Multifunctional Wearable Sensing Devices Based on Functionalized Graphene Films for Simultaneous Monitoring of Physiological Signals and Volatile Organic Compound Biomarkers

Exhaled Breath Analysis: From Laboratory Test to Wearable Sensing

Breath analysis and monitoring have emerged as pivotal components in both clinical research and daily health management, particularly in addressing the global health challenges posed by respiratory and metabolic disorders. The advancement of breath analysis strategies necessitates a multidisciplinary approach, seamlessly integrating expertise from medicine, biology, engineering, and materials science. Recent innovations in laboratory methodologies and wearable sensing technologies have ushered in an era of precise, real-time, and in situ breath analysis and monitoring. This comprehensive review elucidates the physical and chemical aspects of breath analysis, encompassing respiratory parameters and both volatile and non-volatile constituents. It emphasizes their physiological and clinical significance, while also exploring cutting-edge laboratory testing techniques and state-of-the-art wearable devices. Furthermore, the review delves into the application of sophisticated data processing technologies in the burgeoning field of breathomics and examines the potential of breath control in human-machine interaction paradigms. Additionally, it provides insights into the challenges of translating innovative laboratory and wearable concepts into mainstream clinical and daily practice. Continued innovation and interdisciplinary collaboration will drive progress in breath analysis, potentially revolutionizing personalized medicine through entirely non-invasive breath methodology.

Elastomeric Sensor-Triboelectric Nanogenerator Coupled System for Multimodal Strain Sensing and Organic Vapor Detection

Stretchable, flexible sensors are one of the most critical components of smart wearable electronics and Internet of Things (IoT), thereby attracting multipronged research interest in the last decades. Following miniaturization and multicomponent development of several sensors in one could further propel the demand for wireless, multimodal platforms. Greener substitutes to conventional sensors that can operate in a self-powered configuration are highly desirable in terms of all-in-one sensor utilities. However, fabrication of composite-based ultrastretchable, self-powered sensors with multifunctionality, robustness, and conformability is still only partially achieved and, therefore, demands further investigation. In this work, we report a triboelectric nanogenerator (TENG)-based multifunctional strain and organic vapor sensor using cross-linked ethylene propylene diene monomer (EPDM) elastomer and conducting carbon black as active fillers in the presence of an ionic liquid. The resulting piezoresistive sensor demonstrates ultrahigh gauge factor (GF > 220k) and wide range strain sensitivity and is, therefore, suitable for subtle-to-high frequency motion detection devices. Supported by excellent triboelectric outputs (force sensitivity 0.5 V/N in the range of 50-300 N, maximum output voltage VOC ∼ 178 V, short circuit current ISC ∼ 18 μA, maximum power density 0.11 mW/cm2), the hybrid sensors offer remarkable mechanical toughness and seamless voltage generation under contact-separation, even after several thousand cycles of operations. Furthermore, the sensor substrates exhibited reproducible organic vapor-sensing behavior, with high responsivity of 1.92 and 1 for ethanol and acetone, respectively, under flowing vapor conditions. This work lays a strong foundation for developing a truly multimodal, TENG-based, self-powered organic vapor and strain sensors.

From lab to wearables: Innovations in multifunctional hydrogel chemistry for next-generation bioelectronic devices

Functional hydrogels have emerged as foundational materials in diagnostics, therapy, and wearable devices, owing to their high stretchability, flexibility, sensing, and outstanding biocompatibility. Their significance stems from their resemblance to biological tissue and their exceptional versatility in electrical, mechanical, and biofunctional engineering, positioning themselves as a bridge between living organisms and electronic systems, paving the way for the development of highly compatible, efficient, and stable interfaces. These multifaceted capability revolutionizes the essence of hydrogel-based wearable devices, distinguishing them from conventional biomedical devices in real-world practical applications. In this comprehensive review, we first discuss the fundamental chemistry of hydrogels, elucidating their distinct properties and functionalities. Subsequently, we examine the applications of these bioelectronics within the human body, unveiling their transformative potential in diagnostics, therapy, and human-machine interfaces (HMI) in real wearable bioelectronics. This exploration serves as a scientific compass for researchers navigating the interdisciplinary landscape of chemistry, materials science, and bioelectronics.

