Breathable and Stretchable Temperature Sensors Inspired by Skin

PEDOT:PSS-Based Wearable Flexible Temperature Sensor and Integrated Sensing Matrix for Human Body Monitoring

Flexible temperature sensors have been widely used in electronic skins and health monitoring. Body temperature as one of the key physiological signals is crucial for detecting human body's abnormalities, which necessitates high sensitivity, quick responsiveness, and stable monitoring. In this paper, we reported a resistive temperature sensor designed as an ultrathin laminated structure with a serpentine pattern and a bioinspired adhesive layer, which was fabricated with a composite of poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate)/single-wall carbon nanotubes/reduced graphene oxide (PEDOT:PSS/SWCNTs/rGO) and polydimethylsiloxane (PDMS). The temperature sensor exhibited a high temperature sensitivity of 0.63% °C-1, coupled with outstanding linearity of 0.98 within 25-45 °C. Furthermore, it showed fast response and recovery speeds of 4.8 and 5.8 s, respectively, between 25 and 36 °C. It also demonstrated exceptional stability when subjected to stress and bending disturbances with the maximum bending interference deviation of 0.03%. Additionally, it displayed good cyclic stability over a broad temperature range from 25 to 85 °C, and the standard deviation at 25 °C is 0.14%. A series of experiments including blowing detection, respiratory monitoring with or without a mask, and during rest or sleep were conducted to show the potential of the flexible temperature sensors in human body monitoring. Furthermore, a 4 × 4 flexible temperature sensor matrix was integrated to detect and map objects such as wrenches and blood vessels through human hand skin. The results were consistent with those of infrared measurements. The flexible temperature sensor is capable of real-time temperature monitoring and has the potential in tracking human respiration, assessing sleep quality, and mapping the temperature of various objects.

Non-invasive detection of mental fatigue in construction equipment operators through geometric measurements of facial features

INTRODUCTION

Prolonged operation of construction equipment could lead to mental fatigue, which can increase the chances of human error-related accidents as well as operators' ill-health. The objective detection of operators' mental fatigue is crucial for reducing accident risk and ensuring operator health. Electroencephalography, photoplethysmography, electrodermal activity, and eye-tracking technology have been used to mitigate this issue. These technologies are invasive and wearable sensors that can cause irritation and discomfort. Geometric measurements of facial features can serve as a noninvasive alternative approach. Its application in detecting mental fatigue of construction equipment operators has not been reported in the literature. Although the application of facial features has been widespread in other domains, such as drivers and other occupation scenarios, their ecological validity for construction excavator operators remains a knowledge gap.

METHOD

This study proposed employing geometric measurements of facial features to detect mental fatigue in construction equipment operators' facial features. In this study, seventeen operators performed excavation operations. Mental fatigue was labeled subjectively and objectively using NASA-TLX scores and EDA values. Based on geometric measurements, facial features (eyebrow, mouth outer, mouth corners, head motion, eye area, and face area) were extracted.

RESULTS

The results showed that there was significant difference in the measured metrics for high fatigue compared to low fatigue. Specifically, the most noteworthy variation was for the eye and face area metrics, with mean differences of 45.88% and 26.9%, respectively.

CONCLUSIONS

The findings showed that geometrical measurements of facial features are a useful, noninvasive approach for detecting the mental fatigue of construction equipment operators.

Stretchable Sensor Materials Applicable to Radiofrequency Coil Design in Magnetic Resonance Imaging: A Review

Wearable sensors are rapidly gaining influence in the diagnostics, monitoring, and treatment of disease, thereby improving patient outcomes. In this review, we aim to explore how these advances can be applied to magnetic resonance imaging (MRI). We begin by (i) introducing limitations in current flexible/stretchable RF coils and then move to the broader field of flexible sensor technology to identify translatable technologies. To this goal, we discuss (ii) emerging materials currently used for sensor substrates, (iii) stretchable conductive materials, (iv) pairing and matching of conductors with substrates, and (v) implementation of lumped elements such as capacitors. Applicable (vi) fabrication methods are presented, and the review concludes with a brief commentary on (vii) the implementation of the discussed sensor technologies in MRI coil applications. The main takeaway of our research is that a large body of work has led to exciting new sensor innovations allowing for stretchable wearables, but further exploration of materials and manufacturing techniques remains necessary, especially when applied to MRI diagnostics.

High-Performance Flexible Temperature Sensors Based on Laser-Irradiated Ag-MWCNTs/PEDOT:PSS

Recently, flexible temperature sensors have attracted significant interest due to their wide-ranging applications in areas such as biomedical monitoring, environmental monitoring, electronic skin, and intelligent robots. However, a combination of high sensitivity and high resolution remains a critical challenge. These properties depend on the synthesis techniques of the sensitive materials. In this work, we use a laser irradiation method to prepare a silver nanoparticle-modified carbon nanotube (Ag-MWCNT) which is further mixed with poly(3,4-ethylenedioxythiophene)-poly(styrenesulfonate) (PEDOT:PSS). The developed temperature sensor exhibited a high sensitivity of -0.45% °C-1 and linearity with an R2 value of 0.998 in the temperature range of 25-80 °C. Additionally, the sensor demonstrated remarkable repeatability, making it suitable for real-time temperature monitoring of the human body and environment. This temperature sensor is successfully demonstrated in practical applications such as monitoring the temperature of various parts of the human body and sensing the spatial temperature. These demonstrations highlight their significant potential in electronic skin and other related fields.

A Multifunctional Flexible Tactile Sensor Based on Resistive Effect for Simultaneous Sensing of Pressure and Temperature

Flexible tactile sensors with multifunctional sensing functions have attracted much attention due to their wide applications in artificial limbs, intelligent robots, human-machine interfaces, and health monitoring devices. Here, a multifunctional flexible tactile sensor based on resistive effect for simultaneous sensing of pressure and temperature is reported. The sensor features a simple design with patterned metal film on a soft substrate with cavities and protrusions. The decoupling of pressure and temperature sensing is achieved by the reasonable arrangement of metal layers in the patterned metal film. Systematically experimental and numerical studies are carried out to reveal the multifunctional sensing mechanism and show that the proposed sensor exhibits good linearity, fast response, high stability, good mechanical flexibility, and good microfabrication compatibility. Demonstrations of the multifunctional flexible tactile sensor to monitor touch, breathing, pulse and objects grabbing/releasing in various application scenarios involving coupled temperature/pressure stimuli illustrate its excellent capability of measuring pressure and temperature simultaneously. These results offer an effective tool for multifunctional sensing of pressure and temperature and create engineering opportunities for applications of wearable health monitoring and human-machine interfaces.

