluetooth for analysis. A time series classification algorithm was implemented to analyze patterns in breathing. The sensor was later stitched onto a face mask, transforming it into a smart mask that can monitor changes in the breathing pattern at work, play, and sleep.

Humidity Sensors Based on Metal-Organic Frameworks

Humidity sensors are important in industrial fields and human activities. Metal-organic frameworks (MOFs) and their derivatives are a class of promising humidity-sensing materials with the characteristics of a large specific surface area, high porosity, modifiable frameworks, and high stability. The drawbacks of MOFs, such as poor film formation, low electrical conductivity, and limited hydrophilicity, have been gradually overcome with the development of material science. Currently, it is moving towards a critical development stage of MOF-based humidity sensors from usability to ease of use, of which great challenges remain unsolved. In order to better understand the related challenges and point out the direction for the future development of MOF-based humidity sensors, we reviewed the development of such sensors based on related published work, focusing on six primary types (impedance, capacitive, resistive, fluorescent, quartz crystal microbalance (QCM), and others) and analyzed the sensing mechanism, material design, and sensing performance involved, and presented our thoughts on the possible future research directions.

Flexible Wearable Sensors in Medical Monitoring

The popularity of health concepts and the wave of digitalization have driven the innovation of sensors in the medical field. Such continual development has made sensors progress in the direction of safety, flexibility, and intelligence for continuous monitoring of vital signs, which holds considerable promise for changing the way humans live and even treat diseases. To this end, flexible wearable devices with high performance, such as high sensitivity, high stability, and excellent biodegradability, have attracted strong interest from scientists. Herein, a review of flexible wearable sensors for temperature, heart rate, human motion, respiratory rate, glucose, and pH is highlighted. In addition, engineering issues are also presented, focusing on material selection, sensor fabrication, and power supply. Finally, potential challenges facing current technology and future directions of wearable sensors are also discussed.

Achieving Ultrasensitivity and Long-Term Durability Simultaneously for Microcantilevers Inspired by a Scorpion's Circular Tip Slits

Microcantilevers are one of the most essential sensitive elements for various mechanical sensors. Their sensing performance determines the index level of a series of sensors. To date, the long-standing trade-off between ultrasensitivity and long-term durability of microcantilevers still remains a challenge. In nature, scorpions can sense vibrations as low as 10 nm amplitude through their circular tip slits sensilla. Such slit sensilla embedded in the exoskeleton of walking legs endure the compressing and stretching of every movement without spontaneous fracture failures. Here, we focused on the structural design of the circular tip slits which concentrate stress effectively and disperse energy smoothly, with the result that the microcantilevers are ultrasensitive and durable simultaneously in a single element. We devised a reproducible circular tip slits cantilever with enhanced sensitivity and ultralow detection limits to monitor 7 nm amplitude vibrations. The sensor possessed excellent durability and remained highly consistent with the correlation coefficient of nearly 0.999 over 100 000 cycles. Furthermore, the circular tip slits cantilever could precisely sense diverse subtle mechanical signals and exhibited potential applications in monitoring respiratory patterns. The simple geometric design can be easily manufactured on various sensory materials for applications requiring ultrahigh sensitivity and long-time durability.

Porous and conductive cellulose nanofiber/carbon nanotube foam as a humidity sensor with high sensitivity

In this study, we developed a humidity sensor with high sensitivity based on cellulose nanofiber/carbon nanotube (CNF/CNT) hybrid foam. The porous structure of the foam not only provides more contact interface for water molecules adsorption, but also tunes the conductivity of the CCF closed to the point where the sensor is most sensitive to the change in humidity. With this porous structural design, the obtained foam sensor shows a high humidity sensitivity of 87.3% (ΔI/I₀, and the response limit is 100%), excellent linearity (R² = 0.996) within the humidity range from 29 to 95% relative humidity (RH), and good long-time stability (more than two months). Furthermore, the water vapor adsorption behavior of the CNF/CNT foam sensor can be well described by the pseudo-first-order kinetic model. Finally, a simple humidity measuring device based on the CNF/CNT foam is presented, which can find good applications for human breath and fingertip humidity monitoring.