Innovative Wearable Sweat Sensor Array for Real-Time Volatile Organic Compound Detection in Noninvasive Diabetes Monitoring

Wearable sweat sensors are reshaping healthcare monitoring, providing real-time data on hydration and electrolyte levels with user-friendly, noninvasive devices. This paper introduces a highly portable two-channel microfluidic device for simultaneous sweat sampling and the real-time detection of volatile organic compound (VOC) biomarkers. This innovative wearable microfluidic system is tailored for monitoring diabetes through the continuous and noninvasive tracking of acetone and ammonia VOCs, and it seamlessly integrates with smartphones for easy data management. The core of this system lies in the utilization of carbon polymer dots (CPDs) and carbon dots (CDs) derived from monomers such as catechol, resorcinol, o-phenylenediamine, urea, and citric acid. These dots are seamlessly integrated into hydrogels made from gelatin and poly(vinyl alcohol), resulting in an advanced solid-state fluorometric sensor coating on a cellulose paper substrate. These sensors exhibit exceptional performance, offering linear detection ranges of 0.05-0.15 ppm for acetone and 0.25-0.37 ppm for ammonia, with notably low detection limits of 0.01 and 0.08 ppm, respectively. Rigorous optimization of operational parameters, encompassing the temperature, sample volume, and assay time, has been undertaken to maximize device performance. Furthermore, these sensors demonstrate impressive selectivity, effectively discerning between biologically similar substances and other potential compounds commonly present in sweat. As this field matures, the prospect of cost-effective, continuous, personalized health monitoring through wearable VOC sensors holds significant potential for overcoming barriers to comprehensive medical care in underserved regions. This highlights the transformative capacity of wearable VOC sweat sensing in ensuring equitable access to advanced healthcare diagnostics, particularly in remote or geographically isolated areas.

Nanocarbon-based sensors for the structural health monitoring of smart biocomposites

Structural health monitoring (SHM) is a critical aspect of ensuring the safety and durability of smart biocomposite materials used as multifunctional materials. Smart biocomposites are composed of renewable or biodegradable materials and have emerged as eco-friendly alternatives of traditional non-biodegradable glass fiber-based composite materials. Although biocomposites exhibit fascinating properties and many desirable traits, real-time and early stage SHM is the most challenging issue to enable their long-term use. Smart biocomposites are integrated with sensors for in situ identification of the progress of damage and composite failure. The sensitivity of such smart biocomposites is a key functionality, which can be tuned by the introduction of an appropriate filler. In particular, nanocarbons hold promising potential to be incorporated in SHM applications of biocomposites. This review focused on the potential applications of nanocarbons in SHM of biocomposites. The aspects related to fabrication techniques and working mechanism of sensors are comprehensively discussed. Furthermore, their unique mechanical and electrical properties and sustainable nature ensure seamless integration into biocomposites, allowing for real-time monitoring without compromising the material's properties. These sensors offer multi-parameter sensing capabilities, such as strain, pressure, humidity, temperature, and chemical exposure, allowing a comprehensive assessment of biocomposite health. Additionally, their durability and longevity in harsh conditions, along with wireless connectivity options, provide cost-effective and sustainable SHM solutions. As research in this field advances, ongoing efforts seek to enhance the sensitivity and selectivity of these sensors, optimizing their performance for real-world applications. This review highlights the significant advances, ongoing efforts to enhance the sensitivity and selectivity, and performance optimization of nanocarbon-based sensors along with their working mechanism in the field of SHM for smart biocomposites. The key challenges and future research perspectives facing the conversion of nanocarbons to smart biocomposites are also displayed.

A Short Overview on Graphene and Graphene-Related Materials for Electrochemical Gas Sensing

The development of new and high-performing electrode materials for sensing applications is one of the most intriguing and challenging research fields. There are several ways to approach this matter, but the use of nanostructured surfaces is among the most promising and highest performing. Graphene and graphene-related materials have contributed to spreading nanoscience across several fields in which the combination of morphological and electronic properties exploit their outstanding electrochemical properties. In this review, we discuss the use of graphene and graphene-like materials to produce gas sensors, highlighting the most relevant and new advancements in the field, with a particular focus on the interaction between the gases and the materials.

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.

Recent Progress in Sensor Arrays: From Construction Principles of Sensing Elements to Applications

The traditional sensors are designed based on the "lock-and-key" strategy with high selectivity and specificity for detecting specific analytes, which however are not suitable for detecting multiple analytes simultaneously. With the help of pattern recognition technologies, the sensor arrays excel in distinguishing subtle changes caused by multitarget analytes with similar structures in a complex system. To construct a sensor array, the multiple sensing elements are undoubtedly indispensable units that will selectively interact with targets to generate the unique "fingerprints" based on the distinct responses, enabling the identification among various analytes through pattern recognition methods. This comprehensive review mainly focuses on the construction strategies and principles of sensing elements, as well as the applications of sensor array for identification and detection of target analytes in a wide range of fields. Furthermore, the present challenges and further perspectives of sensor arrays are discussed in detail.