Protocol to fabricate wearable stretchable microneedle-based sensors

Creating highly stretchable and robust electrodes while retaining conductivity and stability is challenging. Furthermore, combining these elastic parts with rigid ones brings its own problems due to the discrepancy in firmness between the flexible patches and rigid constructions. Here, we present a protocol to create a stable, conductive, and flexible microneedle sensor patch. We describe steps for using polystyrene-block-polyisoprene-block-polystyrene with silver nanowires, besides fabricating rigid microneedles and combining them together using a thickness-gradient strategy. For complete details on the use and execution of this protocol, please refer to Zheng et al. (2022).1.

Intrinsically Stretchable Conductive Self-Healable Organogels for Strain, Pressure, Temperature, and Humidity Sensing

Intrinsically stretchable conductive self-healable organogels containing poly(lipoic acid), Al3+ ion, tannic acid, and reduced graphene oxide are produced in this report. These noncovalent networks interlocked through physical (hydrogen and coordination) bonds offered high stretchabilities and mechanical strengths as well as fast self-healing behaviors. The optimum organogel-based sensor showed outstanding pressure sensitivities (0.94 kPa-1 up to 10 and 1.07 kPa-1 for 10-50 kPa) and high strain responses (corresponding gauge factors of 1.1 and 0.4 for 0-50 and 50-100% stretching ratios). This organogel also revealed high stabilities at ambient atmosphere due to the presence of binary solvents of dimethyl sulfoxide and glycerol. Additionally, this stretchable thermistor displayed remarkable two-stage sensitivities of -2.6 and -0.4%/°C ranging over 0-30 and 30-80 °C, respectively. Besides, the signal variations of water droplet addition and removal with different temperatures were recorded by the organogel sensor to elucidate the practical applicabilities as a temperature sensor. Moreover, the organogel was utilized to demonstrate humidity sensing, where individual sensitivities of 0.89 and 0.55 were obtained in the respective relative humidity ranges of 10-30 and 40-90%. In the meanwhile, the sensor device illustrated distinct humidity signals during respiration monitoring of nose and mouth breathing detection. Accordingly, these quad-functional sensor applications in strain, pressure, temperature, and humidity detection enable this gel to act as a promising material for future multifunctional flexible electronics.

Facile Transfer of Spray-Coated Ultrathin AgNWs Composite onto the Skin for Electrophysiological Sensors

Disposable wearable sensors that ultrathin and conformable to the skin are of significant interest as affordable and easy-to-use devices for short-term recording. This study presents a facile and low-cost method for transferring spray-coated silver nanowire (AgNW) composite films onto human skin using glossy paper (GP) and liquid bandages (LB). Due to the moderately hydrophobic and rough surface of the GP, the ultrathin AgNWs composite film (~200 nm) was easily transferred onto human skin. The AgNW composite films conformally attached to the skin when applied with a LB, resulting in the stable and continuous recording of wearable electrophysiological signals, including electromyogram (EMG), electrocardiogram (ECG), and electrooculogram (EOG). The volatile LB, deposited on the skin via spray coating, promoted rapid adhesion of the transferred AgNW composite films, ensuring stability to the AgNWs in external environments. The AgNWs composite supported with the LB film exhibited high water vapor breathability (~28 gm-2h-1), which can avoid the accumulation of sweat at the skin-sensor interface. This approach facilitates the creation of rapid, low-cost, and disposable tattoo-like sensors that are practical for extended use.

Graphene-Based Wearable Temperature Sensors: A Review

Flexible sensing electronics have received extensive attention for their potential applications in wearable human health monitoring and care systems. Given that the normal physiological activities of the human body are primarily based on a relatively constant body temperature, real-time monitoring of body surface temperature using temperature sensors is one of the most intuitive and effective methods to understand physical conditions. With its outstanding electrical, mechanical, and thermal properties, graphene emerges as a promising candidate for the development of flexible and wearable temperature sensors. In this review, the recent progress of graphene-based wearable temperature sensors is summarized, including material preparation, working principle, performance index, classification, and related applications. Finally, the challenges and future research emphasis in this field are put forward. This review provides important guidance for designing novel and intelligent wearable temperature-sensing systems.

Fabrication of Temperature Sensors with High-Performance Uniformity through Thermal Annealing

It is considered to be of great significance to monitor human health and track the effect of drugs by measuring human temperature mapping through flexible temperature sensors. In this work, we found that the thermal annealing of flexible temperature sensors based on graphite-acrylate copolymer composites can not only improve the temperature coefficient of resistance (TCR) values of the devices, but also greatly improve the uniformity of the performance of the devices prepared in parallel. The best results were obtained when the devices were annealed at 100 °C, which is believed to be due to the rearrangement of graphite particles to generate more uniform and numerous conductive channels within the conductive composite. We believe this finding might promote the practical development of flexible temperature sensors in body temperature sensing for health maintenance and medical applications.

Performance Optimization of Wearable Printed Human Body Temperature Sensor Based on Silver Interdigitated Electrode and Carbon-Sensing Film

The human body's temperature is one of the most important vital markers due to its ability to detect various diseases early. Accurate measurement of this parameter has received considerable interest in the healthcare sector. We present a novel study on the optimization of a temperature sensor based on silver interdigitated electrodes (IDEs) and carbon-sensing film. The sensor was developed on a flexible Kapton thin film first by inkjet printing the silver IDEs, followed by screen printing a sensing film made of carbon black. The IDE finger spacing and width of the carbon film were both optimized, which considerably improved the sensor's sensitivity throughout a wide temperature range that fully covers the temperature of human skin. The optimized sensor demonstrated an acceptable temperature coefficient of resistance (TCR) of 3.93 × 10^-3 °C^-1 for temperature sensing between 25 °C and 50 °C. The proposed sensor was tested on the human body to measure the temperature of various body parts, such as the forehead, neck, and palm. The sensor showed a consistent and reproducible temperature reading with a quick response and recovery time, exhibiting adequate capability to sense skin temperatures. This wearable sensor has the potential to be employed in a variety of applications, such as soft robotics, epidermal electronics, and soft human-machine interfaces.

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.

Pathway to Developing Permeable Electronics

Permeable electronics possess the capability of permeating gas and/or liquid while performing the device functionality when attached to human bodies. The permeability of wearable electronics can not only minimize the thermophysiological disturbance to the human body but also ensure a biocompatible human-device interface for long-term, continuous, and real-time health monitoring. To date, how to simultaneously acquire high permeability and multifunctionality is the major challenge of wearable electronics. Here, a critical discussion on the future development of wearable electronics toward permeability is presented. In this perspective, the critical metrics of permeable electronics are discussed, and the historical evolution of wearable technologies is reviewed with highlights of representative examples. The materials and structural strategies for developing high-performance permeable electronics are then analyzed.

