Sweat Sensor Based on Wearable Janus Textiles for Sweat Collection and Microstructured Optical Fiber for Surface-Enhanced Raman Scattering Analysis

Wearable SERS devices in health management: Challenges and prospects

Surface-Enhanced Raman Scattering (SERS) is an advanced analytical technique renowned for its heightened sensitivity in detecting molecular vibrations. Its integration into wearable technologies facilitates the monitoring of biofluids, such as sweat and tears, enabling continuous, non-invasive, real-time analysis of human chemical and biomolecular processes. This capability underscores its significant potential for early disease detection and the advancement of personalized medicine. SERS has attracted considerable research attention in the fields of wearable flexible sensing and point-of-care testing (POCT) within medical diagnostics. Nonetheless, the integration of SERS with wearable technology presents several challenges, including device miniaturization, reliable biofluid sampling, user comfort, biocompatibility, and data interpretation. The ongoing advancements in nanotechnology and artificial intelligence are instrumental in addressing these challenges. This review provides a comprehensive analysis of design strategies for wearable SERS sensors and explores their applications within this domain. Finally, it addresses the current challenges in this area and the future prospects of combining SERS wearable sensors with other portable health monitoring systems for POCT medical diagnostics. Wearable SERS is a promising innovation in future healthcare, potentially enhancing individual health outcomes and reducing healthcare costs by fostering preventive health management approaches.

Recent developments in the fabrication, performance, and application of transparent superhydrophobic coatings

Conventional superhydrophobic coatings frequently rely excessively on micron-sized protrusions on the surface, which leads to light scattering effects and significantly reduces the light transmission of the materials, thus limiting the range of coating applications. Transparent superhydrophobic coatings further expand the applications of coatings in areas such as solar photovoltaic panels, electronic components, architectural glass, automotive, cultural heritage preservation, and biomedical applications by combining the common properties of superhydrophobic coatings with optical transparency. This review summarizes the basic principles of transparent superhydrophobic coatings from the perspectives of superhydrophobicity and transparency theories. Advancements and characteristics of various fabrication processes are summarized. In addition, this review summarizes the strategies for synchronizing the superhydrophobicity with the transparency of the coatings and the mechanisms for enhancing the durability of the coatings. Finally, the progress in the applications is summarized and prospects of transparent superhydrophobic coating research are proposed. In all, transparent superhydrophobic coatings should be developed in the direction of balancing environmental friendliness, durability, optical transparency, and intelligence. This review is expected to effectively supplement existing works of literature on transparent superhydrophobic coatings and provide more insights for the large-scale applications of transparent superhydrophobic coatings in the future.

Plasmonic wearable adhesive patch for a SERS-based sweat sensor

The development of flexible and wearable patches made from biocompatible materials for the molecular fingerprinting of body fluids is an emerging area of research in the field of healthcare devices. Herein, a surface-enhanced Raman scattering sensor was designed and developed using a two-layer paper-based substrate: the first layer was mixed with polydimethylsiloxane and oleic acid for skin adhesion, and the second layer comprised a filter paper with in situ reduced nanoparticles for Raman signal enhancement of sweat components. The design of the patch avoids the direct exposure of nanoparticles and the excitation laser to the skin. The volume ratio of polydimethylsiloxane to oleic acid in the adhesive mixture was optimized for maximum adhesion to various substrates with oil residue. The plasmonic paper employed here exhibited excellent limits of detection of 55.9 μM and 47.8 μM for the sweat components urea and lactate, respectively. By utilizing the skin-adhesive patch, the multiplexed detection of urea and lactate could be achieved directly from sweat using surface-enhanced Raman spectroscopy. The developed SERS patch can be potentially utilized as a wearable healthcare sensor for the molecular fingerprinting of body fluids and opens avenues for the development of such sensors in the field of wearable personalized healthcare devices.

Flexible Optical Fiber Sensor for Non-Invasive Continuous Monitoring of Human Physiological Signals

With increasing health awareness, monitoring human physiological signals for health status and disease prevention has become crucial. Non-invasive flexible wearable devices address issues like invasiveness, inconvenience, size, and continuous monitoring challenges in traditional devices. Among flexible sensors, optical fiber sensors (OFSs) stand out due to their excellent biocompatibility, anti-electromagnetic interference capabilities, and ability to monitor multiple signals simultaneously. This paper reviews the application of flexible optical fiber sensing technology (OFST) in monitoring human lung function, cardiovascular function, body parameters, motor function, and various physiological signals. It emphasizes the importance of continuous monitoring in personal health management, clinical settings, sports training, and emergency response. The review discusses challenges in OFST for continuous health signal monitoring and envisions its significant potential for future development. This technology underscores the importance of constant health signal monitoring and highlights the advantages and prospects of optical fiber sensing. Innovations in OFS for non-invasive continuous monitoring of physiological signals hold profound implications for materials science, sensing technology, and biomedicine.