Shear-Thickening Covalent Adaptive Networks for Bifunctional Impact-Protective and Post-Tunable Tactile Sensors

Shear-thickening materials have been widely applied in fields related to smart impact protection due to their ability to absorb large amounts of energy during sudden shock. Shear-thickening materials with multifunctional properties are expanding their applications in wearable electronics, where tactile sensors require interconnected networks. However, current bifunctional shear-thickening cross-linked polymer materials depend on supramolecular networks or slightly dynamic covalently cross-linked networks, which usually exhibit lower energy-absorption density than the highly dynamic covalently cross-linked networks. Herein, we employed boric ester-based covalent adaptive networks (CANs) to elucidate the shear-thickening property and the mechanism of energy dissipation during sudden shock. Guided by the enhanced energy-absorption capability of double networks and the requirements of the conductive networks for the wearable tactile sensors, tungsten powders (W) were incorporated into the boric ester polymer matrix to form a second network. The W networks make the materials stiffer, with a 13-fold increase in Young's modulus. Additionally, the energy-absorption capacity increased nearly 7 times. Finally, we applied these excellent energy-absorbing and conductive materials to bifunctional shock-protective and strain rate-dependent tactile sensors. Considering the self-healable and recyclable properties, we believe that these anti-impact and tactile sensing materials will be of great interest in wearable devices, smart impact-protective systems, post-tunable materials, etc.

Applications of Smart Material Sensors and Soft Electronics in Healthcare Wearables for Better User Compliance

The need for innovation in the healthcare sector is essential to meet the demand of a rapidly growing population and the advent of progressive chronic ailments. Over the last decade, real-time monitoring of health conditions has been prioritized for accurate clinical diagnosis and access to accelerated treatment options. Therefore, the demand for wearable biosensing modules for preventive and monitoring purposes has been increasing over the last decade. Application of machine learning, big data analysis, neural networks, and artificial intelligence for precision and various power-saving approaches are used to increase the reliability and acceptance of smart wearables. However, user compliance and ergonomics are key areas that need focus to make the wearables mainstream. Much can be achieved through the incorporation of smart materials and soft electronics. Though skin-friendly wearable devices have been highlighted recently for their multifunctional abilities, a detailed discussion on the integration of smart materials for higher user compliance is still missing. In this review, we have discussed the principles and applications of sustainable smart material sensors and soft electronics for better ergonomics and increased user compliance in various healthcare devices. Moreover, the importance of nanomaterials and nanotechnology is discussed in the development of smart wearables.

Machine Learning-Assisted Multifunctional Environmental Sensing Based on a Piezoelectric Cantilever

Multifunctional environmental sensing is crucial for various applications in agriculture, pollution monitoring, and disease diagnosis. However, most of these sensing systems consist of multiple sensors, leading to significantly increased dimensions, energy consumption, and structural complexity. They also often suffer from signal interferences among multiple sensing elements. Herein, we report a multifunctional environmental sensor based on one single sensing element. A MoS₂ film was deposited on the surface of a piezoelectric microcantilever (300 × 1000 μm²) and used as both a sensing layer and top electrode to make full use of the changes in multiple properties of MoS₂ after its exposure to various environments. The proposed sensor has been demonstrated for humidity detection and achieved high resolution (0.3% RH), low hysteresis (5.6%), and fast response (1 s) and recovery (2.8 s). Based on the analysis of the magnitude spectra for transmission using machine learning algorithms, the sensor accurately quantifies temperatures and CO₂ concentrations in the interference of humidity with accuracies of 91.9 and 92.1%, respectively. Furthermore, the sensor has been successfully demonstrated for real-time detection of humidity and temperature or CO₂ concentrations for various applications, revealing its great potential in human-machine interactions and health monitoring of plants and human beings.

The Progress of Research into Flexible Sensors in the Field of Smart Wearables

In modern society, technology associated with smart sensors made from flexible materials is rapidly evolving. As a core component in the field of wearable smart devices (or 'smart wearables'), flexible sensors have the advantages of excellent flexibility, ductility, free folding properties, and more. When choosing materials for the development of sensors, reduced weight, elasticity, and wearer's convenience are considered as advantages, and are suitable for electronic skin, monitoring of health-related issues, biomedicine, human-computer interactions, and other fields of biotechnology. The idea behind wearable sensory devices is to enable their easy integration into everyday life. This review discusses the concepts of sensory mechanism, detected object, and contact form of flexible sensors, and expounds the preparation materials and their applicability. This is with the purpose of providing a reference for the further development of flexible sensors suitable for wearable devices.