Humidity-sensitive chemoelectric flexible sensors based on metal-air redox reaction for health management

Numerous studies have shown flexible electronics play important roles in health management. The way of power supply is always an essential factor of devices and self-powered ones are very attractive because of the fabrication easiness, usage comfort and aesthetics of the system. In this work, based on the metal-air redox reaction, which is usually used in designing metal-air batteries, we design a self-powered chemoelectric humidity sensor where a silk fibroin (SF) and LiBr gel matrix containing parallel aligned graphene oxide (GO) flakes serve as the electrolyte. The abundant hydrophilic groups in GO/SF and the hygroscopicity of LiBr lead to tight dependence of the output current on the humidity, enabling the sensor high sensitivity (0.09 μA/s/1%), fast response (1.05 s) and quick recovery (0.80 s). As proofs of concept, we design an all-in-one respiratory monitoring-diagnosing-treatment system and a non-contact human-machine interface, demonstrating the applications of the chemoelectric humidity sensor in health management.

A Focused Review on the Flexible Wearable Sensors for Sports: From Kinematics to Physiologies

As an important branch of wearable electronics, highly flexible and wearable sensors are gaining huge attention due to their emerging applications. In recent years, the participation of wearable devices in sports has revolutionized the way to capture the kinematical and physiological status of athletes. This review focuses on the rapid development of flexible and wearable sensor technologies for sports. We identify and discuss the indicators that reveal the performance and physical condition of players. The kinematical indicators are mentioned according to the relevant body parts, and the physiological indicators are classified into vital signs and metabolisms. Additionally, the available wearable devices and their significant applications in monitoring these kinematical and physiological parameters are described with emphasis. The potential challenges and prospects for the future developments of wearable sensors in sports are discussed comprehensively. This review paper will assist both athletic individuals and researchers to have a comprehensive glimpse of the wearable techniques applied in different sports.

A Family of 2D-MXenes: Synthesis, Properties, and Gas Sensing Applications

Gas sensors, capable of detecting and monitoring trace amounts of gas molecules or volatile organic compounds (VOCs), are in great demand for numerous applications including diagnosing diseases through breath analysis, environmental and personal safety, food and agriculture, and other fields. The continuous emergence of new materials is one of the driving forces for the development of gas sensors. Recently, 2D materials have been gaining huge attention for gas sensing applications, owing to their superior electrical, optical, and mechanical characteristics. Especially for 2D MXenes, high specific area and their rich surface functionalities with tunable electronic structure make them compelling for sensing applications. This Review discusses the latest advancements in the 2D MXenes for gas sensing applications. It starts by briefly explaining the family of MXenes, their synthesis methods, and delamination procedures. Subsequently, it outlines the properties of MXenes. Then it describes the theoretical and experimental aspects of the MXenes-based gas sensors. Discussion is also extended to the relation between sensing performance and the structure, electronic properties, and surface chemistry. Moreover, it highlights the promising potential of these materials in the current gas sensing applications and finally it concludes with the limitations, challenges, and future prospects of 2D MXenes in gas sensing applications.

Origami Paper-Based Stretchable Humidity Sensor for Textile-Attachable Wearable Electronics

Flexible and stretchable humidity sensors for wearable purposes have become increasingly important in health care and physiological signal monitoring. However, to the authors' knowledge, there is no report on flexible and stretchable paper-based humidity sensors that are low-cost, easily fabricated, and environmentally friendly. In this work, for the first time, we propose a stretchable, textile-compatible paper-based origami humidity sensor (POHS). The POHS can achieve good stretchability by integrating origami folding structures with a paper substrate, in which an airlaid paper acts as both a sensing material and a sensor substrate. This sensor has high sensitivity, good response, and recovery properties with excellent stability during deformation. This sensor has proved to be capable of dynamically monitoring the breathing rate after 300 folding and unfolding cycles. The flexible and stretchable nature of our POHS ensures that it is compatible for textile attachment and its utility for wearable applications, including respiration rate monitoring and diaper wetting detection. The facile fabrication process and convenient disposal method of the POHS proposed in this study provide feasible solutions for the development of low-cost wearable humidity sensors.