Wearable textile sensors for continuous glucose monitoring

Diabetes and cardiovascular disease are interlinked chronic conditions that necessitate continuous and precise monitoring of physiological and environmental parameters to prevent complications. Non-invasive monitoring technologies have garnered significant interest due to their potential to alleviate the current burden of diabetes and cardiovascular disease management. However, these technologies face limitations in accuracy and reliability due to interferences from physiological and environmental factors. This review investigates electronic textiles (e-textiles) that integrate biomedical sensors into wearable fabrics that can enable a multimodal platform for non-invasive continuous glucose monitoring (CGM). Current advancements in e-textiles show the potential of four key methods for glucose monitoring: optical, biochemical, biomechanical, and thermal sensing techniques. Biochemical sensing through sweat-based glucose detection has demonstrated potential for accurate and non-invasive monitoring but still faces numerous challenges. While optical, biomechanical and thermal sensing are less explored in e-textiles, they offer additional physiological and environmental insights that can improve the precision of glucose readings by providing cross-validation of data. This review proposes that integrating multiple sensing modalities into a single multimodal e-textile wearable can address the accuracy and reliability challenges by providing cross-validation of data. The development of such multimodal e-textiles has the potential to revolutionise diabetes and cardiovascular disease management by providing continuous, accurate, and holistic monitoring in real-time, which could significantly improve patient outcomes and quality of life. Further research and development are crucial to fully realise the potential of these integrated systems in clinical and everyday settings.

Advancing Sports Cardiology: Integrating Artificial Intelligence with Wearable Devices for Cardiovascular Health Management

Sports cardiology focuses on athletes' cardiovascular health, yet sudden cardiac death remains a significant concern despite preventative measures. Prolonged physical activity leads to notable cardiovascular adaptations, known as the athlete's heart, which can resemble certain pathological conditions, complicating accurate diagnoses and potentially leading to serious consequences such as unnecessary exclusion from sports or missed treatment opportunities. Wearable devices, including smartwatches and smart glasses, have become prevalent for monitoring health metrics, offering potential clinical applications for sports cardiologists. These gadgets are capable of spotting exercise-induced arrhythmias, uncovering hidden heart problems, and offering crucial information for training and recovery, to minimize exercise-related cardiac incidents and enhance heart health care. However, concerns about data accuracy and the actionable value of the obtained information persist. A major challenge lies in the integration of artificial intelligence with wearables, research gaps remain regarding their ability to provide real-time, reliable, and clinically relevant insights. Combining artificial intelligence with wearable devices can improve how data is managed and used in sports cardiology. Artificial intelligence, particularly machine learning, can classify, predict, and draw inferences from the data collected by wearables, revolutionizing patient data usage. Despite artificial intelligence's proven effectiveness in managing chronic conditions, the limited research on its application in sports cardiology, particularly regarding wearables, creates a critical gap that needs to be addressed. This review examines commercially available wearables and their applications in sports cardiology, exploring how artificial intelligence can be integrated into wearable technology to advance the field.

Surface Enhanced Raman Scattering for Biomolecular Sensing in Human Healthcare Monitoring

Since the 1980s, surface enhanced Raman scattering (SERS) has been used for the rapid and sensitive detection of biomolecules. Whether a label-free or labeled assay is adopted, SERS has demonstrated low limits of detection in a variety of biological matrices. However, SERS analysis has been confined to the laboratory due to several reasons such as reproducibility and scalability, both of which have been discussed at length in the literature. Another possible issue with the lack of widespread adoption of SERS is that its application in point of use (POU) testing is only now being fully explored due to the advent of portable Raman spectrometers. Researchers are now investigating how SERS can be used as the output on several POU platforms such as lateral flow assays, wearable sensors, and in volatile organic compound (VOC) detection for human healthcare monitoring, with favorable results that rival the gold standard approaches. Another obstacle that SERS faces is the interpretation of the wealth of information obtained from the platform. To combat this, machine learning is being explored and has been shown to provide quick and accurate analysis of the generated data, leading to sensitive detection and discrimination of many clinically relevant biomolecules. This review will discuss the advancements of SERS combined with POU testing and the strength that machine learning can bring to the analysis to produce a powerful combined platform for human healthcare monitoring.