The era of nano-bionic: 2D materials for wearable and implantable body sensors

Nano-bionics have the potential of revolutionizing modern medicine. Among nano-bionic devices, body sensors allow to monitor in real-time the health of patients, to achieve personalized medicine, and even to restore or enhance human functions. The advent of two-dimensional (2D) materials is facilitating the manufacturing of miniaturized and ultrathin bioelectronics, that can be easily integrated in the human body. Their unique electronic properties allow to efficiently transduce physical and chemical stimuli into electric current. Their flexibility and nanometric thickness facilitate the adaption and adhesion to human body. The low opacity permits to obtain transparent devices. The good cellular adhesion and reduced cytotoxicity are advantageous for the integration of the devices in vivo. Herein we review the latest and more significant examples of 2D material-based sensors for health monitoring, describing their architectures, sensing mechanisms, advantages and, as well, the challenges and drawbacks that hampers their translation into commercial clinical devices.

Recent Advances in Intelligent Wearable Medical Devices Integrating Biosensing and Drug Delivery

The primary roles of precision medicine are to perform real-time examination, administer on-demand medication, and apply instruments continuously. However, most current therapeutic systems implement these processes separately, leading to treatment interruption and limited recovery in patients. Personalized healthcare and smart medical treatment have greatly promoted research on and development of biosensing and drug-delivery integrated systems, with intelligent wearable medical devices (IWMDs) as typical systems, which have received increasing attention because of their non-invasive and customizable nature. Here, the latest progress in research on IWMDs is reviewed, including their mechanisms of integrating biosensing and on-demand drug delivery. The current challenges and future development directions of IWMDs are also discussed.

Advanced wearable biosensors for the detection of body fluids and exhaled breath by graphene

Given the huge economic burden caused by chronic and acute diseases on human beings, it is an urgent requirement of a cost-effective diagnosis and monitoring process to treat and cure the disease in their preliminary stage to avoid severe complications. Wearable biosensors have been developed by using numerous materials for non-invasive, wireless, and consistent human health monitoring. Graphene, a 2D nanomaterial, has received considerable attention for the development of wearable biosensors due to its outstanding physical, chemical, and structural properties. Moreover, the extremely flexible, foldable, and biocompatible nature of graphene provide a wide scope for developing wearable biosensor devices. Therefore, graphene and its derivatives could be trending materials to fabricate wearable biosensor devices for remote human health management in the near future. Various biofluids and exhaled breath contain many relevant biomarkers which can be exploited by wearable biosensors non-invasively to identify diseases. In this article, we have discussed various methodologies and strategies for synthesizing and pattering graphene. Furthermore, general sensing mechanism of biosensors, and graphene-based biosensing devices for tear, sweat, interstitial fluid (ISF), saliva, and exhaled breath have also been explored and discussed thoroughly. Finally, current challenges and future prospective of graphene-based wearable biosensors have been evaluated with conclusion. Graphene is a promising 2D material for the development of wearable sensors. Various biofluids (sweat, tears, saliva and ISF) and exhaled breath contains many relevant biomarkers which facilitate in identify diseases. Biosensor is made up of biological recognition element such as enzyme, antibody, nucleic acid, hormone, organelle, or complete cell and physical (transducer, amplifier), provide fast response without causing organ harm.

Sensors for Volatile Organic Compounds

This paper provides an overview of recent developments in the field of volatile organic compound (VOC) sensors, which are finding uses in healthcare, safety, environmental monitoring, food and agriculture, oil industry, and other fields. It starts by briefly explaining the basics of VOC sensing and reviewing the currently available and quickly progressing VOC sensing approaches. It then discusses the main trends in materials' design with special attention to nanostructuring and nanohybridization. Emerging sensing materials and strategies are highlighted and their involvement in the different types of sensing technologies is discussed, including optical, electrical, and gravimetric sensors. The review also provides detailed discussions about the main limitations of the field and offers potential solutions. The status of the field and suggestions of promising directions for future development are summarized.