Ultrasoft Porous 3D Conductive Dry Electrodes for Electrophysiological Sensing and Myoelectric Control

Biopotential electrodes have found broad applications in health monitoring, human-machine interactions, and rehabilitation. Here, we report the fabrication and applications of ultrasoft breathable dry electrodes that can address several challenges for their long-term wearable applications - skin compatibility, wearability, and long-term stability. The proposed electrodes rely on porous and conductive silver nanowire based nanocomposites as the robust mechanical and electrical interface. The highly conductive and conformable structure eliminates the necessity of conductive gel while establishing a sufficiently low electrode-skin impedance for high-fidelity electrophysiological sensing. The introduction of gas-permeable structures via a simple and scalable method based on sacrificial templates improves breathability and skin compatibility for applications requiring long-term skin contact. Such conformable and breathable dry electrodes allow for efficient and unobtrusive monitoring of heart, muscle, and brain activities. In addition, based on the muscle activities captured by the electrodes and a musculoskeletal model, electromyogram-based neural-machine interfaces were realized, illustrating the great potential for prosthesis control, neurorehabilitation, and virtual reality.

Ultra-Thin Flexible Encapsulating Materials for Soft Bio-Integrated Electronics

Recently, bioelectronic devices extensively researched and developed through the convergence of flexible biocompatible materials and electronics design that enables  more precise diagnostics and therapeutics in human health care and opens up the potential to expand into various fields, such as clinical medicine and biomedical research. To establish an accurate and stable bidirectional bio-interface, protection against the external environment and high mechanical deformation is essential for wearable bioelectronic devices. In the case of implantable bioelectronics, special encapsulation materials and optimized mechanical designs and configurations that provide electronic stability and functionality are required for accommodating various organ properties, lifespans, and functions in the biofluid environment. Here, this study introduces recent developments of ultra-thin encapsulations with novel materials that can preserve or even improve the electrical performance of wearable and implantable bio-integrated electronics by supporting safety and stability for protection from destruction and contamination as well as optimizing the use of bioelectronic systems in physiological environments. In addition, a summary of the materials, methods, and characteristics of the most widely used encapsulation technologies is introduced, thereby providing a strategic selection of appropriate choices of recently developed flexible bioelectronics.

Soft, Pressure-Tolerant, Flexible Electronic Sensors for Sensing under Harsh Environments

Energy-efficient, miniaturized electronic ocean sensors for monitoring and recording various environmental parameters remain a challenge because conventional ocean sensors require high-pressure chambers and seals to survive the large hydrostatic pressure and harsh ocean environment, which usually entail a high-power supply and large size of the sensor system. Herein, we introduce soft, pressure-tolerant, flexible electronic sensors that can operate under large hydrostatic pressure and salinity environments, thereby eliminating the need for pressure chambers and reducing the power consumption and sensor size. Using resistive temperature and conductivity (salinity) sensors as an example for demonstration, the soft sensors are made of lithographically patterned metal thin films (100 nm) encapsulated with soft oil-infused elastomers and tested in a customized pressure vessel with well-controlled pressure and temperature conditions. The resistance of the temperature and pressure sensors increases linearly with a temperature range of 5-38 °C and salinity levels of 30-40 Practical Salinity Unit (PSU), respectively, relevant for this application. Pressure (up to 15 MPa) has shown a negligible effect on the performance of the temperature and salinity sensors, demonstrating their large pressure-tolerance capability. In addition, both temperature and salinity sensors have exhibited excellent cyclic loading behaviors with negligible hysteresis. Encapsulated with our developed soft oil-infused elastomer (PDMS, poly(dimethylsiloxane)), the sensor has shown excellent performance under a 35 PSU salinity water environment for more than 7 months. The soft, pressure-tolerant and noninvasive electronic sensors reported here are suitable for integration with many platforms including animal tags, profiling floats, diving equipment, and physiological monitoring.

Printed temperature sensor array for high-resolution thermal mapping

Fully-printed temperature sensor arrays—based on a flexible substrate and featuring a high spatial-temperature resolution—are immensely advantageous across a host of disciplines. These range from healthcare, quality and environmental monitoring to emerging technologies, such as artificial skins in soft robotics. Other noteworthy applications extend to the fields of power electronics and microelectronics, particularly thermal management for multi-core processor chips. However, the scope of temperature sensors is currently hindered by costly and complex manufacturing processes. Meanwhile, printed versions are rife with challenges pertaining to array size and sensor density. In this paper, we present a passive matrix sensor design consisting of two separate silver electrodes that sandwich one layer of sensing material, composed of poly(3,4-ethylenedioxythiophene):polystyrene sulfonate (PEDOT:PSS). This results in appreciably high sensor densities of 100 sensor pixels per cm$$^2$$ 2 for spatial-temperature readings, while a small array size is maintained. Thus, a major impediment to the expansive application of these sensors is efficiently resolved. To realize fast and accurate interpretation of the sensor data, a neural network (NN) is trained and employed for temperature predictions. This successfully accounts for potential crosstalk between adjacent sensors. The spatial-temperature resolution is investigated with a specially-printed silver micro-heater structure. Ultimately, a fairly high spatial temperature prediction accuracy of 1.22  °C is attained.

Recent advances in wearable medical diagnostic sensors and new therapeutic dosage forms for fever in children

Fever in children is one of the most common symptoms of pediatric diseases and the most common complaint in pediatric clinics, especially in the emergency department. Diseases such as pneumonia, sepsis, and meningitis are leading causes of death in children, and the early manifestations of these diseases are accompanied by fever symptoms. Accurate diagnosis and real-time monitoring of the status of febrile children, rapid and effective identification of the cause, and treatment can have a positive impact on relieving their symptoms and improving their quality of life. In recent years, wearable diagnostic sensors have attracted special attention for their high flexibility, real-time monitoring, and sensitivity. Temperature sensors and heart rate sensors have provided new advances in detecting children's body temperature and heart rate. Furthermore, some novel formulations have also received wide attention for addressing bottlenecks in medication administration for febrile children, such as difficulty in swallowing and inaccurate dosing. In this context, the present review provides recent advances of novel wearable medical sensor devices for diagnosing fever. Moreover, the application progress of innovative dosage forms of classical antipyretic drugs for children is presented. Finally, challenges and prospects of wearable sensor-based diagnostics and novel agent-based treatment of fever in children are discussed in brief.