Bioinspired Stretchable Transducer for Wearable Continuous Monitoring of Respiratory Patterns in Humans and Animals

A bio-inspired continuous wearable respiration sensor modeled after the lateral line system of fish is reported which is used for detecting mechanical disturbances in the water. Despite the clinical importance of monitoring respiratory activity in humans and animals, continuous measurements of breathing patterns and rates are rarely performed in or outside of clinics. This is largely because conventional sensors are too inconvenient or expensive for wearable sensing for most individuals and animals. The bio-inspired air-silicone composite transducer (ASiT) is placed on the chest and measures respiratory activity by continuously measuring the force applied to an air channel embedded inside a silicone-based elastomeric material. The force applied on the surface of the transducer during breathing changes the air pressure inside the channel, which is measured using a commercial pressure sensor and mixed-signal wireless electronics. The transducer produced in this work are extensively characterized and tested with humans, dogs, and laboratory rats. The bio-inspired ASiT may enable the early detection of a range of disorders that result in altered patterns of respiration. The technology reported can also be combined with artificial intelligence and cloud computing to algorithmically detect illness in humans and animals remotely, reducing unnecessary visits to clinics.

End-to-end design of wearable sensors

Wearable devices provide an alternative pathway to clinical diagnostics by exploiting various physical, chemical and biological sensors to mine physiological (biophysical and/or biochemical) information in real time (preferably, continuously) and in a non-invasive or minimally invasive manner. These sensors can be worn in the form of glasses, jewellery, face masks, wristwatches, fitness bands, tattoo-like devices, bandages or other patches, and textiles. Wearables such as smartwatches have already proved their capability for the early detection and monitoring of the progression and treatment of various diseases, such as COVID-19 and Parkinson disease, through biophysical signals. Next-generation wearable sensors that enable the multimodal and/or multiplexed measurement of physical parameters and biochemical markers in real time and continuously could be a transformative technology for diagnostics, allowing for high-resolution and time-resolved historical recording of the health status of an individual. In this Review, we examine the building blocks of such wearable sensors, including the substrate materials, sensing mechanisms, power modules and decision-making units, by reflecting on the recent developments in the materials, engineering and data science of these components. Finally, we synthesize current trends in the field to provide predictions for the future trajectory of wearable sensors.

NaCl Ionization-Based Moisture Sensor Prepared by Aerosol Deposition for Monitoring Respiratory Patterns

A highly polarizable moisture sensor with multimodal sensing capabilities has great advantages for healthcare applications such as human respiration monitoring. We introduce an ionically polarizable moisture sensor based on NaCl/BaTiO₃ composite films fabricated using a facile aerosol deposition (AD) process. The proposed sensing model operates based on an enormous NaCl ionization effect in addition to natural moisture polarization, whereas all previous sensors are based only on the latter. We obtained an optimal sensing performance in a 0.5 µm-thick layer containing NaCl-37.5 wt% by manipulating the sensing layer thickness and weight fraction of NaCl. The NaCl/BaTiO₃ sensing layer exhibits outstanding sensitivity over a wide humidity range and a fast response/recovery time of 2/2 s; these results were obtained by performing the one-step AD process at room temperature without using any auxiliary methods. Further, we present a human respiration monitoring system using a sensing device that provides favorable and stable electrical signals under diverse respiratory scenarios.

An Innovative Sensorized Face Mask for Early Detection of Physiological Changes Associated with Viral Infection

A sensorized face mask could be a useful tool in the case of a viral pandemic event, as well as the Covid-19 emergency. In the context of the proposed project "RESPIRE", we have developed a "Smart-Mask" able to collect the signal patterns of body temperature, respiration, and symptoms such as cough, through a set of textile sensors. The signals have been analyzed by Artificial Intelligence algorithms in order to compare them with gold standard measurements, and to recognize the physiological changes associated with a viral infection. This low-cost prototype of a smart face mask is a reliable tool for the estimation of the individual physiological parameters. Moreover, it enables both personal protection and the early and rapid identification and tracking of potentially infected individuals.