Graphene-based temperature, humidity, and strain sensor: A review on progress, characterization, and potential applications during Covid-19 pandemic

Graphene's potential as material for wearable, highly sensitive and robust sensor in various fields of technology has been widely investigated until now in order to capitalize on its unique intrinsic physical and chemical properties. In the wake of Covid-19 pandemic, it has been noticed that there are various potentials roles that can be fulfilled by graphene-based temperature, humidity and strain sensor, whose roles has not been widely explored to date. This paper takes the liberty to mainly highlight the progress layout and characterization technique for graphene-based sensor while including a brief discussion on the possible strategy of sensing data analysis that can be employed to minimize and prevent the risk of Covid-19 infection within a living community. While majority of the reported sensor is still in the in-progress status, its highlighted role in this work may provide a brief idea on how the ongoing research in graphene-based sensor may lead to the future implementation of the device for routine healthcare check-up and diagnostic point-care during and post-pandemic era. On the other hand, the sensitivity and response time data against working temperature, humidity and strain range that are provided could serve as a reference for benchmarking purpose, which certainly would help enthusiast in the development of a graphene-based sensor with a better performance for the future.

Surface-enhanced Raman spectroscopy detection of organic molecules and in situ monitoring of organic reactions by ion-induced silver nanoparticle clusters

Surface-enhanced Raman spectroscopy (SERS) finds wide applications in the field of organic molecule detection. However, reliable SERS detection of organic molecules and in situ monitoring of organic reactions under natural conditions by metal colloids are still challenging due to the formation of unstable nanoparticle clusters in solution and the low solubility of the organic molecules. Here, we approach the problems by introducing calcium ions to aggregate silver nanoparticles to form stable hot spots and acetone to promote uniform distribution of organic molecules on the nanoparticle surface. Significantly, our method exhibits stable SERS detection of up to 6 types of organic molecules in liquid. With acetone signals as an internal standard, we are able to determine molecule concentrations as well as monitor 3 kinds of organic reactions in situ. Our method shows potential for biomedical analysis, environmental analysis, and organic catalysis research.

Highly sensitive gas sensor based on a parity-time-symmetric system

Achieving extremely high sensitivity is an important indicator in the development of novel and stable gas concentration sensors. In this paper, we present a gas concentration sensor with parity-time symmetry for high sensitivity at low concentrations. The proposed sensor can detect toxic gases, such as benzene, bromine, and acetone, by probing the faint changing of the permittivity. Furthermore, the level of the sensitivity can be adjusted by the resistance segment, which is realized by various metallic formations. Our proposed structure provides a novel idea for the development of future gas concentration sensors, showing an exciting prospect for gas sensing technologies.

Nanofiber-Based Substrate for a Triboelectric Nanogenerator: High-Performance Flexible Energy Fiber Mats

Flexible and stretchable triboelectric nanogenerators (TENGs) are the next-generation systems for wearable and portable electronics. In this study, we have demonstrated an all nanofiber-based TENG for energy harvesting and biomechanical sensing applications. The TENG was prepared using the Forcespinning (FS) method to produce poly(vinylidene fluoride) (PVDF) and thermoplastic polyurethane (TPU) nanofiber (NF) membranes. The TPU nanofiber membranes were interfaced with a homogeneously sputtered gold nanofilm. The experimental characterization of the PVDF-TPU/Au NF-TENG revealed that surface interfaced with dispersed gold in a TPU fiber membrane produced a maximum open-circuit voltage of 254 V and a short-circuit current of 86 μA output at a 240 bpm load frequency, which was, respectively, 112 and 87% greater than bare PVDF-TPU NF-based TENG. All systems were composed of an active contact surface area of 3.2 × 2.5 cm². Furthermore, the TENG was able to light up 75 LEDs (1.5 V of each) by the hand-tapping motion. The resistive load and capacitor test results exemplified a TENG offering a simple and high-performance self-chargeable device. Furthermore, we have tested the TENG's response for biomechanical movements at different frequencies, suggesting the TENG's potential to be also used as a cost-effective self-powered flexible body motion sensor.

Flexible Impedimetric Electronic Nose for High-Accurate Determination of Individual Volatile Organic Compounds by Tuning the Graphene Sensitive Properties