Worth your sweat: wearable microfluidic flow rate sensors for meaningful sweat analytics

Wearable microfluidic sweat sensors could play a major role in the future of monitoring health and wellbeing. Sweat contains biomarkers to monitor health and hydration status, and it can provide information on drug intake, making it an interesting non-invasive alternative to blood. However, sweat is not created in excess, and this requires smart sweat collection strategies to handle small volumes. Microfluidic solutions are commonly employed which use capillary action or evaporation to drive flow. In current literature about sweat analytics, the emphasis lies predominantly on developing the sensors for measuring the composition of sweat. Yet, solely measuring sweat composition does not suffice, because the composition varies due to inter- and intra-individual differences in sweat rate. The measurement of sweat rate is thus crucial for enabling a reliable interpretation and standardisation of this data. Recently, more wearable sweat sensors, also integrating a means of measuring flow, have been developed. This manuscript reviews state-of-the-art sweat collection strategies and flow rate measuring techniques. Generally, flow rate measurements are performed by impedimetric or capacitive methods. However, these techniques can be impaired due to limited lifetime and signal interference from changing ionic contents in sweat. Discrete measurement techniques, such as impedance measurements of an advancing fluid front with interdigitated electrodes, calorimetric and colorimetric techniques can be very reliable, because they selectively measure flow. However, one should take the available size, intended application and compatibility with other sensors into account. Overall, accurate flow rate sensors integrated in reliable microfluidic sweat sensor platforms will enable the standardisation of sweat measurements to unlock the potential of sweat analytics in advancing physiological research, personalized diagnostics and treatment of diseases.

Directional Liquid Transport in Thin Fibrous Matrices: Enhancement of Advanced Applications

Directional liquid transport fibrous matrices (DLTFMs) have the unique ability to direct liquid movement in a single direction through their thickness. Beyond their inherent liquid transport function, DLTFMs can also enhance the effectiveness of additional functionalities. This review focuses on recent advances in DLTFMs, particularly the role of DLTs in enhancing secondary functions. We begin with a brief overview of the historical development and major achievements in DLTFM research, followed by an outline of the classification, fabrication techniques, and basic functions derived from their natural liquid transport properties. The integration of DLT to enhance secondary functionalities such as responsiveness, thermal regulation, and wearable technology for innovative applications in various sectors is then discussed. The review concludes with a discussion of key challenges and prospects in the field, including the durability and reliability of DLT performance, the precise regulation of fluid transport rates, the resilience and longevity of DLTFMs in harsh environments, and the impact of DLT variations on performance enhancement. The goal of this review is to stimulate further innovative studies on DLTFMs and to promote their practical implementation in a variety of industries.

Lighting the Path to Precision Healthcare: Advances and Applications of Wearable Photonic Sensors

Recent advancements in wearable photonic sensors have marked a transformative era in healthcare, enabling non-invasive, real-time, portable, and personalized medical monitoring. These sensors leverage the unique properties of light toward high-performance sensing in form factors optimized for real-world use. Their ability to offer solutions to a broad spectrum of medical challenges - from routine health monitoring to managing chronic conditions, inspires a rapidly growing translational market. This review explores the design and development of wearable photonic sensors toward various healthcare applications. The photonic sensing strategies that power these technologies are first presented, alongside a discussion of the factors that define optimal use-cases for each approach. The means by which these mechanisms are integrated into wearable formats are then discussed, with considerations toward material selection for comfort and functionality, component fabrication, and power management. Recent developments in the space are detailed, accounting for both physical and chemical stimuli detection through various non-invasive biofluids. Finally, a comprehensive situational overview identifies critical challenges toward translation, alongside promising solutions. Associated future outlooks detail emerging trends and mechanisms that stand to enable the integration of these technologies into mainstream healthcare practice, toward advancing personalized medicine and improving patient outcomes.

Optical sensors for transdermal biomarker detection: A review

This review has explored optical sensors and their important role in non-invasive transdermal biomarker detection. While electrochemical sensors have been thoroughly studied for biomarker tracking, optical sensors present a compelling alternative due to their high sensitivity and selectivity, multiplex capabilities, cost-efficiency, and small form factor. This review examines the latest advancements in optical sensing technologies for transdermal biomarker detection, such as colorimetry, fluorescence, surface plasmon resonance (SPR), fiber optics, photonic crystals, and Raman spectroscopy. These technologies have been applied in the analysis of biomarkers present in sweat and skin gases, which are essential for non-invasive health monitoring. Furthermore, the review has discussed the challenges and future perspectives of optical sensors in in transdermal biomarker detection. The analysis of various sensor types and their applications highlights the transformative potential of optical sensors in enhancing disease diagnostics and promoting proactive health management.