Recent Advances in Stretchable and Wearable Capacitive Electrophysiological Sensors for Long-Term Health Monitoring

Over the past several years, wearable electrophysiological sensors with stretchability have received significant research attention because of their capability to continuously monitor electrophysiological signals from the human body with minimal body motion artifacts, long-term tracking, and comfort for real-time health monitoring. Among the four different sensors, i.e., piezoresistive, piezoelectric, iontronic, and capacitive, capacitive sensors are the most advantageous owing to their reusability, high durability, device sterilization ability, and minimum leakage currents between the electrode and the body to reduce the health risk arising from any short circuit. This review focuses on the development of wearable, flexible capacitive sensors for monitoring electrophysiological conditions, including the electrode materials and configuration, the sensing mechanisms, and the fabrication strategies. In addition, several design strategies of flexible/stretchable electrodes, body-to-electrode signal transduction, and measurements have been critically evaluated. We have also highlighted the gaps and opportunities needed for enhancing the suitability and practical applicability of wearable capacitive sensors. Finally, the potential applications, research challenges, and future research directions on stretchable and wearable capacitive sensors are outlined in this review.

All electrospun fabrics based piezoelectric tactile sensor

Tactile sensors have been widely used in the areas of health monitoring and intelligent human-machine interface. Flexible tactile sensors based on nanofiber mats made by electrospinning can meet the requirements of comfortability and breathability for wearing the body very well. Here, we developed a flexible and self-powered tactile sensor that was sandwich assembled by electrospun organic electrodes and a piezoelectric layer. The metal-free organic electrodes of thermal plastic polyurethane (PU) nanofibers decorated with multi-walled carbon nanotubes were fabricated by electrospinning followed by ultrasonication treatment. The electrospun polyvinylidene fluoride-trifluoroethylene (PVDF-TrFE) mat was utilized as the piezoelectric layer, and it was found that the piezoelectric performance of PVDF-TrFE nanofiber mat added with barium titanate (BaTiO₃) nanoparticles was enhanced about 187% than that of the pure PVDF-TrFE nanofiber mat. For practical application, the as-prepared piezoelectric tactile sensor exhibited an approximative linear relationship between the external force and the electrical output. Then the array of fabricated sensors was attached to the fingertips of a glove to grab a cup of water for tactile sensing, and the mass of water can be directly estimated according to the outputs of the sensor array. Attributed to the integrated merits of good flexibility, enhanced piezoelectric performance, light weight, and efficient gas permeability, the developed tactile sensor could be widely used as wearable devices for robot execution end or prosthesis for tactile feedback.

Surface Wettability for Skin-Interfaced Sensors and Devices

The practical applications of skin-interfaced sensors and devices in daily life hinge on the rational design of surface wettability to maintain device integrity and achieve improved sensing performance under complex hydrated conditions. Various bio-inspired strategies have been implemented to engineer desired surface wettability for varying hydrated conditions. Although the bodily fluids can negatively affect the device performance, they also provide a rich reservoir of health-relevant information and sustained energy for next-generation stretchable self-powered devices. As a result, the design and manipulation of the surface wettability are critical to effectively control the liquid behavior on the device surface for enhanced performance. The sensors and devices with engineered surface wettability can collect and analyze health biomarkers while being minimally affected by bodily fluids or ambient humid environments. The energy harvesters also benefit from surface wettability design to achieve enhanced performance for powering on-body electronics. In this review, we first summarize the commonly used approaches to tune the surface wettability for target applications toward stretchable self-powered devices. By considering the existing challenges, we also discuss the opportunities as a small fraction of potential future developments, which can lead to a new class of skin-interfaced devices for use in digital health and personalized medicine.

Water-Saturated Ion Gel for Humidity-Independent High Precision Epidermal Ionic Temperature Sensor

Although ion gels are attractive sensing materials for deformable epidermal sensors or implantable devices, their sensing performances are highly affected by environmental humidity change, so that their sensing reliability cannot be secured. This study proposes a new concept of maintaining the high-precision temperature sensing performance of highly deformable ion gel sensors. In this approach, a hydrophobic ion gel sensing layer is kept water-saturated by attaching a hydrogel layer, rather than attempting to completely block water penetration. This study performs experimental and theoretical investigation on water concentration in the ion gel, using the analysis of mass transportation at the interface of the ion gel and the hydrogel. By using the charge relaxation time of the ionic molecules, the temperature sensor is not affected by environmental humidity in the extreme range of humidity (30%-100%). This study demonstrates a highly deformable on-skin temperature sensor which shows the same performance either in water or dry state and while exercising with large strains (ε = 50%).

A Bioinspired Artificial Injury Response System Based on a Robust Polymer Memristor to Mimic a Sense of Pain, Sign of Injury, and Healing

Flexible electronic skin with features that include sensing, processing, and responding to stimuli have transformed human-robot interactions. However, more advanced capabilities, such as human-like self-protection modalities with a sense of pain, sign of injury, and healing, are more challenging. Herein, a novel, flexible, and robust diffusive memristor based on a copolymer of chlorotrifluoroethylene and vinylidene fluoride (FK-800) as an artificial nociceptor (pain sensor) is reported. Devices composed of Ag/FK-800/Pt have outstanding switching endurance >106  cycles, orders of magnitude higher than any other two-terminal polymer/organic memristors in literature (typically 102 -103 cycles). In situ conductive atomic force microscopy is employed to dynamically switch individual filaments, which demonstrates that conductive filaments correlate with polymer grain boundaries and FK-800 has superior morphological stability under repeated switching cycles. It is hypothesized that the high thermal stability and high elasticity of FK-800 contribute to the stability under local Joule heating associated with electrical switching. To mimic biological nociceptors, four signature nociceptive characteristics are demonstrated: threshold triggering, no adaptation, relaxation, and sensitization. Lastly, by integrating a triboelectric generator (artificial mechanoreceptor), memristor (artificial nociceptor), and light emitting diode (artificial bruise), the first bioinspired injury response system capable of sensing pain, showing signs of injury, and healing, is demonstrated.

Advances in Soft and Dry Electrodes for Wearable Health Monitoring Devices

Electrophysiology signals are crucial health status indicators as they are related to all human activities. Current demands for mobile healthcare have driven considerable interest in developing skin-mounted electrodes for health monitoring. Silver-Silver chloride-based (Ag-/AgCl) wet electrodes, commonly used in conventional clinical practice, provide excellent signal quality, but cannot monitor long-term signals due to gel evaporation and skin irritation. Therefore, the focus has shifted to developing dry electrodes that can operate without gels and extra adhesives. Compared to conventional wet electrodes, dry ones offer various advantages in terms of ease of use, long-term stability, and biocompatibility. This review outlines a systematic summary of the latest research on high-performance soft and dry electrodes. In addition, we summarize recent developments in soft materials, biocompatible materials, manufacturing methods, strategies to promote physical adhesion, methods for higher breathability, and their applications in wearable biomedical devices. Finally, we discuss the developmental challenges and advantages of various dry electrodes, while suggesting research directions for future studies.