We investigated functionalized graphene materials to create highly sensitive sensors for volatile organic compounds (VOCs) such as formaldehyde, methanol, ethanol, acetone, and isopropanol. First, we prepared VOC-sensitive films consisting of mechanically exfoliated graphene (eG) and chemical graphene oxide (GO), which have different concentrations of structural defects. We deposited the films on silver interdigitated electrodes on Kapton substrate and submitted them to thermal treatment. Next, we measured the sensitive properties of the resulting sensors towards specific VOCs by impedance spectroscopy. We obtained the eG- and GO-based electronic nose composed of two eG films- and four GO film-based sensors with variable sensitivity to individual VOCs. The smallest relative change in impedance was 5% for the sensor based on eG film annealed at 180 °C toward 10 ppm formaldehyde, whereas the highest relative change was 257% for the sensor based on two-layers deposited GO film annealed at 200 °C toward 80 ppm ethanol. At 10 ppm VOC, the GO film-based sensors were sensitive enough to distinguish between individual VOCs, which implied excellent selectivity, as confirmed by Principle Component Analysis (PCA). According to a PCA-Support Vector Machine-based signal processing method, the electronic nose provided identification accuracy of 100% for individual VOCs. The proposed electronic nose can be used to detect multiple VOCs selectively because each sensor is sensitive to VOCs and has significant cross-selectivity to others.

Exhaled Breath Analysis for Diabetes Diagnosis and Monitoring: Relevance, Challenges and Possibilities

With the global population prevalence of diabetes surpassing 463 million cases in 2019 and diabetes leading to millions of deaths each year, there is a critical need for feasible, rapid, and non-invasive methodologies for continuous blood glucose monitoring in contrast to the current procedures that are either invasive, complicated, or expensive. Breath analysis is a viable methodology for non-invasive diabetes management owing to its potential for multiple disease diagnoses, the nominal requirement of sample processing, and immense sample accessibility; however, the development of functional commercial sensors is challenging due to the low concentration of volatile organic compounds (VOCs) present in exhaled breath and the confounding factors influencing the exhaled breath profile. Given the complexity of the topic and the skyrocketing spread of diabetes, a multifarious review of exhaled breath analysis for diabetes monitoring is essential to track the technological progress in the field and comprehend the obstacles in developing a breath analysis-based diabetes management system. In this review, we consolidate the relevance of exhaled breath analysis through a critical assessment of current technologies and recent advancements in sensing methods to address the shortcomings associated with blood glucose monitoring. We provide a detailed assessment of the intricacies involved in the development of non-invasive diabetes monitoring devices. In addition, we spotlight the need to consider breath biomarker clusters as opposed to standalone biomarkers for the clinical applicability of exhaled breath monitoring. We present potential VOC clusters suitable for diabetes management and highlight the recent buildout of breath sensing methodologies, focusing on novel sensing materials and transduction mechanisms. Finally, we portray a multifaceted comparison of exhaled breath analysis for diabetes monitoring and highlight remaining challenges on the path to realizing breath analysis as a non-invasive healthcare approach.

Pristine graphene covalent functionalization with aromatic aziridines and their application in the sensing of volatile amines - an ab initio investigation

Food quality is of paramount importance for public health safety. For instance, fish freshness can be assessed by sensing the volatile short chain alkylamines produced by spoiled fish. Functionalized graphene is a good candidate for the design of gas sensors for such compounds and therefore of interest as the basic material in food quality sensor devices. To shed theoretical insight in this direction, in the present work we investigate via first-principles density functional theory (DFT) simulations: (i) graphene functionalization via aziridine appendages and (ii) the adsorption of short chain alkylamines (methylamine MA, dimethylamine DMA, and trimethylamine TMA) on the chemically functionalized graphene sheets. Optimal geometries, adsorption energies, and projected density of states (PDOS) are computed using a DFT method. We show that nitrene reactive intermediates, formed by thermal or photo splitting of arylazides - p-carboxyphenyl azide (1a), p-carboxyperfluorophenyl azide (1b), and p-nitrophenyl azide (1c) - react with graphene to yield functionalized derivatives, with reaction energies >-1.0 eV and barriers of the order of 2.0 eV, and open a ∼0.3 to 0.5 eV band gap which is in principle apt for applications in sensing and electronic devices. The interaction between the amines and functionalized graphene, as demonstrated from the calculations of charge density differences showing regions of charge gain and others of charge depletion between the involved groups, occurs through hydrogen bonding with interaction energies ranging from -0.04 eV to -0.76 eV, and induce charge differences in the system, which in the case of p-carboxyperfluorophenyl azide (1b) are sizeable enough to be experimentally observable in sensing.

Advanced Soft Materials, Sensor Integrations, and Applications of Wearable Flexible Hybrid Electronics in Healthcare, Energy, and Environment

Recent advances in soft materials and system integration technologies have provided a unique opportunity to design various types of wearable flexible hybrid electronics (WFHE) for advanced human healthcare and human-machine interfaces. The hybrid integration of soft and biocompatible materials with miniaturized wireless wearable systems is undoubtedly an attractive prospect in the sense that the successful device performance requires high degrees of mechanical flexibility, sensing capability, and user-friendly simplicity. Here, the most up-to-date materials, sensors, and system-packaging technologies to develop advanced WFHE are provided. Details of mechanical, electrical, physicochemical, and biocompatible properties are discussed with integrated sensor applications in healthcare, energy, and environment. In addition, limitations of the current materials are discussed, as well as key challenges and the future direction of WFHE. Collectively, an all-inclusive review of the newly developed WFHE along with a summary of imperative requirements of material properties, sensor capabilities, electronics performance, and skin integrations is provided.