Towards Point-of-Care Single Biomolecule Detection Using Next Generation Portable Nanoplasmonic Biosensors: A Review

Over the past few years, nanoplasmonic biosensors have gained widespread interest for early diagnosis of diseases thanks to their simple design, low detection limit down to the biomolecule level, high sensitivity to even small molecules, cost-effectiveness, and potential for miniaturization, to name but a few benefits. These intrinsic natures of the technology make it the perfect solution for compact and portable designs that combine sampling, analysis, and measurement into a miniaturized chip. This review summarizes applications, theoretical modeling, and research on portable nanoplasmonic biosensor designs. In order to develop portable designs, three basic components have been miniaturized: light sources, plasmonic chips, and photodetectors. There are five types of portable designs: portable SPR, miniaturized components, flexible, wearable SERS-based, and microfluidic. The latter design also reduces diffusion times and allows small amounts of samples to be delivered near plasmonic chips. The properties of nanomaterials and nanostructures are also discussed, which have improved biosensor performance metrics. Researchers have also made progress in improving the reproducibility of these biosensors, which is a major obstacle to their commercialization. Furthermore, future trends will focus on enhancing performance metrics, optimizing biorecognition, addressing practical constraints, considering surface chemistry, and employing emerging technologies. In the foreseeable future, these trends will be merged to result in portable nanoplasmonic biosensors offering detection of even a single biomolecule.

Nanoplasmonic biosensors for environmental sustainability and human health

Monitoring the health conditions of the environment and humans is essential for ensuring human well-being, promoting global health, and achieving sustainability. Innovative biosensors are crucial in accurately monitoring health conditions, uncovering the hidden connections between the environment and human well-being, and understanding how environmental factors trigger autoimmune diseases, neurodegenerative diseases, and infectious diseases. This review evaluates the use of nanoplasmonic biosensors that can monitor environmental health and human diseases according to target analytes of different sizes and scales, providing valuable insights for preventive medicine. We begin by explaining the fundamental principles and mechanisms of nanoplasmonic biosensors. We investigate the potential of nanoplasmonic techniques for detecting various biological molecules, extracellular vesicles (EVs), pathogens, and cells. We also explore the possibility of wearable nanoplasmonic biosensors to monitor the physiological network and healthy connectivity of humans, animals, plants, and organisms. This review will guide the design of next-generation nanoplasmonic biosensors to advance sustainable global healthcare for humans, the environment, and the planet.

Microfluidic Wearable Electrochemical Sensor Based on MOF-Derived Hexagonal Rod-Shaped Porous Carbon for Sweat Metabolite and Electrolyte Analysis

Wearable sensors enable the noninvasive continuous analysis of biofluid, which is of great importance for healthcare monitoring. In this work, a wearable sensor was seamlessly integrated with a microfluidic chip which was prepared by a three-dimensional printing technology for noninvasive and multiplexed analysis of metabolite and electrolytes in human sweat. The microfluidic chip could enable rapid sampling of sweat, which avoids the sweat evaporation and contamination. Using a Zn metal-organic framework as a sacrificial template, the hexagonal rod-shaped porous carbon nanorod (PCN) with high porosity, a large specific surface area, and excellent conductivity was synthesized and exhibited the robust electrocatalytic ability of uric acid (UA) oxidation. Therefore, the PCN-based sensor showed high sensitivity and good selectivity of UA with a wide linear range of 10-200 μM and a low detection limit of 4.13 μM. Meanwhile, the potentiometry-based ion-selective electrode was constructed for detection of pH and K+, respectively, with good sensitivity, selectivity, reproducibility, and stability. In addition, the testing under different bending states demonstrated that mechanical deformation had little effect on the electrochemical performance of the wearable sensors. Furthermore, we evaluated the utility of the wearable sensor for multiplexed real-time analysis of UA, pH, and K+ in sweat during aerobic exercise, and the effect of the amount of consumed purine-rich foods on uric acid metabolite levels in sweat and urine was further investigated. The relationship between urine UA and sweat UA was obtained. Overall, this wearable sensor enables multiple electrolyte and metabolite analysis in different noninvasive biofluids, suggesting its potential application in personalized disease prevention.

Unpacking the packaged optical fiber bio-sensors: understanding the obstacle for biomedical application

A biosensor is a promising alternative tool for the detection of clinically relevant analytes. Optical fiber as a transducer element in biosensors offers low cost, biocompatibility, and lack of electromagnetic interference. Moreover, due to the miniature size of optical fibers, they have the potential to be used in microfluidic chips and in vivo applications. The number of optical fiber biosensors are extensively growing: they have been developed to detect different analytes ranging from small molecules to whole cells. Yet the widespread applications of optical fiber biosensor have been hindered; one of the reasons is the lack of suitable packaging for their real-life application. In order to translate optical fiber biosensors into clinical practice, a proper embedding of biosensors into medical devices or portable chips is often required. A proper packaging approach is frequently as challenging as the sensor architecture itself. Therefore, this review aims to give an unpack different aspects of the integration of optical fiber biosensors into packaging platforms to bring them closer to actual clinical use. Particularly, the paper discusses how optical fiber sensors are integrated into flow cells, organized into microfluidic chips, inserted into catheters, or otherwise encased in medical devices to meet requirements of the prospective applications.