A New Class of Electronic Devices Based on Flexible Porous Substrates

With the advent of the Internet of Things era, the connection between electronic devices and humans is getting closer and closer. New-concept electronic devices including e-skins, nanogenerators, brain-machine interfaces, and implantable medical devices, can work on or inside human bodies, calling for wearing comfort, super flexibility, biodegradability, and stability under complex deformations. However, conventional electronics based on metal and plastic substrates cannot effectively meet these new application requirements. Therefore, a series of advanced electronic devices based on flexible porous substrates (e.g., paper, fabric, electrospun nanofibers, wood, and elastic polymer sponge) is being developed to address these challenges by virtue of their superior biocompatibility, breathability, deformability, and robustness. The porous structure of these substrates can not only improve device performance but also enable new functions, but due to their wide variety, choosing the right porous substrate is crucial for preparing high-performance electronics for specific applications. Herein, the properties of different flexible porous substrates are summarized and their basic principles of design, manufacture, and use are highlighted. Subsequently, various functionalization methods of these porous substrates are briefly introduced and compared. Then, the latest advances in flexible porous substrate-based electronics are demonstrated. Finally, the remaining challenges and future directions are discussed.

A Flexible Temperature Sensor for Noncontact Human-Machine Interaction

Flexible sensors have attracted extensive attention because of their promising applications in the fields of health monitoring, intelligent robots, and electronic skin, etc. During the COVID-19 epidemic, noncontact control of public equipment such as elevators, game consoles, and doors has become particularly important, as it can effectively reduce the risk of cross-infection. In this work, a noncontact flexible temperature sensor is prepared via a simple dip-drying progress, in which poly(3,4-ethylenedioxythiophene):poly(4-styrene sulfonate) (PEDOT:PSS) and printer paper served as the sensing material and the flexible substrate, respectively. We combined the highly sensitive temperature-responsive property of PEDOT:PSS with the good hygroscopicity of printer paper. The prepared sensor shows high sensitivity and good stability in noncontact sensing mode within the temperature range of 20-50 °C. To prove the practicability of the noncontact temperature sensor, a 3 × 2 sensing array is prepared as a noncontact human-machine interface to realize the interaction between player and "Pound-A-Mole game" and a Bluetooth car. These two demos show the sensor's ability to perceive nearby temperature changes, verifying its application potential as a noncontact human-machine interaction interface.

Breathable Strain/Temperature Sensor Based on Fibrous Networks of Ionogels Capable of Monitoring Human Motion, Respiration, and Proximity

Wearable strain and temperature sensors are desired for human-machine interfaces, health monitoring, and human motion monitoring. Herein, the fibrous mat with aligned nanofibers of ionic liquid (IL)/thermoplastic polyurethane (TPU) ionogels is fabricated via an electrospinning technique. The resultant fibrous mat is cut into a rectangle specimen and electrodes are loaded along the direction perpendicular to the nanofiber orientation to design a high-performance multimodal sensor based on an ionic conducting mechanism. As a strain sensor, the obtained sensor exhibits a wide strain working range (0-200%), a fast response and recovery (119 ms), a low detection limit (0.1%), and good reproducibility because of the reversible and deformable ionic conductive pathways of the sensor. Moreover, the sensor also exhibits excellent temperature-sensing behaviors, including a monotonic thermal response, high sensitivity (2.75% °C^-1), high accuracy (0.1 °C), a fast response time (2.46 s), and remarkable repeatability, attributable to the negative temperature coefficient behavior of the IL/TPU fibrous mat. More interestingly, the IL/TPU fibrous sensor possesses good breathability, which is desired for wearable electronics. Because of these excellent sensing capabilities in strain and temperature, the sensor can not only monitor tiny and large human motions but also detect respiration and proximity, exhibiting enormous potential in wearable electronics.

Sensors for Context-Aware Smart Healthcare: A Security Perspective

The advances in the miniaturisation of electronic devices and the deployment of cheaper and faster data networks have propelled environments augmented with contextual and real-time information, such as smart homes and smart cities. These context-aware environments have opened the door to numerous opportunities for providing added-value, accurate and personalised services to citizens. In particular, smart healthcare, regarded as the natural evolution of electronic health and mobile health, contributes to enhance medical services and people's welfare, while shortening waiting times and decreasing healthcare expenditure. However, the large number, variety and complexity of devices and systems involved in smart health systems involve a number of challenging considerations to be considered, particularly from security and privacy perspectives. To this aim, this article provides a thorough technical review on the deployment of secure smart health services, ranging from the very collection of sensors data (either related to the medical conditions of individuals or to their immediate context), the transmission of these data through wireless communication networks, to the final storage and analysis of such information in the appropriate health information systems. As a result, we provide practitioners with a comprehensive overview of the existing vulnerabilities and solutions in the technical side of smart healthcare.

E-Skin: The Dawn of a New Era of On-Body Monitoring Systems

Real-time "on-body" monitoring of human physiological signals through wearable systems developed on flexible substrates (e-skin) is the next target in human health control and prevention, while an alternative to bulky diagnostic devices routinely used in clinics. The present work summarizes the recent trends in the development of e-skin systems. Firstly, we revised the material development for e-skin systems. Secondly, aspects related to fabrication techniques were presented. Next, the main applications of e-skin systems in monitoring, such as temperature, pulse, and other bio-electric signals related to health status, were analyzed. Finally, aspects regarding the power supply and signal processing were discussed. The special features of e-skin as identified contribute clearly to the developing potential as in situ diagnostic tool for further implementation in clinical practice at patient personal levels.

Recent developments in sensors for wearable device applications

Wearable devices are a new means of human-computer interaction with different functions, underlying principles, and forms. They have been widely used in the medical and health fields, in applications including physiological signal monitoring; sports; and environmental detection, while subtly affecting people's lives and work. Wearable sensors as functional components of wearable devices have become a research focus. In this review, we systematically summarize recent progress in the development of wearable sensors and related devices. Wearable sensors in medical health applications, according to the principle of measurement, are divided into physical and chemical quantity detection. These sensors can monitor and measure specific parameters, thereby enabling continuously improvements in the quality and feasibility of medical treatment. Through the detection of human movement, such as breathing, heartbeat, or bending, wearable sensors can evaluate body movement and monitor an individual's physical performance and health status. Wearable devices detecting aspects of the environment while maintaining high adaptability to the human body can be used to evaluate environmental quality and obtain more accurate environmental information. The ultimate goal of this review is to provide new insights and directions for the future development and broader application of wearable devices in various fields.Graphical abstract.