Wearable Electronics Based on 2D Materials for Human Physiological Information Detection

Recently, advancement in materials production, device fabrication, and flexible circuit has led to the huge prosperity of wearable electronics for human healthcare monitoring and medical diagnosis. Particularly, with the emergence of 2D materials many merits including light weight, high stretchability, excellent biocompatibility, and high performance are used for those potential applications. Thus, it is urgent to review the wearable electronics based on 2D materials for the detection of various human signals. In this work, the typical graphene-based materials, transition-metal dichalcogenides, and transition metal carbides or carbonitrides used for the wearable electronics are discussed. To well understand the human physiological information, it is divided into two dominated categories, namely, the human physical and the human chemical signals. The monitoring of body temperature, electrograms, subtle signals, and limb motions is described for the physical signals while the detection of body fluid including sweat, breathing gas, and saliva is reviewed for the chemical signals. Recent progress and development toward those specific utilizations are highlighted in the Review with the representative examples. The future outlook of wearable healthcare techniques is briefly discussed for their commercialization.

Graphene-Based Sensors for Human Health Monitoring

Since the desire for real-time human health monitoring as well as seamless human-machine interaction is increasing rapidly, plenty of research efforts have been made to investigate wearable sensors and implantable devices in recent years. As a novel 2D material, graphene has aroused a boom in the field of sensor research around the world due to its advantages in mechanical, thermal, and electrical properties. Numerous graphene-based sensors used for human health monitoring have been reported, including wearable sensors, as well as implantable devices, which can realize the real-time measurement of body temperature, heart rate, pulse oxygenation, respiration rate, blood pressure, blood glucose, electrocardiogram signal, electromyogram signal, and electroencephalograph signal, etc. Herein, as a review of the latest graphene-based sensors for health monitoring, their novel structures, sensing mechanisms, technological innovations, components for sensor systems and potential challenges will be discussed and outlined.

Recent Developments in Printing Flexible and Wearable Sensing Electronics for Healthcare Applications

Wearable biosensors attract significant interest for their capabilities in real-time monitoring of wearers' health status, as well as the surrounding environment. Sensor patches are embedded onto the human epidermis accompanied by data readout and signal conditioning circuits with wireless communication modules for transmitting data to the computing devices. Wearable sensors designed for recognition of various biomarkers in human epidermis fluids, such as glucose, lactate, pH, cholesterol, etc., as well as physiological indicators, i.e., pulse rate, temperature, breath rate, respiration, alcohol, activity monitoring, etc., have potential applications both in medical diagnostics and fitness monitoring. The rapid developments in solution-based nanomaterials offered a promising perspective to the field of wearable sensors by enabling their cost-efficient manufacturing through printing on a wide range of flexible polymeric substrates. This review highlights the latest key developments made in the field of wearable sensors involving advanced nanomaterials, manufacturing processes, substrates, sensor type, sensing mechanism, and readout circuits, and ends with challenges in the future scope of the field. Sensors are categorized as biological and fluidic, mounted directly on the human body, or physiological, integrated onto wearable substrates/gadgets separately for monitoring of human-body-related analytes, as well as external stimuli. Special focus is given to printable materials and sensors, which are key enablers for wearable electronics.

Significance of Nanomaterials in Wearables: A Review on Wearable Actuators and Sensors

Together with the evolution of digital health care, the wearable electronics field has evolved rapidly during the past few years and is expected to be expanded even further within the first few years of the next decade. As the next stage of wearables is predicted to move toward integrated wearables, nanomaterials and nanocomposites are in the spotlight of the search for novel concepts for integration. In addition, the conversion of current devices and attachment-based wearables into integrated technology may involve a significant size reduction while retaining their functional capabilities. Nanomaterial-based wearable sensors have already marked their presence with a significant distinction while nanomaterial-based wearable actuators are still at their embryonic stage. This review looks into the contribution of nanomaterials and nanocomposites to wearable technology with a focus on wearable sensors and actuators.