"Listen to Your Immune System When It's Calling for You": Monitoring Autoimmune Diseases Using the iShU App

The immune system plays a key role in protecting living beings against bacteria, viruses, and fungi, among other pathogens, which may be harmful and represent a threat to our own health. However, for reasons that are not fully understood, in some people this protective mechanism accidentally attacks the organs and tissues, thus causing inflammation and leads to the development of autoimmune diseases. Remote monitoring of human health involves the use of sensor network technology as a means of capturing patient data, and wearable devices, such as smartwatches, have lately been considered good collectors of biofeedback data, owing to their easy connectivity with a mHealth system. Moreover, the use of gamification may encourage the frequent usage of such devices and behavior changes to improve self-care for autoimmune diseases. This study reports on the use of wearable sensors for inflammation surveillance and autoimmune disease management based on a literature search and evaluation of an app prototype with fifteen stakeholders, in which eight participants were diagnosed with autoimmune or inflammatory diseases and four were healthcare professionals. Of these, six were experts in human–computer interaction to assess critical aspects of user experience. The developed prototype allows the monitoring of autoimmune diseases in pre-, during-, and post-inflammatory crises, meeting the personal needs of people with this health condition. The findings suggest that the proposed prototype—iShU—achieves its purpose and the overall experience may serve as a foundation for designing inflammation surveillance and autoimmune disease management monitoring solutions.

A flexible tissue-carbon nanocoil-carbon nanotube-based humidity sensor with high performance and durability

A flexible humidity sensor based on a tissue-carbon nanocoil (CNC)-carbon nanotube (CNT) composite has been investigated. Taking advantage of the excellent water absorption of tissue and the electrical sensitivity of CNCs/CNTs to humidity, this humidity sensor obtains outstanding humidity sensing performance, including a wide sensing range of 10-90% RH, a maximum response value of 492% (ΔR/R₀) at 90% RH, a maximum sensitivity of 6.16%/% RH, a good long-time stability of more than 7 days, a high humidity resolution accuracy of less than 1% RH and a fast response time of 275 ms. Furthermore, the sensor also exhibits robust bending (with a curvature of 0.322 cm^-1) and folding (up to 500 times) durability, and after being made into a complex "thousand paper crane" shape it still provides stable humidity sensing performance. As a proof of concept, this humidity sensor demonstrates excellent responsivity to human breath monitoring, non-contact fingertip humidity detection, water boiling detection and air humidity monitoring, indicating great potential in the fields of wearable devices, weather forecasting systems and other intelligent humidity monitoring devices.

Portable Respiration Monitoring System with an Embroidered Capacitive Facemask Sensor

Respiration monitoring is a very important indicator of health status. It can be used as a marker in the recognition of a variety of diseases, such as sleep apnea, asthma or cardiac arrest. The purpose of the present study is to overcome limitations of the current state of the art in the field of respiration monitoring systems. Our goal was the development of a lightweight handheld device with portable operation and low power consumption. The proposed approach includes a textile capacitive sensor with interdigitated electrodes embroidered into the facemask, integrated with readout electronics. Readout electronics is based on the direct interface of the capacitive sensor and a microcontroller through just one analog and one digital pin. The microcontroller board and sensor are powered by a smartphone or PC through a USB cable. The developed mobile application for the Android™ operating system offers reliable data acquisition and acts as a bridge for data transfer to the remote server. The embroidered sensor was initially tested in a humidity-controlled chamber connected to a commercial impedance analyzer. Finally, in situ testing with 10 volunteering subjects confirmed stable operation with reliable respiration monitoring.

Polyimide-Based High-Performance Film Bulk Acoustic Resonator Humidity Sensor and Its Application in Real-Time Human Respiration Monitoring

Respiration monitoring is vital for human health assessment. Humidity sensing is a promising way to establish a relationship between human respiration and electrical signal. This paper presents a polyimide-based film bulk acoustic resonator (PI-FBAR) humidity sensor operating in resonant frequency and reflection coefficient S11 dual-parameter with high sensitivity and stability, and it is applied in real-time human respiration monitoring for the first time. Both these two parameters can be used to sense different breathing conditions, such as normal breathing and deep breathing, and breathing with different rates such as normal breathing, slow breathing, apnea, and fast breathing. Experimental results also indicate that the proposed humidity sensor has potential applications in predicting the fitness of individual and in the medical field for detecting body fluids loss and daily water intake warning. The respiratory rates measured by our proposed PI-FBAR humidity sensor operating in frequency mode and S11 mode have Pearson correlation of up to 0.975 and 0.982 with that measured by the clinical monitor, respectively. Bland-Altman method analysis results further revealed that both S11 and frequency response are in good agreement with clinical monitor. The proposed sensor combines the advantages of non-invasiveness, high sensitivity and high stability, and it has great potential in human health monitoring.