A Thermal Skin Model for Comparing Contact Skin Temperature Sensors and Assessing Measurement Errors

To improve the measurement and subsequent use of human skin temperature (Tsk) data, there is a need for practical methods to compare Tsk sensors and to quantify and better understand measurement error. We sought to develop, evaluate, and utilize a skin model with skin-like thermal properties as a tool for benchtop Tsk sensor comparisons and assessments of local temperature disturbance and sensor bias over a range of surface temperatures. Inter-sensor comparisons performed on the model were compared to measurements performed in vivo, where 14 adult males completed an experimental session involving rest and cycling exercise. Three types of Tsk sensors (two of them commercially available and one custom made) were investigated. Skin-model-derived inter-sensor differences were similar (within ±0.4 °C) to the human trial when comparing the two commercial Tsk sensors, but not for the custom Tsk sensor. Using the skin model, all surface Tsk sensors caused a local temperature disturbance with the magnitude and direction dependent upon the sensor and attachment and linearly related to the surface-to-environment temperature gradient. Likewise, surface Tsk sensors also showed bias from both the underlying disturbed surface temperature and that same surface in its otherwise undisturbed state. This work supports the development and use of increasingly realistic benchtop skin models for practical Tsk sensor comparisons and for identifying potential measurement errors, both of which are important for future Tsk sensor design, characterization, correction, and end use.

A Conformable Two-Dimensional Resistance Temperature Detector for Measuring Average Skin Temperature

Thermoregulation research and various medical procedures are accomplished by manipulating skin temperature in a nonuniform pattern. Skin temperature monitoring is essential to assess conformance to protocol specifications and to prevent thermal injury. Existing solutions for skin temperature monitoring include single point sensors, such as thermocouples, and two-dimensional methods of sensing surface temperature, such as infrared thermography, and wearable technology. Single point sensors cannot detect the average temperature and consequently their measurements cannot be representative of average surface temperature in a nonuniform temperature field. Infrared thermography requires optical access, and existing ambulatory sensors may require complex manufacturing processes and impede the heat exchange with a source by including a structural substrate layer. Our solution is a two-dimensional resistance temperature detector (two-dimensional (2D) RTD) created by knitting copper magnet wire into custom shapes. The 2D RTDs were calibrated, compared to one-dimensional sensors and wearable sensors, and analyzed for hysteresis, repeatability, and surface area conformation. Resistance and temperature were correlated with an R² of 0.99. The 2D RTD proved to be a superior device for measuring average skin temperature over a defined area exposed to a nonuniform temperature boundary in the absence of optical access such as when a full body thermal control garment is worn.

High-Performance Foam-Shaped Strain Sensor Based on Carbon Nanotubes and Ti3C2Tx MXene for the Monitoring of Human Activities

The flexible strain sensor is of significant importance in wearable electronics, since it can help monitor the physical signals from the human body. Among various strain sensors, the foam-shaped ones have received widespread attention owing to their light weight and gas permeability. However, the working range of these sensors is still not large enough, and the sensitivity needs to be further improved. In this work, we develop a high-performance foam-shaped strain sensor composed of Ti₃C₂T_x MXene, multiwalled carbon nanotubes (MWCNTs), and thermoplastic polyurethane (TPU). MXene sheets are adsorbed on the surface of a composite foam of MWCNTs and TPU (referred to as TPU/MWCNTs foam), which is prefabricated by using a salt-templating method. The obtained TPU/MWCNTs@MXene foam works effectively as a lightweight, easily processable, and sensitive strain sensor. The TPU/MWCNTs@MXene device can deliver a wide working strain range of ∼100% and an outstanding sensitivity as high as 363 simultaneously, superior to the state-of-the-art foam-shaped strain sensors. Moreover, the composite foam shows an excellent gas permeability and suitable elastic modulus close to those of skin, indicating its being highly comfortable as a wearable sensor. Owing to these advantages, the sensor works effectively in detecting both subtle and large human movements, such as joint motion, finger motion, and vocal cord vibration. In addition, the sensor can be used for gesture recognition, demonstrating its perspective in human-machine interaction. Because of the high sensitivity, wide working range, gas permeability, and suitable modulus, our foam-shaped composite strain sensor may have great potential in the field of flexible and wearable electronics in the near future.

Flexible Hybrid Electronics for Monitoring Hypoxia

Hypoxia refers to insufficient oxygen amounts at the tissue level unable to maintain adequate homeostasis. Severe hypoxia may occur in the absence of subjective breathlessness due to respiratory failure. Precise monitoring of low blood oxygen saturation is crucially desired, catering to the clinical requirements. However, current pulse oximeters cannot function well in monitoring peripheral oxygen saturation limited by the weak peripheral blood circulation at a low oxygen level. In this work, we propose a flexible hybrid electronic (FHE) with a compact structure and high sensitivity for conveniently monitoring hypoxia. This FHE is composed of 10-µm thickness semiconductors with different materials, functionalities, and sizes. Its performance is demonstrated by monitoring arterial blood oxygen saturation (SaO₂) at the body's different arteries. The absolute error is less than 2% within a SaO₂ ranging from 99% to 63%. The efficient techniques presented in this work may bring light to the next-generation flexible hybrid electronics and provide potential widespread use in research and clinical applications, especially for emergency treatment.

Ultrasensitive, Stretchable, and Fast-Response Temperature Sensors Based on Hydrogel Films for Wearable Applications

Conductive hydrogels can be used in wearable electronics integrated with skin, but the bulk structure of existing hydrogel-based temperature sensors limits the wearing comfort, response/recovery speeds, and sensitivity. Here, stretchable and transparent temperature sensors based on a novel thin-film sandwich structure (TFSS) are designed, which display unprecedented thermal sensitivity (24.54%/°C), fast response time (0.19 s) and recovery time (0.08 s), a broad detection range (from -28 to 95.3 °C), high resolution (0.8 °C), and high stability. The thin hydrogel layer (12.15 μm) is encapsulated by two thin elastomer layers, which prevent the water evaporation and enhance the heat transfer, leading to the boosted stability and accelerated response/recovery speeds. The nondrying and antifreezing capabilities are further promoted by the hydratable lithium bromide (LiBr) incorporated in the hydrogel, enabling it to avoid dehydration in an extremely arid environment and freeze below subzero temperatures (freezing point below -120 °C). A comparative study reveals that the thermal sensitivity displayed by the TFSS sensor in capacitance mode is several times higher than that in conventional conductance/resistance mode above room temperature. Importantly, a new mechanism based on a horizontal plate capacitance model is proposed to understand the high sensitivity by considering the permittivity and geometry variations of TFSS. The thin TFSS, stretchability and transparency enable the sensor to be conformally and comfortably attached to human skin for real-time and reliable monitoring of various human motions, physical states, skin temperature, etc., without affecting the appearance.