Highly sensitive strain sensors based on hollow packaged silver nanoparticle-decorated three-dimensional graphene foams for wearable electronics

Silver nanoparticle-decorated three-dimensional graphene foams were prepared and packaged with half-cured PMDS films, forming a special “hollow packaged” structure that exhibited high sensitivity for wearable strain sensor applications.

Electrospun Janus-like pellicle displays coinstantaneous tri-function of aeolotropic conduction, magnetism and luminescence

A new Janus-like pellicle with top-bottom structure, functionalized by conductive aeolotropism, magnetism and luminescence (defined as a CML Janus-like pellicle), is conceived and constructed via electrospinning by combining microcosmic with macroscopic partitions. [PANI/PMMA]//[Eu(BA)₃phen/PMMA] and [Fe₃O₄/PMMA]//[Tb(BA)₃phen/PMMA] Janus-like microribbons are selected as building units to construct a conductive aeolotropism-luminescence layer (CL layer) and magnetism-luminescence layer (ML layer), and the two layers are combined to form a CML Janus-like pellicle. Macroscopic partition is achieved by designing the Janus-like structure of the pellicle, while Janus-like microribbons are used for the microcosmic partition by separating rare earth luminescent compounds from dark-colored magnetic Fe₃O₄ NPs and conductive PANI. The CML Janus-like pellicle has stronger luminescence compared to the contrast samples. The magnetism of the CML Janus-like pellicle can be adjusted by changing the doping amount of Fe₃O₄ NPs. The CML Janus-like pellicle can achieve a strong and variable conductive aeolotropism via changing the doping amount of PANI and the highest conductive aeolotropism ratio can reach ca. 10⁸ times when the PANI content is 70%. Microcosmic and macroscopic partitions are simultaneously integrated into the CML Janus-like pellicle, which results in almost no detrimental mutual influences between the two layers, and the overall performances of the CML Janus-like pellicle are greatly improved.

Janus-like pellicle with conductive aeolotropism, magnetism and luminescence is designed and constructed via electrospinning by combining microcosmic with macroscopic partitions.

Non-Invasive Flexible and Stretchable Wearable Sensors With Nano-Based Enhancement for Chronic Disease Care

Advances in flexible and stretchable electronics, functional nanomaterials, and micro/nano manufacturing have been made in recent years. These advances have accelerated the development of wearable sensors. Wearable sensors, with excellent flexibility, stretchability, durability, and sensitivity, have attractive application prospects in the next generation of personal devices for chronic disease care. Flexible and stretchable wearable sensors play an important role in endowing chronic disease care systems with the capability of long-term and real-time tracking of biomedical signals. These signals are closely associated with human body chronic conditions, such as heart rate, wrist/neck pulse, blood pressure, body temperature, and biofluids information. Monitoring these signals with wearable sensors provides a convenient and non-invasive way for chronic disease diagnoses and health monitoring. In this review, the applications of wearable sensors in chronic disease care are introduced. In addition, this review exploits a comprehensive investigation of requirements for flexibility and stretchability, and methods of nano-based enhancement. Furthermore, recent progress in wearable sensors-including pressure, strain, electrophysiological, electrochemical, temperature, and multifunctional sensors-is presented. Finally, opening research challenges and future directions of flexible and stretchable sensors are discussed.

Fabrication of Strain Gauges via Contact Printing: A Simple Route to Healthcare Sensors Based on Cross-Linked Gold Nanoparticles

In this study, we developed a novel and efficient process for the fabrication of resistive strain gauges for healthcare-related applications. First, 1,9-nonanedithiol cross-linked gold nanoparticle (GNP) films were prepared via layer-by-layer (LbL) spin-coating and subsequently transferred onto flexible polyimide foil by contact printing. Four-point bending tests revealed linear response characteristics with gauge factors of ∼14 for 4 nm GNPs and ∼26 for 7 nm GNPs. This dependency of strain sensitivity is attributed to the perturbation of charge carrier tunneling between neighboring GNPs, which becomes more efficient with increasing particle size. Fatigue tests revealed that the strain-resistance performance remained nearly the same after 10.000 strain/relaxation cycles. We demonstrate that these sensors are well suited to monitor muscle movements. Furthermore, we fabricated all-printed strain sensors by directly transferring cross-linked GNP films onto soft PDMS sheets equipped with interdigitated electrodes. Due to the low elastic modulus of poly(dimethylsiloxane) (PDMS), these sensors are easily deformed and, therefore, they respond sensitively to faint forces. When taped onto the skin above the radial artery, they enable the well-resolved and robust recording of pulse waves with diagnostically relevant details.