A Wearable Bioimpedance Chest Patch for Real-Time Ambulatory Respiratory Monitoring

OBJECTIVE

This paper aims to introduce a wearable solution and a low-complexity algorithm for real-time continuous ambulatory respiratory monitoring.

METHODS

A wearable chest-worn patch is designed using a bioimpedance (BioZ) sensor to measure the changes in chest impedance caused by breathing. Besides, a medical-grade infrared temperature sensor is utilized to monitor body temperature. The computing algorithm implemented on the patch enables computation of breath-by-breath respiratory rate and chest temperature in real-time. Two wireless communication protocols are included in the system, namely Bluetooth and Long Range (LoRa), which enable both short-range and long-range data transmission.

RESULTS

The breathing rate measured in static (i.e., standing, sitting, supine, and lateral lying) and dynamic (i.e., walking, running, and cycling) positions by our device yielded an accuracy of more than 97.8% and 98.5% to the ground truth, respectively. Additionally, the devices performance is evaluated in real-world scenarios both indoors and outdoors.

CONCLUSION

The proposed system is capable of measuring breathing rate throughout a variety of daily activities. To the best of our knowledge, this is the first BioZ-based wearable patch capable of detecting breath-by-breath respiratory rate in real-time remotely under unrestricted ambulatory conditions.

SIGNIFICANCE

This study establishes a strategy for continuous respiratory monitoring that could aid in the early detection of cardiopulmonary disorders in everyday life.

Paper and Salt: Biodegradable NaCl-Based Humidity Sensors for Sustainable Electronics

Flexible and thin-film humidity sensors are currently attracting the attention of the scientific community due to their portability and reduced size, which are highly useful traits for use in the Internet o Things (IoT) industry. Furthermore, in order to perform efficient and profitable mass production, it is necessary to develop a cost-effective and reproducible fabrication process and materials. Green fabrication methods and biodegradable materials would also minimize the environmental impact and create a sustainable IoT development. In this paper, flexible humidity sensors based on a common salt (NaCl) sensing layer are reported. Our sensors and the fabrication techniques employed, such as dip and spray coating, provide a biodegradable, low cost, and highly reproducible device. One of the sensors reported presents a typical resistive behaviour from 40% RH up to 85% RH with a sensitivity of −0.21 (Z/%RH). The performance of the sensors obtained with several fabrication techniques is studied and reported at multiple frequencies from 100 Hz to 10 MHz, showcasing its versatility and robustness.

Self-Powered Artificial Mechanoreceptor Based on Triboelectrification for a Neuromorphic Tactile System

A self-powered artificial mechanoreceptor module is demonstrated with a triboelectric nanogenerator (TENG) as a pressure sensor with sustainable energy harvesting and a biristor as a neuron. By mimicking a biological mechanoreceptor, it simultaneously detects the pressure and encodes spike signals to act as an input neuron of a spiking neural network (SNN). A self-powered neuromorphic tactile system composed of artificial mechanoreceptor modules with an energy harvester can greatly reduce the power consumption compared to the conventional tactile system based on von Neumann computing, as the artificial mechanoreceptor module itself does not demand an external energy source and information is transmitted with spikes in a SNN. In addition, the system can detect low pressures near 3 kPa due to the high output range of the TENG. It therefore can be advantageously applied to robotics, prosthetics, and medical and healthcare devices, which demand low energy consumption and low-pressure detection levels. For practical applications of the neuromorphic tactile system, classification of handwritten digits is demonstrated with a software-based simulation. Furthermore, a fully hardware-based breath-monitoring system is implemented using artificial mechanoreceptor modules capable of detecting wind pressure of exhalation in the case of pulmonary respiration and bending pressure in the case of abdominal breathing.