Bioinspired design and assembly of a multilayer cage-shaped sensor capable of multistage load bearing and collapse prevention

Flexible bioinspired mesostructures and electronic devices have recently attracted intense attention because of their widespread application in microelectromechanical systems (MEMS), reconfigurable electronics, health-monitoring systems, etc. Among various geometric constructions, 3D flexible bioinspired architectures are of particular interest, since they can provide new functions and capabilities, compared to their 2D counterparts. However, 3D electronic device systems usually undergo complicated mechanical loading in practical operation, resulting in complex deformation modes and elusive failure mechanisms. The development of mechanically robust flexible 3D electronics that can undergo extreme compression without irreversible collapse or fracture remains a challenge. Here, inspired by the multilayer mesostructure of Enhydra lutris fur, we introduce the design and assembly of multilayer cage architectures capable of multistage load bearing and collapse prevention under large out-of-plane compression. Combined in situ experiments and mechanical modeling show that the multistage mechanical responses of the developed bionic architectures can be fine-tuned by tailoring the microstructural geometries. The integration of functional layers of gold and piezoelectric polymer allows the development of a flexible multifunctional sensor that can simultaneously achieve the dynamic sensing of compressive forces and temperatures. The demonstrated capabilities and performances of fast response speed, tunable measurement range, excellent flexibility, and reliability suggest potential uses in MEMS, robotics and biointegrated electronics.

Monitoring Body Fluids in Textiles: Combining Impedance and Thermal Principles in a Printed, Wearable, and Washable Sensor

This work explores the feasibility of coupling two different techniques, the impedance and the transient plane source (TPS) principle, to quantify the moisture content and its compositional parameters simultaneously. The sensor is realized directly on textiles with the use of printing and coating technology. Impedance measurements use the fluid's electrical properties, while the TPS measurements are based on the thermal effusivity of the liquid. Impedance and TPS measurements show equal competency in measuring the fluid volume with a lowest measurable quantity of 0.5 μL, enabling ultralow volume passive measurements for sweat analysis. Both sensor principles were tested by monitoring the drying of a wet cloth and the measurements show perfect repeatability and accuracy. Nevertheless, when the biofluid property changes, the TPS sensor does not reflect this information on its readings, whereas, on the other hand, impedance can provide information on compositional changes. However, since the volume of the fluid changes simultaneously, one cannot differentiate between a volume change and a compositional change from impedance measurements alone. Therefore, we show in this work that we can apply impedance to measure the compositional properties; meanwhile, the TPS measurements accurately carry out volume measurements irrespective of the interferences from its compositional variations. To prove this, both of these techniques are applied for the quantification and composition monitoring of sweat, showing the capability to measure moisture content and compositional parameters simultaneously. TPS measurements can also be an indicator of the local temperature of the medium confined by the sensor, and it does not influence the fluid parameters. Compiling both impedance and thermal sensors in a single platform triggers smart wearable prospects of metering the liquid volume and simultaneously analyzing other compositional changes and body temperature. Finally, the repeatability and stability of the sensor readings and the washability of the device are tested. This device could be a potential sensing tool in real-life applications, such as wound monitoring and sweat analysis, and could be a promising addition toward future smart wearable sensors.

Flexible Electronics and Healthcare Applications

Flexible electronics has attracted tremendous attention in recent years. The essential requirements for flexible electronics include excellent electrical properties, flexibility and stretchability. By introducing special structures or using flexible materials, electronic devices can be given excellent flexibility and stretchability. In this paper we review the realization of flexible electronics from the perspective of structural design strategies and materials; then, healthcare application of flexible electronic systems was introduced. Finally, a brief summary and outlook are presented.

Artificial multimodal receptors based on ion relaxation dynamics

Human skin has different types of tactile receptors that can distinguish various mechanical stimuli from temperature. We present a deformable artificial multimodal ionic receptor that can differentiate thermal and mechanical information without signal interference. Two variables are derived from the analysis of the ion relaxation dynamics: the charge relaxation time as a strain-insensitive intrinsic variable to measure absolute temperature and the normalized capacitance as a temperature-insensitive extrinsic variable to measure strain. The artificial receptor with a simple electrode-electrolyte-electrode structure simultaneously detects temperature and strain by measuring the variables at only two measurement frequencies. The human skin-like multimodal receptor array, called multimodal ion-electronic skin (IE^M-skin), provides real-time force directions and strain profiles in various tactile motions (shear, pinch, spread, torsion, and so on).

Wearable porous PDMS layer of high moisture permeability for skin trouble reduction

The present research proposes the present porous polydimethylsiloxane (PDMS) layer for the skin trouble reduced daily life skin attachable devices. The present research proposes the new pores forming method in the PDMS by crystallization and dissolution of the citric acid in the PDMS for fabricating high uniform and small size pores. The present porous PDMS layer (i) decreases the pore size 93.2%p and increases the pore size uniformity 425%p compared to the conventional porous PDMS layer of mixing sugars and PDMS; (ii) is able to be fabricated in the thickness of 21-101 µm by spin-coating; (iii) has the 2.2 times higher water vapor transmission rate (947 ± 10.8 g/day•m²) compared to the human skin water vapor transmission rate. The present porous PDMS layer reduces the skin trouble effectively by having the high water vapor permeability, therefore is applicable to the human daily-life skin attachable devices.

Nano Foldaway Skin-like E-interface for Detecting Human Bioelectrical Signals

Flexible electrodes applied to different positions of the human body to detect bioelectrical signals need to be conductive with respect to both the skin and the external circuit. However, electrodes fabricated with micromachining can only be made conductive on one side, which requires inserting connection wires, thus affecting skin adhesion and leading to a more fragile circuit on the soft substrate. This paper proposes an e-interface designed with an innovative folding transfer process, which can fold nanometer thick electrodes in a macroscopic way. Avoiding the difficulties of fabricating double layer as well as an insulation layer, the e-interface is not only skin-conformable for long-term wear but also provides a stable connecting pad for the subsequent circuit by its double-sided conductivity. The e-interface can be stretched to more than 25% of its original length and achieve electrical stability in the long-term signal acquisition. A responsive ECG signal is obtained by the e-interface, and the signal remains stable during exercise.

Highly Sensitive Flow Sensor Based on Flexible Dual-Layer Heating Structures

Hot film sensors detect the flow shear stress based on the forced convection heat transfer to the fluid. Current hot film sensors have been significantly hindered by the relatively low sensitivity due to the massive heat conduction to the substrate. This paper describes the design, fabrication, simulation, and testing of a novel flow sensor with dual-layer hot film structures. More specifically, the heat conduction was insulated from the sensing heater to the substrate by controlling both sensing and guarding heaters working at the same temperature, resulting in a higher sensitivity. The experiment and simulation results showed that the sensitivity of the dual-layer hot film sensor was significantly improved in comparison to the single-layer sensor. Additionally, the dual-layer sensor was designed and fabricated in an integrated, flexible, and miniaturized manner. Its small size makes it an excellent candidate for flow detection.

Printable, Highly Sensitive Flexible Temperature Sensors for Human Body Temperature Monitoring: A Review

In recent years, the development and research of flexible sensors have gradually deepened, and the performance of wearable, flexible devices for monitoring body temperature has also improved. For the human body, body temperature changes reflect much information about human health, and abnormal body temperature changes usually indicate poor health. Although body temperature is independent of the environment, the body surface temperature is easily affected by the surrounding environment, bringing challenges to body temperature monitoring equipment. To achieve real-time and sensitive detection of various parts temperature of the human body, researchers have developed many different types of high-sensitivity flexible temperature sensors, perfecting the function of electronic skin, and also proposed many practical applications. This article reviews the current research status of highly sensitive patterned flexible temperature sensors used to monitor body temperature changes. First, commonly used substrates and active materials for flexible temperature sensors have been summarized. Second, patterned fabricating methods and processes of flexible temperature sensors are introduced. Then, flexible temperature sensing performance are comprehensively discussed, including temperature measurement range, sensitivity, response time, temperature resolution. Finally, the application of flexible temperature sensors based on highly delicate patterning are demonstrated, and the future challenges of flexible temperature sensors have prospected.

Fabrication of fluorescent pH-responsive protein-textile composites

Wearable pH sensors are useful tools in the healthcare and fitness industries, allowing consumers to access information related to their health in a convenient manner via the monitoring of body fluids. In this work, we tailored novel protein-textile composites to fluorescently respond to changing pH. To do so, we used amyloid curli fibers, a key component in the extracellular matrix of Escherichia coli, as genetic scaffold to fuse a pH-responsive fluorescent protein, pHuji. Engineered amyloids form macroscopic and environmentally resistant aggregates that we isolated to use as stand-alone hydrogel-based sensors, and that we trapped within textile matrices to create responsive bio-composites. We showed that these composites were mechanically robust and vapor-permeable, thus exhibiting favorable characteristics for wearable platforms. CsgA-pHuji fibers integrated in the textile allowed the final device to respond to pH changes and distinguish between alkaline and acidic solutions. We demonstrated that the resulting composites could sustain their fluorescence response over days, and that their sensing ability was reversible for at least 10 high/low pH cycles, highlighting their potential for continuous monitoring. Overall, we introduced a biosynthesized amyloid-based textile composite that could be used as biosensing patch for a variety of applications in the smart textile industry.

Stretchable respiration sensors: Advanced designs and multifunctional platforms for wearable physiological monitoring

Respiration signals are a vital sign of life. Monitoring human breath provides critical information for health assessment, diagnosis, and treatment for respiratory diseases such as asthma, chronic bronchitis, and emphysema. Stretchable and wearable respiration sensors have recently attracted considerable interest toward monitoring physiological signals in the era of real time and portable healthcare systems. This review provides a snapshot on the recent development of stretchable sensors and wearable technologies for respiration monitoring. The article offers the fundamental guideline on the sensing mechanisms and design concepts of stretchable sensors for detecting vital breath signals such as temperature, humidity, airflow, stress and strain. A highlight on the recent progress in the integration of variable sensing components outlines feasible pathways towards multifunctional and multimodal sensor platforms. Structural designs of nanomaterials and platforms for stretchable respiration sensors are reviewed.

Ultrasensitive and Stretchable Temperature Sensors Based on Thermally Stable and Self-Healing Organohydrogels

It is essential to impart the thermal stability, high sensitivity, self-healing, and transparent attributes to the emerging wearable and stretchable electronics. Here, a facile solvent replacement strategy is exploited to introduce ethylene glycol/glycerol (Gly) in hydrogels for enhancing their thermal sensitivity and stability synchronously. For the first time, we find that the solvent plays a key role in the thermal sensitivity of hydrogels. By adjusting the water content in hydrogels using a simple dehydration treatment, the thermal sensitivity is raised to 13.1%/°C. Thanks to the ionic transport property and water-Gly binary solvent, the organohydrogel achieves an unprecedented thermal sensitivity of 19.6%/°C, which is much higher than those of previously reported stretchable thermistors. The mechanism for the thermal response is revealed by considering the thermally activated ion mobility and dissociation. The stretchable thermistors are conformally attached on curved surfaces for the practical monitoring of minute temperature change. Notably, the uncovered Gly-organohydrogel avoids drying and freezing at 70 and -18 °C, respectively, reflecting the excellent antidrying and antifreezing attributes. In addition, the organohydrogel displays ultrahigh stretchability (1103% strain), self-healing ability, and high transparency. This work sheds light on fabricating ultrasensitive and stretchable temperature sensors with excellent thermal stability by modulating the solvent of hydrogels.

Material-Based Approaches for the Fabrication of Stretchable Electronics

Stretchable electronics are mechanically compatible with a variety of objects, especially with the soft curvilinear contours of the human body, enabling human-friendly electronics applications that could not be achieved with conventional rigid electronics. Therefore, extensive research effort has been devoted to the development of stretchable electronics, from research on materials and unit device, to fully integrated systems. In particular, material-processing technologies that encompass the synthesis, assembly, and patterning of intrinsically stretchable electronic materials have been actively investigated and have provided many notable breakthroughs for the advancement of stretchable electronics. Here, the latest studies of such material-based approaches are reviewed, mainly focusing on intrinsically stretchable electronic nanocomposites that generally consist of conducting/semiconducting filler materials inside or on elastomer backbone matrices. Various approaches for fabricating these intrinsically stretchable electronic materials are presented, including the blending of electronic fillers into elastomer matrices, the formation of bi-layered heterogeneous electronic-layer and elastomer support-layer structures, and modifications to polymeric molecular structures in order to impart stretchability. Detailed descriptions of the various conducting/semiconducting composites prepared by each method are provided, along with their electrical/mechanical properties and examples of device applications. To conclude, a brief future outlook is presented.

Flexible Hybrid Electronics for Digital Healthcare

Recent advances in material innovation and structural design provide routes to flexible hybrid electronics that can combine the high-performance electrical properties of conventional wafer-based electronics with the ability to be stretched, bent, and twisted to arbitrary shapes, revolutionizing the transformation of traditional healthcare to digital healthcare. Here, material innovation and structural design for the preparation of flexible hybrid electronics are reviewed, a brief chronology of these advances is given, and biomedical applications in bioelectrical monitoring and stimulation, optical monitoring and treatment, acoustic imitation and monitoring, bionic touch, and body-fluid testing are described. In conclusion, some remarks on the challenges for future research of flexible hybrid electronics are presented.